Clinical Review Nurse - Novitas - Remote, FL

Join our team: Novitas Solutions is looking for a Clinical Review Nurse - Novitas - Remote, FL to join their Remote team. This Full-Time role comes with a competitive package. See below for the full job description and requirements. Posted: Oct 21, 2026. Location United States of America-USAUS Job Description Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services. Benefits Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire Short- and long-term disability benefits 401(k) plan with company match and immediate vesting Free telehealth benefits Free gym memberships Employee Incentive Plan Employee Assistance Program Rewards and Recognition Programs Paid Time Off and Paid Sick Leave Summary Statement The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standard...