Remote Clinical Review Nurse – Medical Claims & Compliance
Austin, Travis County, Texas, 78716, USA
Listed on 2026-09-17
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Nursing
Healthcare Nursing, Clinical Nurse Specialist, Nurse Educator, Public Health Nurse
ARC Group is seeking a Clinical Review Nurse for a 100% remote position. The role focuses on reviewing health claims, determining medical necessity, and ensuring alignment with national and local policies and standards of care.
Must hold a nursing degree and RN license, with strong communication and CMS guideline knowledge. The position involves evaluating pre- and post-pay claims, providing or guiding education to providers, and supporting special projects as needed.
We would love to welcome a new Remote Clinical Review Nurse – Medical Claims & Compliance to our group in United States.
We are looking to fill the Remote Clinical Review Nurse – Medical Claims & Compliance position at Santa Barbara Cottage Hospital in United States.
The Remote Clinical Review Nurse – Medical Claims & Compliance role at Santa Barbara Cottage Hospital is now open for applications in United States.
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