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Medical Review Rn Jobs in Connecticut (NOW HIRING)

Registered Nurse (RN)

Clinton, CT · On-site

$44 - $48/hr

... medical, psychosocial, emotional and spiritual needs of hospice patients and families facing ... Manager reviews * Registered Nurse, RN, responsible for attending orientation and regularly ...

... medical, psychosocial, emotional and spiritual needs of hospice patients and families facing ... Manager reviews * Registered Nurse, RN, responsible for attending orientation and regularly ...

Travel Med Surg Telemetry RN

New Haven, CT · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in New Haven, Connecticut. & Requirements * Specialty: Med Surg / Telemetry * Discipline: RN * Duration: 13 ...

Travel Telemetry RN

New Haven, CT · On-site

$2.0K - $2.7K/wk

Specialty: Med Surg / Telemetry * Discipline: RN * Start Date: 09/18/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, nights * Employment Type: Travel We're looking for Telemetry RNs ...

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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.
Infographic showing various Medical Review Rn job openings in Connecticut as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 14% Part Time, 2% Temporary, and 8% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Registered Nurse (RN)

VITAS Healthcare

Clinton, CT • On-site

$44 - $48/hr

Other

Re-posted 13 days ago


VITAS Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 114 frontline employees who took The Breakroom Quiz

40th of 242 rated social care providers


Job description

Registered Nurse, RN

The Registered Nurse, RN, is a member of the interdisciplinary team who work together to meet the physical, medical, psychosocial, emotional and spiritual needs of hospice patients and families facing terminal illness and bereavement. The Registered Nurse, RN, is designated to provide coordination of care, ensure continuous assessment of each patients and family's needs and implementation of the interdisciplinary plan of care.

Salary Range: $44-$48/ Hourly

Job Responsibilities

a. Case Management and Supervision for Registered Nurse, RN

  • Registered Nurse, RN, follows VITAS policies and standards and practices within the scope of the RN license and has knowledge of hospice eligibility requirements
  • Registered Nurse, RN, reports any request to practice outside of scope of license to the manager/supervisor
  • Registered Nurse, RN, performs supervision of (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses and Volunteers per the plan of care
  • Registered Nurse, RN, completes initial and ongoing comprehensive assessments including physical, psychosocial, spiritual, and bereavement in order to provide palliation of end-of-life symptoms
  • Registered Nurse, RN, appropriately identifies/utilizes resources, referrals such as PT, OT, Home Health, Dietary, Pharmacy, Supplies, Home Medical Equipment, and other visits/consults
  • Registered Nurse, RN, completes documentation at the time of the event and at the location of care unless otherwise directed
  • Registered Nurse, RN, provides education and training to patients, families, caregivers and referral sources in the care of the patient, including pain management
  • Registered Nurse, RN, participates in patient care meetings as assigned
  • Registered Nurse, RN, participates in weekly team meetings
  • Registered Nurse, RN, provides effective communication/shift reports through written, verbal, reporting and body language
  • Registered Nurse, RN, participates in bereavement support
  • Registered Nurse, RN, participates in the on-call rotation and/or provides shifts during non-business hours such as evenings, weekends and holidays based upon program-identified needs
  • Registered Nurse, RN, provides visits/shifts in program coverage area
  • Registered Nurse, RN, works with IDG to develop, coordinate, and follow the patients individualized plan of care
  • Registered Nurse, RN, obtains physician orders when necessary
  • Registered Nurse, RN, provides those services requiring substantial and specialized nursing skill
  • Registered Nurse, RN, evaluates the outcome of services
  • Registered Nurse, RN, appropriately delegates nursing tasks to Hospice Aides/Homemakers, Volunteers, and Licensed Practical/Vocational Nurses
  • Registered Nurse, RN, provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HAs and Volunteers
  • Registered Nurse, RN, participates in and monitors patient and family care compliance activities
  • Registered Nurse, RN, professionally manages/coordinates the hospice plan of care
  • Registered Nurse, RN, provides and follows infection control practices
  • Registered Nurse, RN, delivers care in accordance with the patients plan of care.
  • Provides primary nursing care for inpatient and continuous care patients as assigned.

b. Quality Improvement

  • Registered Nurse, RN, participates in the Quality Assessment and Performance Improvement (QAPI) Program and related activities as assigned. For the Registered Nurse, RN, this may include, but is not limited to:
  • Registered Nurse, RN, participation in Performance Improvement Project(s) (PIP)
  • Registered Nurse, RN, gathering clinical data which is used for quality measures

c. Professional Development

  • Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews
  • Registered Nurse, RN, responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned
  • Registered Nurse, RN, participates in orientation of Hospice Aides, Volunteers and other IDG members as assigned
  • Registered Nurse, RN, participates in training activities internally within VITAS and externally as assigned
  • Registered Nurse, RN, provides customer service
  • Registered Nurse, RN, maintains focus on the patient and family experience of care
  • Registered Nurse, RN, serves as a patient and family advocate
  • Registered Nurse, RN, reports patient/family/customer complaints to Team Manager
  • Registered Nurse, RN, participates in patient/family/customer conflict resolution as applicable
  • Registered Nurse, RN, represents the nursing profession, the VITAS site/location and VITAS overall in a positive manner

Job Requirements

  • Registered Nurse, RN, has reliable transportation with adequate insurance coverage for driver and passengers.
  • Registered Nurse, RN, has telephone available (cellular or land line)

Essential Functions/Physical Demands

The physical demands for the Registered Nurse, RN described in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of the Registered Nurse, RN, the employee is regularly required to:

  • Assist in lifting and transferring patients, as required.
  • Lift objects in excess of 20 pounds
  • Stand or walk in excess of one hour per day
  • Talk and hear

Specific vision abilities required for the Registered Nurse, RN include:

  • Close vision
  • Distance vision
  • Ability to adjust focus

The Registered Nurse, RN will be required to sit and stoop, kneel, and crouch.

Qualifications for the Registered Nurse, RN

  • Currently licensed to practice nursing in the state where the VITAS program is located.
  • A minimum of two years of nursing experience in hospice, home health, or community health in the last five years.
  • Equivalent experience or licensure may be considered

Direction Received

Reports directly to the Team Manager.


What VITAS Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


VITAS Healthcare logo

About VITAS Healthcare

Sourced by ZipRecruiter

VITAS Healthcare, located in Miami, FL, US, is a pioneer in the American healthcare industry, specifically within the realm of hospice care and palliative services. The company began its operations in 1978 under the visionaries Hugh Westbrook and Esther Colliflower,both social workers, who identified the need for compassionate end-of-life care. Recognizing the dire need to fill the void in hospice care, they established VITAS Healthcare with the mission to provide patients experiencing end-of-life stages with high-quality care, demonstrating respect for every individual's decisions and maintaining a supportive environment for both the patients and their loved ones. A noteworthy achievement of VITAS is that it was the first organization to have its hospice program licensed in Florida prompting a nationwide shift in the way end-of-life care services were handled.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

Year founded

1978