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Medical Review Rn Jobs in Massachusetts (NOW HIRING)

TNAA TotalMed RN

Travel ED Boarder RN

Boston, MA · On-site

As a MedSurg RN, you will conduct patient assessments and prioritize data collection based on patients' immediate conditions or needs. MedSurg RNs perform ongoing assessments and appropriate ...

TNAA TotalMed RN

Travel ED Boarder RN

Boston, MA · On-site

As a MedSurg RN, you will conduct patient assessments and prioritize data collection based on patients' immediate conditions or needs. MedSurg RNs perform ongoing assessments and appropriate ...

TNAA TotalMed RN

Travel Telemetry RN

Salem, MA · On-site

$2.2K - $3.0K/wk

Specialty: Med Surg / Telemetry * Discipline: RN * Start Date: 10/04/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, nights * Employment Type: Travel We're looking for Telemetry RNs ...

TNAA TotalMed RN

Travel Telemetry RN

Salem, MA · On-site

$2.2K - $3.0K/wk

Specialty: Med Surg / Telemetry * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, nights * Employment Type: Travel We're looking for Telemetry RNs for an immediate travel ...

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All JobsMedical Review Rn JobsMedical Review Rn Jobs in Massachusetts

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

Travel Nurse RN - Med Surg

Prime Time Healthcare Nursing

Boston, MA • On-site

$2.1K - $2.9K/wk

Contractor

Medical, Dental, Vision, Retirement

Re-posted 27 days ago

Job description

Prime Time Healthcare Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Boston, Massachusetts.

Job Description & Requirements
  • Specialty: Med Surg
  • Discipline: RN
  • Start Date: 10/05/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, evenings, nights
  • Employment Type: Travel

Facility does not interview just reviews the profile information.

Med Surg Float

Evening and Night shift available - only 8 hour shifts.

free parking MA license must be active

About Prime Time Healthcare Nursing

Prime Time Healthcare is a leading provider of traveling healthcare professionals nationwide. Our agency specializes in the placement of RNs, LPNs, CNAs, and Allied Health professionals. Join the fun and experience why healthcare professionals and client facilities are joining the Prime Time TEAM.

Benefits
  • 401k retirement plan
  • Health savings account
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
PrimeTime Healthcare logo

About PrimeTime Healthcare

Sourced by ZipRecruiter

PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Omaha, NE, US

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