Nurse Reviewer
Full-time
Gainwell Technologies
Join our team: Gainwell Technologies is looking for a Nurse Reviewer to join their Remote team. This Full-Time role comes with a competitive package. See below for the full job description and requirements. Posted: Oct 21, 2026. Gainwell Technologies is hiring a Senior Nurse Reviewer for a remote, home-based role across the continental US. The position focuses on reviewing medical claims, UB-04 forms, and itemized bills to ensure accuracy and proper billing, with emphasis on clinical review expertise and coding knowledge. You will verify charges, perform utilization reviews, mentor new reviewers, and stay current with clinical and coding guidelines while maintaining quality and production standards. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Nurse Reviewer in Remote vacancy
$51k - $82k
...Nurse Reviewer Job Locations US Requisition ID 2026-171305 Position Category Business Controls Clearance No Clearance Required Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis...SuggestedContract workRemote workShift workNight shiftPeraton
Reston, VA5 days ago- ...Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: Fully Remote (US Only) LPN State License must be active and in good standing for the entirety of the assignment. Be prepared to share license...SuggestedContract workRemote work
Tailored Management
United States3 days ago $78k - $99.2k
...Senior Nurse Reviewer Make a meaningful impact on healthcare quality and claims accuracy by applying your clinical expertise to complex medical reviews. As a Senior Nurse Reviewer, you will evaluate medical records, healthcare claims, itemized medical bills, and UB...SuggestedFull timeRemote workWork from homeFlexible hoursJobgether
United States4 days ago- ...Provide timely review and determination of medical claims, including prior authorization, appeals, and/or any other type of medical... ...Must possess a current, unrestricted State license as a Registered Nurse (RN),as required by contract(s). ~1+ years clinical experience...SuggestedContract workFor contractorsWork experience placementWork at officeLocal areaRemote work
Federal Hearings and Appeals Services LLC
Wilkes Barre, PA4 days ago $43 - $47 per hour
...Compassus Providence Home Health – LA County South Location: Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN – Back Office Chart Review Start Date: 11/03/2025 Duration: 13 Weeks Pay: $43–$47/hr Job Overview: ~ Review and...SuggestedContract workRemote workPacer Group
Torrance, CA17 hours ago$95k - $110k
...Sign-on bonuses are available for highly qualified candidates. Summary We are seeking a talented individual for a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform all appeal related duties including analyzing and responding appropriately to appeals...Full timeRemote workWork from homeRelocation packageFlexible hoursGainwell Technologies LLC
Florida, FL3 days ago$78k - $88k
...values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need for...Full timeContract workRemote workWork from homeFlexible hoursWeekend workGainwell Technologies LLC
Texas6 days ago- ...Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation... ...This Role ~ Bachelor's Degree, Associate Degree or Diploma in Nursing required ~3-5 years' experience in Nursing preferred ~...Full timeRemote work
Verisk
Indiana4 days ago $50 per hour
Registered Nurse Clinical Reviewer / AIMS - Remote (#25347) Location: Remote (Jericho, NY) Employment Type: Full-time Hourly Rate: $50/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated...Hourly payFull timePrivate practiceRemote workMonday to FridayFlexible hours$45 - $50 per hour
...Job Description Registered Nurse Medical Reviewer/Safety Reviewer III - Medical Device Safety and Adverse Events \n Location: 100% remote. Candidates must be located in the US and able to work without visa sponsorship. \n Length of Assignment: 1 year \n Pay...Work at officeRemote workWorldwideVisa sponsorshipWork visaOrion Group
West Virginia11 days ago$78k - $88k
...career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a Nurse Reviewer (RN) who will be responsible for performing clinical reviews to determine whether medical record documentation supports the...Full timeRemote workMonday to FridayFlexible hoursGainwell Technologies LLC
Texas22 days ago$78k - $88k
...career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a Nurse Reviewer (RN) who will be responsible for performing clinical reviews to determine whether medical record documentation supports the need...Full timeRemote workMonday to FridayFlexible hours- ...valued and empowered, then we invite you to apply to our Legal Nurse Consultant position in our Stamford Office. This position... ...with a national law firm. Key Responsibilities: Order, Review, identify, and organize relevant medical records Prepare...Work at officeRemote work
Wilson Elser
Stamford, CT3 days ago - ...A national trial recruitment firm is seeking a Legal Nurse Consultant in Houston, Texas. The selected candidate will leverage extensive healthcare expertise to assist legal cases rather than traditional patient care. Responsibilities include preparing medical chronologies...Remote work
Quest Group Executive Search and Staffing Solutions
Houston, TX1 day ago - ...Quest Group is actively recruiting for a Legal Nurse Consultant for a national trial firm! Ideally an LNC with previous clinical experience... ...for cases. Identify, screen, and facilitate expert witness reviews and case evaluations, including causation and damages issues. Locate...Remote work3 days per week
Quest Group Executive Search and Staffing Solutions
Houston, TX4 days ago - ...Nursing Triage AI Reviewer is a remote clinical-review track for evaluating AI outputs that touch nursing. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document the corrected clinical reasoning so the modeling...Remote jobHourly payFor contractors10 hours per week
$85k - $110k
...Job Description Position Overview\n Brant Legal Nurse Consultants, LLC. is seeking a knowledgeable, analytical, and detail-oriented... ...collaborate with legal teams and consulting professionals to review medical records, develop timelines, identify potential standards...Work at officeRemote workBrant Legal Nurse Consultants, LLC.
