ZipRecruiter

Log In

1

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

Elevance Health

Nurse Reviewer 1

Grand Prairie, TX · On-site

Conducts initial medical necessity review of exception preauthorization requests for services ... Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities and ...

TNAA TotalMed RN

Travel ED RN

Irving, TX · On-site

Emergency Room RNs will perform minor medical operations, advise patients and family on illnesses or injuries, and plan long-term care needs. Other responsibilities as an ER Travel Nurse include ...

TNAA TotalMed RN

Travel ED RN

North Richland Hills, TX · On-site

Emergency Room RNs will perform minor medical operations, advise patients and family on illnesses or injuries, and plan long-term care needs. Other responsibilities as an ER Travel Nurse include ...

previous page

Showing results 41-60

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 18, 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, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $92,414 per year, or $44.4 per hour.

Registered Nurse Navigator Home Health Review

TalentBurst, Inc.

Irving, TX • On-site

Full-time

Medical, Dental, Vision, Retirement

Posted 7 days ago

Job description

Registered Nurse Navigator Home Health Review
Irving, TX 75039
Duration 13 weeks
Shift- 8:00 AM -5:00 PM
Class: RN Nav Home Health Review
Notes: Required Education Level: Associate's degree and full Nursys report required with submission- Must be licensed in Texas
Registered Nurse Navigator Home Health Review- ONSITE
MUST HAVE HOME HEALTH EXPERIENCE
Summary:
  • The RN Navigator Home Health Review plays a crucial role in monitoring post-acute patients to ensure they continue to meet the CMS criteria for services. As a key member of the patient's care team, the RN Navigator acts as a patient advocate, providing proactive outreach to post-acute facilities to review patient needs. The Nurse makes recommendations to primary care providers regarding ongoing services and facilitates communication and coordination of care with clinic providers.
Responsibilities:
  • Meets expectations of the applicable Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Stays updated on current CMS and other payer guidelines for post-acute Home Health services to ensure compliance.
  • Receives and evaluates post-acute Home Health 485 forms (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements.
  • Facilitates Case Conferences with post-acute agencies to evaluate patient progress toward goals and discharge plans.
  • Ensures post-acute agencies address the problem list and provide appropriate follow-up for patient needs.
  • Based on CMS or other payer guidelines, patient assessments, and case conferences, makes recommendations to PCPs regarding Home Health recertification or discharge from service.
  • Utilizes MCG Guidelines for post-acute services and Home Care to optimize the type, frequency, and duration of care provided to patients.
  • Creates positive relationships with post-acute agencies, Primary Care Clinicians, and Office Staff to foster collaboration and effective care deliv
#TB_RN
#ZRHC

Why TalentBurst?
At TalentBurst, we deliver more than talent, we deliver outcomes. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth.

Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships.

We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options.

TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce.

Company Description

Founded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website www.talentburst.com or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA

TalentBurst logo

About TalentBurst

Sourced by ZipRecruiter

TalentBurst is a leading provider of Information Technology and Engineering staffing solutions based in Natick, Massachusetts, US. An industry veteran with two decades of experience in their portfolio, the company's services range from IT consulting, life sciences, HR solutions, payroll services, and more. TalentBurst was founded with a mission to provide world-class, global staffing services to clients of all sizes. They strive to provide unmatched quality and service to their clients, which has earned them the reputation of being a highly respected and trusted staffing firm.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Natick, MA, US

Year founded

2002

Social media

FacebookTwitter

View All TalentBurst Jobs