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Medical Review Rn Jobs in Minnesota (NOW HIRING)

JayKay Medical Staffing

Be Seen First

Registered Nurse RN

Anoka, MN · On-site

$49 - $50/hr

Registered Nurse (RN) - PRN Position Title: Registered Nurse (RN) - PRN Pay Rate: $50.00 per hour ... Jaykay Medical Staffing has successfully been providing talent recruitment for more than 18 years ...

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Wayward Medical

Travel Nurse RN - Med Surg

Crookston, MN · On-site

$1.8K - $2.5K/wk

Wayward Medical is seeking a travel nurse RN Med Surg for a travel nursing job in Crookston, Minnesota. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: ASAP * Duration: 13 weeks ...

Edgewood Healthcare

Registered Nurse (RN)

Brainerd, MN · On-site

$36 - $38/hr

... medical care and supervision to the most amazing folks on the planet - our residents ... For further information, please review the Know Your Rights notice from the Department of Labor.

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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.

Can I make $500,000 as a nurse?

Medical Review RNs typically do not earn $500,000 annually, as most nursing salaries are below that level. High earnings in nursing usually require advanced roles, specialized certifications, management positions, or work in high-paying industries or locations. Achieving such a salary may involve additional education, experience, and responsibilities beyond standard nursing roles.

What does a medical review RN do?

A Medical Review RN evaluates insurance claims, medical records, and provider documentation to determine coverage and compliance with policies. They ensure accurate assessment of medical necessity, often working with healthcare providers and insurance companies, and may require knowledge of medical coding and documentation standards.

How to make $300,000 as a nurse?

Medical Review RNs can increase their earnings by gaining specialized certifications, such as in case management or legal nurse consulting, and working in high-demand settings like telehealth or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting projects can also boost income toward $300,000 annually.

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.

How to make an extra 2000 a month as a nurse?

Medical Review RNs can increase their income by taking on additional freelance or per diem review assignments, working overtime, or obtaining specialized certifications to qualify for higher-paying roles. Developing expertise in specific medical areas or coding can also lead to higher-paying opportunities outside regular hours.

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
Medical Surgical (Med Surg) Registered Nurse RN

Medical Surgical (Med Surg) Registered Nurse RN

TLC Nursing

Crookston, MN

$2.4K/wk

Contractor

Posted 16 days ago

Job description

We are looking for a Travel Med Surg RN for a great Travel nursing job in Crookston, MN.

This Med Surg Travel nursing job pays for 48 hours a week for 13 weeks. With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United States.

With Wanderly you can chat and apply to any agency with Wanderly’s Universal Application, below are the details of this Travel Nursing Job including the Travel nurse salary:

  • Specialty: Med Surg RN
  • Travel Medical Surgical (Med Surg) Registered Nurse : Crookston, MN
  • Travel Nurse Salary: $2492/Week
  • Start Date: ASAP
  • Travel Nursing Job Assignment Length: 13 weeks
  • Travel Nurse Hours: 48 hours per week
  • Shift: 12 hours, Rotating

PK-37207118

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