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Rn Review Analyst Jobs (NOW HIRING)

The Patient Services RN serves as the vital clinical link between patients, field clinicians, and ... Review and approve Resumption of Care (ROC) orders * Manage Start of Care (SOC) NTU and MD ...

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:

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:

The Patient Services RN serves as the vital clinical link between patients, field clinicians, and ... Review and approve Resumption of Care (ROC) orders * Manage Start of Care (SOC) NTU and MD ...

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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.
More about Rn Review Analyst jobs
What cities are hiring for Rn Review Analyst jobs? Cities with the most Rn Review Analyst job openings:
What states have the most Rn Review Analyst jobs? States with the most job openings for Rn Review Analyst jobs include:
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, Patient Services

RN

Syracuse, NY

$75K - $87K/yr

Full-time, Per diem

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago


Job description

The Patient Services RN serves as the vital clinical link between patients, field clinicians, and Clinical/Scheduling Supervisors. This role provides high-level, clinically-based support to ensure seamless care delivery within the CHHA. By navigating the complexities of scheduling, patient tracking, and real-time clinical coordination, the Patient Services RN ensures that field staff are supported and patient needs are met promptly. This position is designed to handle clinical escalations that require professional nursing judgment, allowing Clinical Supervisors to focus on high-level oversight and regulatory compliance.

Performance Responsibilities and Standards:

  1. Clinical Care Coordination and Transitions:
    • Manage day-to-day "On-Hold" status updates and RN44 transfers
    • Track field-NTU reports for hospital admissions and maintain a master log of patients currently in facilities
    • Review and approve Resumption of Care (ROC) orders
    • Manage Start of Care (SOC) NTU and MD notifications of SOC changes
  2. Clinical Triage and Escalation:
    • Manage PRN escalations and orders
    • Receive and process verbal orders
    • Triage clinical concerns from non-clinical “SOC Check-in” calls
  3. Team Collaboration and Communication:
    • Provide clinical priority in the morning uncovered email
    • Facilitate the on-call hand-off process
    • Assist in managing in-bound phone calls and emails for Homecare Support
  4. Additional Responsibilities:
    • Participates in departmental educational in-service and team planning sessions.
    • Participates in appropriate agency meetings and quality improvement and utilization review activities of the organization.
    • Participates in special projects and performs other duties as requested by agency leadership

Requirements:

  1. Current New York State registered professional nurse license
  2. Bachelor’s degree from an accredited school of nursing preferred
  3. Minimum of two year’s acute care experience; one-year home health experience
  4. This role is required to report in person to the Nascentia organizational office Monday-Friday 8am-4:30pm located in Syracuse, NY. Specific hours may vary slightly based on need.

Necessary Skills:

  1. Ability to think critically, problem solve, and make decisions with confidence
  2. Excellent organizational skills with the ability to work independently
  3. Excellent communication and documentation skills
  4. Knowledge of and compliance with agency policies and procedures
  5. Ability to use a variety of computer software, including Microsoft Office, Internet, and various other software applications

Physical Requirements:

  1. Ability to sit or stand 90 percent of the day
  2. Bloodborne Pathogens Exposure Category: II- Normal work routine does not involve exposure, but exposure may be required as a condition of employment. Protective measures should be readily available.

Compensation & Benefits:

Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87,138.92/annually] with:

  • $15,000 sign-on bonus*
  • Retention Bonuses
  • Internal Mentoring Program
  • 401K with generous Employer match
  • On-Site Gym (free for all employees)
  • Excellent work/life balance (no rotating shifts, only 2 required holidays per year on a rotating schedule)
  • Medical, Dental, Vision plans
  • Tuition Reimbursement (BSN after only 6 months of employment!)
  • Partially funded HSA
  • Employee Recognition Platform
  • Paid Time Off, Holidays, Sick and Extended Sick Leave
  • Short/Long term Disability
  • Employee Assistance Program (EAP)
  • Much More!

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About Nascentia Health:

Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.

Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.

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Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent upon negative results of a pre-hire drug screen and background check