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Rn Reviewer Jobs (NOW HIRING)

RN

Registered Nurse, Patient Services

Syracuse, NY

$75.25K - $87.14K/yr

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 ...

RN

Weekend Registered Nurse

Syracuse, NY · On-site

$192 - $384/day

Registered Nurse is responsible for providing direct patient care as needed, with appropriate ... Oversee the review of clinical information, orders and other communications to assure referral ...

RN

Registered Nurse, Patient Services

Syracuse, NY · On-site

$75.25K - $87.14K/yr

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 ...

RN

Weekend Registered Nurse

Syracuse, NY

$192 - $384/day

Registered Nurse is responsible for providing direct patient care as needed, with appropriate ... Oversee the review of clinical information, orders and other communications to assure referral ...

RN

Weekend Registered Nurse

Syracuse, NY

$192 - $384/day

Registered Nurse is responsible for providing direct patient care as needed, with appropriate ... Oversee the review of clinical information, orders and other communications to assure referral ...

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$28

$37

$42

How much do rn reviewer jobs pay per hour?

As of May 29, 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.

More about Rn Reviewer jobs
What cities are hiring for Rn Reviewer jobs? Cities with the most Rn Reviewer job openings:
What states have the most Rn Reviewer jobs? States with the most job openings for Rn Reviewer jobs include:
What job categories do people searching Rn Reviewer jobs look for? The top searched job categories for Rn Reviewer jobs are:
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.
RN - Surg Clin Nurse Reviewer (8a-4p) Quality Improvement - Kingsport, TN

RN - Surg Clin Nurse Reviewer (8a-4p) Quality Improvement - Kingsport, TN

Ballad Health

Kingsport, TN

Other

Posted 4 days ago

Ballad Health rating

6.4

Company rating: 6.4 out of 10

Based on 219 frontline employees who took The Breakroom Quiz

627th of 864 rated healthcare providers

Job description

RN - Surg Clin Nurse Reviewer (8a-4p) Quality Improvement - Kingsport, TN

Holston Valley Medical Center | RNs | Full Time

Description

The Surgical Clinical Nurse Reviewer's chief responsibility is to collect and submit reliable data to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). This is accomplished through high-quality clinical screening, data compilation, documentation and entry into the ACS NSQIP database of all eligible surgeries for the medical center. The SCNR works closely with the Surgeon Champion, members of the Department of Surgery(including surgeons, anesthesiologists, OR staff) and staff members of surgical practices to identify opportunities for clinical quality improvement and other special projects. Objectives of the position include but are not limited to:

  • Establishes effective working relationships with members of the hospital community, especially staff in the Surgery, Medicine, Nursing, Medical Records, Information Systems, and the Performance Improvement/Quality Team departments whose support is necessary for the management and success of the program
  • Identifies surgical patients for inclusion in the program registry through application of strict program inclusion/exclusion criteria and randomization protocol.
  • Exhibits appropriate utilization of resources necessary to obtain valid, reliable data for entry into the Program.
  • Contacts patients and/or families via telephone and/or written communications post-operatively for the purpose of identifying possible occurrences associated with surgical procedures performed at the hospital.
  • Serves as an educational resource on the ACS NSQIP for internal and external audiences by developing educational material and delivering presentations.
  • Demonstrates excellent professional oral and written communication skills.
  • Identifies opportunities to feedback ACS NSQIP data to relevant groups or meetings.
  • Collects preoperative, operative, and postoperative data components for the program through the effective utilization of the hospital record systems.
  • Responsible for the accurate and timely entry of data into the program's database and meets the caseload accrual requirement protocol.
  • Reviews weekly site accrual report on the database and responds to accrual report alerts.

Requirements:

Minimum three (3) years' experience in inpatient surgical nursing required. Successful management of priorities, multiple projects, and deadlines is required. Computer and Internet skills and experience required—familiarity and comfort with MS Office products is essential for success in this position (Word, Excel, PowerPoint and Access). Clinical chart review and abstraction experience required. Database data entry and/or management experience, statistical knowledge, quality improvement and patient safety knowledge and application experience preferred. Ability to interact with all members of the surgical team and administrative staff in a professional and courteous manner. Bachelor's degree required, Master's degree in nursing preferred. Ability to complete all pre-training, on-site training, and post-training modules and pass the training post test.

Work Requirements: Shift: Day On Call: No No Travel Required: No Travel Shift Details: 8a-4p City/State: Kingsport, TN

What Ballad Health employees say

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About Ballad Health

Sourced by ZipRecruiter

Become a part of the Ballad Health story. Together, we are transforming our region. We're making communities healthier. We're expanding access to critical services in rural areas.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Johnson City, TN, US

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