Job Description

Remote Medical Review Nurse Consultant

Make Clinical Impact—Anywhere

Imagine influencing patient outcomes on a national scale—without ever needing to leave your home office. As a Remote Medical Review Nurse Consultant, your expertise in evidence-based practice and your compassion for patient advocacy will drive smarter, fairer decisions across the healthcare ecosystem. Here, your detailed analysis will empower clients, shape policy, and ensure quality standards in medical care while you enjoy a proper work-life balance and a flexible schedule.

Why This Role Matters

Your nursing judgment becomes a guiding force for better patient care. Each day, you’ll assess complex medical records, interpret clinical documentation, and clarify care protocols. Your recommendations won’t just support compliance—they’ll affect lives, budgets, and trust between payers, providers, and families. You’re not just reviewing charts; you’re the difference-maker who brings clarity, accuracy, and empathy into every case. With an annual salary of $91,766, your impact and growth are both valued here.

Key Responsibilities: More Than Just Reviews

Examine medical records to verify the necessity, appropriateness, and quality of services.
Deliver thorough, well-supported determinations using clinical guidelines, current standards, and regulatory requirements.
Translate complex findings into clear, actionable guidance—whether drafting written summaries or consulting via virtual meetings.
Help streamline the review lifecycle by spotting inconsistencies and suggesting process improvements.
Collaborate with physicians, care managers, and legal teams, ensuring unified, patient-centered solutions.
Participate in policy updates and workflow optimization to elevate the standard of healthcare quality.
Document findings in EMR systems while maintaining total confidentiality and compliance.

Your Professional Superpowers

Your sharp clinical instincts are only half the story. You have a gift for simplifying the complex—on Zoom, over the phone, or in crisply written feedback. You’re energized by remote teamwork, sharing insights with auditors, doctors, and administrators to close gaps and solve challenges together. Your approach is both systematic and empathetic, balancing the science of nursing with the human side of every story you review.

What Sets You Up For Success

Active RN license and several years of direct patient care experience, preferably in acute care, utilization management, or case review.
Comfort with remote workflow tools—EMR platforms, secure file sharing, and video conferencing are part of your daily toolkit.
A talent for asking the right questions, challenging assumptions, and backing up every recommendation with solid clinical rationale.
Firm grasp of compliance, HIPAA, and current clinical guidelines.
Natural curiosity: you don’t just check boxes; you want to know why—and you aren’t afraid to speak up if a decision can be made smarter.
Ability to thrive independently while staying connected and collaborative with your distributed team.

Tools, Tech, and Remote Collaboration

Your workday blends autonomy with support. Our remote stack is designed for productivity and connection, encompassing secure EMRs, robust knowledge bases, and regular team huddles via Zoom or Microsoft Teams. You’ll share best practices, contribute to continuous improvement, and continually learn new approaches that raise the bar for virtual care reviews.

The Work Environment: Focus, Flexibility, and Well-Being

You’ll never be lost in a sea of emails or meetings. We move quickly, but you’ll always have space to focus intensely and produce your best work. You’re trusted to own your schedule and take initiative, while resources are available if you need them. Whether it’s a virtual coffee with colleagues or a mid-day wellness break, you’ll find the remote environment supports your well-being and growth.

How Your Work Makes a Difference

Every assessment you deliver shapes better healthcare experiences—for patients, providers, and payers alike. Your findings steer care pathways, prevent unnecessary interventions, and build trust across the healthcare continuum. This isn’t just about compliance or efficiency—it’s about using your clinical insight to elevate outcomes for real people every day.

Ready To Shape Smarter Healthcare?

If you thrive in a space where your expertise truly matters—and you’re motivated to make each review count—we’re excited to connect. Let’s build clarity, compassion, and quality into every decision together.

Salary and Growth

This opportunity offers an annual compensation of $91,766, along with professional development resources and advancement pathways to help you shape your future in the healthcare field. If you’re ready to have a real impact from wherever you are, let’s make it happen.

Remote opportunity with global reach — applications are welcome from candidates in any country.