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Medical Review Rn Jobs in Riverside, CA (NOW HIRING)

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Medical Review Rn information

See Riverside, CA salary details

$25

$46

$73

How much do medical review rn jobs pay per hour?

As of May 31, 2026, the average hourly pay for medical review rn in Riverside, CA is $46.86, according to ZipRecruiter salary data. Most workers in this role earn between $35.87 and $55.67 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 Riverside, CA? For Medical Review Rn jobs in Riverside, CA, the most frequently searched job titles are:
What cities near Riverside, CA are hiring for Medical Review Rn jobs? Cities near Riverside, CA with the most Medical Review Rn job openings:
Registered Nurse (RN) - Med/Surg/Tele - Night Shift Full Time

Registered Nurse (RN) - Med/Surg/Tele - Night Shift Full Time

Wellington Regional Medical Center

Wildomar, CA

Other

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


Job description

Registered Nurse (RN)

Responsibilities Southwest Healthcare Inland Valley Hospital in Wildomar, California, is a licensed 122-bed facility accredited by the Joint Commission. It is Southwest Riverside County's only designated Trauma Center and a county-designated Paramedic Base Station. The hospital performs more than 4,000 surgeries a year, and has an average of 4,000 Emergency Department visits per month. The hospital features a Bariatric Weight-Loss Surgery Center of Excellence and the region's only Total Joint Center. Staff Registered Nurses are responsible for providing excellence in patient care, collaborative and comprehensive care based on patient and/or family needs, providing assessments, treatment and care on assigned units. Will provide care for patients throughout the continuum of care, including management of pain, invasive lines and surgical drains. Staff Registered Nurses will also practice in accordance with all regulatory, professional, legal and hospital policies as well as consistently demonstrate behaviors that model the Southwest Healthcare Rancho Springs and Inland Valley Hospitals' Core Values and the hospitals mission statement

Benefits include: Tuition Reimbursement Student Loan Repayment Career development opportunities across UHS and our 300+ locations! Diverse programming to expand your experience HealthStream online learning catalogue with plenty of free CEU courses Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Pet Insurance SoFi Student Loan Refinancing Program More information is available on our Benefits Guest Website: uhsguest.com

What do our current nurses value at Inland Valley Hospital & UHS? A safe and supportive environment that puts patient care first and values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. You are never alone, as you are part of a large, nationwide network of peer nurses and nursing leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are proud of our robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. We want to help you succeed and grow in your profession and enjoy a sense of belonging and trust that comes through your expanding experience. At UHS, we are a System of Care, and you have a voice.

About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access point, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications One (1) year medical/surgical experience in an acute care facility required. Completion of an accredited Registered Nursing program. BSN Preferred REQUIRED LICENSURE / CERTIFICATIONS Registered Nurse with current California RN license. BLS (AHA) certification ACLS (AHA) certification NIH Stroke Certification to be completed by end of the week of NEO Employees may be required to float to the other facility within Southwest Health Rancho Springs and Inland Valley Hospital based on operational needs, with appropriate orientation and competency validation provided. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.