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Remote Nurse Reviewer Jobs (NOW HIRING)

Comagine Health

Clinical Reviewer

... Nurse (RN) to assess the medical necessity and quality of healthcare services through prospective, concurrent, and retrospective utilization management reviews. This full-time, remote position ...

STI

Healthcare Construction Plan Reviewer - REMOTE

Healthcare Construction Plan Reviewer REMOTE 9+ Months Description: The Healthcare Construction Plan Reviewer is responsible for evaluating electronic construction drawings and specifications for ...

Pacer Group

Clinical Quality Reviewer RN 3

Remote - CA Work Schedule: Monday - Friday | 8:00 AM - 4:30 PM / 5:00 PM (depending on 30-minute or ... Nurse (RN) to join the Clinical Quality Review (CQR) Team . This team is responsible for ...

TEEMA

RN Clinical Quality Reviewer

Phoenix, AZ · Remote

$40 - $43/hr

Job Summary RN Clinical Quality Reviewer TEEMA Full-time Remote | Phoenix, AZ, United States Overview: We are partnering with a leading organization supporting a large-scale federal healthcare ...

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Remote Nurse Reviewer information

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$28

$37

$42

How much do remote nurse reviewer jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote nurse reviewer in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 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.
More about Remote Nurse Reviewer jobs
What cities are hiring for Remote Nurse Reviewer jobs? Cities with the most Remote Nurse Reviewer job openings:
What states have the most Remote Nurse Reviewer jobs? States with the most job openings for Remote Nurse Reviewer jobs include:
What job categories do people searching Remote Nurse Reviewer jobs look for? The top searched job categories for Remote Nurse Reviewer jobs are:
Remote Nurse Reviewer jobs near you
Infographic showing various Remote Nurse Reviewer job openings in the United States as of July 2026, with employment types broken down into 62% Full Time, 13% Part Time, and 25% Contract. Highlights an 100% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.
Remote Nurse Practitioners - HRT Experience

Remote Nurse Practitioners - HRT Experience

AlediumHR

Remote

Other

This job post has expired today. Applications are no longer accepted.

Job description

About the job Remote Nurse Practitioners - HRT Experience
AlediumHR is partnering with a forward-thinking telehealth organization that is redefining how men and women manage their health. Through expert clinical care and modern technology, this group is transforming hormone optimization, preventative medicine, and performance-based wellness nationwide.
This is not a generalist telehealth role. This is for experienced nurse practitioners who understand hormone therapy and want to practice at a high level.
The Opportunity
We are seeking experienced, licensed Nurse Practitioners with at least 1 year of Hormone Replacement Therapy (HRT) experience for both men and women.
These are both part-time and full-time availability. Providers work remotely and deliver high-impact care through a structured, technology-enabled telehealth model.
Licensing Requirements (Non-Negotiable)

  • Active NP license in a minimum of 5-10+ U.S. states
  • California, Texas, New York, and Colorado licenses are in demand
  • Active, unrestricted DEA license
  • Ability to prescribe and manage controlled substances in compliance with federal and state regulations
Required Clinical Experience
  • Minimum 1 year of hands-on Hormone Replacement Therapy experience
  • Experience treating both male and female patients
  • Comfort managing testosterone therapy, estrogen/progesterone therapy, adjunct wellness medications, and ongoing lab monitoring
  • Strong understanding of endocrine health, preventative care, and optimization protocols
What You'll Do
  • Conduct structured virtual consultations for men and women seeking hormone optimization and wellness care
  • Review labs, diagnose hormone imbalances, and develop evidence-based treatment plans
  • Initiate and manage HRT protocols, including appropriate prescribing and follow-up
  • Provide patient education on risks, benefits, and long-term care strategies
  • Maintain thorough, compliant documentation within telehealth platforms
  • Collaborate with a clinical and administrative support team to ensure a seamless patient experience
Work Environment
Remote Flexibility
Work from home with scheduling options that fit your availability.
Focused Practice Model
This is a specialized hormone and wellness platform. You will not be handling random urgent care visits or unrelated cases.
Operational Support
Administrative, tech, and compliance infrastructure are in place so you can focus on patient care.
Growth Environment
Join a high-growth telehealth organization expanding nationwide.
Apply now to join a team committed to elevating hormone health across the country.
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About AlediumHR

Sourced by ZipRecruiter

AlediumHR is a boutique recruiting firm that specializes in direct-hire placements. Our focus is healthcare recruitment for clinical and non-clinical roles across the United States and Canada, with extensive experience in the thriving telehealth sector.With over a decade of experience and a proven track record, we possess a deep understanding of the unique challenges that healthcare recruiting presents in the post-Covid era.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Tampa, FL, US

Year founded

2013

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