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Remote Nurse Reviewer Jobs in Raleigh, NC (NOW HIRING)

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

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Remote Nurse Reviewer information

See Raleigh, NC salary details

$27

$35

$41

How much do remote nurse reviewer jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote nurse reviewer in Raleigh, NC is $36.00, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $40.19 per hour, depending on experience, location, and employer.

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 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 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.

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 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 popular job titles related to Remote Nurse Reviewer jobs in Raleigh, NC?

For Remote Nurse Reviewer jobs in Raleigh, NC, the most frequently searched job titles are:

What cities near Raleigh, NC are hiring for Remote Nurse Reviewer jobs?

Cities near Raleigh, NC with the most Remote Nurse Reviewer job openings:

Infographic showing various Remote Nurse Reviewer job openings in Raleigh, NC as of August 2026, with employment types broken down into 92% Full Time, 4% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $74,879 per year, or $36 per hour.

Remote Safety Observer-DUHS Patient Attendant Safety Aide Float Pool

Duke University

Durham, NC • On-site, Remote

Full-time

Re-posted 21 days ago


Key responsibilities

  • Virtually monitor and observe the patient continuously using approved telehealth technology.

  • Communicate any changes in the patient's physical, emotional, or mental condition to the nursing team and document observations in the electronic health record.

  • Report and escalate unsafe events, observe and report behavioral changes, and assist in monitoring patients in seclusion or restraint.


Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

491st of 631 rated colleges and universities


Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Remote Safety Observer-Patient Attendant Safety Aide
3-12 hour shifts per week
Location: 14 Moore Drive, Durham NC 27713
Job Description
Perform work under the supervision of a registered nurse, or virtual registered nurse, the remote safety observer
will virtually maintain constant direct observation and visualization of the identified
patient(s).
Duties and Responsibilities of this Level:
• Constant and direct observation of the patient virtually using approved telehealth technology.
• Virtually monitoring changes in the patient's physical, emotional, and mental condition.
• Communicate the status of the patient, including any changes, to bedside nursing team and virtual nursing team.
• Observing and reporting patients' behavioral changes.
• Document observation in electronic health record.
• Escalate unsafe events via alarm or redirections.
• Monitoring of patients in seclusion and/or restraint.
• Collaboration with bedside staff and virtual nursing staff on patient's safety plan of care.
• Participate in review of activities and processes for work area; assist in implementing changes to effect continual improvement in services provided; comply with regulatory and legal requirements.
• Perform other related duties incidental to the work described herein.
• Find and order RSO carts if needed.
• Make assignments to each work station every shift.
• Take handoff from bedside nursing staff on what to observe and share with assigned RSO for viewing.
• Help bedside team with setting up carts, troubleshooting audio/video issues, and discontinuing carts.
Required Qualifications at this Level Education:
Work requires completion of a high school diploma or equivalent.
Experience:
In-Patient Hospital experience preferred. Enrollment in nursing or medical programs strongly preferred.
Degrees, Licensure, and/or Certification:
Listing on the Nurse Aid Registry of North Carolina preferred.
If a hire does not meet this requirement, they must start the process to complete one of the requirements within 1 year of employment and complete within 2 years.
BLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment.
CPI certification strongly preferred.
Knowledge, Skills, and Abilities:
• Technology skills
• Understands basic first aid and CPR, and is capable of administering them if need be.
• Demonstrates a personal interest in the health and well-being of others.
• Is willing to place the needs of others first.
• Has the ability to work with minimal supervision.
• Is able to maintain patient confidentiality.
• Possesses good time management skills.
• Has good physical strength and stamina.
• Knowledge of special procedures that are applicable to work performed.
• Knowledge of procedures and techniques involved in administering routine treatments to patients.
• Knowledge of sanitation, personal hygiene, infection control, and basic health and safety precautions applicable to work in a health care environment.
• Knowledge of behavioral principles and individual responses to stressors.
• Ability to establish and maintain effective working relationships with patients and hospital staff.
• Ability to work with, express sensitivity and understanding, and secure the cooperation of patients, including maintaining sympathetic attitude towards patients.
• Ability to keep calm in stressful situations.
• Ability to maintain routine records and prepare reports.
• Ability to recognize patients in emergency states and seek appropriate assistance.
• Ability to maintain confidentiality and other patient rights.
• Ability to understand, follow and communicate/relate oral and written instructions and pertinent information accurately.
• Ability to apply proper body mechanics and safety. individuals in didactic or recreational groups
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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About Duke University

Sourced by ZipRecruiter

Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US