Remote RN Medical Reviewer: Claims & Compliance
Los Angeles, Los Angeles County, California, 90079, USA
Listed on 2026-09-22
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Nursing
RN Nurse, Healthcare Nursing
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.
We are looking to fill the Remote RN Medical Reviewer:
Claims & Compliance position at Broadway Ventures 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 RN Medical Reviewer:
Claims & Compliance role in the description above.
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