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Remote Nurse Reviewer Jobs in Santa Rosa, CA (NOW HIRING)

IQVIA

Flex Nurse Educator

Napa, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

IQVIA

Flex Nurse Educator

Santa Rosa, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

IQVIA

Flex Nurse Educator

Petaluma, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

IQVIA

Flex Nurse Educator - San Francisco, CA

Napa, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

micro1 AI

Clinical Pharmacy Technicians

Santa Rosa, CA · 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 ...

micro1 AI

Pharmacovigilance Expert

Santa Rosa, CA · 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 ...

Madrona Hospice Care Inc.

Registered Nurse

Petaluma, CA · Remote

$140 - $150/hr

As a Registered Nurse with Madrona Hospice Care, you will play a meaningful role in helping ... Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ...

Madrona Hospice Care Inc.

Registered Nurse

Petaluma, CA · On-site +1

$140 - $150/hr

As a Registered Nurse with Madrona Hospice Care, you will play a meaningful role in helping ... Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ...

Madrona Hospice Care Inc.

Registered Nurse

Sonoma, CA · Remote

$140 - $150/hr

As a Registered Nurse with Madrona Hospice Care, you will play a meaningful role in helping ... Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ...

Madrona Hospice Care Inc.

Registered Nurse

Santa Rosa, CA · Remote

$140 - $150/hr

As a Registered Nurse with Madrona Hospice Care, you will play a meaningful role in helping ... Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ...

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All JobsNurse Reviewer JobsRemote Nurse Reviewer JobsRemote Nurse Reviewer Jobs in Santa Rosa, CA

Remote Nurse Reviewer information

See Santa Rosa, CA salary details

$31

$40

$46

How much do remote nurse reviewer jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote nurse reviewer in Santa Rosa, CA is $40.49, according to ZipRecruiter salary data. Most workers in this role earn between $37.31 and $45.19 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.

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The top searched job categories for Remote Nurse Reviewer jobs in Santa Rosa, CA are:

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Cities near Santa Rosa, CA with the most Remote Nurse Reviewer job openings:

Remote Nurse Reviewer jobs near you
Infographic showing various Remote Nurse Reviewer job openings in Santa Rosa, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $84,223 per year, or $40.5 per hour.

Remote Telehealth Nurse Practitioner

Sato Inc

Bodega Bay, CA • Remote

Full-time

Re-posted 20 days ago

Job description

We are seeking a compassionate and experienced Nurse Practitioner to provide high-quality virtual care to patients through telehealth consultations. You will conduct assessments, diagnose and manage conditions, prescribe medications when appropriate, and deliver patient-centered care using our digital platform. This role is ideal for someone who is comfortable working independently, enjoys patient interaction, and is committed to improving access to healthcare.

Responsibilities

  • Conduct virtual patient evaluations, including medical history review and symptom assessment.
  • Diagnose and treat common acute and chronic conditions.
  • Provide patient education, follow-up care, and lifestyle guidance.
  • Prescribe medications in accordance with state and federal regulations.
  • Document all encounters accurately within the electronic health record system.
  • Collaborate with physicians and care teams when escalation is required.
  • Maintain strong communication with patients through messaging, video, and phone.

Requirements

  • Active and unrestricted Nurse Practitioner license in multiple states
  • National board certification (FNP, AGNP, or equivalent).
  • 2+ years of clinical experience preferred.
  • Strong communication skills and comfort with virtual care technology.
  • Reliable internet connection and a private workspace.

What We Offer

  • Flexible scheduling
  • Fully remote work
  • Competitive compensation
  • Supportive clinical and administrative team