Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Concurrent Review Nurse
Troy, MI · On-site
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Information Are you an experienced Registered Nurse looking for a new opportunity with a ...
Concurrent Review Nurse
Troy, MI · On-site
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Information Are you an experienced Registered Nurse looking for a new opportunity with a ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... The RN manages and provides patient care activities for a group of patients and their families ...
Medical Review Rn information
See Macomb, MI salary details
$23.26 - $27.32
5% of jobs
$27.32 - $31.38
15% of jobs
$32.99 is the 25th percentile. Wages below this are outliers.
$31.38 - $35.44
13% of jobs
$35.44 - $39.50
15% of jobs
The median wage is $40.28 / hr.
$39.50 - $43.56
14% of jobs
$43.56 - $47.62
11% of jobs
$49.27 is the 75th percentile. Wages above this are outliers.
$47.62 - $51.68
8% of jobs
$51.68 - $55.74
6% of jobs
$55.74 - $59.80
8% of jobs
$59.80 - $63.86
3% of jobs
$63.86 - $67.92
2% of jobs
$23
$43
$67
How much do medical review rn jobs pay per hour?
As of Sep 7, 2026, the average hourly pay for medical review rn in Macomb, MI is $43.46, according to ZipRecruiter salary data. Most workers in this role earn between $33.27 and $51.63 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 Macomb, MI are hiring for Medical Review Rn jobs?
Cities near Macomb, MI with the most Medical Review Rn job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 5 days ago
Job description
**Up to $7,500 Sign on Bonus, based on relevant experience**
Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!
Benefit Statement
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off (PTO)
Career development and continuing education opportunities
Health savings accounts, healthcare C dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance.
Note: Eligibility for benefits may vary by location and is determined by employment status
JOB DESCRIPTION
Unit Specializes in: General Medical Unit
The Detroit Medical Center (DMC) Registered Nurse (RN) is a member of the Patient Care Services Team, and is responsible for the satisfactory completion of nursing care by the nursing team. The RN manages and provides patient care activities for a group of patients and their families through application of independent judgment, communication and collaboration with all team members including ancillary and support services. The role of the Registered Nurse at the DMC encompasses leadership, partnership, collaboration, teaching and supervision.
The DMC RN:
Establishes and maintains collaborative relationships with physicians and other health care providers
Delegates, assesses, provides and evaluates patient care
Provides and delegates patient care activities to team members
Monitors patient progress and prepares patient for discharge
MINIMUM QUALIFICATIONS
1. Graduation from a school of nursing required.
2. BSN preferred.
3. Licensed to practice as a Registered Nurse (RN) in the state of Michigan required.
4. American Heart Association (AHA) BLS required.
Facility Description:
DMC Detroit Receiving Hospital, Michigan's first Level I Trauma Center, helped pioneer the evolution of emergency medicine and currently has one of the busiest and most well-equipped emergency departments anywhere. The first and largest verified burn center in the state is at Receiving, and it is one of only 43 in the nation. Receiving also offers the state's leading 24/7 hyperbaric oxygen program, Metro Detroit's first certified primary stroke center, and the nationally recognized and accredited DMC Rosa Parks Geriatric Center of Excellence.
EEO Statement
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations
About TH Medical
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
10,000+ Employees
Headquarters location
Dallas, TX, US