Remote RN Nurse Manager - Clinical Claim Review

Optum is seeking a SSBV Clinical Claim Review Nurse Manager – Remote to lead a team conducting clinical reviews and ensure determinations meet guidelines and regulatory requirements. The role supports a fast-paced, production-driven environment with strong leadership and analytical expectations.

Responsibilities include training, performance coaching, and coordination across onshore and offshore teams, with emphasis on adherence to policies, data integrity, and stakeholder communication.