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Medical Review Rn Jobs in Dallas, TX (NOW HIRING)

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Arlington, TX · On-site

$1.8K - $2.4K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Arlington, Texas. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Arlington, TX · On-site

$1.8K - $2.4K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Arlington, Texas. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Arlington, TX · On-site

$1.8K - $2.4K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Arlington, Texas. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Arlington, TX · On-site

$1.8K - $2.4K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Arlington, Texas. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Dallas, TX · On-site

$2.0K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Dallas, Texas. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Med Surg

Arlington, TX · On-site

$1.8K - $2.4K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Arlington, Texas. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Med Surg RN

Arlington, TX · On-site

$1.8K - $2.4K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Arlington, Texas. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 09/15/2026 * Duration: 13 ...

TNAA TotalMed RN

Travel Med Surg RN

Arlington, TX · On-site

$1.8K - $2.4K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Arlington, Texas. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

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All JobsMedical Review Rn JobsMedical Review Rn Jobs in Dallas, TX

Medical Review Rn information

See Dallas, TX salary details

$23

$44

$69

How much do medical review rn jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for medical review rn in Dallas, TX is $44.43, according to ZipRecruiter salary data. Most workers in this role earn between $33.99 and $52.79 per hour, depending on experience, location, and employer.

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 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 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 to become a medical review RN?

To become a medical review RN, you need to earn a nursing license by completing an accredited nursing program and passing the NCLEX-RN exam. Additionally, gaining experience in clinical settings and obtaining certifications such as Certified Professional Coder (CPC) or specialized training in medical review can enhance qualifications for this role.

What cities near Dallas, TX are hiring for Medical Review Rn jobs?

Cities near Dallas, TX with the most Medical Review Rn job openings:

Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in Dallas, TX as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 13% Part Time, and 6% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $92,414 per year, or $44.4 per hour.

Utilization Review RN, PRN

Baylor Scott & White Health

Dallas, TX • On-site

Per diem

Medical, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.

Baylor Scott & White Health rating

7.5

Company rating: 7.5 out of 10

Based on 772 frontline employees who took The Breakroom Quiz

233rd of 895 rated healthcare providers

Job description

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

  • We serve faithfully by doing what's right with a joyful heart.
  • We never settle by constantly striving for better.
  • We are in it together by supporting one another and those we serve.
  • We make an impact by taking initiative and delivering exceptional experience.
Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

Are you seeking an impactful nursing role? As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key role in supporting the healthcare team by optimizing resources and implementing care plans. Communication with health plan departments is important to ensure services meet medical necessity standards. This includes prospective, concurrent, and retrospective reviews.

Essential Functions of the Role
  • You will review all cases. Use medical guidelines to evaluate services.
  • Understand patient needs. Resolve complex matters when necessary.
  • Confirm admission status is correct. Collaborate with Utilization Review coordinators when needed.
  • You will communicate with insurance. Talk to doctors about patients. Make sure needed paperwork is completed.
  • You'll report insurance company issues to leadership. Identify and communicate quality assurance or risk management issues promptly when they arise.
  • You will help improve our processes by evaluating, developing, and implementing protocols, policies, and procedures.
Key Success Factors
  • Comprehensive understanding of diverse healthcare techniques, practices, and industry-related language.
  • Proficiency in customer engagement, ensuring their concerns are heard and promptly addressed.
  • Thorough understanding of discharge planning, care coordination, utilization assessment and care levels.
  • Knowledge of local and national regulations is needed, like those from the Department of Insurance and Department of Labor. Centers for Medicare and Medicaid Services, Health and Human Services Commission, and National Committee for Quality Assurance are also important.
  • Exceptional communication skills, including articulating thoughts clearly in speech and writing.
  • Personable, with the ability to interact effectively with a diverse range of stakeholders.
  • Problem-solving capability, equipped with critical thinking skills.
  • Ability to juggle multiple tasks and work under time pressures.
Belonging Statement

We believe that all people should feel welcomed, valued and supported.

Qualifications

  • Associate degree.
  • Prior experience of at least (3) three years in the nursing field.
  • Must have a valid nursing registration (RN).

What Baylor Scott & White Health employees say

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