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Medical Review Rn Jobs in Minnesota (NOW HIRING)

GQR

RN - Case Manager

Minneapolis, MN

$1K - $1K/wk

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

UMR

IBR Clinical Review RN

Minneapolis, MN · Remote

Complete focused review of medical records to evaluate clinical course of care as applicable ... Active and unrestricted RN license OR LPN in the state of residence * 2+ years of clinical ...

GQR Healthcare

Travel RN Case Manager

Minneapolis, MN · On-site

$1K - $1K/wk

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

Ourhrconnect

... a Registered Nurse, including two years in the following specialty area(s): Outpatient Surgical, Pain Management, Cosmetic Surgery, Prior Authorization, Medical Review, Medicare Part A, or ...

Ourhrconnect

... a Registered Nurse, including two years in the following specialty area(s): Outpatient Surgical, Pain Management, Cosmetic Surgery, Prior Authorization, Medical Review, Medicare Part A, or ...

Sedgwick

RN Utilization Review

Saint Paul, MN · On-site

$73K - $75K/yr

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... Identifies treatment plan request(s) and obtains and analyzes medical records that support the ...

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All JobsMedical Review Rn JobsMedical Review Rn Jobs in Minnesota

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 to become a medical review nurse?

To become a medical review nurse, one must typically earn a nursing license by completing an accredited nursing program and passing the NCLEX-RN exam. Experience in clinical nursing and knowledge of medical coding, documentation, and healthcare regulations are also important, and some roles may require certification in case management or utilization review.

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.
What cities in Minnesota are hiring for Medical Review Rn jobs? Cities in Minnesota with the most Medical Review Rn job openings:
Medical Review Rn jobs near you

RN - Case Manager

GQR

Minneapolis, MN

$1K - $1K/wk

Other

Medical, Dental, Vision

Posted 4 days ago

Job description

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Minneapolis, Minnesota
Start Date: June 1, 2026
Profession: Registered Nurse (RN)
Facility:
Estimated Pay: $1753.91 - $1848.91
Duration:13 weeks
Specialty:Case Management/Utilization Review
Shift: Day
Shift Details: null Day
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
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 sure 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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