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Remote RN Claims Reviewer - Utilization & Review

Sentara Health

Sentara Health Plans is seeking an RN Clinician for a remote role focused on utilization management and claim review. The position requires an active RN license (VA or Compact) and a BSN, with at least 3 years of acute care experience, including utilization review or post-payment review.

CPC certification within 1 year is preferred. The role supports compliance with BOI/NCQA/CMS and requires strong communication and coding expertise.

#J-18808-Ljbffr
Vacancy posted 3 days ago
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