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Medical Review Rn Jobs in Minnesota (NOW HIRING)

Ecumen

RN, Registered Nurse

Detroit Lakes, MN · On-site

$38 - $43/hr

Completes reviews/revises service agreements as needed and/or required. * Monitors and maintains ... Supervises medication practices and medical equipment being used in the building. Follows-up with ...

Ecumen

Registered Nurse RN

Saint Peter, MN · On-site

$37 - $45/hr

Maintain up-to-date medical records and care plans; ensure timely assessments and proper ... For further information, please review the Know Your Rights notice from the Department of Labor.

Fusion Medical Staffing

Travel Med Surg RN

Fulda, MN · On-site

$1.9K - $2.6K/wk

Travel Med Surg RN Company: Fusion Medical Staffing Location: Facility in Slayton, Minnesota Job Details Fusion Medical Staffing is seeking a Med Surg RN for a 13-week travel assignment in Slayton ...

Fusion Medical Staffing

Travel Med Surg RN

Bemidji, MN · On-site

$1.9K - $2.6K/wk

Travel Med Surg RN Company: Fusion Medical Staffing Location: Facility in Bemidji, Minnesota Job Details Fusion Medical Staffing is seeking a Med Surg RN for a 13-week travel assignment in Bemidji ...

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Mercy

RN - Medical Floor, Days

Anoka, MN

Registered Nurse (RN) - Med/Surg Medical 7E To learn more about Mercy South Medical 7E, click here : Careers Location: Mercy Hospital South - 10010 Kennerly Rd, St. Louis, Missouri 63128 Schedule ...

Ecumen

RN, Registered Nurse

Duluth, MN · On-site

$37.76 - $47.95/hr

Monitors and maintains each patient's medical record, ensures appropriate assessments are completed ... For further information, please review the Know Your Rights notice from the Department of Labor.

Ecumen

Registered Nurse, RN

Duluth, MN · On-site

$37.76 - $47.95/hr

Monitors and maintains each patient's medical record, ensures appropriate assessments are completed ... 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
RN, Registered Nurse

RN, Registered Nurse

Ecumen

Detroit Lakes, MN • On-site

$38 - $43/hr

Part-time

PTO

Posted 14 days ago

Ecumen rating

7.4

Company rating: 7.4 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

18th of 232 rated social care providers

Job description

Part Time PMs or Overnight Shifts Available (New Shift Differential for PM and Overnight Shifts) l PRN and Casual schedules available
The role of the Registered Nurse (RN) is to ensure that the health and safety needs of all residents are met. The RN will also help ensure that the facility is in compliance with current regulations and standards of practice. Must be able to relate professionally with residents, staff and family members.
About Us:
Ecumen is an industry leader dedicated to advocating for older adults by providing housing choices, compassionate healthcare, and innovative services. For 160 years Ecumen has cared for those in need. Now, as Minnesota's 8th largest senior living provider, we continue to advocate for those we serve. Join a team where you can make a difference in advancing our mission to serve our older adults, while we commit to creating a place where everyone belongs.
The targeted pay range for this job is $38 - $43 per hour.
Ecumen considers a variety of factors when determining new hire pay including experience, qualifications, and, when applicable, certifications, licenses, and education.
Ecumen offers a benefits package based on the number of hours you are regularly scheduled to work including paid time off for Sick & Safe time, an Employee Assistance Program, other well-being resources. Learn more at https://www.ecumen.org/find-a-career/benefits/
Essential job responsibilities include:
  1. Completes initial assessment of potential residents. Implements service agreements with all residents upon move-in. Completes reviews/revises service agreements as needed and/or required.
  2. Monitors and maintains each resident's medical record, ensures appropriate assessments are completed timely, documentation is appropriate and residents have current care plans in place.
  3. Ensures all physician orders are signed and implemented with-in 24 hours.
  4. Maintains and monitors medication administration program. Supervises medication practices and medical equipment being used in the building. Follows-up with physicians regarding medications and/or medical conditions.
  5. Assists supervisor in providing health and medication training to all new employees as well as continued education for all staff and documents such training to assure compliance with state, federal and local regulations

Minimum Required Qualifications:
  • Graduate from an accredited Registered Nursing program
  • Must be licensed as a Registered Nurse within the state in which working and must maintain licensure
  • Ability to communicate effectively in both verbal and written formats
  • Ability to follow all safety rules, regulations, policies and procedures of the facility including but not limited to: Vulnerable Adult and Abuse Policy, HIPAA, Resident's Bill of Rights, Universal Precaution, AWAIR, OSHA, Right to know, SDS, ADA, HUD Policy and Procedures, Fair Housing laws and regulations

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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