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Remote Nurse Reviewer Jobs in Bothell, WA (NOW HIRING)

YO AI Labs

Pharmacovigilance Expert - Remote

Seattle, WA · Remote

$70 - $80/hr

Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ... Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc ...

New

YO AI Labs

Pharmacovigilance Expert - Remote

Seattle, WA · Remote

$70 - $80/hr

Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ... Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc ...

New

Cambia Health Solutions

Payment Integrity Nurse I

Renton, WA · Remote

$66K - $106K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Remote Pay ranges vary based on the candidate's work location. The expected hiring range depends on ...

Cambia Health Solutions

Payment Integrity Nurse I

Bellevue, WA · Remote

$66K - $106K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Remote Pay ranges vary based on the candidate's work location. The expected hiring range depends on ...

AO Globe Life

Remote Sales Rep-NO COLD CALLING

Seattle, WA · Remote

$50K - $120K/yr

  • Medical

  • Dental

  • Vision

... Firefighters, Nurses, and now, Veterans. For over 60 years, we have been the #1 provider of ... Review agreements regularly to develop cost-effective plans. What We're Looking For:

DaVita, Inc.

Registered Nurse RN Case Manager

Seattle, WA · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Washington-- Remote (CKD) (Would prefer the RN to be based in Seattle or surrounding cities) This is a primarily remote position requiring a dedicated home office and the ability to travel to meet ...

DaVita, Inc.

Registered Nurse RN Case Manager

Seattle, WA · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Washington-- Remote (CKD) (Would prefer the RN to be based in Seattle or surrounding cities) This is a primarily remote position requiring a dedicated home office and the ability to travel to meet ...

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All JobsNurse Reviewer JobsRemote Nurse Reviewer JobsRemote Nurse Reviewer Jobs in Bothell, WA

Remote Nurse Reviewer information

See Bothell, WA salary details

$31

$41

$47

How much do remote nurse reviewer jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote nurse reviewer in Bothell, WA is $41.40, according to ZipRecruiter salary data. Most workers in this role earn between $38.17 and $46.20 per hour, depending on experience, location, and employer.

What are some common challenges faced by remote nurse reviewers, and how can they be managed?

Remote Nurse Reviewers often encounter challenges such as balancing productivity with quality, adapting to frequent changes in healthcare regulations, and managing communication across virtual teams. To manage these, it's important to stay organized, participate in ongoing training, and utilize digital collaboration tools effectively. Regular check-ins with supervisors and colleagues can also help maintain connection and clarity on case review expectations, ensuring both accuracy and efficiency in your work.

What does a remote nurse reviewer do?

As a remote nurse reviewer, you work from home to conduct pre-authorization, check out-of-network benefit information, and determine treatment appropriateness, along with other reviewing responsibilities. In this role, you follow clinical and departmental guidelines when reviewing documents to determine if the treatment used was needed and appropriate. Your duties are to consider medical necessity clinical screenings, determine if medical necessity criteria are met for the patient, communicate with insurance companies for pre-authorization, notify physicians about insurance decisions, and document all reviews. You make phone calls and examine the record from home, allowing you to work a flexible schedule.

What is a remote nurse reviewer?

Remote Nurse Reviewers are registered nurses who assess medical records, insurance claims, or healthcare documentation from a remote location, typically from home. They play a crucial role in ensuring that patient care meets established guidelines and that services billed to insurance are medically necessary and appropriately documented. Their work often involves collaborating with physicians, insurance companies, and healthcare providers to review cases, determine coverage, and support utilization management. This position requires strong clinical knowledge, attention to detail, and proficiency with electronic health records and telecommunication tools.

What is the difference between Remote Nurse Reviewer vs Remote Medical Coder?

