Remote RN Claims Reviewer Utilization & Appeals
Full-time
Sentara Health
We are hiring: Remote RN Claims Reviewer Utilization & Appeals — Sentara Health — Remote. Type: Full-Time. This is an excellent opportunity for the right candidate. The full description, requirements, and application instructions are provided below. Posted: Oct 21, 2026. Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for remote work with standard hours 8am-5pm EST. You will perform utilization management and comprehensive claim reviews pre- and post-payment, including authorization reviews across inpatient and outpatient cases. The ideal candidate holds a BSN, an RN license (Compact or Virginia), and at least 3 years of acute care experience. A Medical Coding certification is required within 1 year of hire; MCG and NCQA knowledge are preferred. #J-18808-Ljbffr
Vacancy posted 5 hours ago
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