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Remote Nurse Reviewer - Medical Claims & Fraud Detection

Remote / Online - Candidates ideally in
Fort Worth, Tarrant County, Texas, 76102, USA
Listing for: Santa Barbara Cottage Hospital
Remote/Work from Home position
Listed on 2026-09-17
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 66000 - 106000 USD Yearly USD 66000.00 106000.00 YEAR
Job Description & How to Apply Below

Peraton is seeking a Nurse Reviewer for Safe Guard Services (SGS) to conduct medical record reviews and apply clinical judgment to claim payment decisions.

The role includes researching Medicaid claims data, developing cases for potential action, and coordinating with external agencies; telework is available. Candidates must hold an active US nursing license with 5+ years of experience (BS/BA) or equivalent and strong investigative and communication skills.

Our group is growing, and we are hiring a Remote Nurse Reviewer
- Medical Claims & Fraud Detection in United States.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Nurse Reviewer
- Medical Claims & Fraud Detection role in the description above.

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