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Remote RN: Medical Reviewer II – Claims & Utilization

Remote / Online - Candidates ideally in
Utah, USA
Listing for: CGS Administrators LLC
Remote/Work from Home position
Listed on 2026-03-03
Job specializations:
  • Healthcare
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A leading benefits administrator seeks a Registered Nurse for medical reviews involving complex claims and coverage determinations. The role requires an active RN licensure and two years of clinical experience. Responsibilities include educating staff, quality control activities, and performing detailed medical claim analyses. Competitive salary includes excellent benefits such as health insurance and a 401k plan. Remote options are available for qualified candidates outside the local area.
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