Remote RN Claims Reviewer — Utilization & Coding Expert

Sentara Health Plans is hiring a Clinical Claims Reviewer, RN, for a full-time role with remote options across multiple states. You will perform utilization management, conduct pre- and post-payment claim reviews, and handle authorizations for inpatient and outpatient cases in line with plan policies and regulatory standards.

The candidate must have a BSN and RN license, with at least 3 years in acute care. CPC certification is preferred.

We are currently recruiting a Remote RN Claims Reviewer — Utilization & Coding Expert for our team in Norfolk, VA, United States.

This Full Time opportunity is for the Remote RN Claims Reviewer — Utilization & Coding Expert role at Sentara Health Administration, Inc.

We are seeking a motivated Remote RN Claims Reviewer — Utilization & Coding Expert to join Sentara Health Administration, Inc. in Norfolk, VA, United States.