More jobs:
Remote Medical Claim Review Nurse; RN/Appeals
Remote / Online - Candidates ideally in
North Bothell Area, Snohomish County, Washington, 98021, USA
Listed on 2026-08-29
North Bothell Area, Snohomish County, Washington, 98021, USA
Listing for:
Walker Healthforce, LLC
Remote/Work from Home
position Listed on 2026-08-29
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
Walker Healthforce, LLC seeks a Medical Claim Review Nurse for a fully remote contract based in Washington. The role focuses on retrospective medical necessity reviews, appeals, and payment integrity within Molina Healthcare of Washington.
The ideal candidate holds an active RN license (LPN/LVN accepted) and 3–5 years of appeals review experience, with strong coding knowledge (ICD-10, CPT, HCPCS) and proficiency in PEGA A&G, PEGA UM, or QNXT.
#J-18808-LjbffrTo View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×