Remote RN Medical Reviewer - Utilization & Claims

BROADWAY VENTURES, LLC

Remote job

Broadway Ventures is seeking a Medical Reviewer to evaluate radiology, ambulance, physical therapy, and surgical claims using established criteria and clinical guidelines. This remote role requires an active RN license in the U.S. and an associate degree in nursing. You will document medical necessity decisions, support claims reviews, and educate staff on review processes. A BSN is preferred, with 5 years of clinical experience and knowledge of Medicare rules. #J-18808-Ljbffr BROADWAY VENTURES, LLC

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Vacancy posted 4 days ago

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