West Virginia13 days ago- ...applications and next steps. Our partner is looking for a Legal Nurse Consultant (RN) – Contractor based in the United States. Overview... ...work on an as-needed basis. Accountabilities - Medical Record Review: Analyze, review, and summarize medical records, highlighting relevant...Full timeContract workPart timeFor contractorsRemote workFlexible hours
Jobgether
Remote9 days ago - ...Job Description Job Description Description: The Clinical Nurse Reviewer plays a crucial role in the healthcare industry by evaluating medical records, treatment plans, and healthcare procedures to ensure compliance with industry standards and regulations and uphold...Work at officeRemote work
- ...- Contracts are 14 weeks with the option to extend or go to another Sanford site! Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide...Weekly payFull timePart timeWork from homeRotating shift
$32.5 - $48 per hour
...*Active RN license required at time of hire Apply today to learn more! Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide...Full timePart timeWork from homeRelocation packageShift workNight shiftWeekend workGood Samaritan
Thompson, ND2 hours ago$34 - $48 per hour
...Leadership development - Growth opportunities - Work/life balance benefits Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to...Full timePart timeWork from homeRelocation packageShift workDay shiftGood Samaritan
Tyndall, SD2 hours ago$32 - $48 per hour
...to provide quality, dependable care at just the right time. You can help us accomplish this! Bloomfield is a 70 bed senior skilled nursing facility specializing in long-term and post-acute care services, averaging 25 – 35 residents. What’s in it for you:...Full timePart timeRelocation packageShift workNight shiftWeekend workGood Samaritan
Bloomfield, NE2 hours ago$32 - $48 per hour
...to your earnings daily · Robust benefits package (benefits vary based on full-time or part-time status Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to...Full timePart timeReliefShift workNight shiftWeekend workDay shiftGood Samaritan
Fullerton, NE2 hours ago$41.41 per hour
...patient care including, treatments, medications, and diagnostic studies according to policy and procedure. Evaluates effectiveness of nursing interventions and revises plan of care based upon patient response to interventions. Initiates collaboration with physicians,...Full timeTemporary workPart timeRemote workFlexible hoursShift workNight shiftWeekend workAfternoon shiftGeisinger
Wilkes Barre, PA2 hours ago- ...systems in the United States, Sanford Health is always looking to innovate and grow. Grow with us by joining our team of over 18,000 nurses. Our workplace culture focuses on treating patients and co-workers like family. You'll work with people who value your advancement...Full timePart timeWork from homeShift workDay shift
$35 - $48 per hour
...systems in the United States, Sanford Health is always looking to innovate and grow. Grow with us by joining our team of over 18,000 nurses. Our workplace culture focuses on treating patients and co-workers like family. You’ll work with people who value your advancement...Full timePart timeWork from homeShift work$32.5 - $48 per hour
...Hours: 36.00 Salary Range: $32.50 - $48.00 Pay Info: $30,000 Sign On Available Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to...Full timePart timeWork from homeShift workDay shift- ...Job Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between the clinical floor and... ...responsible for performing admission and concurrent medical record reviews to ensure patients are in the correct Patient Class (e.g., Inpatient...Full timeImmediate startRemote workShift work
Wellstar Health Systems, Inc.
Marietta, GAa month ago $35 - $48 per hour
...Typically scheduled between Monday 7 PM and Thursday 7 PM with occasionally covering weekend staff's PTO. Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to...Full timePart timeWork from homeRelocation packageShift workNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Nurse Reviewer. Be the first to apply!
Related searches