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Remote RN Medical Reviewer: Claims & Compliance
Remote / Online - Candidates ideally in
Denver, Denver County, Colorado, 80285, USA
Listed on 2026-08-26
Denver, Denver County, Colorado, 80285, USA
Listing for:
Broadway Ventures
Full Time, Remote/Work from Home
position Listed on 2026-08-26
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise and established guidelines to determine medical necessity and support accurate payment determinations.
The role is remote and full-time, requiring an active RN license and at least two years of clinical experience in managed care or related settings.
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