2

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

Showing results 21-25

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.

Licensed Clinical Social Worker - Remote Position at Hospice Center in North Greece, NY

Company Confidential

North Greece, NY • On-site, Remote

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Life

Posted 3 days ago

New


Job description

Position Overview

We are seeking dedicated and compassionate Licensed Clinical Social Workers (LCSWs) to join our team at Gotham Enterprises Ltd. This is a full-time position that offers the flexibility of working remotely while serving a vital role within our Hospice Center. As an LCSW in our organization, you will provide essential support and therapeutic services to individuals and families facing challenging life situations, particularly within the context of end-of-life care.

About the Organization

Gotham Enterprises Ltd is a leading provider of comprehensive healthcare services located in North Greece, New York. Our Hospice Center is dedicated to improving the quality of life for patients and families coping with serious illnesses. With a focus on mental health and emotional well-being, we are committed to delivering high standards of care within a nurturing and supportive environment. Our team believes in the power of connection, dignity, and respect in every patient's journey.

Work Environment

This position is designed for LCSWs who thrive in a collaborative, remote work setting. While working from home, you will have the advantage of flexibility in crafting your own schedule, allowing for a healthy work-life balance. You will be an integral part of a multidisciplinary team, collaborating with physicians, nurses, and other healthcare professionals to ensure holistic care for our patients.

Key Responsibilities
  • Conduct thorough clinical assessments to identify the emotional and psychological needs of patients and their families.
  • Develop individualized treatment plans that incorporate evidence-based and solution-focused therapeutic interventions.
  • Maintain precise and timely clinical documentation to ensure compliance with healthcare regulations and standards.
  • Collaborate closely with a multidisciplinary treatment team, participating in case reviews and contributing insights on patient care.
  • Provide education to patients and families about mental health strategies, coping mechanisms, and available resources.
  • Stay current with the latest research and developments in mental health and social services to enhance treatment efficacy.
Patient Population / Client Focus

In your role as an LCSW, you will primarily work with patients facing terminal illnesses and their families, addressing emotional distress, grief, and anxiety associated with end-of-life issues. You will facilitate family meetings to support decision-making processes, offer bereavement counseling, and create a safe space for sharing feelings and experiences.

Qualifications
  • A Master’s degree in Social Work from an accredited institution.
  • A valid LCSW license in the state of New York.
  • Demonstrated knowledge and proficiency in solution-based psychotherapy practices.
  • Strong communication and problem-solving skills, with the ability to navigate complex patient scenarios effectively.
Preferred Experience
  • Previous experience working in hospice or palliative care settings is highly desirable.
  • Experience with grief counseling and bereavement support.
  • Familiarity with electronic health record systems and clinical documentation tools.
Compensation and Benefits

This full-time LCSW position offers a competitive salary ranging from $80,000 to $100,000 annually, commensurate with experience. Additionally, our comprehensive benefits package includes:

  • Medical, dental, and vision insurance options.
  • Life and long-term disability insurance to protect you and your family.
  • Professional liability insurance coverage.
  • Access to our Employee Assistance Program, offering mental health support and services.
  • Minimized administrative workload, allowing for a full focus on patient care.
  • A full caseload that provides meaningful and fulfilling work without overwhelming demands.
Career Growth Opportunities

At Gotham Enterprises Ltd, we are dedicated to the professional development of our staff. LCSWs will have opportunities for ongoing training, attending workshops, and accessing resources for continuing education. We promote a culture of learning and provide avenues for career advancement, including leadership roles and specialty certifications in areas such as trauma-informed care or advanced clinical practices.

Why Join Our Team

Joining our compassionate team at Gotham Enterprises Ltd means becoming part of a mission-driven organization that deeply values mental health and holistic patient care. We foster an inclusive culture where every team member's contributions are recognized and appreciated. If you are passionate about making a positive difference in the lives of patients and their families, we invite you to apply.

Application Information

If you are ready to take the next step in your career and make a significant impact in end-of-life care, please submit your resume and a cover letter detailing your interest and qualifications for this position. We look forward to welcoming you to our team at Gotham Enterprises Ltd!