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Medical Review Rn Jobs in Ohio (NOW HIRING)

Healthcare Support Staffing

Utilization Review RN

Mason, OH · On-site

  • Medical

  • Dental

  • Vision

Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... This is a utilization review position. Nurses will be responsible for collaborating with healthcare ...

talent4health

RN - Utilization Review

Cleveland, OH · On-site

$2.2K/wk

Details Client Name Southwest General Hospital Center Southwest General Health Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18807560 Job Title RN - ...

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Cincinnati, OH · On-site

$1.9K - $2.5K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Cincinnati, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Cincinnati, OH · On-site

$1.9K - $2.5K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Cincinnati, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 8 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Cleveland, OH · On-site

$1.9K - $2.6K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Cleveland, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Medical Surgical RN

Columbus, OH · On-site

$1.8K - $2.5K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Columbus, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks ...

TNAA TotalMed RN

Travel Medical-Surgical RN

Akron, OH · On-site

$1.9K - $2.5K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Float Med Surg for a travel nursing job in Akron, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 09/20/2026 * Duration: 10 ...

TNAA TotalMed RN

Travel RN Medical/Surgical

Geneva, OH · On-site

$1.7K - $2.3K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Geneva, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks ...

TNAA TotalMed RN

Travel Medical/Surgical RN

Ravenna, OH · On-site

$1.8K - $2.4K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Ravenna, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks ...

TNAA TotalMed RN

Travel Medical/Surgical RN

Ravenna, OH · On-site

$1.8K - $2.4K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Ravenna, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks ...

TNAA TotalMed RN

Travel Med/Surg RN

Lancaster, OH · On-site

$1.8K - $2.4K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Lancaster, Ohio. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Med Surg Oncology RN

Columbus, OH · On-site

$1.8K - $2.5K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

TNAA TotalMed RN is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Columbus, Ohio. & Requirements * Specialty: Med Surg / Telemetry * Discipline: RN * Start Date: 08/24 ...

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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.

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.

What cities in Ohio are hiring for Medical Review Rn jobs?

Cities in Ohio with the most Medical Review Rn job openings:

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

Utilization Review (UR) Registered Nurse RN

Genie Healthcare

Middleburg Heights, OH

$60.83/hr

Contractor

Re-posted 3 days ago

Job description

We are looking for a Travel Utilization Review RN for a great Travel nursing job in Middleburg Heights, OH.

This Utilization Review Travel nursing job pays for 40 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: Utilization Review RN
  • Travel Utilization Review (UR) Registered Nurse : Middleburg Heights, OH
  • Travel Nurse Salary: $2433/Week
  • Start Date: September 07, 2026
  • Travel Nursing Job Assignment Length: 13 weeks
  • Travel Nurse Hours: 40 hours per week
  • Shift: 8 hours, Day

PK: AD-18695618

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