ZipRecruiter

Log In

2

Remote Nurse Reviewer Jobs in Silver Spring, MD (NOW HIRING)

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

May be asked to assist with precepting of new Medical Review Nurses (MRNs). * Perform other duties ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

May be asked to assist with precepting of new Medical Review Nurses (MRNs). * Perform other duties ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

next page

Showing results 1-20

All JobsNurse Reviewer JobsRemote Nurse Reviewer JobsRemote Nurse Reviewer Jobs in Silver Spring, MD

Remote Nurse Reviewer information

See Silver Spring, MD salary details

$29

$38

$44

How much do remote nurse reviewer jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote nurse reviewer in Silver Spring, MD is $38.29, according to ZipRecruiter salary data. Most workers in this role earn between $35.29 and $42.74 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.

More about Remote Nurse Reviewer jobs

What are popular job titles related to Remote Nurse Reviewer jobs in Silver Spring, MD?

For Remote Nurse Reviewer jobs in Silver Spring, MD, the most frequently searched job titles are:

What job categories do people searching Remote Nurse Reviewer jobs in Silver Spring, MD look for?

The top searched job categories for Remote Nurse Reviewer jobs in Silver Spring, MD are:

What cities near Silver Spring, MD are hiring for Remote Nurse Reviewer jobs?

Cities near Silver Spring, MD with the most Remote Nurse Reviewer job openings:

Remote Nurse Reviewer jobs near you
Infographic showing various Remote Nurse Reviewer job openings in Silver Spring, MD as of August 2026, with employment types broken down into 3% As Needed, 62% Full Time, 13% Part Time, and 22% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $79,636 per year, or $38.3 per hour.

Sr Nurse Director of Connected & Remote Care

MedStar Health

Columbia, MD • On-site, Remote

Full-time

Posted 3 days ago

New

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 240 frontline employees who took The Breakroom Quiz

127th of 891 rated healthcare providers

Job description

About the Job
General Summary of Position
The Senior Director of Nursing-Connected and Remote Care programs is an active member of MedStar Health System Nursing leadership and management team and is responsible for multiple defined areas of virtual and remote nursing services. The Senior Director provides visionary and strategic leadership for the design implementation and evaluation of connected virtual hybrid and remote nursing services across the continuum of care. This role ensures high-quality evidence-based patient/family- and nurse-centered care that leverages technology data and innovation to improve access safety experience and outcomes. The Senior Director partners with interprofessional leaders to integrate nursing practice into virtual care models enhance workforce readiness and expand the organization's digital health ecosystem with special focus on nursing. The Senior Director of Nursing-Connected and Remote Care Programs is a department leader who assumes 24-hour administrative and leadership authority and responsibility for the management and direction of the operational personnel technology and budget of the specified care areas. These functions are coordinated with the executive nursing team hospital and system leadership medical staff and others and are performed in accordance with applicable laws and regulations and MedStar Health and entity's mission vision and SPIRIT values. The Senior Director contributes to the nursing strategic plan and annual goals and is accountable for the implementation and attainment of these goals within the defined areas of responsibility.
Primary Duties and Responsibilities
  • Assumes leadership for the planning development execution day-to-day operations and ongoing evaluation of patient care services within the assigned clinical areas/departments according to MedStar Health/entity mission vision and SPIRIT Values and Nursing's philosophy strategic plan and annual goals.
  • Develops and executes the strategic vision for nursing in connected virtual and remote care programs and settings as aligned with the nursing strategic plan and digital health priorities. Represents nursing in enterprise digital health telemedicine/telehealth connected care and remote monitoring governance councils.
  • Leads systemwide initiatives to advance clinical innovation and excellence in digital nursing practice remote patient monitoring virtual and connected care programs. Oversees the connected and remote care delivery model design and implementation daily operations and nursing practice ensuring adherence to professional standards licensure privacy regulations and patient safety requirements.
  • Assumes responsibility for fiscal planning and financial management including budget development and allocation of resources as appropriate to the areas of responsibility. Engages in ongoing budgetary and productivity monitoring. Assures adequate personnel and other necessary resources are available to support the delivery of safe and quality virtual and remote patient care.
  • Defines and monitors nursing-sensitive outcome measures associated with connected virtual and remote nursing care programs including remote patient monitoring patient access care experience quality and safety cost effectiveness staffing models and workloads and nurse engagement and productivity. Prepares and disseminates performance reports to key stakeholders.
  • Partners with information technology MedStar Institute of Innovation and clinical informatics teams to optimize workflows electronic documentation digital communication and decision-support tools. Promotes data literacy and performance analytics among nursing leaders and associates.
  • Leads selection procurement implementation adoption and evaluation of emerging technologies products and equipment such as connected care platforms remote patient monitoring systems artificial intelligence-driven and decision support care tools and virtual triage models.
  • Collaborates with physicians advanced practice providers nursing informatics case managers and allied health professionals to ensure seamless coordination of care activities while relying on the value of connected and remote care programs. Participates in capacity management patient throughput and other efforts that contribute to reduction in length of stay and ensure timely patient discharge.
  • Partners with the nursing professional development teams to develop and implement training education and competency management programs pertaining to connected remote monitoring and hybrid nursing care delivery models and roles.
  • Partners with the talent acquisitions team on the recruitment and retention activities for the areas of responsibility. Participates in interviewing hiring scheduling performance evaluation and termination of associate decisions where necessary. Maintains ongoing communication with subordinates to review programs discuss new developments and exchange information. Mentors associates and emerging leaders in and advances the professional visibility of connected and remote nursing care programs and models.
  • Maintains knowledge of current trends and developments in the fields of nursing and health care through reading the appropriate literature and attending related seminars and conferences. Demonstrates accountability for own professional development and advancement.
  • Ensures regulatory and accreditation survey readiness. Maintains adherence to the State Nursing Practice Act regulatory ethical and accreditation standards and organizational/departmental policies and procedures.

Minimal Qualifications
Education
  • Bachelor's degree in Nursing from a nationally accredited program. required
  • Master's degree in Nursing from a nationally accredited program required
  • Either the Bachelor's or the Master's degree must be in nursing
  • Doctoral degree Nursing Practice Leadership or Health Services Administration from a nationally accredited program. preferred

Experience
  • 5 years of progressively responsible leadership roles in nursing including Director of Nursing (or equivalent) required

Licenses and Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in State of Maryland or District of Columbia required
  • NEA-BC - Nurse Executive Advanced from nationally recognized nursing organization within 1 Year required or
  • CENP - Certified in Executive Nursing Practice from a nationally recognized nursing organization within 1 Year required

Knowledge Skills and Abilities
  • Excellent problem-solving skills and ability to exercise independent judgment on highly complex situations.
  • Business acumen and leadership skills.
  • Strong verbal and written communication skills with ability to effectively interact and collaborate with all levels of management internal departments external agencies and MedStar entities (including cross-functional knowledge and savvy).
  • Proven success in digital transformation innovation or care model and system redesign.
  • Advanced knowledge of various computer software applications connected and digital care technologies Microsoft Office and other related platforms.

This position has a hiring range of
USD $142,064.00 - USD $287,996.00 /Yr.

What Medstar Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Medstar Health logo

About Medstar Health

Sourced by ZipRecruiter

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

Social media

FacebookTwitter

View All Medstar Health Jobs

Apply