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Medical Review Rn Jobs in Nevada (NOW HIRING)

Pacer Group

Registered Nurse (RN)

Pahrump, NV · On-site

$2.07K/wk

BLS (AHA) * 1+ years of RN experience in any specialty. The Registered Nurse (RN) plans and ... with the review of medical files to determine all provided services are documented. *Closely ...

Critical Nurse Staffing

Registered Nurse

Pahrump, NV · On-site

$45/hr

Registered Nurse - RN Part-Time Hours only MUST LIVE IN PAHRUMP Private duty caregiver, Benefits at ... Medical, dental, vision, and 401K * Supplemental insurance available * One-on-one patient care

Critical Nurse Staffing

Registered Nurse

Dayton, NV · On-site

$45/hr

Description: Registered Nurse - RN Part-Time Hours Available 10 hours a week! Private duty ... Medical, dental, vision, and 401K * Supplemental insurance available * One-on-one patient care

tmn

Registered Nurse

Reno, NV · On-site

Registered Nurse The Registered Nurse is responsible for providing nursing services, training, and ... medical components of the plan * Reviews documents and revises all nursing/nursing related care ...

tmn

Registered Nurse

Reno, NV · On-site

Registered Nurse The Registered Nurse is responsible for providing nursing services, training, and ... medical components of the plan * Reviews documents and revises all nursing/nursing related care ...

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Medical Review Rn information

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 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 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.
What are popular job titles related to Medical Review Rn jobs in Nevada? For Medical Review Rn jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Medical Review Rn jobs in Nevada look for? The top searched job categories for Medical Review Rn jobs in Nevada are:
What cities in Nevada are hiring for Medical Review Rn jobs? Cities in Nevada with the most Medical Review Rn job openings:
Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in Nevada as of May 2026, with employment types broken down into 1% As Needed, 86% Full Time, 7% Part Time, and 6% Contract. Highlights an 100% Physical job distribution.

Registered Nurse (RN)

St Joseph Transitional Rehabilitation Center

Las Vegas, NV

$40 - $41/hr

Other

Medical, Dental, Vision

Posted 22 days ago

Job description

Registered Nurse (RN)

Are You Ready to Make a Difference in Healthcare? We are currently seeking a Registered Nurse (RN) to join our exceptional healthcare team!

Salary Range: $40 - $41 per hour

We are passionate about providing high-quality care and fostering a compassionate, family-oriented environment. We believe in building a positive and collaborative culture that prioritizes trust, communication, and person-centered care.

What Makes Us Special?

  • UKG Wallet: Access earned wages before payday.
  • Competitive Wages: We offer a great salary package.
  • Great Benefits: Medical, dental, and vision coverage.
  • Growth Opportunities: We support your professional development.
  • Continuing Education & Training: Stay current with industry standards.

Are you ready to contribute to a team, committed to excellent customer service and dedicated to each individual's unique talent?

If yes, here's how you will contribute to the team:

As a Registered Nurse (RN), you will plan and deliver nursing care to residents in accordance with current company, federal, state, and local standards, guidelines, and regulations to ensure that the highest degree of quality care and dignity is maintained at all times. As a nurse leader, you will guide and support a team of LVN/LPNs and CNAs to ensure optimal care for our residents.

Must Have:

  • Current and unencumbered license to practice as an RN in the state – New Grads Welcomed!
  • Associate's or Bachelor's degree in Nursing
  • Must be knowledgeable of nursing practices, procedures, terminology, laws, regulations, and guidelines that pertain to long-term care

Nice to Have:

  • Nursing experience providing direct care to multiple residents
  • Experience in Skilled Nursing environment
  • Experience with PointClickCare

Equal Opportunity Employer

All qualified applicants will be considered for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, veteran or disability status, or any other characteristic protected by law.

Pay Transparency Statement

Compensation for roles varies depending on factors such as location, role, skill set, and level of experience. As required by state or local law, we provide a reasonable pay scale, including the hourly or salary range we reasonably expect to pay for this role.

Equal Opportunity Employer 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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