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Medical Review Rn Jobs in Illinois (NOW HIRING)

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Springfield, IL · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per ...

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Springfield, IL · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Springfield, Illinois. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per ...

TNAA TotalMed RN

Travel Med Surg RN

Galesburg, IL · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Galesburg, Illinois. & Requirements * Specialty: Med Surg / Telemetry * Discipline: RN * Start Date: 08 ...

TNAA TotalMed RN

Travel Med Surg RN

Macomb, IL · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Macomb, Illinois. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 10/05/2026 * Duration: 13 ...

TNAA TotalMed RN

Travel Med Surg RN

Carbondale, IL · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Carbondale, Illinois. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Med Surg RN

Urbana, IL · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Urbana, Illinois. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Med Surg RN

Urbana, IL · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Urbana, Illinois. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Med Surg RN

Harvey, IL · On-site

$1.9K - $2.5K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Harvey, Illinois. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

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All JobsMedical Review Rn JobsMedical Review Rn Jobs in Illinois

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 Illinois are hiring for Medical Review Rn jobs?

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

Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in Illinois 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.

Student Health Specialist/CSN

West Chicago Elementary School District 33

West Chicago, IL • On-site

$35.17 - $36.27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

We are looking for a talented student health specialist to join our nursing team! The Student Health Specialist will have involvement with the IEP medical review process with a team of professionals.
*Bachelor's Degree with RN certification and CSN certification
*PEL preferred
*Bilingual preferred
What We Offer:
  • Health, Dental, Vision, & Life Insurance
  • Paid Time Off
  • Finanacial Stability
  • Retirement plans
  • Professional Development opportunities
Compensation:
  • RN with CSN: $35.17-$36.27 per hour based on experience
PEL Preferred
This position has involvement with the IEP medical review process and the evaluation of students.








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