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Rn Nurse Reviewer Jobs in Rochester, MN (NOW HIRING)

Monarchmn

LPN Clinical Care Leader

Plainview, MN · On-site

$60 - $80/hr

This position, under the direction of the Director of Nursing and RN Nurse Manager, assists in the evaluation of available resources to assure quality outcomes of care. They also assist in the ...

MnTC Inc

Registered Nurse (RN)

Rochester, MN · On-site

Registered Nurse Be the backbone of hope and healing. At Minnesota Adult & Teen Challenge, every ... Review admission information, referrals, assessments, and health-related documentation to identify ...

New

Mayo Clinic

Nurse Residency - New Grad RN

Rochester, MN · On-site

Our program brings together newly licensed Registered Nurses from across the country in the first year of their career and offers the experience to become a well-rounded, fully competent Registered ...

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Showing results 21-40

All JobsRn Nurse Reviewer JobsRn Nurse Reviewer Jobs in Rochester, MN

Rn Nurse Reviewer information

See Rochester, MN salary details

$28

$37

$43

How much do rn nurse reviewer jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for rn nurse reviewer in Rochester, MN is $37.65, according to ZipRecruiter salary data. Most workers in this role earn between $34.71 and $42.02 per hour, depending on experience, location, and employer.

What is an RN nurse reviewer?

RN Nurse Reviewers are registered nurses who evaluate medical records, treatment plans, and healthcare services for quality, compliance, and appropriateness. They often work for insurance companies, hospitals, or healthcare organizations to conduct utilization reviews, ensure adherence to clinical guidelines, and support decisions about healthcare coverage. Their work helps improve patient care, manage costs, and ensure that care meets regulatory and organizational standards.

What are some common challenges RN nurse reviewers face when transitioning from bedside nursing to a review role?

Many Rn Nurse Reviewers find the shift from direct patient care to a more analytical, documentation-based environment to be a significant adjustment. Instead of hands-on care, the role focuses on reviewing patient records, applying clinical guidelines, and ensuring compliance with regulatory standards, which requires strong attention to detail and critical thinking. Adapting to stricter productivity metrics, meeting tight deadlines, and collaborating with multidisciplinary teams across remote or office settings are also common challenges. However, the opportunity to positively impact patient outcomes through quality assurance and policy improvement can be very rewarding.

What are the key skills and qualifications needed to thrive as an RN nurse reviewer, and why are they important?

To excel as an RN Nurse Reviewer, you need a valid RN license, strong clinical knowledge, and experience in case management or utilization review. Familiarity with medical review software, electronic health records (EHRs), and regulatory guidelines like Medicare and Medicaid is typically required. Attention to detail, analytical thinking, and excellent written communication are essential soft skills for evaluating medical records and preparing clear reports. These skills ensure accurate assessments, compliance with healthcare standards, and support quality patient care decisions.

What is the difference between Rn Nurse Reviewer vs Medical Reviewer?

AspectRn Nurse ReviewerMedical Reviewer
CredentialsRegistered Nurse (RN) license, nursing certificationsMedical degree or nursing license, specialized medical certifications
Work EnvironmentHealthcare facilities, insurance companies, review organizationsHospitals, insurance companies, healthcare consulting firms
Employer & IndustryInsurance companies, healthcare agencies, legal firmsInsurance companies, healthcare organizations, legal firms
Primary FocusReviewing medical records from a nursing perspectiveAssessing medical records for accuracy and compliance from a clinical perspective

Both Rn Nurse Reviewers and Medical Reviewers evaluate medical records, but Rn Nurse Reviewers focus on nursing aspects and patient care, while Medical Reviewers have broader medical expertise. The roles often overlap in insurance and healthcare settings, with the main difference being the scope of medical knowledge applied.

How to become a registered nurse reviewer?

To become a registered nurse reviewer, you typically need to hold an active RN license, gain clinical experience in healthcare settings, and develop strong knowledge of medical documentation and review processes. Additional certifications in case management or healthcare quality assurance can enhance qualifications, and familiarity with electronic health records (EHR) systems is often required.

What are popular job titles related to Rn Nurse Reviewer jobs in Rochester, MN?

For Rn Nurse Reviewer jobs in Rochester, MN, the most frequently searched job titles are:

What job categories do people searching Rn Nurse Reviewer jobs in Rochester, MN look for?

The top searched job categories for Rn Nurse Reviewer jobs in Rochester, MN are:

What cities near Rochester, MN are hiring for Rn Nurse Reviewer jobs?

Cities near Rochester, MN with the most Rn Nurse Reviewer job openings:

Rn Nurse Reviewer jobs near you

RN Nurse Outpatient - Urgent Care

Olmsted Medical Center

Rochester, MN • On-site

$35.01 - $52.52/hr

Part-time

Medical, Dental, Vision, Life

Posted 4 days ago

Job description

0.9 FTE - Day/Evening and Every 3rd weekend
Starting Pay - $35.01 to $52.52 (based on experience)
Offers for external candidates are generally made between the minimum and 3/4 point of the range, based on experience.
At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Basic Life Insurance
  • Tuition Reimbursement
  • Employer Paid Short-Term Disability and Long-Term Disability
  • Adoption Assistance Plan

Qualifications:
  • Completion of an accredited professional nursing program
  • Current Minnesota Registered Nurse license
  • BLS certification
  • ACLS certification (Northwest Clinic and Hospital locations only including the departments of Internal Medicine, Family Medicine, Acute Care, Cardiology, Pain Management, and Pediatrics)
  • Minimum of one year nursing experience preferred

Job Responsibilities:
Practice of Professional Nursing includes but is not limited to:
  • Provides a comprehensive assessment of the health status of a patient through the collection, analysis, and synthesis of data used to establish a health statue baseline and plan of care. The RN also addresses changes in the patient condition.
  • Collaborates with the healthcare team to develop and coordinate an integrated plan of care.
  • Develops nursing interventions to be integrated into the plan of care.
  • Implements nursing care through the execution of independent nursing actions.
  • Implements interventions that are delegated, ordered, or prescribed by a licensed healthcare provider.
  • Delegates nursing tasks or assigns nursing activities to implement the plan of care.
  • Provides safe and effective nursing care.
  • Promotes a safe and therapeutic environment.
  • Advocates for the best interests of individual patients.
  • Evaluates responses to interventions and the effectiveness of the plan of care.
  • Collaborates and coordinates with other healthcare professionals in the management and implementation of care within and across care settings and communities.
  • Provides health promotion, disease prevention, care coordination, and case finding.
  • Designs and implements teaching plans based on patient need and evaluates teaching effectiveness.
  • Participates in the development of healthcare policies, procedures, and systems.
  • Accountable for the quality of care delivered, recognizing the limits of knowledge and experience; addresses situations beyond the nurse's competency; and performs at the level of education, knowledge, and skill ordinarily expected if an individual has completed an approved professional nursing education program.
  • Manages, supervises, and evaluates the practice of nursing.
  • Maintains OMC organization competencies and nursing competencies pertinent to area of practice.
  • Manages information in accordance with state and federal regulations.

Performs other duties as assigned.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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