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Rn Medical Reviewer Jobs in Miami, FL (NOW HIRING)

Mission Hospital

RN - MedSurg / Tele

Pompano Beach, FL

$1.95K - $2.66K/wk

Details Client Name NORTHWEST MEDICAL CENTER Job Type Permanent Offering Nursing Profession RN Specialty MedSurg / Tele Job ID 16560578 Job Title RN - MedSurg / Tele Shift Details Shift 4x10 nights ...

Mission Hospital

RN - MedSurg / Tele

Pompano Beach, FL · On-site

$1.95K - $2.66K/wk

Details Client Name NORTHWEST MEDICAL CENTER Job Type Permanent Offering Nursing Profession RN Specialty MedSurg / Tele Job ID 16560578 Job Title RN - MedSurg / Tele Shift Details Shift 4x10 nights ...

Elevance Health

Nurse Reviewer I

Miami, FL · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical ... Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities ...

Mission Hospital

RN Med Surg

Tamarac, FL · On-site

Join our Team as a RN Med Surg and access programs to assist with every stage of your career ... Our team will promptly review your application. Highly qualified candidates will be contacted for ...

Mission Hospital

RN Med Surg

Tamarac, FL

Join our Team as a RN Med Surg and access programs to assist with every stage of your career ... Our team will promptly review your application. Highly qualified candidates will be contacted for ...

Mission Hospital

RN Med Tele PRN

Pompano Beach, FL

$1.95K - $2.66K/wk

Do you have the PRN career opportunities as a(an) RN Med Tele PRN you want with your current ... We review all applications. Qualified candidates will be contacted for interviews. Unlock the ...

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Rn Medical Reviewer information

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$27

$35

$40

How much do rn medical reviewer jobs pay per hour?

As of May 28, 2026, the average hourly pay for rn medical reviewer in Miami, FL is $35.42, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $39.57 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 Miami, FL? For Rn Medical Reviewer jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Rn Medical Reviewer jobs in Miami, FL look for? The top searched job categories for Rn Medical Reviewer jobs in Miami, FL are:
What cities near Miami, FL are hiring for Rn Medical Reviewer jobs? Cities near Miami, FL with the most Rn Medical Reviewer job openings:
Rn Medical Reviewer jobs near you
Infographic showing various Rn Medical Reviewer job openings in Miami, FL as of May 2026, with employment types broken down into 83% Full Time, 6% Part Time, and 11% Contract. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $73,678 per year, or $35.4 per hour.

Registered Nurse - Medical Surgical

Viper Staffing Services L.L.C.

Miami, FL

Other

Posted 20 days ago

Job description

(Hiring) Registered Nurse - Medical Surgical

We are seeking a Registered Nurse to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.

Responsibilities:
  • Administer nursing care to ill, injured, or disabled patients
  • Diagnose and establish patient treatment plans
  • Monitor and report changes in patient symptoms or behavior
  • Communicate with collaborating physicians or specialists regarding patient care
  • Educate patients about health maintenance and disease prevention
  • Facilitate referrals to other healthcare professionals and medical facilities
  • Maintain accurate patient medical records
  • Provide advice and emotional support to patients and their family members
Qualifications:
  • Previous experience in nursing or other medical fields
  • Familiarity with medical software and equipment
  • Ability to build rapport with patients
  • Strong problem solving and critical thinking skills
  • Ability to thrive in a fast-paced environment

Apply