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Remote Nurse Reviewer Jobs in Rochester, NY (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 ...

Pharmacovigilance Expert

Rochester, NY ยท Remote

$70 - $80/hr

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 Rochester, NY salary details

$27

$36

$42

How much do remote nurse reviewer jobs pay per hour?

As of Aug 22, 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 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 Rochester, NY?

For Remote Nurse Reviewer jobs in Rochester, NY, the most frequently searched job titles 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:

Infographic showing various Remote Nurse Reviewer job openings in Rochester, NY as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $76,007 per year, or $36.5 per hour.

Remote Clinical Social Worker - Hospice Focus

Company Confidential

York, NY โ€ข Remote

Full-time

Medical, Dental, Vision, Life

Posted 3 days ago

New


Job description

Position Overview

Gotham Enterprises Ltd is seeking a dedicated Licensed Clinical Social Worker (LCSW) for a full-time remote position, primarily serving patients within our Hospice Center. In this vital role, you will utilize your clinical expertise and compassionate approach to provide essential support to individuals facing significant health challenges and their families, ensuring they receive the highest quality of care from the comfort of your home.

About the Organization

Gotham Enterprises Ltd is a leading provider of mental health services, committed to enhancing the quality of life for our clients. Our Hospice Center specializes in compassionate end-of-life care, where we integrate mental health support with medical care. By focusing on holistic well-being, we strive to alleviate suffering and enhance the dignity of our patients during their final stages of life.

Work Environment

This role is fully remote, offering a flexible work environment that allows our social workers to thrive without the distractions of a traditional office. You will interact with colleagues and clients through secure telehealth platforms, fostering productive communication while maintaining a healthy work-life balance. By eliminating the need for a daily commute, we enable you to dedicate more time to patient care, consultations, and personal well-being.

Key Responsibilities
  • Conduct thorough clinical assessments of patients, developing individualized treatment plans that align with best practices in hospice care, focusing on emotional and psychological support.
  • Implement various therapeutic interventions, such as cognitive-behavioral therapy (CBT) and solution-focused therapy, which are tailored to meet the unique needs of terminally ill clients and are adapted for the virtual environment.
  • Maintain comprehensive clinical documentation ensuring compliance with state and federal regulations using secure electronic health record (EHR) systems.
  • Collaborate with an interdisciplinary team of healthcare professionals, such as nurses, physicians, and palliative care specialists, through virtual meetings to ensure cohesive care delivery.
  • Participate in case consultations and peer review sessions utilizing advanced video conferencing tools to discuss patient progress and share strategies that enhance care quality.
  • Educate patients and families on mental health resources and coping strategies related to end-of-life issues, ensuring they feel supported and informed throughout the care process.
  • Stay informed on current trends and advances in hospice and mental health care through continuous professional development activities, such as webinars and online educational resources.
Patient Population / Client Focus

In this role, you will support a diverse population of patients, primarily those receiving hospice care, along with their families. You will navigate complex emotional landscapes, helping individuals cope with grief, anxiety, and the myriad challenges associated with end-of-life issues. Your ability to provide empathetic and solution-focused therapy will be vital in improving their mental health and overall quality of life.

Qualifications
  • A Master's degree in Social Work from an accredited institution.
  • A valid state license to practice as a Licensed Clinical Social Worker (LCSW).
  • Minimum of 2 years of clinical experience specializing in mental health, with an emphasis on providing services in hospice or palliative care settings.
  • Demonstrated expertise in evidence-based therapeutic interventions capable of being delivered effectively in a remote environment.
  • Exceptional communication and interpersonal skills, adept at establishing rapport with patients and their families through virtual platforms.
  • Strong analytical and problem-solving skills, demonstrating the ability to address the unique challenges of remote services.
  • A commitment to working both independently and collaboratively as part of a virtual care team.
Preferred Experience
  • Prior experience in end-of-life care or hospice settings is highly beneficial.
  • Familiarity with telehealth services and electronic health record management.
Compensation and Benefits
  • We offer a competitive annual salary in the range of USD 80,000 โ€“ 104,000 based on experience and qualifications.
  • Comprehensive medical, dental, and vision insurance to support your personal health needs.
  • Life and disability insurance for added peace of mind.
  • Access to malpractice insurance to facilitate your practice confidently and securely.
  • Participation in our employee assistance program offering additional mental health resources and counseling.
  • Unlimited patient referrals to support a steady caseload, allowing you to focus on quality care instead of administrative burdens.
  • Streamlined administrative processes to reduce paperwork and enhance the efficiency of patient care.
Career Growth Opportunities

At Gotham Enterprises Ltd, we believe in investing in our team members' professional development. You will have access to ongoing training and advancement opportunities within the organization, enabling you to grow your skill set and progress through various roles within our network of mental health services.

Why Join Our Team

Gotham Enterprises Ltd is not just a workplaceโ€”it's a commitment to compassionate care. Joining our team means becoming a part of a supportive community that values each member's contributions and fosters a culture of respect and innovation. If you are passionate about making a positive difference in peopleโ€™s lives and seek a fulfilling remote work experience, we would love to welcome you aboard.

Application Information

If you are ready to embark on a meaningful career that directly impacts the lives of patients and families, we encourage you to apply today. Please submit your resume and a cover letter outlining your relevant experience and why you are the ideal fit for this role. Join us at Gotham Enterprises Ltd and help us shape the future of mental health care!