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Medical Review Rn Jobs in Virginia (NOW HIRING)

$10K/mo

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 ...

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 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) - Med/Surg

Registered Nurse (RN) - Med/Surg

Sentara Health

Norfolk, VA

$10K/mo

Full-time, Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago


Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 387 frontline employees who took The Breakroom Quiz

483rd of 877 rated healthcare providers


Job description

City/State
Norfolk, VA
Work Shift
Third (Nights)
Overview:
Sentara is hiring a Registered Nurse (RN) at Norfolk General Hospital's Medical Specialties Department, in Norfolk Virginia.
Sign on Bonus up to $20,000 offered for qualified candidates.
Shift: Full Time, Night shift (7p-7a)
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.
6K DEPARTMENT OVERVIEW
We are the first in the Sentara System and Second in the State of Virginia to win the PRISM Award (Premiere Recognition in the Specialty of Med-Surg). Our unit is recognized for our collective achievements and contributions to the safe, high-quality care we deliver to our patients on a daily basis.
Combined Our Team Members Have 20+ Years Certified as Medical Surgical Nurses. We are a 42-bed Medical Specialties Unit. Our diverse patient population includes but is not limited toCHF, Sickle Cell, Renal Failure, Vascular, Sepsis, COPD, Pneumonia, Osteomyelitis w/ Surgical Interventions, Wound Care and, an assortment of varying disease processes.
We one main Nursing Station and 7 Substations. Within those Substations you can visualize your patient assignment and govern your own work area. Equipment utilized on unit has EPIC integration, thus decreasing your time inputting data. We live out our “no staff left behind” motto and teamwork model by staying in contact with each other through the use of walkie talkies, including the management team. We are ALL invested and willing to assist you in your goal to deliver stellar care!
Education
  • RN Degree REQUIRED

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

Experience
  • Prior RN experience PREFERRED

Keywords: Talroo-Nursing. Registered Nurse. RN. New Grad. Sign on bonus. Medical Surgical. Step Down. Same Day Surgery. Post-surgery. Med Surg. Nursing. Med Surg Nurse. New RN Grad. Nursing. Nurse. Renal. Vascular. COPD. Wound Care. Nights. Night Shift. Third Shift.
.
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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