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Rn Review Analyst Jobs (NOW HIRING)

Review member materials, including handbooks, provider directories, and covered services ... License: Registered Nurse (RN) licensed and in good standing in New York State * Education:

Medical Review Analyst II

Costa Mesa, CA · On-site

$22.50 - $40.51/hr

Utilizes guidelines and review tools to analyze assigned claims and medical records to either approve or summarize and route to nursing and/or medical staff for review. * Reviews, analyzes and ...

Medical Review Analyst II

Norfolk, VA · On-site

$22.50 - $40.51/hr

Utilizes guidelines and review tools to analyze assigned claims and medical records to either approve or summarize and route to nursing and/or medical staff for review. * Reviews, analyzes and ...

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Rn Review Analyst information

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$48

How much do rn review analyst jobs pay per hour?

As of Jun 13, 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.
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 (RN)

Other

Medical, Dental, Life, PTO

Posted 6 days ago


Job description

Registered Nurse Opportunity at Shores of Worthington

Shores of Worthington is looking to hire Registered Nurses to become a part of our team! Various shifts are available.

Shores of Worthington is a residential health care facility striving to provide the highest levels of quality care through continuous improvement, and the involvement of the interdisciplinary team and the entire community. Shores of Worthington strives to respond to the rights, needs, and concerns of its residents, families, and staff by creating a caring environment in which each person is respected for his or her individuality and treated with kindness, dignity, and respect.

The responsibilities of the Registered Nurse include but are not limited to:

  • Providing direct patient care following state, federal, and facility guidelines
  • Supervising CNAs
  • Administering medication
  • Wound treatment and care
  • Provide general nursing care to patients in accordance with the facility nursing policy and procedure
  • Addressing problems identified in the patient care plan for nurse review

Qualifications & skills of Registered Nurse

  • A valid and active RN license from the state of Minnesota
  • An associate or bachelor's degree in nursing
  • Experience in supervising and/or management
  • Familiarity with healthcare facility policies, procedures, and protocols is important for a charge nurse
  • Excellent communication skills
  • Strong organizational skills and the ability to manage multiple tasks, coordinate patient care, and ensure smooth operations in their unit
  • Ability to negotiate and interact effectively with staff, patients, families, and professional/regulatory agents

Benefits we offer:

  • Affordable health and dental insurance
  • Free life insurance
  • Paid time off, and extra pay for holidays
  • $10,000 sign on bonus (full time)/$5,000 sign on bonus (part time) paid over 12 months.
  • Tuition reimbursement
  • Career growth opportunities

We are looking forward to hearing from you!

"We believe the work that we do is a privilege. Every day we help people become healthier, feel stronger, and maintain their ability to enjoy their families, friends, and favorite activities."