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Remote RN: Clinical Claims Reviewer

CVS Health

Sacramento, CA
  • Remote job

CVS Health is seeking a licensed RN to exercise clinical judgment in processing post-service claims, reviewing clinical documentation and applying criteria. You will coordinate resolutions with clinicians, train staff, identify trends, and ensure HIPAA compliance while supporting customer service and claims teams. The role requires strong analytical skills with experience in medical claims and working from home with reliable internet access. #J-18808-Ljbffr CVS Health

Vacancy posted 1 day ago
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