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Rn Reviewer Jobs (NOW HIRING)

Verve LLC

Medical Nurse Reviewer

Baltimore, MD · On-site

The ideal candidate is a detail-oriented Registered Nurse with strong hospice, utilization review, and regulatory compliance experience. Responsibilities * Review hospice claims, clinical ...

UMass Med School

Nurse Reviewer II-LOC

Westborough, MA

$95K/yr

Nurse Reviewer II-LOC Minimum Salary US-MA-Westborough Job Location 2 weeks ago(5/13/2026 10:09 AM ... Qualifications Qualifications Bachelor 's Level Degree in Nursing * RN with current licensure to ...

Elevance Health

Nurse Reviewer I

Woburn, MA · On-site

$33.92 - $58.15/hr

Nurse Reviewer I Nurse Reviewer I Virtual : This role enables associates to workvirtually ... Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities ...

Elevance Health

Nurse Reviewer I

Indianapolis, IN · On-site

$33.92 - $58.15/hr

Nurse Reviewer I Nurse Reviewer I Virtual : This role enables associates to workvirtually ... Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities ...

Elevance Health

Nurse Reviewer I

Seattle, WA · On-site

$33.92 - $58.15/hr

Nurse Reviewer I Nurse Reviewer I Virtual : This role enables associates to workvirtually ... Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities ...

Elevance Health

Nurse Reviewer I

Iselin, NJ · On-site

$33.92 - $58.15/hr

Nurse Reviewer I Virtual : This role enables associates to workvirtually full-time, except for ... Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities ...

Elevance Health

Nurse Reviewer I

Manhattan, NY · On-site

$33.92 - $58.15/hr

Nurse Reviewer I Virtual : This role enables associates to workvirtually full-time, except for ... Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities ...

Elevance Health

Nurse Reviewer I

Miami, FL · On-site

$33.92 - $58.15/hr

Nurse Reviewer I Virtual : This role enables associates to workvirtually full-time, except for ... Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities ...

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Rn Reviewer information

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$28

$37

$42

How much do rn reviewer jobs pay per hour?

As of May 28, 2026, the average hourly pay for rn reviewer in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.

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

To thrive as an RN Reviewer, you need a current registered nurse license, strong clinical judgment, and experience in case review or utilization management. Familiarity with medical review software, electronic health records (EHRs), and knowledge of regulatory standards like CMS guidelines is typically required. Excellent analytical skills, attention to detail, and effective written and verbal communication help you stand out in this role. These competencies ensure accurate case evaluations, regulatory compliance, and effective collaboration with healthcare teams.

What are some common challenges Rn Reviewers face when evaluating clinical documentation, and how can they overcome them?

One common challenge Rn Reviewers encounter is ensuring accuracy and completeness in complex clinical documentation, which can vary widely between providers and healthcare settings. Navigating inconsistent or incomplete records requires strong attention to detail and effective communication with clinical staff to clarify ambiguities. Overcoming these challenges often involves staying updated on best practices, leveraging electronic health record (EHR) tools, and collaborating closely with interdisciplinary teams to ensure all relevant information is accurately captured and compliant with regulatory standards.

What are RN Reviewers?

RN Reviewers are registered nurses who evaluate medical records, clinical documentation, and healthcare cases to ensure accuracy, compliance, and quality of care. They often work for insurance companies, hospitals, or healthcare organizations, reviewing patient charts to determine if services meet established guidelines. RN Reviewers play a critical role in utilization management, case review, and quality assurance processes. Their work helps ensure that patients receive appropriate care and that healthcare providers adhere to best practices and regulatory requirements.

What is the difference between Rn Reviewer vs Rn?

AspectRn ReviewerRn
CredentialsRegistered Nurse (RN) license, additional certification in medical review or quality assuranceRegistered Nurse (RN) license, standard nursing credentials
Work EnvironmentHealthcare facilities, insurance companies, or medical review organizationsHospitals, clinics, or healthcare settings
Job FocusReviewing medical records for insurance claims, compliance, or quality assuranceProviding direct patient care, nursing duties
Industry UsageInsurance, healthcare quality, medical reviewHealthcare, hospital, clinical settings

The main difference between an Rn Reviewer and an Rn is that the Rn Reviewer specializes in reviewing medical records and insurance claims, often working in insurance or quality assurance roles. In contrast, an Rn provides direct patient care in healthcare settings. Both roles require an RN license, but the Rn Reviewer typically has additional certifications related to medical review or compliance.

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What cities are hiring for Rn Reviewer jobs? Cities with the most Rn Reviewer job openings:
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Rn Reviewer jobs near you
Infographic showing various Rn Reviewer job openings in the United States as of May 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 49% Physical, 9% Hybrid, and 42% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.
Disease Specific Care-Perinatal RN - Reviewer

Disease Specific Care-Perinatal RN - Reviewer

The Joint Commission

Washington, DC • On-site

$115K/yr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Perinatal Reviewer

Perinatal Reviewer can work anywhere in the United States. Perinatal Reviewer, with minimal immediate direction or supervision, survey and/or review health care organizations throughout the United States. Perinatal Reviewer apply sophisticated analysis skills and inductive reasoning skills to determine a health care organization's degree of compliance with applicable standards and functionality of care delivery systems. Perinatal RN Reviewer must have the credentials, presence and expertise to earn the respect of the health care organizations' professional staff and leadership. Perinatal RN Reviewer must be able to employ advanced and sometimes nuanced communication skills to engage health care organization staff in interactive dialogues on a broad array of health care issues in order to assess compliance and to identify opportunities for improving compliance. Perinatal RN Reviewer must have superior written communication skills to prepare detailed, accurate management reports that clearly link individual standards deficiencies with potential systems vulnerabilities and related organization risk points. Perinatal RN Reviewer must be able to professionally and effectively communicate survey results to health care organization leadership in a constructive and collegial style. Perinatal RN Reviewer are also required to participate in other Joint Commission activities as assigned.

This position is a .48 FTE. (Two weeks per month and could include Sunday travel) All positions require 100% nationwide travel.

We are currently hiring for our next orientation class to take place on July 6, 2026.

Qualifications

DSC Perinatal Reviewers must be a healthcare professional (DO/MD/RN) with at least three years' experience in coordinating and/or managing the services of Delivery, Postpartum Care, Special Care Nursery, as well as Pediatrics within an acute care setting. Must have direct experience with at least 2 Joint Commission certifications reviews. Must have current experience in Labor & Delivery, Maternal Care or Neonatal Care. The following certifications are preferred: NeoNatal-Perinatal medicine and/or RN-Board Certified in Perinatal Nursing and/or Perinatal Care Certification through Joint Commission. Registered Nurses requires a Master's Degree.

Equal Opportunity Field

We offer a comprehensive benefit package. For a complete overview of our benefits package, please visit our Joint Commission Career Page. We are an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by law.

Salary

Min USD $115,000.00/year. Max USD $115,000.00/year.

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