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

Nurse Practitioner

Rochester, NY ยท Remote

$40 - $44.44/hr

Nurse Practitioner - Remote Research Study Reviewer Position: Remote - Part Time Work Hours: * Anticipate up to 10 participants per week * Each participant review is anticipated to require ...

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 ...

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 6, 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 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.
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:
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.

Nurse Practitioner

Lancesoft INC

Rochester, NY โ€ข Remote

$40 - $44.44/hr

Contractor

Posted 27 days ago


Job description

Title: Nurse Practitioner – Remote Research Study Reviewer

Position: Remote - Part Time

Work Hours:

  • Anticipate up to 10 participants per week
  • Each participant review is anticipated to require approximately 30 minutes to 1 hour
  • Flexible remote schedule, in coordination with research staff and participant schedules


Pay range: $40.00/hr. - $44.44 /hr.

Job Description:

Position Summary:

The individual will remotely review participant eligibility, assess inclusion and exclusion criteria, and assist with protocol-directed clinical oversight for research participants.

This position is ideal for a clinician with experience in clinical research, protocol compliance, and telemedicine-based participant interactions.

Primary Responsibilities:

  • Review participant medical information to determine eligibility based on study inclusion and exclusion criteria.
  • Conduct remote/telemedicine-based participant assessments as required by study protocols.
  • Review and authorize serial blood draws according to protocol requirements.
  • Coordinate or assist with ordering medical and research-related supplies.
  • Document eligibility determinations and protocol reviews in accordance with institutional and regulatory requirements.
  • Communicate with study coordinators and research staff regarding participant eligibility and protocol compliance.
  • Ensure adherence to human subject’s research regulations and institutional policies.

Required Qualifications:

  • Current licensure as a Nurse Practitioner in New York.
  • Strong clinical judgment and attention to detail.
  • Ability to work independently in a remote environment.
  • Excellent written and verbal communication skills.

Required Training

  • Current CITI Human Subjects Research Training certification required prior to study participation.

 

Preferred Qualifications

  • Experience with telemedicine platforms.
  • Experience working on academic or federally funded research studies.
  • Experience with clinical research and/or human subject’s research.
  • Experience reviewing laboratory and medical history data for study eligibility.
  • Experience with IRB-regulated clinical research environments.
  • Experience or familiarity with research protocols and inclusion/exclusion review processes.

LanceSoft logo

About LanceSoft

Sourced by ZipRecruiter

Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Herndon, VA, US

Year founded

2000

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