AspectRemote Nurse ReviewerRemote Medical Coder
Required CredentialsRN license, clinical experienceCertification (CPC, CCS), coding training
Work EnvironmentHealthcare organizations, insurance companiesHospitals, billing companies, insurance firms
Industry UsageMedical review, claims assessmentMedical billing, coding, reimbursement
Search/Comparison IntentUnderstanding clinical review rolesUnderstanding coding and billing roles

Remote Nurse Reviewers primarily evaluate medical records to ensure accuracy and compliance, requiring nursing credentials and clinical experience. Remote Medical Coders focus on translating medical procedures into billing codes, requiring coding certifications. Both roles are remote, serve healthcare and insurance industries, but differ in daily tasks and required qualifications.

What are the key skills and qualifications needed to thrive as a remote nurse reviewer, and why are they important?

To thrive as a Remote Nurse Reviewer, you need a current RN license, clinical experience, and a strong understanding of medical terminology and healthcare regulations. Familiarity with utilization review platforms, electronic health records (EHRs), and coding systems such as ICD-10 and CPT is typically required. Exceptional attention to detail, critical thinking, and effective written communication skills help you stand out in this role. These competencies are vital to ensuring accurate medical reviews, regulatory compliance, and clear communication with providers and payers in a remote work environment.
More about Remote Nurse Reviewer jobs
What are popular job titles related to Remote Nurse Reviewer jobs in Bothell, WA? For Remote Nurse Reviewer jobs in Bothell, WA, the most frequently searched job titles are:
What job categories do people searching Remote Nurse Reviewer jobs in Bothell, WA look for? The top searched job categories for Remote Nurse Reviewer jobs in Bothell, WA are:
What cities near Bothell, WA are hiring for Remote Nurse Reviewer jobs? Cities near Bothell, WA with the most Remote Nurse Reviewer job openings:
Remote Nurse Reviewer jobs near you
Infographic showing various Remote Nurse Reviewer job openings in Bothell, WA as of August 2026, with employment types broken down into 3% As Needed, 58% Full Time, 21% Part Time, and 18% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $86,115 per year, or $41.4 per hour.

Pharmacovigilance Expert - Remote

YO AI Labs

Seattle, WA • Remote

$70 - $80/hr

Full-time

Posted 2 days ago

New

Job description

Job Title: Pharmacovigilance Expert

Job Type: Contractor
Location: Remote

Job Overview

We are seeking experienced Pharmacovigilance Experts to contribute their drug safety expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining pharmacovigilance documentation, safety reports, and regulatory content. No prior AI experience is required—your pharmacovigilance expertise, analytical skills, and commitment to data quality are what matter most.

Key Responsibilities

  • Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level records.

  • Assess safety findings, signal evaluations, and benefit-risk conclusions for accuracy and regulatory alignment.

  • Review reports for compliance with ICH E2F, ICH E2C(R2), and GVP guidelines.

  • Analyze aggregate safety data and reconcile case counts, figures, and inconsistencies across data sources.

  • Evaluate safety conclusions based on new data, events, and regulatory requirements.

  • Provide structured written feedback and rationales to support AI-driven pharmacovigilance tools.

  • Ensure accuracy, completeness, and quality of regulatory safety documentation.

Required Skills

  • Pharmacovigilance

  • Drug Safety Report Authoring

  • DSUR/PSUR/PBRER Review

  • ICH E2F & ICH E2C(R2) Compliance

  • GVP Guidelines

  • Aggregate Safety Data Analysis

  • Signal Management

  • Benefit-Risk Assessment

  • MedDRA Coding

  • Seriousness & Causality Assessment

  • Expectedness Determination

  • Data Reconciliation

  • Regulatory Documentation

  • Structured Written Communication

  • Attention to Detail

Preferred Qualifications

  • 5+ years of pharmacovigilance or drug safety experience within a sponsor, CRO, or consulting environment.

  • Proven experience authoring or reviewing DSURs and/or PSURs/PBRERs.

  • Strong knowledge of ICH E2F, ICH E2C(R2), and GVP guidelines.

  • Hands-on experience with signal management, benefit-risk assessment, MedDRA coding, and safety data analysis.

  • Experience reconciling aggregate safety data with case-level information.

  • Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc, or equivalent).

  • Experience in clinical development safety, post-marketing surveillance, QPPV/deputy QPPV roles, safety committees, or AI-assisted safety review tools is a plus.