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Clinical Review Rn Jobs in Virginia (NOW HIRING)

Sentara Health Plans

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site

$60 - $80/hr

Registered Nurse (required) Experience * 3 years of acute care clinical experience (required) * Previous Utilization Review experience (preferred) * Milliman experience (preferred) * Knowledge of ...

TNAA TotalMed RN

Travel Nurse RN - Psychiatric

Portsmouth, VA · On-site

$1.7K - $2.4K/wk

The Psychiatric Nurse also collaborates with clinical and case management staff to coordinate care ... TNAA TotalMed RN Job ID #1476509. Pay package is based on 12 hour shifts and 36.0 hours per week ...

TNAA TotalMed RN

Travel Nurse RN - Psychiatric

Richmond, VA · On-site

$1.7K - $2.4K/wk

The Psychiatric Nurse also collaborates with clinical and case management staff to coordinate care ... TNAA TotalMed RN Job ID #1492709. Pay package is based on 12 hour shifts and 36.0 hours per week ...

TNAA TotalMed RN

Travel Nurse RN - Psychiatric

Richmond, VA · On-site

$1.7K - $2.4K/wk

The Psychiatric Nurse also collaborates with clinical and case management staff to coordinate care ... TNAA TotalMed RN Job ID #1492168. Pay package is based on 12 hour shifts and 36.0 hours per week ...

TNAA TotalMed RN

Travel Endoscopy RN

Henrico, VA · On-site

Maintain a safe and clean environment within the clinical area in accordance with established ... RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of ...

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Clinical Review Rn information

What is a clinical review RN?

Clinical Review RNs, or Clinical Review Registered Nurses, are licensed nurses who evaluate medical records, treatment plans, and health care documentation to ensure that patient care meets established standards and guidelines. They play a critical role in reviewing the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Clinical Review RNs often work for insurance companies, hospitals, or healthcare organizations to help with utilization management, case review, and quality assurance. Their expertise helps improve patient outcomes and manage healthcare costs by ensuring the right care is delivered at the right time.

What skills and qualifications are needed to thrive as a clinical review RN?

To thrive as a Clinical Review RN, you need a robust clinical nursing background, strong assessment skills, and an active RN license, often with experience in case management or utilization review. Familiarity with utilization management software, electronic health records, and knowledge of insurance regulations or CMS guidelines is typically required. Excellent communication, critical thinking, and attention to detail help set outstanding Clinical Review RNs apart. These skills ensure accurate clinical evaluations, compliance with regulations, and effective coordination between patients, providers, and payers.

How does a clinical review RN collaborate with other healthcare professionals during the patient care review process?

A Clinical Review RN regularly works with physicians, case managers, social workers, and insurance representatives to assess the medical necessity and appropriateness of patient care plans. They participate in interdisciplinary meetings, provide clinical insights, and help ensure that care decisions align with policies and regulations. This collaboration is key to streamlining the review process, minimizing delays in patient care, and supporting optimal outcomes for both patients and the healthcare organization.

What is the difference between Clinical Review Rn vs Medical Reviewer?

AspectClinical Review RnMedical Reviewer
CredentialsRegistered Nurse (RN) license, clinical experienceMedical degree (MD or DO), specialized training
Work EnvironmentHealthcare facilities, insurance companies, telehealthHospitals, insurance companies, consulting firms
Employer & Industry UsageInsurance, healthcare providers, government agenciesInsurance, legal, healthcare consulting
Primary FocusAssessing medical records, determining coverage eligibilityEvaluating medical cases, providing expert opinions

While both roles involve reviewing medical information, Clinical Review Rns primarily assess insurance claims and medical records as registered nurses, whereas Medical Reviewers are typically physicians with advanced medical training who evaluate complex cases and provide expert opinions. Understanding these differences helps in choosing the right career path or job search focus.

How to become a clinical review RN?

To become a clinical review RN, you typically need to earn a Bachelor of Science in Nursing (BSN) or an associate degree in nursing, pass the NCLEX-RN exam to obtain licensure, and gain clinical experience in healthcare settings. Additional certifications in case management or utilization review can enhance qualifications for this role.

What does a clinical review RN do?

A clinical review RN evaluates medical records, treatment plans, and patient data to determine coverage, appropriateness, and compliance with healthcare policies. They often work for insurance companies or healthcare organizations, requiring strong clinical knowledge, attention to detail, and certification such as a registered nurse license. Their assessments help ensure proper patient care and cost-effective treatment decisions.
Clinical Review Rn jobs near you
Infographic showing various Clinical Review Rn job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Travel Nurse RN - Interventional Radiology

Charlottesville, VA • On-site

VyTalent Solutions
See more jobs at VyTalent Solutionsexternal

$500/wk

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 6 days ago

Job description

VyTalent Solutions is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Charlottesville, Virginia.

Job Description & Requirements
  • Specialty: Interventional Radiology
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

The right role can make all the difference in your career. At VyTalent Solutions, we support healthcare professionals with opportunities designed to meet today’s workforce needs. We’re currently looking for a Interventional Radiology Radiology / Cardiology for a Hospital contract.

Job Details:

Job Title: Interventional Radiology Radiology / Cardiology

Location: Charlottesville, VA

Setting: Hospital

Pay Range: 2988.80 - 3138.24

Schedule: 07:30 - 16:00

Contract Length: 13 weeks

Candidate Type: Traveler

Requirements: BLS and ARRT required; VA license required but can submit with pending license, eligible for temp provided licensure in another state; ETA is 8 weeks

Responsibilities:

  • Provide imaging support in the OR working vascular IR
  • Perform technical review and auto offers after clinical review
  • Support the medical team with diagnostic imaging procedures
  • Work rotating call every 4th week
  • Maintain compliance with hospital and departmental protocols

Why Choose VyTalent Solutions?
At VyTalent Solutions, support starts with benefits that work for you, an uncapped referral program, and a recruiter who’s with you every step of the assignment.

Equal Opportunity Employer
VyTalent Solutions is an Equal Employment Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, age, or any other non-merit factor.

VyTalent Solutions Job ID #106308. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Interventional Radiology RN - Registered Nurse

About VyTalent Solutions

At VyTalent Solutions, we believe your career should move you forward. Whether you're looking for travel, local, PRN, or permanent opportunities, we're here to connect you with meaningful work where you can make an impact in patient and student care.

Built on more than three decades of experience, VyTalent Solutions partners with hospitals, surgical centers, behavioral health facilities, schools, correctional healthcare environments, and community-based organizations nationwide. Our team is committed to creating an experience that's transparent, responsive, and centered around your goals, because finding your next opportunity should feel exciting, not exhausting.

From your first conversation through every assignment, you'll have real people in your corner, helping you navigate your career with confidence.

Energizing Talent. Delivering Solutions. Powering Innovation.

Benefits

We believe in providing benefits that benefit you. Eligible employees working 30 hours or more can access a comprehensive benefits package designed to help you thrive both personally and professionally.

Benefits include:

  • Medical, dental, vision, life insurance, and 401(k) with company match
  • Employee Assistance Program offering mental health, financial, legal, and wellness resources
  • Wellness program focused on fitness, nutrition, and financial well-being
  • BetterHelp partnership, including one month of free therapy and discounted services
  • Scrubin uniform discounts
  • Hotel Engine travel discounts
  • Working Advantage employee discount program
  • Referral Program: Earn $500 when you refer a friend, and they'll earn $500, too.


Benefits
  • 401k retirement plan
  • Life insurance
  • Medical benefits
  • Dental benefits
  • Vision benefits

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