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

micro1 AI

Pharmacovigilance Expert

Springfield, MO · 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

Clinical Pharmacy Technicians

Springfield, MO · 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 ...

Scribe-X

Remote Medical Scribe

Springfield, MO · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

All JobsNurse Reviewer JobsRemote Nurse Reviewer JobsRemote Nurse Reviewer Jobs in Springfield, MO

Remote Nurse Reviewer information

See Springfield, MO salary details

$25

$33

$38

How much do remote nurse reviewer jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for remote nurse reviewer in Springfield, MO is $33.69, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $37.60 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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Remote Nurse Reviewer jobs near you
Infographic showing various Remote Nurse Reviewer job openings in Springfield, MO as of August 2026, with employment types broken down into 3% As Needed, 56% Full Time, 18% Part Time, 1% Temporary, and 22% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $70,065 per year, or $33.7 per hour.

Home Health Quality Assurance RN

Haven Home Health & Hospice

Ozark, MO • On-site, Remote

$67K - $71K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Quality Assurance RN (OASIS Certification Required)
Missouri License Required | Fully Remote
At Haven Home Health & Hospice, we're locally owned and clinician-led. We focus on quality over volume and giving our team the support they need to do the work the right way.
You know who you are.
You're the one clinicians call when they're stuck on OASIS, the one who catches what others miss, and the one who understands how one answer can impact everything from outcomes to reimbursement. This role is built for an RN who wants to use that expertise to support clinicians and strengthen quality across the agency.
About the Role
This is a fully remote position focused on OASIS review, clinical accuracy, and compliance. You'll work closely with clinicians and leadership to ensure documentation tells the right story and meets the highest standards. This isn't field work. This is influence.
What You'll Do
  • Review and validate OASIS (SOC, ROC, Recert, Discharge) with a strong clinical lens
  • Ensure documentation, coding, and OASIS align and accurately reflect the patient's condition
  • Identify gaps that impact reimbursement, outcomes, and compliance
  • Partner with clinicians to provide clear, constructive feedback and support
  • Promote consistency across documentation and interdisciplinary care

What You'll Need
  • Active Missouri RN license
  • OASIS Certification required (COS-C or equivalent)
  • Recent home health RN experience
  • Strong knowledge of OASIS, documentation, and home health regulations
  • Detail-oriented with confident clinical judgment
  • Comfortable working independently in a remote setting

Why Nurses Choose This Role
  • Fully remote position (Missouri-based)
  • No direct patient care, focus on your expertise
  • No productivity pressure, focus on getting it right
  • Opportunity to influence clinical quality and outcomes
  • Work closely with a supportive, clinician-led leadership team
  • Competitive compensation including PTO
  • Health, dental, vision, and pet insurance
  • Mental Health Initiative
  • 401(k) with generous company match

At Haven, we are committed to clear communication, accountability, and doing what is right. This role plays a key part in supporting our clinicians and ensuring every patient receives care that meets the highest standard.
Applicants must have active OASIS certification and recent home health experience to be considered.

Apply