Remote Nurse Reviewer I: Medical Necessity & Imaging
$33.12 - $56.77 per hourElevance Health
- Remote job
Elevance Health is seeking a Nurse Reviewer I who will perform medical necessity reviews for diagnostic imaging services from a virtual setting. Candidates are encouraged to apply remotely, ensuring a flexible work-life arrangement. The role requires a nursing degree and relevant clinical experience, with an hourly pay range of $33.12 to $56.77. Elevance Health is an Equal Employment Opportunity employer. #J-18808-Ljbffr Elevance Health
$36.27 - $56.77 per hour
...Elevance Health is looking for a Nurse Reviewer I in Walnut Creek, CA, allowing for virtual work full-time with in-person training. Responsibilities include conducting reviews for diagnostic imaging services and collaborating with healthcare providers to ensure quality...Remote workMedicalFull time- Elevance Health is seeking a Nurse Reviewer I in a remote, full-time role based in the United States... ...treatment reviews for diagnostic imaging, with in-person training sessions required... .... Responsibilities include initial medical necessity screening, contacting providers...Remote jobMedicalFull time
- 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 jobMedical
- A leading medical review company in Washington is seeking a Utilization Management Nurse Reviewer. The role involves assessing medical necessity, reviewing patient records, and collaborating with healthcare... ...a competitive salary range, remote work options, and a...Remote workMedical
$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... ...department by performing comprehensive medical necessity reviews and policy reviews for Medicaid...Remote workMedicalContract workWork at officeLocal areaImmediate start$5,833.33 - $6,666.67 per month
...Job Title: Nurse III – Nurse Reviewer Location: Austin, TX – 4601 W Guadalupe St, Austin, TX Functional... ...hospital records to validate medical necessity, accurate diagnoses and procedure codes... ...and Microsoft software in a telework/remote environment. Minimum of two (2)...Remote workMedicalFull timeWork at officeShift workNight shift$45k - $70k
A healthcare management firm is seeking a Utilization Management Nurse Reviewer to ensure efficient use of medical services. The role involves reviewing medical records, assessing treatment necessity, and collaborating with healthcare providers. Candidates should possess...Remote jobMedical- A healthcare organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The role involves examining claims... ...experience. This position offers a chance to work in a remote setup with competitive hours. Benefits include...Remote jobMedical
- A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have... ...in ongoing training. This is a part-time remote position, offering a flexible work environment with...Remote jobMedicalHourly payPart timeFlexible hours
- ...Services Commission (HHSC) is hiring a Nurse Reviewer (Nurse III) to work under the... ...appropriate assessment of resident needs, medical necessity of care, and Medicaid reimbursement; identify... ...computer and Microsoft software in a remote/telework environment. Additional...Remote workMedicalFull timeWork at officeNight shift
- Rising Medical Solutions in Chicago seeks a Legal Nurse to evaluate medical necessity and appropriateness in various claims. Candidates should have an Associate or Bachelor's Degree in nursing and an active RN license. Responsibilities include assessing demand packages...Medical
$78k - $88k
...It takes great medical minds to create powerful solutions that... ...a talented individual for a Nurse Reviewer (RN) who will be responsible... ...documentation supports medical necessity while meeting production and... ...Friday work schedule. Remote position; employees must be...Remote workMedicalPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hours$45 - $55 per hour
...Commence is looking for a Nurse Reviewer to analyze medical records and support independent dispute resolutions at federal and state levels. The role... ...position offers a flexible work environment, including remote options. The salary ranges from $45 to $55 per hour, depending...Remote workMedicalHourly payPart timeFlexible hours$45k - $70k
...A healthcare services company is seeking a Utilization Management Nurse Reviewer to ensure medical services are used appropriately. The role involves reviewing medical records and coordinating care while adhering to guidelines. Candidates should possess an unrestricted...Remote workMedical$45k - $70k
...A leading healthcare company in the United States is looking for a Utilization Management Nurse Reviewer to ensure the efficient use of medical services and provide clinical expertise. Applicants must have an active LVN/RN license, with a preference for candidates having...Remote workMedical- ...DOMA Technologies is seeking a Nurse Reviewer to support independent dispute resolutions at Federal... ...levels. This role involves analyzing medical records, providing quality assurance... ...direct patient care experience. This is a remote position that offers the flexibility of...Remote workMedicalWork from home
