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Medical Review Rn Jobs in Virginia (NOW HIRING)

Sentara

One of the best staffed Medical/Surgical units in the state! Up to 20k Sign On Bonus for qualified ... Sentara Martha Jefferson has under a 12.6% RN Turnover rate * Patient Satisfaction scores are ...

Sentara

$10K/mo

One of the best staffed Medical/Surgical units in the state! Up to 20k Sign On Bonus for qualified ... Sentara Martha Jefferson has under a 12.6% RN Turnover rate * Patient Satisfaction scores are ...

Sentara

Cornell 2: Our Medical/Surgical Unit specializes in Neuro Oncology, urology, vascular, and chest ... Sentara Martha Jefferson has under a 12.6% RN Turnover rate * Patient Satisfaction scores are ...

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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 Virginia? For Medical Review Rn jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Medical Review Rn jobs in Virginia look for? The top searched job categories for Medical Review Rn jobs in Virginia are:
What cities in Virginia are hiring for Medical Review Rn jobs? Cities in Virginia with the most Medical Review Rn job openings:
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Infographic showing various Medical Review Rn job openings in Virginia 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) - Med Specialties

Registered Nurse (RN) - Med Specialties

Sentara Health

Norfolk, VA

$10K/mo

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 379 frontline employees who took The Breakroom Quiz

488th of 864 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
Third (Nights)
Overview:
Sentara is hiring a Registered Nurse (RN) at Sentara Norfolk General Hospital's Medical Surgical Unit, in Norfolk Virginia.
Shift: Nights
Sign on Bonus up to $20,000 offered for qualified candidates.
Overview
The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas.
All Direct Care RN's required to have BLS within 90 days of hire.
Education
  • RN Degree REQUIRED

Certification/Licensure
  • Virginia RN License REQUIRED
  • Basic Life Support (BLS) Certification required within 90-days of hire

Experience
  • No experience required
  • Prior RN experience PREFERRED

Keywords: Talroo-Nursing. Registered Nurse. RN. New Grad. Sign on bonus. Medical Surgical. Vascular. COPD. Pneumonia. Sickle Sell. Post-surgery. Med Surg. Nursing. Med Surg Nurse. New RN Grad. Nursing. Nurse.
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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