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Rn Medical Reviewer Jobs in Decatur, AL (NOW HIRING)

GHR Healthcare

Travel Nurse RN - Med Surg

Athens, AL

$1.85K - $2.05K/wk

Specialty: Med Surg * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Travel Home Health Registered Nurse (RN) Jobs - Athens ...

American Traveler

Travel RN - Med/Surg

Rogersville, AL

$1.84K - $2.47K/wk

American Traveler is seeking an experienced RN for a Med/Surg Urology/Nephrology position at a Level I Trauma, Magnet-designated acute care hospital in Springfield, IL, requiring a minimum of 2 years ...

American Traveler

Travel RN - Med/Surg

Rogersville, AL

$1.84K - $2.47K/wk

American Traveler is seeking an experienced RN for a Med/Surg Urology/Nephrology position at a Level I Trauma, Magnet-designated acute care hospital in Springfield, IL, requiring a minimum of 2 years ...

Gentiva Hospice

Registered Nurse

Huntsville, AL

Hospital RN (Med-Surg, ICU, ER, PACU, telemetry, cardiac) * Admissions RN, wound care, float pool, travel nursing * Experience with terminally ill patients or serious illness support We Offer ...

American Traveler

Travel RN - Med/Surg - Neuro

Decatur, AL

$1.88K - $2.53K/wk

American Traveler is hiring a travel RN for a Med/Surg Neuro unit at an acute care hospital in Decatur, IL, requiring a minimum of 2 years of experience and an active IL RN license. Job Details • ...

Gentiva Hospice

Registered Nurse

Huntsville, AL · On-site

Hospital RN (Med-Surg, ICU, ER, PACU, telemetry, cardiac) * Admissions RN, wound care, float pool, travel nursing * Experience with terminally ill patients or serious illness support We Offer ...

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Rn Medical Reviewer information

See Decatur, AL salary details

$25

$33

$38

How much do rn medical reviewer jobs pay per hour?

As of May 29, 2026, the average hourly pay for rn medical reviewer in Decatur, AL is $33.12, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $36.97 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 Decatur, AL? For Rn Medical Reviewer jobs in Decatur, AL, the most frequently searched job titles are:
What job categories do people searching Rn Medical Reviewer jobs in Decatur, AL look for? The top searched job categories for Rn Medical Reviewer jobs in Decatur, AL are:
What cities near Decatur, AL are hiring for Rn Medical Reviewer jobs? Cities near Decatur, AL with the most Rn Medical Reviewer job openings:
Rn Medical Reviewer jobs near you

Travel Nurse RN - Med Surg

Prime Time Healthcare Nursing

Huntsville, AL

$70/hr

Contractor

Medical, Dental, Vision, Retirement

Posted 6 days ago

Job description

Prime Time Healthcare Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Huntsville, Alabama.

Job Description & Requirements
  • Specialty: Med Surg
  • Discipline: RN
  • Duration: 11 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel

BLS required, ACLS preferred
OT available ($70/hr OT rate)

About Prime Time Healthcare Nursing

Prime Time Healthcare is a leading provider of traveling healthcare professionals nationwide. Our agency specializes in the placement of RNs, LPNs, CNAs, and Allied Health professionals. Join the fun and experience why healthcare professionals and client facilities are joining the Prime Time TEAM.

Benefits
  • 401k retirement plan
  • Health savings account
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits

Apply