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Medical Review Rn Jobs in Virginia (NOW HIRING)

Travel Nurse RN - Med Surg

Roanoke, VA · On-site

$1.9K - $2.6K/wk

Coast Medical Service is seeking a travel nurse RN Med Surg for a travel nursing job in Roanoke, Virginia. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 07/20/2026 * Duration ...

Travel Nurse RN - Med Surg

Roanoke, VA · On-site

$1.9K - $2.6K/wk

Coast Medical Service is seeking a travel nurse RN Med Surg for a travel nursing job in Roanoke, Virginia. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 07/20/2026 * Duration ...

Travel Nurse RN - Med Surg

Roanoke, VA · On-site

$1.9K - $2.6K/wk

Coast Medical Service is seeking a travel nurse RN Med Surg for a travel nursing job in Roanoke, Virginia. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 07/20/2026 * Duration ...

Travel Nurse RN - Med Surg

Roanoke, VA · On-site

$1.9K - $2.6K/wk

Coast Medical Service is seeking a travel nurse RN Med Surg for a travel nursing job in Roanoke, Virginia. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 07/20/2026 * Duration ...

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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 Virginia are hiring for Medical Review Rn jobs? Cities in Virginia with the most Medical Review Rn job openings:
Infographic showing various Medical Review Rn job openings in Virginia as of June 2026, with employment types broken down into 1% As Needed, 42% Full Time, 36% Part Time, 20% Contract, and 1% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution.
Registered Nurse (RN)

Full-time

Posted 19 days ago


Job description

Sign-On Bonus to Qualified Full-Time Candidate

Job Summary:

The Registered Nurse will provide clinical support to the provider as needed and provide direct nursing care to patients. As a collaborative team member, the RN contributes to the smooth operation of the clinic including administrative support and operational efficiency. This role may involve assignments at satellite locations as needed. The RN is expected to demonstrate a sincere dedication and loyalty to the mission, vision, and core values of BRMC. Primary responsibilities will be patient flow, including:

Responsibilities:

  1. Provides direct routine nursing care to patients and clinical assistance to provider according to provider’s instructions. As well as documenting all patient care provided in the EMR. This including nurse visits for blood pressure readings, medicine reviews, maintenance injections etc.
  2. Provides pre- and post-procedural nursing care to patients including administration of medication, point of care lab tests, venipuncture, EKGs, vision and hearing screens and assessment of patient’s status and development.
  3. Collects, labels and prepares specimens for lab, ensuring that the specimen is labeled in front of the patient and that all patients with each encounter are identified using the two patient identifiers of full name and date of birth.
  4. Provides patient specific education and communicates lab, x-ray, and test results with patients.
  5. Assists with patient triage to assess patient needs to make decisions about appropriate levels of care.
  6. Complete Transitional Care Management per protocols (transition of care when patient has been discharged from hospital or facility)
  7. Provides medicine reviews during office visits as well as updates to medical history, surgical history, allergy updates and social history along with assisting the provider to address specialized alerts set-up in the EMR (i.e. Cancer screenings, eye exams, PHQ-9 assessments, immunizations, labs that are due, etc.).
  8. Assists with routine office duties to include ordering medical supplies, maintaining appropriate inventory, scheduling patients, answering telephones, keeping environment need and orderly etc.
  9. Participates in performance improvement activities in accordance with applicable standards.
  10. Performs other necessary duties as assigned by the Director of Nursing/Clinical Nurse Manager/CMO to meet the goal of providing quality health care services.