Nurse Reviewer
Virtual Vocations Inc
To support healthcare operations, the onsite contract Arizona Licensed Nurse Reviewer will ensure excellent customer service, generate program reports, and participate in departmental procedure development. Key responsibilities Ensures timely and accurate generation of required program reports and documentation Proactively identifies opportunities for process improvement and assists in special project execution Acts as a liaison within the organization to meet client needs and coordinate service delivery Required qualifications Bachelor's Degree in a relevant field or 1-3 years of equivalent work experience (Nursing degree preferred) 3+ years of experience in a specialized area related to this role Demonstrates outstanding internal and external client service skills Proficient in Microsoft Office Suite Ability to adapt to a constantly changing environment and meet critical deadlines
$31 - $38.74 per hour
...designed to attract and retain top candidates like you. Position Summary Under the guidance of the Utilization Management, the UM Nurse Reviewer will leverage expertise to conduct timely reviews of pre-certification and/or concurrent requests, aligning with established...SuggestedFull timeImmediate startMonday to Friday$88k - $115k
...straightforward communication and clinical domain expertise, Commence cuts straight to better care.? Requirements The Senior Nurse Reviewer performs complex medical record reviews of Medicare Part A/B and DMEPOS claims that require clinical judgment in order to...SuggestedFull timeContract workLocal areaRemote work$40 per hour
...PT (20-30 hours week) – Remote Work Environment Non-Exempt: $40.00 hour Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity reviews and policy...SuggestedContract workWork at officeLocal areaImmediate startRemote work- ...AnalystsWe are seeking medical analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical treatment and prescription medications. Candidates will...Suggested
- ...Responsibilities Provide timely review and determination of medical claims, including prior authorization, appeals, and/or any other type... ...possess a current, unrestricted State license as a Registered Nurse (RN) as required by contract(s) 1+ years clinical experience required...SuggestedContract workFor contractorsWork at officeLocal area
$31 - $38 per hour
...Nurse Reviewer This is a remote position. Paradigm is seeking an experienced Nurse Reviewer to support our client in a detail-oriented role combining subject-matter expertise, data review, problem solving, client service, and process improvement. The ideal candidate...Contract workWork experience placementWork at officeRemote work$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...Contract workRemote work- ...Nurse Reviewer – Illinois - Field-Based Location: Remote with on-site visits across Illinois Position Overview The Nurse Reviewer conducts provider compliance reviews to ensure adherence to state regulations, quality standards, and program requirements. This...Remote workFlexible hours
- ...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...Contract workRemote work
$50 per hour
...Healthcare Professionals accepted) Maternal/Child-Director of Nursing - Location: Jericho or Albany, NY Employment Type: Full-time, Contract... ...Healthcare Staffing is seeking an experienced Maternal Nurse Reviewer to conduct clinical reviews and program monitoring for a...Hourly payFull timeContract workPrivate practice- ...A healthcare organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The role involves examining claims, maintaining knowledge of Medicaid policies, and managing the screening process effectively. Candidates must...Remote work
- ...Healthcare Quality Strategies, Inc. (HQSI) is seeking a Nurse Reviewer for a remote position supporting Medical Review Services. The role requires conducting comprehensive medical necessity reviews and ensuring compliance with established guidelines. The ideal candidate...Remote work
- ...Job Description: Top 3 Required Skills: Attention to detail Medical record review experience Clinical knowledge As a Nurse Reviewer, you will be responsible for: • Ensures excellent customer service internally and/or externally. • Generates...Work experience placementWork at office
- ...CVS Health is seeking a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making. This remote role requires an active RN license, 3+ years of NICU nursing, 1+...Remote work
- Commence is seeking a Nurse Reviewer to perform complex medical record reviews of Medicare Part A/B and DMEPOS claims. The role requires clinical judgment to assess payment validity according to CMS guidelines. The position is remote, offering flexibility while demanding...Remote job
$95k - $110k
Select how often (in days) to receive an alert: DRG Nurse Reviewer Appeals and Hearings- Remote Date: Aug 30, 2026 Location: Any city, FL, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare...Remote jobFull timeWork from homeRelocation packageFlexible hours$59k - $75.05k
...Nurse Reviewer The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments...Full timeWork at officeLocal areaFlexible hours- ...Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people...Work experience placementFlexible hours
$34.57 per hour
Zimmerman Associates, Inc. (ZAI) is currently seeking to hire Licensed Practical Nurse Referral Reviewers to support its contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Regions’ premier coordinating authority for appointing...Contract workFor contractorsCurrently hiring- ...Job Description Job Description We are partnering with a healthcare organization seeking experienced Clinical Nurse Reviewers for a long-term engagement with the possibility of full-time conversion. This role focuses on conducting medical record reviews across multiple...Full timeContract workWork at office
$95k - $110k
Gainwell Technologies is seeking a DRG Nurse Reviewer Appeals and Hearings professional for remote work. You will coordinate and perform appeal duties, analyze documentation, prepare case files and participate in hearings, both virtual and on-site as needed. Required are...Remote job$60 per hour
Overview Registered Nurse Clinical Reviewer / IDR - Jericho, NY (#25154C) Location: Jericho, NY Employment Type: Full-time Hourly Rate: $60/hr (based on experience) Position Overview Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer...Hourly payFull timeFlexible 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
- ...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
$40 - $45 per hour
...Legal Nurse Consultant, Medical Chronologies Remote. We are seeking exceptional medical professionals dedicated to upholding the highest... ...: Your primary responsibility in this position will be to review our AI‑generated Medical Chronologies to ensure the highest levels...Hourly payFull timeContract workRemote work- ...Hall Booth Smith, P.C. is currently accepting resumes for a Legal Nurse Consultant. Please note that this position requires regular... ...clinical setting. Applicants should be experienced with medical record review and dealing with expert witnesses. Previous legal experience...Work experience placementWork at officeFlexible hours
- ...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
- ...seeking an experienced paralegal to join our Las Vegas office. The Nurse Consultant will be responsible for providing their medical... ...Assists attorneys in the preparation and defense of medical issues Reviews, analyzes, and summarizes case files, medical records, and other...Work at officeLocal area
- ...Legal Nurse Consultant- Independent Contractor or Remote Employee - Coury, Krolls, Dean & DaPena, an Arizona based law firm, currently... ...subject areas; Identify, request via authorization and/or subpoena, review and analyze all pertinent medical records, radiology studies and...Full timeFor contractorsWork at officeRemote work
- ...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
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