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Rn Review Analyst Jobs (NOW HIRING)

W3R

Registered Nurse

Detroit, MI · On-site

Registered Nurse-Review Analyst: Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation. May be required to enter or reference data ...

Genesis HealthCare

... registered nurse for further review and analysis, prior to submission of information to payors. 5. Works closely with the registered nurses and manager to analyze denials, identify trends, appeal ...

G-TECH Services

RN-Clinical Review Analyst

Detroit, MI · On-site

$33 - $34/hr

Fully remote- Must have state of MI unrestricted RN license. You will perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure ...

ICBD

Case Review Analyst

Lauderdale Lakes, FL · On-site

Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior Technicians, and other healthcare professionals to gather insights and ensure comprehensive reviews ...

ICBD

Case Review Analyst

Lauderdale Lakes, FL · On-site

Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior Technicians, and other healthcare professionals to gather insights and ensure comprehensive reviews ...

ICBD

Case Review Analyst

Fort Lauderdale, FL · On-site

Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior Technicians, and other healthcare professionals to gather insights and ensure comprehensive reviews ...

Phaxis

Registered Nurse

Manhattan, NY · On-site

$45/hr

Registered Nurse 484 Second Avenue - 21 Hours a week, night and weekends OK 5 Individuals currently ... File- Ensure Manager has reviewed all the consults or signed the Medical Appointments Week of...for ...

Caring Hearts Homecare

Registered Nurse

Brockton, MA · On-site

$35/hr

Provide professional nursing care to clients in their homes as an RN. * Assess, evaluate, and teach clients regarding their disease processes and treatments as an RN. * Review, implement, and follow ...

WellSpan Health

Claims Review Analyst

Lewisburg, PA · On-site

Conducts reviews of claim denials and submits appeals. Performs a variety of functions including ... Registered Health Information Technician Upon Hire Required Knowledge, Skills, and Abilities:

Cook Children's

UM/ECM - RN Reviewer HP

Fort Worth, TX · On-site

The Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer facilitates clinically appropriate and fiscally responsible care through communication with the providers and ...

WellSpan Health

Claims Review Analyst

Lewisburg, PA · On-site

Conducts reviews of claim denials and submits appeals. Performs a variety of functions including ... Registered Health Information Technician Upon Hire Required Knowledge, Skills, and Abilities:

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Rn Review Analyst information

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How much do rn review analyst jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for rn review analyst in the United States is $30.38, according to ZipRecruiter salary data. Most workers in this role earn between $20.43 and $36.06 per hour, depending on experience, location, and employer.

How does an RN Review Analyst typically interact with other healthcare professionals during the patient review process?

An RN Review Analyst frequently collaborates with physicians, case managers, and other nursing staff to review patient records and ensure compliance with clinical guidelines and regulatory requirements. They often participate in interdisciplinary meetings to discuss complex cases and provide input on care recommendations. Effective communication and teamwork are essential, as RN Review Analysts must gather insights from various departments to support accurate and comprehensive clinical reviews.

What is the difference between Rn Review Analyst vs Rn Case Manager?

AspectRn Review AnalystRn Case Manager
CertificationsRN license, possibly certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentUtilization review departments, insurance companies, healthcare organizationsHospitals, clinics, insurance companies, community health
Primary ResponsibilitiesReview medical records for insurance approval, ensure complianceCoordinate patient care, discharge planning, advocate for patients

The Rn Review Analyst primarily focuses on reviewing medical records for insurance and compliance purposes, while the Rn Case Manager manages patient care plans and advocates for patients' needs. Both roles require an RN license and work within healthcare or insurance settings, but their daily tasks and objectives differ significantly.

What is an RN Review Analyst?

An RN Review Analyst is a registered nurse who evaluates medical records, treatment plans, and healthcare services to ensure they meet clinical standards and regulatory requirements. They often work for insurance companies, hospitals, or healthcare organizations to review documentation for accuracy, compliance, and quality of care. Their responsibilities may include conducting utilization reviews, assessing medical necessity, and providing recommendations to improve patient outcomes. This role requires strong clinical knowledge, attention to detail, and the ability to interpret healthcare regulations. Typically, an RN license and clinical experience are required for this position.

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

To thrive as an RN Review Analyst, you need a registered nursing license, strong clinical knowledge, and experience in medical chart review or utilization management. Familiarity with medical coding systems (such as ICD-10 and CPT), healthcare analytics platforms, and review software is typically required. Attention to detail, critical thinking, and effective written communication are essential soft skills for analyzing records and preparing clear reports. These skills ensure accurate assessments, regulatory compliance, and informed decision-making in healthcare review processes.

What does an RN reviewer do?

An RN reviewer evaluates medical records, insurance claims, or clinical documentation to ensure accuracy, completeness, and compliance with healthcare regulations. They often work in insurance companies, healthcare facilities, or review organizations, using their nursing expertise and knowledge of medical coding and documentation standards. The role may require certification and attention to detail to support claims processing and quality assurance.
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Rn Review Analyst jobs near you
Infographic showing various Rn Review Analyst job openings in the United States as of June 2026, with employment types broken down into 26% Full Time, 31% Part Time, and 43% Contract. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $63,187 per year, or $30.4 per hour.

Registered Nurse

W3R

Detroit, MI • On-site

Full-time

Posted 25 days ago

Job description

Job Description

PRIMARY EMPHASIS

The Nurse Analyst is responsible for assessing the medical appropriateness of proposed or performed hospital/medical/surgical services in accordance with established criteria.   In some cases, only broad policy exists which will require the incumbent to exercise independent judgement based on sound program and medical practices.  The incumbent must also be able to identify unique medical requirements and apply clinical guidelines (Inter-Qual) sound case utilization principles.

NATURE AND SCOPE

    This position is extremely crucial in the maintenance of uniformity, quality, and consistency of benefit determination, administration, and application of Managed Care Programs.  Previous experience involving judgment and decision-making.

Registered Nurse-Review Analyst: 

Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation.  May be required to enter or reference data via PC and/or CRT terminal. Other related skills may be required to perform this job.The maximum hourly rate reflects budget estimates only and does not reflect the final negotiated rate. 

Qualifications

QUALIFICATIONS

    A current, active and unrestricted Registered Nurse (R.N.) License 
    A minimum of two (2) years work in direct patient care as a Registered Nurse.

Additional Information

All your information will be kept confidential according to EEO guidelines.

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