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Remote Nurse Reviewer Jobs in Rochester, NY (NOW HIRING)

DataAnnotation

RN

Rochester, NY · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Kodak

Workers Compensation Manager

Rochester, NY · On-site +1

$85K - $100K/yr

Candidates seeking remote or hybrid work arrangements must have the ability and willingness to ... Participation in claims review, as appropriate. 17. Work with Kodak Medical's nurse case managers ...

ZOLL Medical

Patient Service Representative

Rochester, NY · Remote

$17.25 - $22/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual ...

Honest Health

Population Health Manager

Rochester, NY · On-site +1

The position is remote, but you must be located in or near Rochester, NY due to the frequency with ... Stakeholders may include personnel at skilled nursing facilities (SNFs), specialist practices, and ...

Valera Health

Mental Health Therapist

Rochester, NY · On-site +1

Collaborate within our vetted in-house network of health coaches, therapists, nurse practitioners ... Telehealth or remote experience * Self-motivated with strong independent work skills and ...

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All JobsRemote Nurse Reviewer JobsRemote Nurse Reviewer Jobs in Rochester, NY

Remote Nurse Reviewer information

See Rochester, NY salary details

$27

$36

$42

How much do remote nurse reviewer jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote nurse reviewer in Rochester, NY is $36.54, according to ZipRecruiter salary data. Most workers in this role earn between $33.70 and $40.82 per hour, depending on experience, location, and employer.

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 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?

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.

More about Remote Nurse Reviewer jobs
What are popular job titles related to Remote Nurse Reviewer jobs in Rochester, NY? For Remote Nurse Reviewer jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Remote Nurse Reviewer jobs in Rochester, NY look for? The top searched job categories for Remote Nurse Reviewer jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Nurse Reviewer jobs? Cities near Rochester, NY with the most Remote Nurse Reviewer job openings:
Remote Nurse Reviewer jobs near you
Infographic showing various Remote Nurse Reviewer job openings in Rochester, NY as of May 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 100% Remote job distribution, with an average salary of $76,007 per year, or $36.5 per hour.

Physician Consultant - $130 -$300/hr | Remote

Call For Referral

Rochester, NY • Remote

$189/hr

Other

Posted 20 days ago

Job description

Family Medicine / Primary Care Physician (Part-Time)

Hourly Contract | Remote | $130 - 300 per hour

1. Role Overview

Mercor is hiring Family Medicine / Primary Care Physicians (PCPs) on behalf of a leading healthcare partner dedicated to providing comprehensive, patient-centered medical care.

In this role, you will deliver primary healthcare services to individuals and families across all age groups, focusing on preventive care, diagnosis, and management of acute and chronic conditions.

You’ll play a vital role in improving community and population health outcomes through evidence-based medicine, patient education, and continuity of care. This opportunity is ideal for compassionate, experienced clinicians who value accessibility, quality, and innovation in healthcare delivery.

2. Key Responsibilities

  • Provide comprehensive primary care to patients of all ages, including health assessments, routine checkups, and chronic disease management.
  • Diagnose and treat acute illnesses, injuries, and long-term conditions.
  • Develop and manage personalized treatment plans tailored to each patient’s history and clinical needs.
  • Promote preventive healthcare through screenings, immunizations, and patient education.
  • Coordinate with specialists, nurses, and allied health professionals to ensure integrated, holistic care.
  • Maintain accurate electronic health records (EHR) in compliance with clinical and regulatory standards.
  • Uphold best practices in evidence-based medicine to optimize patient outcomes.

3. Requirements

  • Medical Degree (MD or DO) with specialization in Family Medicine or Internal Medicine.
  • Board-Certified or Board-Eligible in Family Medicine or Internal Medicine.
  • Valid medical license to practice in applicable U.S. jurisdictions.
  • Demonstrated clinical expertise in both preventive and acute care settings.
  • Strong interpersonal, diagnostic, and communication skills.
  • Commitment to patient advocacy, compassion, and continuity of care.

4. Why Join Mercor’s Healthcare Partner

  • Partner with a progressive healthcare organization focused on patient-first, evidence-based care.
  • Serve diverse patient populations and directly impact community health improvement.
  • Enjoy flexibility and autonomy with a part-time, remote schedule (10–20 hours per week).
  • Access ongoing professional development, continuing education, and leadership opportunities.
  • Collaborate within a supportive, multidisciplinary team committed to high-quality care.

5. Role Details

  • Type: Part-time, hourly contract.
  • Location: Fully remote (U.S.-based).
  • Hours: Flexible; approximately 10–20 hours per week.
  • Compensation: $189 USD/hour.
  • Classification: Independent Contractor.
  • Payments: Processed weekly via Stripe Connect based on hours worked.

⚡ PS: Mercor reviews applications daily. Please complete your interview and onboarding steps to be considered for this opportunity. ⚡

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