Nowadays, the Internet of Things (IoT) performs robust services for real-time applications in monitoring communication systems and generating meaningful information. The ZigBee devices offer low latency and manageable costs for wireless communication and support the process of physical data collection. Some biosensing systems comprise IoT-based ZigBee devices to monitor patient healthcare attributes and alert healthcare professionals for needed action. However, most of them still face unstable and frequent data interruption issues due to transmission service intrusions. Moreover, the medical data is publicly available using cloud services, and communicated through the smart devices to specialists for evaluation and disease diagnosis. Therefore, the applicable security analysis is another key factor for any medical system. This work proposed an approach for reliable network supervision with the internet of secured medical things using ZigBee networks for a smart healthcare system (RNM-SC). It aims to improve data systems with manageable congestion through load-balanced devices. Moreover, it also increases security performance in the presence of anomalies and offers data routing using the bidirectional heuristics technique. In addition, it deals with more realistic algorithm to associate only authorized devices and avoid the chances of compromising data. In the end, the communication between cloud and network applications is also protected from hostile actions, and only certified end-users can access the data. The proposed approach was tested and analyzed in Network Simulator (NS-3), and, compared to existing solutions, demonstrated significant and reliable performance improvements in terms of network throughput by 12%, energy consumption by 17%, packet drop ratio by 37%, end-to-end delay by 18%, routing complexity by 37%, and tampered packets by 37%.