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

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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 Sep 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 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 56% Full Time, 18% Part Time, and 26% Contract. Highlights an 100% Remote job distribution, with an average salary of $76,007 per year, or $36.5 per hour.

Full-time Licensed Mental Health Counselor - Integrated Care Specialist

Sonic Multi Motion Rehab and Wellness Center

Penfield, NY โ€ข On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 4 days ago


Job description

Position Overview

Sonic Multi Motion Rehab and Wellness Center is seeking a dedicated and compassionate licensed mental health counselor to join our team as a full-time Integrated Care Specialist. This remote role is pivotal in offering comprehensive mental health services while collaborating closely with medical personnel to address the multifaceted needs of patients. The successful candidate will be instrumental in enhancing overall patient well-being through tailored therapeutic interventions in an outpatient setting.

About the Organization

Located in Penfield, New York, the Sonic Multi Motion Rehab and Wellness Center is known for providing a holistic approach to health. We are committed to delivering integrated care services for individuals dealing with mental health challenges in conjunction with other medical conditions like autoimmune disorders, chronic pain, and substance use disorders. Our collaborative environment leverages the strengths of various healthcare disciplines to foster an inclusive and effective treatment milieu.

Work Environment

This position allows for remote work, providing a flexible work setting while still ensuring high-quality engagement with clients. Our outpatient office encourages a supportive culture where therapists collaborate with physicians, nurse practitioners, and other health professionals to create a cohesive treatment experience for patients.

Key Responsibilities
  • Conduct comprehensive mental health evaluations, integrating insights on patients' medical conditions to better tailor treatment.
  • Craft and execute dynamic treatment plans that address psychiatric and medical needs, adjusting strategies as necessary based on patient progress.
  • Facilitate both individual and group therapy sessions, utilizing evidence-based practices to empower patients in their therapeutic journeys.
  • Work in conjunction with medical providers to coordinate care, ensuring that all aspects of patient health are monitored and addressed.
  • Provide timely crisis intervention to individuals experiencing acute mental health challenges, ensuring safety and establishing immediate support structures.
  • Educate patients on the interplay between their mental health and physical conditions, enhancing their capacity to manage their overall health actively.
  • Maintain strict adherence to ethical standards and legal guidelines in all documentation and patient interactions.
  • Engage in ongoing education by participating in team meetings, case reviews, and professional development activities to remain informed on best practices.
Patient Population / Client Focus

This role primarily focuses on adults who may be grappling with co-occurring medical and mental health issues. Our counseling philosophy emphasizes empathy, understanding, and the cultivation of a safe space for individuals to explore their thoughts and feelings. You will work closely with clients from diverse backgrounds, each with unique challenges and strengths, supporting them on their journey to recovery.

Qualifications
  • A Master's or Doctoral degree in Social Work, Marriage and Family Therapy, Mental Health Counseling, or Psychology from an accredited institution is required.
  • Current licensure as a Licensed Mental Health Counselor (LMHC), Licensed Clinical Social Worker (LCSW), Licensed Psychoanalyst, Psychologist, or Licensed Marriage and Family Therapist (LMFT) in New York state.
  • Strong communication and interpersonal skills essential for patient engagement and collaboration with multidisciplinary teams.
  • Ability to maintain professional boundaries and uphold patient confidentiality per ethical guidelines.
  • Proficiency with electronic health records and standard computer applications is preferred but not required.
Preferred Experience

Experience in providing mental health support for clients with chronic medical conditions or those facing substance use challenges is highly valued. Familiarity with evidence-based treatment approaches and an understanding of the complexities surrounding integrated care will enhance your candidacy for this role.

Compensation and Benefits

The salary range for this position is between USD 80,000 and 100,000 annually, commensurate with experience and qualifications. We offer a comprehensive benefits package, including:

  • Full healthcare coverage to promote your own wellness and that of your family.
  • A robust retirement savings plan with employer-matched contributions.
  • Generous paid time off and holiday pay to support work-life balance.
  • Professional liability insurance to ensure peace of mind as you perform your duties.
  • Ongoing continuing education opportunities and support for your professional growth.
  • Chances for career advancement within our integrated care team.
Career Growth Opportunities

At Sonic Multi Motion Rehab and Wellness Center, we believe in fostering talent and supporting our team's professional development. Employees are encouraged to pursue additional certifications and training, allowing for greater specialization and leadership roles within the organization.

Why Join Our Team

If you are passionate about making a difference in the lives of individuals facing mental health challenges and working collaboratively to create impactful treatment plans, we invite you to apply. At Sonic Multi Motion Rehab and Wellness Center, you will find a community that values your expertise, supports your career ambitions, and prioritizes the mental and physical health of our patients.

Application Information

We encourage interested candidates to submit their resumes, detailing their qualifications and experiences relevant to this role. Join us in our mission to transform lives through integrated care and support innovative approaches to mental health in our community.