Remote RN Clinical Claims Reviewer | Utilization & Appeals

Sentara Health

Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for remote work. The role involves evaluating utilization management, reviewing pre/post payment claims, and ensuring adherence to policy across multiple states. A BSN and active RN license are required, with 3 years of acute care experience.

Remote opportunities are available nationwide. The compensation reflects a strong health plan benefit package and opportunities for professional growth within Sentara Health Plans.

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Vacancy posted 2 days ago

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