Review labs, diagnose hormone imbalances, and develop evidence-based treatment plans * Initiate and ... Work Environment Remote Flexibility Work from home with scheduling options that fit your ...
Quick apply
Review labs, diagnose hormone imbalances, and develop evidence-based treatment plans * Initiate and ... Work Environment Remote Flexibility Work from home with scheduling options that fit your ...
RN Case Manager- Chronic Care Management
Atlanta, GA · On-site +1
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
RN Case Manager- Chronic Care Management
Atlanta, GA · On-site +1
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
Telehealth Nurse Practitioner (Remote)
Atlanta, GA · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Georgia Remote (No travel) * Pay: $600$720/day (1099 ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...
Quick apply
Telehealth Nurse Practitioner (Remote)
Atlanta, GA · Remote
$600 - $720/hr
Telehealth Nurse Practitioner * Location/Type: Georgia Remote (No travel) * Pay: $600$720/day (1099 ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
Quick apply
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
... remote setting. Minimum Qualifications: Education - Associate degree in nursing. Experience ... Previous utilization review experience strongly preferred. Additional Details Emory is an equal ...
... remote setting. Minimum Qualifications: Education - Associate degree in nursing. Experience ... Previous utilization review experience strongly preferred. Additional Details Emory is an equal ...
... ) to serve our patient population in the navigation, prevention and management of their health ... Welcome patients into continuous care program(s) and review benefits and services included
... ) to serve our patient population in the navigation, prevention and management of their health ... Welcome patients into continuous care program(s) and review benefits and services included
... ) to serve our patient population in the navigation, prevention and management of their health ... Welcome patients into continuous care program(s) and review benefits and services included
Quick apply
... ) to serve our patient population in the navigation, prevention and management of their health ... Welcome patients into continuous care program(s) and review benefits and services included
Utilization Review Specialist
Atlanta, GA · Remote
$47.40 - $54.95/hr
The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough ... remote setting. Minimum Qualifications: Education - Associate degree in nursing. Experience ...
Utilization Review Specialist
Atlanta, GA · Remote
$47.40 - $54.95/hr
The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough ... remote setting. Minimum Qualifications: Education - Associate degree in nursing. Experience ...
... remote setting. Minimum Qualifications: Education - Associate degree in nursing. Experience ... Previous utilization review experience strongly preferred. Additional Details Emory is an equal ...
... remote setting. Minimum Qualifications: Education - Associate degree in nursing. Experience ... Previous utilization review experience strongly preferred. Additional Details Emory is an equal ...
Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote • United States Job ... , Physical Therapists (PT), Occupational Therapists (OT), and Respiratory Therapists (RT). This is ...
Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote • United States Job ... , Physical Therapists (PT), Occupational Therapists (OT), and Respiratory Therapists (RT). This is ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Atlanta, GA · Remote
$29.05 - $67.97/hr
Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of ... At least 2 years clinical nursing experience, including at least 1 year of utilization review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Atlanta, GA · Remote
$29.05 - $67.97/hr
Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of ... At least 2 years clinical nursing experience, including at least 1 year of utilization review ...
... in Remote Patient Monitoring (RPM) and chronic care programs. * Review biometric alerts and ... What You Bring * Active LPN/LVN license in good standing. * 5+ years of clinical experience ...
... in Remote Patient Monitoring (RPM) and chronic care programs. * Review biometric alerts and ... What You Bring * Active LPN/LVN license in good standing. * 5+ years of clinical experience ...
This is a remote position requiring strong clinical judgment, excellent communication skills, and ... Conduct comprehensive telephonic and virtual clinical assessments, including review and ...
This is a remote position requiring strong clinical judgment, excellent communication skills, and ... Conduct comprehensive telephonic and virtual clinical assessments, including review and ...
Telehealth Nurse Practitioner
Atlanta, GA · Remote
$600 - $720/day
Location/Type: Georgia Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...
Telehealth Nurse Practitioner
Atlanta, GA · Remote
$600 - $720/day
Location/Type: Georgia Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...
Remote Prior Authorization Pharmacist
Lawrenceville, GA · Remote
$50.25 - $60.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...
Remote Prior Authorization Pharmacist
Lawrenceville, GA · Remote
$50.25 - $60.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...
Remote Prior Authorization Pharmacist
Atlanta, GA · Remote
$56 - $67.25/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...
Remote Prior Authorization Pharmacist
Atlanta, GA · Remote
$56 - $67.25/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...
LPN - Advanced Care Planning Specialist, Remote
Atlanta, GA · Remote
$28.85/hr
... in this 100% remote, telephonic role designed for LPNs looking to transition away from bedside ... Provide patient support via incoming patient calls, documentation review support, and special ...
LPN - Advanced Care Planning Specialist, Remote
Atlanta, GA · Remote
$28.85/hr
... in this 100% remote, telephonic role designed for LPNs looking to transition away from bedside ... Provide patient support via incoming patient calls, documentation review support, and special ...
LPN - Advanced Care Planning Specialist, Remote
Atlanta, GA · Remote
$28.85/hr
... in this 100% remote, telephonic role designed for LPNs looking to transition away from bedside ... Provide patient support via incoming patient calls, documentation review support, and special ...
Quick apply
LPN - Advanced Care Planning Specialist, Remote
Atlanta, GA · Remote
$28.85/hr
... in this 100% remote, telephonic role designed for LPNs looking to transition away from bedside ... Provide patient support via incoming patient calls, documentation review support, and special ...
Licensed Vocational Nurse
Atlanta, GA · Remote
$25 - $27/hr
$25-$27 per hour remote, GA Contract This is a remote position and requires the ability to ... Review criteria-based prior authorizations following policy and procedure. * Provide on-call after ...
