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Remote Clinical Review Nurse—Pre-Claim & Appeals
Remote / Online - Candidates ideally in
College Park, Prince George's County, Maryland, 20740, USA
Listed on 2026-07-06
College Park, Prince George's County, Maryland, 20740, USA
Listing for:
CareFirst, Inc.
Remote/Work from Home
position Listed on 2026-07-06
Job specializations:
-
Healthcare
Healthcare Nursing
Job Description & How to Apply Below
Care First, Inc. is seeking a Clinical Medical Review Nurse to handle day-to-day reviews of claims and appeals in Baltimore. This role involves analyzing medical information to determine eligibility for benefits and making clinical decisions related to claims.
The ideal candidate should have a Bachelor's degree in Nursing and three years of acute clinical experience. The position allows for remote work within the greater Baltimore area and includes a comprehensive benefits package.
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