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Rn Medical Reviewer Jobs in Puerto Rico (NOW HIRING)

Registered Nurse

Florida, PR · On-site

$42.75 - $55.75/hr

Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ... Registered Nurse ICHD Experienced: $42.75-$55.75 per hour. If a candidate is hired, they will be ...

Charge RN readiness approvalrequired * ADNrequired ... BSN preferred * ICU, ER, or Med/Surg experience preferred * CNN/CDN certification a plus * Basic ...

Monday - Friday 8-5 DaVita is seeking an organized, self-directed RN to manage Peritoneal Dialysis ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Mental health and ...

As a DaVita RN, you'll ensure compassionate and professional delivery of all dialysis-related ... Medical, dental, vision, 401(k) with match * Paid time off and PTO cash out * Parental leave ...

As a DaVita RN, you'll ensure compassionate and professional delivery of all dialysis-related ... Medical, dental, vision, 401(k) with match * Paid time off and PTO cash out * Parental leave ...

As a DaVita RN, you'll ensure compassionate and professional delivery of all dialysis-related ... Medical, dental, vision, 401(k) with match * Paid time off and PTO cash out * Parental leave ...

As a DaVita RN, you'll ensure compassionate and professional delivery of all dialysis-related ... Medical, dental, vision, 401(k) with match * Paid time off and PTO cash out * Parental leave ...

As a DaVita RN, you'll ensure compassionate and professional delivery of all dialysis-related ... Medical, dental, vision, 401(k) with match * Paid time off and PTO cash out * Parental leave ...

As a DaVita RN, you'll ensure compassionate and professional delivery of all dialysis-related ... Medical, dental, vision, 401(k) with match * Paid time off and PTO cash out * Parental leave ...

As a DaVita RN, you'll ensure compassionate and professional delivery of all dialysis-related ... Medical, dental, vision, 401(k) with match * Paid time off and PTO cash out * Parental leave ...

DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ...

Training may occur at a clinic other than your home location Qualifications: * RN license in the ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ...

Registered Nurse

San Juan, PR · On-site

$37 - $51/hr

Training may occur at a clinic other than your home location Qualifications: * RN license in the ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ...

Registered Nurse

San Juan, PR · On-site

$37 - $51/hr

Training may occur at a clinic other than your home location Qualifications: * RN license in the ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ...

Training may occur at a clinic other than your home location Qualifications: * RN license in the ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ...

Training may occur at a clinic other than your home location Qualifications: * RN license in the ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ...

Training may occur at a clinic other than your home location Qualifications: * RN license in the ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ...

Training may occur at a clinic other than your home location Qualifications: * RN license in the ... Medical, dental, vision, and 401(k) match * Paid time off and PTO cash-out * Family support: EAP ...

Showing results 21-40

Rn Medical Reviewer information

What is an RN Medical Reviewer?

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.

What skills and qualifications are needed to be an RN Medical Reviewer?

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 collaborate with other healthcare professionals?

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 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.

How to become an RN medical reviewer?

To become an RN medical reviewer, you typically need a valid registered nurse license, relevant clinical experience, and knowledge of medical documentation and coding. Many employers also prefer candidates with experience in case management, insurance, or healthcare compliance. Continuing education or certifications in medical review or healthcare quality can enhance job prospects.

What are popular job titles related to Rn Medical Reviewer jobs in Puerto Rico?

For Rn Medical Reviewer jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Rn Medical Reviewer jobs in Puerto Rico look for?

The top searched job categories for Rn Medical Reviewer jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Rn Medical Reviewer jobs?

Cities in Puerto Rico with the most Rn Medical Reviewer job openings:

Registered Nurse

DaVita

Florida, PR • On-site

$42.75 - $55.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago


DaVita rating

7.0

Company rating: 7.0 out of 10

Based on 1,179 frontline employees who took The Breakroom Quiz

414th of 888 rated healthcare providers


Job description

Posting Date

08/13/20266111 Lakewood Towne Ctr Blvd SwSte F-1,Lakewood,Washington,98499-6517,United States of AmericaDaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required-just a commitment to compassionate, high-quality care. .
Responsibilities:
  • Deliver direct patient care in an outpatient dialysis setting
  • Monitor patients, manage treatment plans, and respond to health changes
  • Collaborate with a supportive clinical team, including Patient Care Technicians
  • Educate patients and families on kidney health and treatment options
  • Float to nearby clinics as needed; flexible schedule required
What to Expect:
  • Fast-paced, hands-on environment
  • Long-term patient relationships
  • Broad nursing skill application with medically complex patients
  • Paid training provided
Schedule:
  • Flexible shifts including mornings, evenings, weekends, and holidays
  • Training may occur at a clinic other than your home location
Qualifications:
  • RN license in the state of practice
  • ADN required; BSN preferred
  • Basic computer proficiency
  • Reliable transportation for potential floating
Preferred (Not Required):
  • Experience in ICU, CCU, ER, or Med Surg
  • CNN/CDN certification
Benefits:
  • Medical, dental, vision, and 401(k) match
  • Paid time off and PTO cash-out
  • Family support: EAP, Headspace, parental leave, backup child/elder care
  • Career growth and tuition support
Join DaVita and help patients live better, healthier lives. Apply today.

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

The Wage Range for the role is $40.00-$56.00 per hour.Registered Nurse ICHD Experienced: $42.75-$55.75 per hour.If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour

For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.


What DaVita employees say

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About DaVita

Sourced by ZipRecruiter

DaVita is a healthcare company that provides compassionate, quality healthcare. The company’s mission is to be the Provider, Partner, and Employer of Choice. DaVita serves more than 200,000 dialysis patients in 10 countries outside the U.S. and has over 55,000 teammates in the U.S. Since 2011, DaVita teammates have donated $11 million to local nonprofits and have volunteered over 180,000 hours since 2006. DaVita has been on Fortune’s list of the world’s most admired companies for 15 years in a row.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Denver, CO, US

Year founded

1994