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Remote Clinical Review Nurse - Concurrent Review

Remote / Online - Candidates ideally in
Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Spectraforce Technologies
Remote/Work from Home position
Listed on 2026-08-22
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 60000 - 90000 USD Yearly USD 60000.00 90000.00 YEAR
Job Description & How to Apply Below

Spectraforce Technologies is seeking a Clinical Review Nurse for concurrent review. This remote role supports US-based operations, requiring a nursing credential and at least 1 year of nursing experience.

The position emphasizes denial review, NCQA standards, and coordinated communication with agencies and teams. The candidate will draft letters, investigate denials, and help train teams to improve utilization management processes.

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