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Clinical Review Rn Jobs in Virginia (NOW HIRING)

TotalMed RN

Travel Nurse RN - Endoscopy

Midlothian, 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 ...

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 ... TotalMed RN Job ID #1476509. Pay package is based on 12 hour shifts and 36.0 hours per week ...

TotalMed RN

Travel Nurse RN - Psychiatric

Richmond, VA · On-site

$1.7K - $2.4K/wk

TotalMed RN is seeking a travel nurse RN Psychiatric for a travel nursing job in Richmond, Virginia ... The Psychiatric Nurse also collaborates with clinical and case management staff to coordinate care ...

TotalMed RN

Travel Nurse RN - Psychiatric

Richmond, VA · On-site

$1.7K - $2.4K/wk

TotalMed RN is seeking a travel nurse RN Psychiatric for a travel nursing job in Richmond, Virginia ... The Psychiatric Nurse also collaborates with clinical and case management staff to coordinate care ...

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 ...

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 ...

Lifepoint Health

RN Director Case Management

Danville, VA · On-site

$101K - $136K/yr

... Review RN, Case Manager RN, and Social Worker-ensuring each patient receives comprehensive ... Develops and implements departmental goals, plans, and standards consistent with the clinical ...

TotalMed RN

Travel Nurse RN - Telemetry

Williamsburg, VA · On-site

$1.9K - $2.6K/wk

TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Williamsburg ... clinicians of all specialties in all 50 states. They offer local and travel jobs and match ...

Ashealthnet

Clinical Manager, Homecare

Fairfax, VA · On-site

Process complaint workflow reporting staffing trends, neglect, abuse or theft to Administrator for resolution & follow up* Completes field clinician check-in reviews timely* Maintains active RN or PT ...

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All JobsClinical Review Rn JobsClinical Review Rn Jobs in Virginia

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 - Neonatal Intensive Care Unit in Charlottesville, VA

Charlottesville, VA

TravelNurseSource
Health Care and Social Assistance • 11 - 50 employees
Learn more about TravelNurseSourceexternal

Full-time

Re-posted 29 days ago

Job description

Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Charlottesville, VA Agency: Concentric Healthcare Staffing Pay: Competitive weekly pay (inquire for details) Contract Duration: 13 Weeks Start Date: ASAP

About the Position

TravelNurseSource is working with Concentric Healthcare Staffing to find a qualified NICU RN in Charlottesville, Virginia, 22903!

Job Title

Registered Nurse – NICU

Location

Charlottesville, VA

Schedule / Job Type

Contract | 13-Week Assignment | Nights (7:00 PM – 7:00 AM, 3x12-Hour Shifts) | 36 or 48 hours per week accepted | Onsite

Key Responsibilities
  • Provide direct patient care to neonatal patients in an intensive care unit setting
  • Monitor and assess the condition of critically ill newborns, implementing individualized care plans
  • Collaborate with interdisciplinary care teams to support neonatal patient outcomes
  • Administer medications, treatments, and interventions per physician orders and unit protocols
  • Support infant-driven feeding practices in accordance with unit standards
  • Float within scope of practice to support unit staffing needs as required
Required Qualifications
  • Active Registered Nurse (RN) license in Virginia (pending license accepted; must be in hand by the Wednesday before start date)
  • Basic Life Support (BLS) certification required at time of submission
  • Neonatal Resuscitation Program (NRP) certification required and must be in hand at time of submission
  • Dr. Brown's Infant Driven Feeding Certification required (may be submitted with certification pending)
  • Epic EMR experience required
  • Nursys verification required with submission
Preferred Experience / Skills
  • Bachelor of Science in Nursing (BSN) preferred
  • Prior travel nursing experience in a NICU setting
Why Join Us
  • Opportunity to work in a high-acuity NICU environment with a collaborative and experienced care team
  • Clinical review and auto-offer process for a streamlined onboarding experience

About Concentric Healthcare Staffing

Founded and headquartered in Scottsdale, AZ, Concentric Healthcare Staffing specializes in healthcare employment with an emphasis in nursing and allied health. Our passion is to develop partnerships with our clients and become an integral part of your staffing solution. Concentric representatives understand your need for continuity of care and work to ensure that every staffing solution we provide is as unique as your facility.

To provide the skilled and talented personnel that today’s medical field demands, Concentric Healthcare offers a top flight registry service that provides staff 24/7. Your facility can enhance their recruiting process by taking advantage of the temporary, temp-to-hire, and direct placement services of our fully screened professionals.

Concentric Healthcare is proud to be recognized by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) with the JCAHO Gold Seal of Approval for the Health Care Staffing Services program. JCAHO certification acknowledges compliance with the Joint Commission’s national set of consensus-based quality standards and demonstrates a commitment to excellence in providing health care staffing.

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