Remote Clinical Review Nurse – Medicare Claims

Novitas Solutions, Inc. seeks a Clinical Review Nurse to review and substantiate medical determinations for health claims.

You will assess medical necessity, service levels, and appropriateness of care under national and local policies, including cases requiring prior authorization and complex reviews. The role emphasizes applying clinical knowledge to ensure accurate payment levels and compliance with accepted medical standards.

We invite applications for the Remote Clinical Review Nurse – Medicare Claims position located in FL, United States.

This Full Time opportunity is for the Remote Clinical Review Nurse – Medicare Claims role at Novitas Solutions, Inc.

We are seeking a motivated Remote Clinical Review Nurse – Medicare Claims to join Novitas Solutions, Inc. in FL, United States.

Consider building your career as a Remote Clinical Review Nurse – Medicare Claims at Novitas Solutions, Inc.