RN Clinical Claims Reviewer
Listed on 2026-10-30
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Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist
CVS Health is seeking an experienced Clinical Claim Review Nurse in the United States (Minnesota) to review and evaluate clinical information for member and provider claims. You will interpret documentation, apply clinical criteria, and coordinate resolutions with clinicians while ensuring compliance with laws and internal policies.
Role requires an RN license, 2–3 years of professional RN experience, and strong analytical skills.
This role, RN Clinical Claims Reviewer at CVS Health, could be your next career step.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in MN, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 36.000 - 77.000.
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