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Remote Nurse Reviewer Jobs in Springfield, IL (NOW HIRING)

Remote Nurse Reviewer information

See Springfield, IL salary details

$28

$36

$42

How much do remote nurse reviewer jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for remote nurse reviewer in Springfield, IL is $36.71, according to ZipRecruiter salary data. Most workers in this role earn between $33.85 and $40.96 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 are Remote Nurse Reviewers?

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 Springfield, IL? For Remote Nurse Reviewer jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Remote Nurse Reviewer jobs in Springfield, IL look for? The top searched job categories for Remote Nurse Reviewer jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Remote Nurse Reviewer jobs? Cities near Springfield, IL with the most Remote Nurse Reviewer job openings:
Infographic showing various Remote Nurse Reviewer job openings in Springfield, IL as of July 2026, with employment types broken down into 53% Full Time, 28% Part Time, and 19% Contract. Highlights an 100% Remote job distribution, with an average salary of $76,349 per year, or $36.7 per hour.

Telehealth Mental Health Provider (Illinois)

Medvidi

Springfield, IL • On-site, Remote

Contractor

Re-posted 17 days ago


Job description

Description
MEDvidi is seeking experienced Telehealth Mental Health Providers to join our growing team. This is a fully remote, 1099 contractor opportunity offering flexibility, strong patient demand, and a highly supported clinical environment.
At MEDvidi, we provide comprehensive mental health evaluations and treatment for adult patients experiencing conditions such as ADHD, anxiety, depression, insomnia, and mild-to-moderate OCD.
We're reimagining how care is delivered. Here's what sets us apart:
  • Full administrative support - no need to hire or manage staff; dedicated assistants handle scheduling, patient communication, and logistics
  • Streamlined technology - proprietary EMR with integrated PDMP and e-prescribing tools
  • Reduced administrative burden - automated workflows and AI-supported documentation tools
  • No software costs - our platform is fully provided at no cost to you
  • Low no-show rates - consistent patient flow and reliable earnings
  • Flexible scheduling - build your own schedule with the ability to increase volume over time

Compensation:
This is a 1099 contractor role with payment per completed appointment:
  • Physicians (MD/DO):
  • Initial evaluations (30 min): ~$60 per visit
  • Follow-ups (15 min): ~$40 per visit
  • Nurse Practitioners (PMHNPs):
  • Initial evaluations (30 min): ~$45 per visit
  • Follow-ups (15 min): ~$30 per visit

Consistent availability and schedule optimization can significantly increase total earnings.
At MEDvidi, our mission is to make mental health care more accessible, affordable, and stigma-free. We leverage technology, clinical expertise, and operational support to empower providers and improve patient outcomes across the U.S.
Responsibilities
  • Conduct comprehensive psychiatric evaluations via telehealth
  • Review patient medical history, symptoms, medications, and relevant background
  • Diagnose and treat conditions such as ADHD, anxiety, depression, insomnia, and OCD
  • Develop and implement individualized treatment plans
  • Prescribe medications, including controlled substances, in accordance with clinical and regulatory guidelines
  • Provide patient education on treatment plans, medication usage, and follow-up care
  • Maintain timely and accurate clinical documentation in the EMR
  • Ensure completion of chart notes and prescriptions within required timeframes
  • Collaborate with clinical and operations teams to support patient care and continuity

Equal Opportunity Employer Statement
MEDvidi is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and contractors. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Requirements
  • Board Certified Physician (MD/DO) or Psychiatric Mental Health Nurse Practitioner (PMHNP)
  • Active and unrestricted medical license (multi-state preferred)
  • Active DEA registration
  • Minimum 2 years of clinical experience in mental health treatment
  • Experience prescribing controlled substances
  • Strong clinical judgment and comfort managing common outpatient psychiatric conditions
  • Ability to work a minimum of ~15 hours per week (preferred for patient continuity)