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Medical Review Rn Jobs in California (NOW HIRING)

GQR Global Markets

RN - Case Manager

Los Angeles, CA · On-site

$2.1K - $2.2K/wk

Registered Nurse (RN) Facility: Estimated Pay: $2126.01 - $2221.01 Duration: 13 weeks Specialty ... Case Management/Utilization Review Shift: Day Benefits: * Day 1 Insurance * Cigna medical, MetLife ...

GQR Global Markets

RN - Case Manager

Chico, CA · On-site

$2.7K - $2.8K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Chico ... Case Management/Utilization Review Shift: Day Shift Benefits: * Day 1 Insurance * Cigna medical ...

GQR Global Markets

RN Case Manager

Burbank, CA · On-site

$2.0K - $2.1K/wk

Registered Nurse (RN) Facility: Hospital Estimated Pay: $2005.41 - $2100.41 Duration: 13 weeks ... Case Management/Utilization Review Shift: Day Benefits: * Day 1 Insurance * Cigna medical, MetLife ...

GQR Global Markets

RN - Case Manager

Mission Viejo, CA · On-site

$1.9K - $2.0K/wk

Registered Nurse (RN) Facility: Estimated Pay: $1948.36 - $2043.36 Duration: 13 weeks Specialty ... Case Management/Utilization Review Shift: Day Benefits: * Day 1 Insurance * Cigna medical, MetLife ...

GQR Global Markets

RN Case Manager

Santa Rosa, CA · On-site

$2.0K - $2.1K/wk

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

GQR

RN - Case Manager

Torrance, CA · On-site

$2.1K - $2.2K/wk

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

GQR Global Markets

RN Case Manager

Palm Springs, CA · On-site

$418.45 - $513.45/wk

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

GQR Global Markets

RN Case Manager

Torrance, CA · On-site

$2.1K - $2.2K/wk

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

GQR

RN - Case Manager

Santa Rosa, CA · On-site

$2.0K - $2.1K/wk

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

GQR Global Markets

RN Case Manager

Eureka, CA · On-site

$2.0K - $2.1K/wk

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

GQR Healthcare

Travel Case Manager RN

Eureka, CA · On-site

$2.0K - $2.1K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Eureka ... Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed ...

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All JobsMedical Review Rn JobsMedical Review Rn Jobs in California

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 California are hiring for Medical Review Rn jobs?

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

Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in California as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

RN - Case Manager

GQR Global Markets

Los Angeles, CA • On-site

$2.1K - $2.2K/wk

Other

Medical, Dental, Vision

Posted 5 days ago

Job description

Contract - W2 Case Management/Utilization Review Registered Nurse (RN)

Job Location: Los Angeles, California Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2126.01 - $2221.01 Duration: 13 weeks Specialty: Case Management/Utilization Review Shift: Day

Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to ensure you start on time and have an exceptional experience
  • Referral bonus up to $700

About the Company: Finding the right role is about more than just matching skills to a job--it's about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.

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