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Rn Medical Reviewer Jobs (NOW HIRING)

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

As a casual Medical Review Specialist III (Medical Reviewer III) you will primarily perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

Our medical reviewers ensure the accuracy of information like symptoms and treatments of a ... Registered dietitians * Psychologists * Professionals who can meet a deadline * Professionals who ...

The ideal candidate is a detail-oriented Registered Nurse with strong hospice, utilization review ... Conduct medical necessity reviews to determine appropriateness of hospice admissions ...

Summary Performs medical reviews using established criteria sets and/or performs utilization ... Active, unrestricted RN licensure from the United States and in the state of hire, OR, active ...

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Rn Medical Reviewer information

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How much do rn medical reviewer jobs pay per hour?

As of May 28, 2026, the average hourly pay for rn medical reviewer in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an RN Medical Reviewer, and why are they important?

To thrive as an RN Medical Reviewer, you need a nursing degree with an active RN license, strong clinical judgment, and experience in chart review or utilization management. Familiarity with medical coding systems, case management software, and healthcare regulations, along with certifications such as CCM or URAC, is often required. Attention to detail, analytical thinking, and effective written communication are crucial soft skills for evaluating medical records and conveying findings. These skills ensure accurate, compliant, and timely review processes that support quality patient care and organizational standards.

How does an RN Medical Reviewer typically collaborate with other healthcare professionals during the review process?

As an RN Medical Reviewer, collaboration with physicians, pharmacists, and administrative staff is essential to ensure comprehensive and accurate case evaluations. You may participate in multidisciplinary meetings, clarify clinical details with treating providers, and consult with subject matter experts to support your medical necessity determinations. Strong communication skills are vital, as you’ll often be responsible for relaying review outcomes and discussing complex cases with both clinical and non-clinical team members. This collaborative approach helps maintain high standards of patient care and regulatory compliance.

What are RN Medical Reviewers?

RN Medical Reviewers are registered nurses who evaluate medical records, claims, and documentation to ensure accuracy, compliance, and quality of care. They use their clinical knowledge to review patient cases, verify the necessity of medical treatments, and ensure healthcare services meet established guidelines. RN Medical Reviewers often work for insurance companies, government agencies, or healthcare organizations and play a critical role in preventing fraud and ensuring proper healthcare delivery.

How to make an extra 2000 a month as a nurse?

An RN Medical Reviewer can increase income by taking on additional freelance or consulting work, such as reviewing medical records or claims outside regular hours. Developing specialized skills, obtaining certifications, or working in high-demand areas can also help earn extra income, especially if flexible scheduling is available.

What is the difference between Rn Medical Reviewer vs Rn Case Manager?

AspectRn Medical ReviewerRn Case Manager
CredentialsRegistered Nurse (RN), often with clinical review certificationsRegistered Nurse (RN), with case management or care coordination certifications
Work EnvironmentInsurance companies, healthcare review organizations, telehealthHospitals, clinics, insurance companies, community health
Employer & IndustryInsurance, healthcare review, telehealthHealthcare providers, insurance, community health
Primary FocusReview medical records, determine coverage, ensure complianceCoordinate patient care, manage treatment plans, facilitate communication

While both roles require RN credentials and involve healthcare settings, Rn Medical Reviewers focus on evaluating medical records and insurance coverage, whereas Rn Case Managers coordinate patient care and treatment plans. Understanding these differences helps job seekers identify the right career path in healthcare and insurance industries.

More about Rn Medical Reviewer jobs
What cities are hiring for Rn Medical Reviewer jobs? Cities with the most Rn Medical Reviewer job openings:
What states have the most Rn Medical Reviewer jobs? States with the most job openings for Rn Medical Reviewer jobs include:
Medical Reviewer/Safety Reviewer

Medical Reviewer/Safety Reviewer

Collabera

Springfield, IL • On-site

$40K - $65K/mo

Full-time

This job post has expired today. Applications are no longer accepted.


Job description

Join to apply for the Medical Reviewer/Safety Reviewer role at Collabera Join to apply for the Medical Reviewer/Safety Reviewer role at Collabera This range is provided by Collabera. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $43.00/hr - $52.00/hr Direct message the job poster from Collabera This position is forMedical Reviewer/Safety Reviewer; This is 100% Remote Job Description: The Medical Device Safety team is a highly diverse department that plays a critical role in conceptualizing, designing, and implementing high-priority analytical strategies, clinical oversight, and initiatives.

The team is a high-profile high-impact team that works with PPS functions on a range of product initiatives. As a member of the team, you are at the forefront of working with leaders to identify critical priorities and drive high-value projects that make an impact on safety of our patients. Activities performed under this team: Assisting with ongoing continuous improvement projects spanning across departmental needs Responsible for individual and periodic medical device safety reporting Responsible for PI site notifications Providing support for training and automation efforts Support medical safety consultation activities in matters related to risk/benefit and proper product safety usage as needed.

Gain understanding of risk management regulations, standards, and guidance for medical devices and combination products. Biomedical engineer or RN Required Experience/Skills: Bachelor's degree in Nursing required or higher with minimum 3-4 years' experience in the medical device industry required Minimum 5 years direct patient care as a Registered Nurse preferred Expert level of understanding of global Medical Device regulations such as FDA, EU-MDR and other guidelines affecting device safety issues Sound understanding and application of device risk management and associated risk management documents such as Clinical Hazards List, Application Failure Mode and Effects Analysis, System Risk Analysis etc. Excellent critical thinking and application skills required Ability to speak up and support medical device safety analytics team in meetings and explain position of the clinical team Able to apply clinical knowledge and expertise to adverse event data and perform safety assessment Competent in ability to present device safety event data, orally and in writing Adheres to policies and regulations Must be Computer proficient (Windows, Word, Excel).

Responsibilities: Responsibilities include medical review, which involves in-house review of Case Report Forms (CRFs) including query resolution and addenda writing, QA of data listings. May manage the activities of regional contract CRAs, and organize the files and budgets associated with several clinical studies. Provides medical support which may include: Adverse Event Reporting - the investigation and reporting of medical product experiences, in depth investigation of medical adverse events and works with Medical Affairs, Clinical, and Regulatory Affairs in the preparation of documentation on adverse events for the FDA; or Medical Communication which includes writing standard and custom responses to communication requests, in-depth assistance to the medical and lay community by responding to inquiries with medical/scientific information that is more complex and requires more data than is supplied in the package insert or the standard letter database.

Off-label information would be disseminated at this level. May provide training internally and at investigator meetings on safety issues, responsible for serious adverse events and CRF completion, writing study summaries, and review protocols, study summary investigator brochures and IND annual updates for safety data verification. Pay Range: $45/hr to $52/hr (Without any benefits) Seniority level Seniority level Entry level Employment type Employment type Contract Job function Job function Administrative Referrals increase your chances of interviewing at Collabera by 2x Sign in to set job alerts for "Reviewer" roles.

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