Remote Claims Review Nurse – Appeals & Denials Expert
Remote / Online - Candidates ideally in
Los Angeles, Los Angeles County, California, 92189, USA
Listed on 2026-07-31
Los Angeles, Los Angeles County, California, 92189, USA
Listing for:
Stryker Corporation
Remote/Work from Home
position Listed on 2026-07-31
Job specializations:
-
Nursing
Job Description & How to Apply Below
Optum Care is seeking a Claims Review Nurse to perform the clinical review of the formal appeal and provider disputes process, ensuring resolution aligns with organizational policies and state/federal guidelines. The role requires strong medical knowledge, writing skills, and autonomy, serving as a SME for the denial and appeal process.
You'll work remotely from anywhere in the U.S., reviewing claims for medical necessity, documenting denials with precision, and collaborating with physicians,
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