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Medical Review Rn Jobs in Athens, AL (NOW HIRING)

GRIFFIN Recruiters

RN Registered Nurse

Huntsville, AL · On-site

$38 - $44/hr

RN Registered Nurse (RN) Long-Term Rehab **Join Our Family *We Cultivate a Supportive Workplace ... Medical, Dental, Vision insurance * Pay in Lieu of Benefits available * 401(k) Retirement plan

Griffin Recruiters

RN Registered Nurse

Huntsville, AL

$38 - $44/hr

RN Registered Nurse (RN) Long-Term Rehab **Join Our Family *We Cultivate a Supportive Workplace ... Medical, Dental, Vision insurance * Pay in Lieu of Benefits available * 401(k) Retirement plan

Griffin Recruiters

RN Registered Nurse

Huntsville, AL

$38 - $44/hr

RN Registered Nurse (RN) Long-Term Rehab **Join Our Family *We Cultivate a Supportive Workplace ... Medical, Dental, Vision insurance * Pay in Lieu of Benefits available * 401(k) Retirement plan

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Medical Review Rn information

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How much do medical review rn jobs pay per hour?

As of May 28, 2026, the average hourly pay for medical review rn in Athens, AL is $43.35, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $51.49 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 Athens, AL? For Medical Review Rn jobs in Athens, AL, the most frequently searched job titles are:
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What cities near Athens, AL are hiring for Medical Review Rn jobs? Cities near Athens, AL with the most Medical Review Rn job openings:
Medical Review Rn jobs near you

Registered Nurse

North Alabama Oral & Facial Surgery

Madison, AL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

We are looking for a Registered Nurse (RN) to join our oral surgery team in Madison, AL! Full-time | In Office

Website: North Alabama Oral Surgery

Role and Responsibilities

The nurse will perform routine nursing duties and assist with the other related duties involved in providing patient care in a surgical setting.


  • Interviews patients to obtain appropriate health history.
  • Maintains records and prepares oral reports.
  • Contributes to the attainment of the goals of the unit by using contacts with individuals and community relationships to contribute to the better understanding of health services.
  • Prepares, administers, and records medications.
  • Monitors vital signs.
  • Assembles materials and equipment in preparations for clinical sessions and maintains adequate supplies.
  • Cleans and maintains clinical equipment and disposes of used supplies correctly.
  • Assist in recovery and discharge of patients.
  • Performs other duties as assigned.
Education and Experience
  • Registered nurse with current state license required.
  • BLS certification required.
  • ACLS certification preferred or ability to obtain within 6 months of employment.
  • At least two of years of experience preferred.
Skills and Abilities
  • Ability to observe the general physical condition of patient to detect signs of abnormalities.
  • Ability to record operations completely, accurately, legibly and concisely.
  • Ability to communicate effectively in person and over the phone.
  • Ability to exercise tact, initiative and good judgment.
  • Ability to multitask and prioritize work.
  • Experience with intravenous medications.


Core Benefits & Wellness

Medical (including Virtual Care), Dental, and Vision Coverage

Employee Assistance Program (EAP)

Uniforms/Scrubs provided


Financial Well-Being

Competitive pay, Bonus potential, and annual merit reviews

401(k) Plan w/Company Match

Health Savings Account (HSA) with HDHP health plans


Life Insurance

Basic and Supplemental Life Insurance

Spouse and Child Life Insurance


Time Off, Disability And Leave Of Absence

Paid Vacation (Starting at 2 weeks) and 6 Annual Paid Holidays

Long and Short Term Disability Plans