ZipRecruiter

Log In

1

Medical Review Rn Jobs in Anderson, SC (NOW HIRING)

next page

Showing results 1-20

People also search for

All JobsMedical Review Rn JobsMedical Review Rn Jobs in Anderson, SC

Medical Review Rn information

See Anderson, SC salary details

$22

$41

$64

How much do medical review rn jobs pay per hour?

As of May 30, 2026, the average hourly pay for medical review rn in Anderson, SC is $41.11, according to ZipRecruiter salary data. Most workers in this role earn between $31.44 and $48.85 per hour, depending on experience, location, and employer.

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 Anderson, SC? For Medical Review Rn jobs in Anderson, SC, the most frequently searched job titles are:
What job categories do people searching Medical Review Rn jobs in Anderson, SC look for? The top searched job categories for Medical Review Rn jobs in Anderson, SC are:
What cities near Anderson, SC are hiring for Medical Review Rn jobs? Cities near Anderson, SC with the most Medical Review Rn job openings:
Medical Review Rn jobs near you

Registered Nurse - Medical Surgical

Bestica Healthcare

Seneca, SC

Other

Posted 22 days ago

Job description

Night Shift Registered Nurse

Shift: Nights 3x12s 1900-0730 Weekend Coverage - Every Other Float is required

Medication System: Omnicell

Documentation System: EPIC - must have at least 1 year of experience

Patient Diagnoses: General Medical Surgical. The patient population on average is elderly with various disease processes including respiratory diseases, infections, dementia, and neurological issues.

Our unit has a healthy work environment and good teamwork and a charge RN every shift to facilitate with flow and oversee operations.

Required Certificates: BLS and RN SC license

Must have at least 2 years of experience

Unit will review first time travelers based on experience

Prisma Health Floating Policy for Contracted Staff

Prisma Health's goal is to keep staff in their home unit. However, it is a requirement for all assignments that agency staff, regardless of unit or facility, must float to other Prisma Health units and/or campuses per request due to census concerns. Staff will only be floating to units they are qualified for and performing tasks for which competencies have already been demonstrated and documented.

Apply