Licensed Vocational Nurse
Atlanta, GA · Remote
$25 - $27/hr
$25-$27 per hour remote, GA Contract This is a remote position and requires the ability to ... Review criteria-based prior authorizations following policy and procedure. * Provide on-call after ...
Remote Nurse Reviewer information
See Decatur, GA salary details
$27.69 - $28.97
12% of jobs
$28.97 - $30.25
4% of jobs
$30.25 - $31.53
3% of jobs
$31.53 - $32.81
3% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$32.81 - $34.10
16% of jobs
$34.10 - $35.38
6% of jobs
The median wage is $36.34 / hr.
$35.38 - $36.66
6% of jobs
$36.66 - $37.94
10% of jobs
$37.94 - $39.22
1% of jobs
$39.97 is the 75th percentile. Wages above this are outliers.
$39.22 - $40.50
22% of jobs
$40.50 - $41.78
16% of jobs
$27
$36
$41
How much do remote nurse reviewer jobs pay per hour?
As of Jun 22, 2026, the average hourly pay for remote nurse reviewer in Decatur, GA is $36.16, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $40.38 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.
How to make 300,000 dollars as a nurse online?
A remote nurse reviewer can increase earnings by gaining specialized certifications, such as in case management or legal nurse consulting, and building a strong reputation through consistent, high-quality work. Combining multiple freelance or consulting roles, leveraging telehealth platforms, and working with healthcare legal or insurance companies can help reach higher income levels. Earning $300,000 annually typically requires advanced skills, a high volume of cases, and efficient time management.
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 are Remote Nurse Reviewers?
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?
| Aspect | Remote Nurse Reviewer | Remote Medical Coder |
|---|---|---|
| Required Credentials | RN license, clinical experience | Certification (CPC, CCS), coding training |
| Work Environment | Healthcare organizations, insurance companies | Hospitals, billing companies, insurance firms |
| Industry Usage | Medical review, claims assessment | Medical billing, coding, reimbursement |
| Search/Comparison Intent | Understanding clinical review roles | Understanding 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.
How to make an extra $1000 a month as a nurse?
A remote nurse reviewer can increase income by taking on additional review assignments, working flexible hours, and leveraging specialized knowledge in areas like medical coding or documentation. Building a reputation for accuracy and efficiency can lead to higher-paying opportunities or freelance contracts, helping to reach the extra $1000 monthly goal.
How can I make 2000 a week working from home?
A remote nurse reviewer can potentially earn $2,000 a week by working full-time hours, often requiring specialized nursing knowledge, certification, and experience. Increasing income may involve taking on multiple clients, working overtime, or specializing in high-demand areas such as medical coding or clinical review, which can command higher pay rates.
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.
How to become a nurse reviewer?
To become a nurse reviewer, you typically need a valid registered nurse (RN) license and several years of clinical experience. Strong attention to detail, good communication skills, and familiarity with medical documentation are essential, and some positions may require knowledge of insurance or healthcare policies.
More about Remote Nurse Reviewer jobs
What are popular job titles related to Remote Nurse Reviewer jobs in Decatur, GA? For Remote Nurse Reviewer jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Nurse Reviewer jobs in Decatur, GA look for? The top searched job categories for Remote Nurse Reviewer jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Nurse Reviewer jobs? Cities near Decatur, GA with the most Remote Nurse Reviewer job openings:
Full-time, Part-time
Posted 20 hours ago
Job description
AlediumHR is partnering with a forward-thinking telehealth organization that is redefining how men and women manage their health. Through expert clinical care and modern technology, this group is transforming hormone optimization, preventative medicine, and performance-based wellness nationwide.
This is not a generalist telehealth role. This is for experienced nurse practitioners who understand hormone therapy and want to practice at a high level.
The OpportunityWe are seeking experienced, licensed Nurse Practitioners with at least 1 year of Hormone Replacement Therapy (HRT) experiencefor both men and women.
These are both part-time and full-time availability. Providers work remotely and deliver high-impact care through a structured, technology-enabled telehealth model.
Licensing Requirements (Non-Negotiable)Active NP license in a minimum of 6 U.S. states
California, Texas, New York, and Colorado licenses are in demand
Active, unrestricted DEA license
- Ability to prescribe and manage controlled substances in compliance with federal and state regulations
Minimum 1 year of hands-on Hormone Replacement Therapy experience
Experience treating both male and female patients
- Comfort managing testosterone therapy, estrogen/progesterone therapy, adjunct wellness medications, and ongoing lab monitoring
- Strong understanding of endocrine health, preventative care, and optimization protocols
- Conduct structured virtual consultations for men and women seeking hormone optimization and wellness care
- Review labs, diagnose hormone imbalances, and develop evidence-based treatment plans
- Initiate and manage HRT protocols, including appropriate prescribing and follow-up
- Provide patient education on risks, benefits, and long-term care strategies
Maintain thorough, compliant documentation within telehealth platforms
- Collaborate with a clinical and administrative support team to ensure a seamless patient experience
Remote Flexibility
Work from home with scheduling options that fit your availability.
Focused Practice Model
This is a specialized hormone and wellness platform. You will not be handling random urgent care visits or unrelated cases.
Operational Support
Administrative, tech, and compliance infrastructure are in place so you can focus on patient care.
Growth Environment
Join a high-growth telehealth organization expanding nationwide.
About AlediumHR
Sourced by ZipRecruiter
AlediumHR is a boutique recruiting firm that specializes in direct-hire placements. Our focus is healthcare recruitment for clinical and non-clinical roles across the United States and Canada, with extensive experience in the thriving telehealth sector.With over a decade of experience and a proven track record, we possess a deep understanding of the unique challenges that healthcare recruiting presents in the post-Covid era.
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Tampa, FL, US
Year founded
2013