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Remote RN: Clinical Review & Claims Specialist

First Coast Service Options

Florida, NY
  • Remote job

First Coast Service Options is seeking a Clinical Review Nurse to evaluate medical necessity and payment levels for health claims in line with national and local policies and care standards. The role requires RN licensure, clinical experience, and strong communication skills. The position involves reviewing claims, medical records, and provider practices, with opportunities to educate providers and participate in CMS-related initiatives. #J-18808-Ljbffr First Coast Service Options

Vacancy posted 5 days ago
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