- ...are classified as hybrid, onsite or remote. While the majority of our... ...field of study or Post High School Nursing Diploma or Certification (LPN only)... ...correspondence on a daily basis. Analyze medical records and apply medical necessity criteria and benefit plan requirements...Remote jobMedicalFull timeContract workWork experience placementWork at office1 day per week
- ...Radiology Body Imaging Seattle, WA Seeking a full-time Body Imaging Radiologist... ...provide for approximately one day per week of remote work, if desired. No in-house... ...+. Teaching opportunities to precept medical students and residents. Team-based Approach...Remote workMedicalFull time1 day per week
$159k
...will be equipped with home workstations for remote rotations and call coverage. The... ...clinical services across Loyola University Medical Center, Gottlieb Memorial Hospital, and associated... ...fellowship trained in abdominal imaging, MRI or Neuroradiology. There are substantial...Remote workMedicalFull timeWork at officeRelocation- ...at HHS webpage. Functional Title: Nurse Reviewer Job Title: Nurse II Agency: Health... ...laws, rules, standards, and regulations, medical diagnoses and procedures, community health... ...; recognize patterns of medical necessity treatment, fraud, abuse, and neglect; use...Remote workMedicalFull timeTemporary workPart timeWork at officeLocal areaWork from homeShift workDay shift
$45k - $70k
A leading healthcare company is looking for a Utilization Management Nurse Reviewer to ensure medical services are appropriately utilized. Responsibilities include conducting assessments, reviewing patient records, and collaborating with healthcare providers. A valid nursing...Remote jobMedical- ...Nurse Reviewer (LPN/RN) Pay rate: $27.50/hr W2 Location: Fully Remote - US Only Assignment: September 2026 through... ...disability claims by evaluating medical information and helping facilitate... ...and determine medical necessity based on clinical documentation...Remote workMedical
- Texas Health and Human Services is hiring a Nurse III - Nurse Reviewer in Austin, TX. The role involves conducting in-depth reviews of hospital and nursing facility records to ensure compliance with Texas Medicaid and state laws. Candidates must be licensed as Registered...Remote jobMedicalFull time
- ...Job Description & Requirements Breast Imaging Radiologist StartDate: ASAP Pay Rate:... ...+ Work-Life Balance ? $525K–$575K | 2 Remote Days | No Call | Work-Life Balance ? Location... ...’s Imaging Eligible for Massachusetts medical license Strong communication &...Remote workMedicalFull timeLive inLocal areaImmediate startRelocation packageMonday to Friday2 days per week
- ...Self Regional Healthcare is seeking Breast Imager Position Highlights: * Monday-Friday 8a-5pm with optional remote reading opportunities * Screening & Diagnostic... ...is a nonprofit, independent regional referral medical center located in Greenwood, South Carolina. Self...Remote workMedicalMonday to Friday
$90k - $99k
DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 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’s most complex challenges. Join us and put...Remote jobMedicalFull timeWork from homeFlexible hours- ...Innovative Systems Group is seeking a Registered Nurse for remote positions in IL, TX, NM, MT, or OK. The role involves collaborating... ...healthcare providers to optimize member benefits and evaluate medical necessity, ensuring compliance with established guidelines....Remote workMedical
$79.56k - $115.72k
...Senior Nurse Reviewer Mass General Brigham relies on a wide range of professionals, including... ...-performing teams drive groundbreaking medical discoveries and invite all applicants to... ...nursing staff. Working schedule: ~ Remote, M-F eastern standard business hours. Requires...Remote workMedical$31 - $49 per hour
## Senior Zone Installation Specialist, Medical Imaging (Travel: Midwest Zone)Applylocations:... ...+ Work in an office/home office and/or remote setting, as well as in a hospital/healthcare... ...candidate is selected or business necessity dictates. Interested candidates are encouraged...Remote workMedicalHourly payFull timeWork at officeImmediate startWork from homeHome officeWork visaRelocation packageFlexible hoursNight shift3 days per week- ...BREAST IMAGER Position at a Glance: Work Location: UPMC Hamot Address: Erie, PA... ...Balanced schedule with flexibility for some remote work from home. Immigration Status... ...Qualifications: MD/DO from an accredited medical school American Board of Radiology...Remote workMedicalFull timeTemporary workSummer workH1bLocal areaWork from homeOverseasRelocation packageMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Nurse Reviewer I: Medical Necessity & Imaging. Be the first to apply!
- frontend internship remote Nashville, TN
- remote broker Nashville, TN
- remote healthcare analyst Nashville, TN
- excel remote Nashville, TN
- software testing remote Nashville, TN
- marketing intern remote Nashville, TN
- data entry specialist remote Nashville, TN
- remote support engineer Nashville, TN
- remote contract attorney Nashville, TN
- clinical data manager remote Nashville, TN


