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Rn Medical Reviewer Jobs in Riverside, CA (NOW HIRING)

Travel RN Med Surg

Murrieta, CA · On-site

$1.9K - $2.1K/wk

Med Surg Travel RN - Murrieta, CA 8-Week Assignment | 36 Hours/Week Guaranteed ✨ Nurse-Owned Agency | Personalized Travel Support Talented Medical Solutions is actively seeking an experienced Med ...

Travel Nurse RN - Med Surg

Orange, CA · On-site

$2.1K - $2.8K/wk

Specialty: Med Surg * Discipline: RN * Start Date: 09/15/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Travel Nursing: Infectious Disease Orange, CA ...

New

Travel/local RN

Murrieta, CA · On-site

$2.0K - $2.2K/wk

Registered Nurse (Med-Surg Preferred) Location : Sunny California Company : Talented Medical Solutions - Where Talent Meets Opportunity About the Role Calling all compassionate, energetic, and ...

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Rn Medical Reviewer information

See Riverside, CA salary details

$29

$38

$44

How much do rn medical reviewer jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for rn medical reviewer in Riverside, CA is $38.64, according to ZipRecruiter salary data. Most workers in this role earn between $35.62 and $43.12 per hour, depending on experience, location, and employer.

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 Riverside, CA?

For Rn Medical Reviewer jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Rn Medical Reviewer jobs in Riverside, CA look for?

The top searched job categories for Rn Medical Reviewer jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Rn Medical Reviewer jobs?

Cities near Riverside, CA with the most Rn Medical Reviewer job openings:

Infographic showing various Rn Medical Reviewer job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $80,367 per year, or $38.6 per hour.

Registered Nurse - MED/SURG

San Gorgonio Memorial Hospital

Banning, CA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


San Gorgonio Memorial Hospital rating

9.5

Company rating: 9.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

1st of 1,061 rated hospitals


Job description

JOB SUMMARY: RN-MED/SURG/TELEMETRY:
Coordinates and provides direct nursing care for patients, participates in patient and their representatives teaching and provides leadership by working cooperatively with physicians, ancillary services, and other members of the patient care team personnel in maintaining standards for professional nursing practice.
The primary patients cared for on the Med-Surg Telemetry Unit are adults and geriatric patients. The Staff Nurse must be competent in the physiological and psychological assessment of adult and geriatric patients. He/she must be knowledgeable in recognizing signs and symptoms of abuse or neglect, and of safety issues, both environmental and medical. He/she must be knowledgeable of appropriate treatments and pharmaceuticals for adult and geriatric patients.
REQUIREMENTS:
  • Current active California RN license and graduation from a school of nursing with diploma, associate degree, or advanced nursing degree.
  • Current American Heart Association BLS provider card & NIHSS Stroke Scale Certification required upon hire.
  • Must be computer-literate (working knowledge of Word), familiarity with an electronic healthcare record system.
  • Minimum of 1 year recent (within the last 18 months) acute care hospital experience is preferred.

PAY / BENEFITS
• Estimated pay is based on qualifications (including but not limited to experience, education, certifications, and licensure where applicable).
• Benefits may include medical, dental, vision, basic life and AD&D, optional supplemental life (employee, spouse, and/or child coverage), flexible spending accounts (medical and dependent care), 403b retirement with dollar for dollar match up to 5%, paid time off, and more available depending on employment status.
M/F/D/V/SO
EOE

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