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Medical Review Rn Jobs (NOW HIRING)

IPRO

Clinical Reviewer (RN)

Jericho, NY · On-site

$38.46 - $43.27/hr

Clinical Reviewer (RN) As a Clinical Reviewer (RN), you will complete the full spectrum of ... level review, supporting Medical Review Analysts, and Physician Consultants to ensure an ...

Mercy Medical Center Redding

$69.95 - $93.81/hr

As a RN Care Coordinator, you are responsible for overseeing the progression of care and discharge ... Mercy Medical Center Redding is a 266-bed regional medical center providing inpatient and ...

Care Career

Travel Utilization Review RN

Tuba City, AZ · On-site

Travel Utilization review nurses perform frequent case reviews, check medical records, speak with ... Posted job title: RN Utilization Review About Care Career Care Career brings together a portfolio ...

Bestica

Travel Utilization Review RN

Tuba City, AZ · On-site

Bestica is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in ... Medical-Surgical * PACU * ICU * Step-Down * Telemetry * Other higher-acuity inpatient settings

UnitedHealth Group

Clinical Claim Review RN

Boston, MA · Remote

The Clinical Claim Review RN will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive ...

UnitedHealth Group

Clinical Claim Review RN

Boston, MA · On-site

The Clinical Claim Review RN will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive ...

Mercy Medical Center

Medical Review Coordinator

Aurora, IL · On-site

$32 - $46.35/hr

Mercy Medical Center Location : Aurora, IL Responsibilities Coordinates and reviews all medical ... Nursing Graduate required. Preferred qualifications: 1. ECFMG Certification And/or Bachelor's or ...

Centstone HC

Registered Nurse Utilization

Tuba City, AZ · On-site

Registered Nurse Utilization Location: Tuba City, Arizona Pay Rate: $ 2300 To $ 2560 per week ... This role focuses on reviewing medical necessity, coordinating patient care, supporting discharge ...

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Medical Review Rn information

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$44

$70

How much do medical review rn jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for medical review rn in the United States is $44.91, according to ZipRecruiter salary data. Most workers in this role earn between $34.38 and $53.37 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.
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Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $93,419 per year, or $44.9 per hour.

Travel Nurse - RN - UR - Utilization Review - $2074 / Week

Coast Medical Service

Fort Myers, FL

$2.0K/wk

Per diem

Posted 6 days ago

Job description

Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Fort Myers, FL. Shift: 5x8 hr days Start Date: 09/08/2026 Duration: 13 weeks Pay: $2074 / Week
Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!
About Coast Medical Service:

Coast Medical Service is a customer driven healthcare staffing company focused on per diem and travel nursing opportunities in Greater Los Angeles. At Coast, we pride ourselves on our unrelenting commitment to customer service, allowing nurses and hospitals to focus on what they do best: providing world class healthcare to patients.
Since 1979, Coast Medical Service has worked hard to provide RN’s a professionally and financially rewarding experience in a personally fulfilling work environment. We are fanatical about improving the quality of healthcare. We focus on your expectations to find the assignments that will best suit your needs. Our RN’s can enjoy many benefits, including:

  • Flexible Schedule
  • Personalized Attention
  • High Pay
  • Ability to choose from multiple assignments
  • Work alongside top professionals in world class facilities
Coast Medical Service logo

About Coast Medical Service

Sourced by ZipRecruiter

Coast Medical Service is a nationwide travel nursing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' Top 20 Travel Agencies of 2022 at #10, and named a 2022 Top Rated Healthcare Staffing Firm by Great Recruiters. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Hermosa Beach, CA, US

Year founded

1979

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