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Medical Review Rn Jobs in Florida (NOW HIRING)

HAN Staff

RN - Utilization Review

Fort Myers, FL · On-site

$2.1K/wk

Utilization Review Registered Nurse (RN) * Shift: Day * 13 Week Contracts and more available ... Competitive pay rates, Referral Bonus, Medical, Dental, Vision and 401k. Travel reimbursement and ...

GQR Healthcare

Travel Utilization Review RN

Fort Myers, FL · On-site

$1.7K - $1.8K/wk

Utilization Review * Discipline: RN * Start Date: 09/28/2026 * Duration: 14 weeks * 40 hours per ... Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed ...

Care Career

Travel Utilization Review RN

Fort Myers, FL · On-site

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 ...

CES, LLC

Medical Review Nurse III

Saint Augustine, FL · Remote

Summary: The Medical Reviewer will utilize Medicare and/or Medicaid rules, regulations, and ... Graduate from an accredited school of nursing and has an active license as a Registered Nurse ...

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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 Florida are hiring for Medical Review Rn jobs?

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

Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

RN - Utilization Review

HAN Staff

Fort Myers, FL • On-site

$2.1K/wk

Other

Medical, Dental, Vision, Retirement

Posted 7 days ago

Job description

Health Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Fort Myers, FL area. Must have 2 years Utilization Review experience.

  • Pay Rate: $2,110 weekly
  • Specialty: Utilization Review Registered Nurse (RN)
  • Shift: Day
  • 13 Week Contracts and more available!
  • Radius Rule: 50 mile radius applies
Qualification and Requirements:
  • Authorized to work in the United States.
  • Graduate of an Accredited School of Nursing
  • 2 years of experience as a Utilization Review Registered Nurse (RN)
  • American Heart Association BLS
  • CCM/CMCN required
  • Epic experience required
  • DragonFly experience is required
  • An active, current (FL) state license

Apply for this job now or to find out more about other opportunities with Health Advocates Network, Inc. reply to this posting, contact us at albanyrecruiter@hanstaff.com or call/text 518-278-4310. We can provide you unparalleled access to exciting career opportunities.
Benefits We Offer:
Competitive pay rates, Referral Bonus, Medical, Dental, Vision and 401k. Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and more!
Who We Are:
Health Advocates Network matches highly skilled applicants to positions at the best healthcare companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding job that is well-matched to your skills - helping you advance in your career. Our experience, combined with our client relationships, makes Health Advocates Network a great resource for your career.
Health Advocates Network, Inc. is an equal-opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies.
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