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Medical Review Rn Jobs in Ohio (NOW HIRING)

Wise Medical

RN/MED SURG-TELE

Cleveland, OH

$1.96K - $2.68K/wk

REGISTERED NURSE (RN) MED-SURG /TELEMETRY WISE MEDICAL STAFFING IS NOW HIRING REGISTERED NURSE'S (RN) FOR CONTRACTS IN OH!! FULL TIME HOURS! PAY RANGE: $ 65-$ 77 * 3 12 HOUR NIGHT SHIFTS * 13 WEEK ...

Wise Medical

RN/MED SURG-TELE

Mayfield Heights, OH · On-site

$2.06K - $2.81K/wk

REGISTERED NURSE (RN) MED-SURG/TELEMETRY WISE MEDICAL STAFFING IS NOW HIRING REGISTERED NURSE'S (RN) FOR CONTRACTS IN OH!! FULL TIME HOURS! PAY RANGE: $ 68 -$ 7 4 * 3 12 HOUR NIGHT SHIFTS * 13 WEEK ...

Wise Medical

RN/MED SURG-TELE

Garfield Heights, OH · On-site

$77/hr

REGISTERED NURSE (RN) MED-SURG/TELEMETRY WISE MEDICAL STAFFING IS NOW HIRING REGISTERED NURSE'S (RN) FOR CONTRACTS IN OH!! FULL TIME HOURS! PAY RANGE: $ 70 -$77 * 3 12 HOUR NIGHT SHIFTS * 13 WEEK ...

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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.
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Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in Ohio as of May 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, and 5% Contract. Highlights an 100% Physical job distribution.
Registered Dietitian / Registered Nurse

Registered Dietitian / Registered Nurse

Collabera

Columbus, OH

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

Company Description

About Collabera:
Established in 1991, Collabera is one of the fastest growing end-to-end information technology services and solutions companies globally. As a half a billion dollar IT company, Collabera's client-centric business model, commitment to service excellence and Global Delivery Model enables its global 2000 and leading mid-market clients to deliver successfully in an increasingly competitive marketplace.
With over 8200 IT professionals globally, Collabera provides value-added onsite, offsite and offshore technology services and solutions to premier corporations. Over the past few years, Collabera has been awarded numerous accolades and Industry recognitions including.
Collabera awarded Best Staffing Company to work for in 2012 by SIA. (hyperlink here)
Collabera listed in GS 100 - recognized for excellence and maturity
Collabera named among the Top 500 Diversity Owned Businesses
Collabera listed in GS 100 & ranked among top 10 service providers
Collabera was ranked:
32 in the Top 100 Large Businesses in the U.S
18 in Top 500 Diversity Owned Businesses in the U.S
3 in the Top 100 Diversity Owned Businesses in New Jersey
3 in the Top 100 Privately-held Businesses in New Jersey
66th on FinTech 100
35th among top private companies in New Jersey
http://www.collabera.com/about_us/accolades.jsp
Collabera recognizes true potential of human capital and provides people the right opportunities for growth and professional excellence. Collabera offers a full range of benefits to its employees including paid vacations, holidays, personal days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance, Disability Insurance.

Job Description

Responsibilities include medical review, which involves in-house review of Case Report Forms (CRFs) including query resolution and addenda writing, QA of data listings. 

May manage the activities of regional contract CRAs, and organizes the files and budgets associated with several clinical studies. 

Provides medical support which may include: Adverse Event Reporting - the investigation and reporting of medical product experiences, in depth investigation of medical adverse events and works with Medical Affairs, Clinical, and Regulatory Affairs in the preparation of documentation on adverse events for the FDA; or Medical Communication which includes writing standard and custom responses to communication requests, in-depth assistance to the medical and lay community by responding to inquiries with medical/scientific information that is more complex and requires more data than is supplied in the package insert or the standard letter database. 

Off-label information would be disseminated at this level. May provide training internally and at investigator meetings on safety issues, responsible for serious adverse events and CRF completion, writing study summaries, and review protocols, study summary investigator brochures and IND annual updates for safety data verification. 

0-3 Years Experience Level.

Qualifications

Education/background: 

Bachelor's degree with related health science background required. (Registered Dietitian or Registered Nurse strongly preferred); 1-2 years clinical and/or other related experience; some industry experience desirable; basic understanding of domestic and global regulations and current clinical practices; clinical knowledge to apply to adverse event data collection and/or medical/product assessments; computer proficient (Windows, Word, Excel) and proficient in specific adverse event databases (as applicable); able to present case data, medical and scientific data orally and in writing.

Additional Information

All your information will be kept confidential according to EEO guidelines.

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