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Medical Review Rn Jobs in Santa Rosa, CA (NOW HIRING)

Benefits Package including Medical, Dental, and Vision insurance * Paid Time Off * 401k plan with ... The Registered Nurse (RN) will work as a Resource. Qualifications * Current Registered Nurse (RN) ...

Registered Nurse (RN)

Novato, CA · On-site

$55 - $65/hr

Benefits Package including Medical, Dental, and Vision insurance * Paid Time Off * 401k plan with ... The Registered Nurse (RN) will work as a Resource. Qualifications * Current Registered Nurse (RN) ...

Benefits Package including Medical, Dental, and Vision insurance * Paid Time Off * 401k plan with ... The Registered Nurse (RN) will work as a Resource. * Current Registered Nurse (RN) licensure (in ...

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Key Responsibilities Provide direct patient care in medical surgical, critical care, perioperative ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

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Medical Review Rn information

See Santa Rosa, CA salary details

$26

$49

$76

How much do medical review rn jobs pay per hour?

As of Jun 1, 2026, the average hourly pay for medical review rn in Santa Rosa, CA is $49.10, according to ZipRecruiter salary data. Most workers in this role earn between $37.60 and $58.37 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 Santa Rosa, CA? For Medical Review Rn jobs in Santa Rosa, CA, the most frequently searched job titles are:
What job categories do people searching Medical Review Rn jobs in Santa Rosa, CA look for? The top searched job categories for Medical Review Rn jobs in Santa Rosa, CA are:
What cities near Santa Rosa, CA are hiring for Medical Review Rn jobs? Cities near Santa Rosa, CA with the most Medical Review Rn job openings:
Travel Operating Room Registered Nurse

Travel Operating Room Registered Nurse

Skyline Med Staff Nursing

Santa Rosa, CA

Contractor

Medical

Posted 12 days ago


Job description

Skyline Med Staff Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Santa Rosa, California.

Job Description & Requirements
  • Specialty: OR - Operating Room
  • Discipline: RN
  • Start Date: 06/29/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Weekly amount stated in job postings is an estimate based on estimated hourly wage and potential stipends available for the location of the assignment. Pay package is calculated on bill rate at the time job was posted, but can change or vary without notice. Exact pay packages might vary as this is an estimate. Our recruiter would be happy to build an exact pay package for you for each job.

Skyline Med Staff Nursing Job ID #36905396. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:OR,07:00:00-15:00:00

About Skyline Med Staff Nursing

Join the Top- Rated Travel Healthcare Team!

Skyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Our recruiters are consistently praised on Google for their responsiveness, dedication, accessibility, and industry knowledge.

Ready to experience the difference? Apply for a job today and see why healthcare professionals choose Skyline!

Certified Women Owned Business

We believe that travel is good for the soul. We want to be on your journey with you and find the right job that fits you

Skyline Med Staff is committed to one vision..... treating others the way that THEY want to be treated. The executive team at Skyline Med Staff focuses on a commitment to quality, consistency, and the highest level of service. Our team members continually strive to build long term relationships that center on you and helping you achieve your goals.

Some of the Benefits you will receive with Skyline Med Staff:

  • Over 30 years of combined experience in the staffing industry
  • Higher Take-Home Pay Rates
  • Dedicated Personal Recruiter
  • We are available to you 24/7
  • Health Insurance Plan Options
  • Tax Free Per Diems, Housing Stipends and Travel Reimbursements
  • Joint Commission Certified
  • Contracts in all 50 states
  • Referral and Loyalty Bonuses
Benefits
  • Medical benefits
  • Referral bonus

Skyline Med Staff Nursing logo

About Skyline Med Staff Nursing

Sourced by ZipRecruiter

Skyline Med Staff Nursing, located in Omaha, Nebraska, operates within the healthcare industry, and more specifically within the travel nursing sector. Founded with a mission to provide optimal healthcare services, Skyline Med Staff Nursing primarily offers travel nursing jobs all over the United States. They navigate the process of locating and arranging temporary housing for medical practitioners, such as nurses, who are hired for short-term work at various healthcare facilities in different regions. Their services extend beyond just finding positions, but also into making the experience of travel nursing rewarding and hassle-free.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Omaha, NE, US