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Remote Nurse Reviewer Jobs in Reston, VA (NOW HIRING)

Sentara Healthcare

Care Coordinator

Alexandria, VA · On-site +1

$20.50 - $27.75/hr

... remote telephonic assessments for members with Serious Mental Illnesses, Serious Emotional ... Degrees that have been obtained from schools outside the United States will be reviewed ...

STG International

Cardiologist - PRN

Rockville, MD · Remote

$360K - $407K/yr

The position is open to candidates nationwide and is fully remote. Job Specific Duties and ... nurses and physicians as well as Reviewing Medical Officers (RMOs) in accordance with the FOH ECG ...

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All JobsNurse Reviewer JobsRemote Nurse Reviewer JobsRemote Nurse Reviewer Jobs in Reston, VA

Remote Nurse Reviewer information

See Reston, VA salary details

$29

$38

$44

How much do remote nurse reviewer jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote nurse reviewer in Reston, VA is $38.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.53 and $43.03 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 Reston, VA? For Remote Nurse Reviewer jobs in Reston, VA, the most frequently searched job titles are:
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What cities near Reston, VA are hiring for Remote Nurse Reviewer jobs? Cities near Reston, VA with the most Remote Nurse Reviewer job openings:
Remote Nurse Reviewer jobs near you
Infographic showing various Remote Nurse Reviewer job openings in Reston, VA as of August 2026, with employment types broken down into 2% As Needed, 59% Full Time, 20% Part Time, and 19% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $80,142 per year, or $38.5 per hour.

Remote Child & Adolescent Therapist (LCSW, LPC, LMFT)

LifeStance Health

Sterling, VA • On-site, Remote

$100K - $112K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 15 days ago

Lifestance Health rating

6.8

Company rating: 6.8 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

492nd of 887 rated healthcare providers

Job description

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in behavioral health.
Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team!
We are actively looking to hire talented licensed therapists (LPC, LCSW, LMFT) in Virginia, who are passionate about patient care and committed to clinical excellence.
We offer licensed therapists:
  • Sign-on bonus
  • Annual cash bonus up to $8,000
  • Full-time W-2 positions
  • Strong work-life balance
  • Flexible schedule, set your own hours
  • Remote position
  • Must reside within a commutable distance from Sterling, VA
  • Collegial environment with a multidisciplinary team
  • Full administrative support, handles all billing & scheduling
  • Latest in digital technology
  • 100% malpractice insurance coverage
  • Full benefits package: medical insurance/vision/dental/life/disability benefits/401k (+match)
  • Annual income potential: $100,000 to $112,000+, compensation model based on productivity.

Licensed therapists are a critical part of our clinical team. We're seeking:
  • Therapists independently licensed and credentialed in Virginia as an LPC, LCSW or LMFT.
  • Experienced in working with child and adolescent populations.

$100,000 - $112,000 a year
About LifeStance Health
LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US.
LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.
Our values:
Belonging: We cultivate a space where everyone can show up as their authentic self.
Empathy: We seek out diverse perspectives and listen to learn without judgment.
Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.
One Team: We realize our full potential when we work together towards our shared purpose.
If you elect to interact with us via our website, please only use www.lifestance.com or www.careers.lifestance.com. Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security.
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at [email protected] or by calling +1-800-308-0994. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.

What Lifestance Health employees say

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Benefits

Hours and flexibility

Workplace

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About LifeStance Health

Sourced by ZipRecruiter

Since LifeStance Health was founded in 2017, we have grown to over 5,000 clinicians and team members serving patients in more than 500 locations. We acquire clinical practices and open new locations across the country, with thousands of new clinicians joining our mission every year. We are reimagining mental health.

Industry

Hospitals and offices of mental health practitioners

Company size

1,001 - 5,000 Employees

Headquarters location

Scottsdale, AZ, US

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