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Medical Review Rn Jobs in Arizona (NOW HIRING)

Care Career

Travel Utilization Review RN

Tuba City, AZ · On-site

  • Medical

  • Dental

  • Vision

Travel Utilization review nurses perform frequent case reviews, check medical records, speak with ... Posted job title: RN Utilization Review About Care Career Care Career brings together a portfolio ...

Bestica

Travel Utilization Review RN

Tuba City, AZ · On-site

Bestica is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in ... Medical-Surgical * PACU * ICU * Step-Down * Telemetry * Other higher-acuity inpatient settings

Voca Healthcare

Travel Utilization Review RN

Tuba City, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Medical benefits * Dental benefits * Vision benefits * Referral bonus Voca Healthcare Job ID ... Posted job title: RN:Utilization Review,08:00:00-16:00:00 About Voca Healthcare As a Voca Traveler ...

Bestica

Travel Utilization Review RN

Tuba City, AZ · On-site

Bestica is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in ... setting on a medical-surgical unit, PACU, or higher acuity Inpatient unit (ICU, Step-Down ...

Centstone

Registered Nurse Utilization

Tuba City, AZ · On-site

Registered Nurse Utilization Location: Tuba City, Arizona Pay Rate: $ 2300 To $ 2560 per week ... This role focuses on reviewing medical necessity, coordinating patient care, supporting discharge ...

HCS 247

Travel Utilization Review RN

Tuba City, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: RN * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per ... Medical Dental and Vision Benefits available (For you and family) * Day 1 Medical and Voluntary ...

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Medical Review Rn information

What is a Medical Review RN?

A Medical Review RN is a registered nurse who specializes in reviewing medical records and claims to ensure they meet established guidelines and standards. These nurses often work for insurance companies, government agencies, or healthcare organizations, evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their role may include determining medical necessity, performing utilization reviews, and supporting appeals or audits. They use their clinical knowledge to interpret complex medical information and collaborate with healthcare providers to support accurate decision-making.

How does a Medical Review RN collaborate with other healthcare professionals during the review process?

A Medical Review RN often works closely with physicians, case managers, and insurance representatives to ensure that medical claims and treatment plans meet regulatory and clinical guidelines. Collaboration may involve participating in interdisciplinary meetings, discussing complex cases, and providing clinical expertise to support utilization management decisions. Effective communication and teamwork are essential, as you'll need to relay findings, request additional information, and sometimes clarify medical necessity with providers. This collaborative environment helps ensure quality care for patients while maintaining compliance with payer policies.

What are the key skills and qualifications needed to thrive as a Medical Review RN, and why are they important?

To thrive as a Medical Review RN, you need a strong clinical background, critical thinking skills, and an active RN license, often supported by experience in case management or utilization review. Familiarity with medical coding, claims management software, and knowledge of regulatory guidelines such as Medicare and Medicaid are typically required. Strong attention to detail, excellent written communication, and the ability to work independently are essential soft skills for this role. These competencies ensure accurate and compliant medical record reviews, which are critical for proper claims adjudication and regulatory adherence.

How to become a medical review RN?

To become a medical review RN, you need to earn a nursing license by completing an accredited nursing program and passing the NCLEX-RN exam. Additionally, gaining experience in clinical settings and obtaining certifications such as Certified Professional Coder (CPC) or specialized training in medical review can enhance qualifications for this role.

What cities in Arizona are hiring for Medical Review Rn jobs?

Cities in Arizona with the most Medical Review Rn job openings:

Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 14% Part Time, 2% Temporary, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Travel Utilization Review RN

Catalytic Solutions

Tuba City, AZ • On-site

Contractor

Medical, Dental, Vision, Life

This job post has expired today. Applications are no longer accepted.

Job description

Catalytic Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Tuba City, Arizona.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/07/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

About Catalytic Solutions


At Catalytic Solutions, we’re redefining what healthcare staffing should feel like. We believe outstanding patient care begins with clinicians who feel supported, respected, and empowered. That’s why we combine personalized recruiter relationships with transparent, tech-driven processes that make every assignment simple, seamless, and rewarding.


We partner with top healthcare systems nationwide to deliver high-quality travel nurses and allied professionals at competitive rates—while ensuring our clinicians earn industry-leading pay packages. Behind every placement is our experienced operations team handling compliance, credentialing, and communication so you can focus on delivering exceptional care.


Catalytic Solutions—where clinicians thrive, partners trust us, and healthcare staffing gets smarter.

### Exciting Opportunity for Utilization Review RN **Job Description:** - Join a dynamic team committed to enhancing patient care and safety! - Monday - Friday schedule: 8 AM - 5 PM with callback on weekends/holidays. **Key Responsibilities:** - Ensure patients receive appropriate care by: - Verifying medical necessity. - Confirming correct patient status. - Monitoring ongoing need for services. - Support: - Accurate clinical documentation for proper reimbursement. - Coordination with providers and care teams on discharge planning and transitions. - Manage resource use: - Control costs and reduce unnecessary length of stay. - Communicate with payers to prevent denials. - Ensure compliance with: - CMS and Joint Commission requirements. - Contribute to reporting and quality improvement efforts. - Serve as a liaison: - Align patient care with quality standards and reimbursement rules. **Necessary Qualifications:** - Education: - Bachelor’s Degree in Nursing. - License/Certification: - Valid, current, full, and unrestricted Professional Nursing License (RN) from any state or territory in the USA. - Must maintain current Basic Life Support (BLS) certification by the American Heart Association (AHA) throughout employment. - Experience: - Three (3) years of clinical nursing experience performing direct patient care. - At least 2 years in an Inpatient setting (medical-surgical unit, PACU, or higher acuity unit). - Knowledge of case management, purchased referred care, and utilization review processes. - Familiarity with electronic health record systems. **Why Catalytic Solutions (CatSol):** At CatSol, we connect dedicated therapists with rewarding assignments across the country. Enjoy competitive pay, seamless onboarding, and a supportive recruiter who’s with you every step of the way. Join us — where your expertise makes a difference every day!

Catalytic Solutions Job ID #18898373. 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: RN:Utilization Review,07:00:00-15:00:00

About Catalytic Solutions
About Catalytic Solutions


At Catalytic Solutions, we’re redefining what healthcare staffing should feel like. We believe outstanding patient care begins with clinicians who feel supported, respected, and empowered. That’s why we combine personalized recruiter relationships with transparent, tech-driven processes that make every assignment simple, seamless, and rewarding.


We partner with top healthcare systems nationwide to deliver high-quality travel nurses and allied professionals at competitive rates—while ensuring our clinicians earn industry-leading pay packages. Behind every placement is our experienced operations team handling compliance, credentialing, and communication so you can focus on delivering exceptional care.


Catalytic Solutions—where clinicians thrive, partners trust us, and healthcare staffing gets smarter.

Benefits
  • Benefits start day 1
  • Sick pay
  • Life insurance
  • Referral bonus
  • Health savings account
  • Discount program
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Wellness and fitness programs
  • License and certification reimbursement
  • Pet insurance

Apply