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$28

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$42

How much do rn medical reviewer jobs pay per hour?

As of May 28, 2026, the average hourly pay for rn medical reviewer in Pennsylvania is $37.12, according to ZipRecruiter salary data. Most workers in this role earn between $34.23 and $41.44 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.

What are popular job titles related to Rn Medical Reviewer jobs in Pennsylvania? For Rn Medical Reviewer jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Rn Medical Reviewer jobs in Pennsylvania look for? The top searched job categories for Rn Medical Reviewer jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Rn Medical Reviewer jobs? Cities in Pennsylvania with the most Rn Medical Reviewer job openings:
Rn Medical Reviewer jobs near you
Registered Nurse - Med Surg (Travel)

Registered Nurse - Med Surg (Travel)

Saratoga Medical Center

Scranton, PA • On-site

$2.44K/wk

Full-time

Posted 27 days ago

Job description

Overview

Saratoga Medical has an immediate travel need for a Registered Nurse - Med Surg in Scranton, PA. Enjoy excellent competitive compensation and benefits with this 13-week assignment.

Registered Nurse - Med Surg (Travel) Pay

  • Pay - $2,435 / Week*

Registered Nurse - Med Surg (Travel) Shifts

  • 12 HR Nights

Benefits of joining our team as a Travel Registered Nurse - Med Surg:

  • Weekly Pay
  • Benefits Package Available
  • Tax-Free Stipends
  • Generous Referral Package
  • The Most Seasoned recruiters in the Industry


Saratoga Medical Center, Inc. is a leading medical staffing firm, with more than 2,000 successful placements over the past 3 years. With over 30 years of experience we understand the needs of the medical professional and the clients that we serve.

*Pay rates may change. Contact us for updated rates.