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Medical Review Rn Jobs in Arizona (NOW HIRING)

GQR Global Markets

RN - Case Manager

Tuba City, AZ · On-site

$2.2K - $2.3K/wk

RN - Case Manager Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

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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 Nurse RN - Utilization Review - $2,464 per week

TRS Healthcare

Tuba City, AZ • On-site

$2.4K/wk

Other

Posted 13 days ago

Job description

TRS Healthcare is seeking a travel nurse RN 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

Looking for a great Travel Utilization Review Nursing Job in Tuba City, Arizona? TRS Healthcare posted this Travel Nursing Job that offers 40 hours a week for 13 weeks in Tuba City, Arizona.

Vivian Health provides transparent Travel Utilization Review Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States, so you can compare travel opportunities matching your desired criteria.

With Vivian, you can chat directly with recruiters and apply to staffing agencies with a Single Reusable Profile to find your ideal job faster and easier than ever.

The details for this Travel Utilization Review Nursing Job are:

  • Specialty: Utilization Review
  • Job Location: Tuba City, Arizona
  • Travel Nurse Salary: $2,464/week
  • Start Date: 09/07/2026
  • Assignment Length: 13 weeks
  • Total Hours Per Week: 40 weekly
  • Shift Breakdown: 5x8 hrs
  • Shift: 8 hours, days

TRS Healthcare Job ID #1502301. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Utilization Review Registered Nurse

About TRS Healthcare

TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.

An RN-founded, woman-owned company, TRS Healthcare has team members in all 50 states. We recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals.

We staff hundreds of healthcare facilities across the U.S. in urban, rural, and underserved areas, including multi-state hospital systems, critical access hospitals, rural community hospitals, long-term care facilities, trauma centers, standalone clinics, and more.

Learn more about TRS Healthcare at trshealthcare.com.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

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About TRS Healthcare

Sourced by ZipRecruiter

For over 25 years, TRS has been committed to giving our nurses the support and opportunities they need to reach their goals, whether they are financial, career-oriented, or geographical. We’re here to help you achieve success, every step of the way!

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Springdale, AR, US

Year founded

1996

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