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Healthcare Nursing

Remote RN: Medical Reviewer II – Claims & Utilization

Remote / Online - Candidates ideally in
Hernando, DeSoto County, Mississippi, 38632, USA
Listing for: CGS Administrators LLC
Remote/Work from Home position
Listed on 2026-03-03
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A leading healthcare administrator is seeking a qualified Registered Nurse to evaluate medical claims and ensure compliance with established guidelines. Responsibilities include conducting thorough medical reviews, educating team members, and participating in quality control initiatives. Candidates should possess two years of clinical experience, an active RN license, and skills in Microsoft Office.

This role offers a hybrid work schedule for nearby applicants as well as a remote option with prior setup.
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