Remote RN: Claims & Utilization Review Specialist
Manchester, Hillsborough County, New Hampshire, 03103, USA
Listed on 2026-10-20
-
Nursing
RN Nurse
Sentara Health Plans is hiring a Clinical Claims Reviewer RN for a remote role. The position is full-time, 40 hours, with standard hours 8am–5pm EST, Monday to Friday. Remote opportunities are available across many states, including New Hampshire, with licensure in Virginia or compact licensure.
A CPC is preferred and RN licensure is required. Responsibilities include utilization management, pre/post payment review, and ensuring compliance with CMS, NCQA, DMAS, and BOI standards.
We are currently recruiting a Remote RN:
Claims & Utilization Review Specialist for our team in NH, United States.
Step into the Remote RN:
Claims & Utilization Review Specialist role at Sentara Health in NH, United States and grow with us.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
(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).