Remote RN Claims Reviewer — Utilization & Appeals
Dickinson, Stark County, North Dakota, 58601, USA
Listed on 2026-10-30
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Nursing
RN Nurse
Sentara Health Plans in Norfolk, VA, is seeking a Clinical Claims Reviewer RN to work remotely in a full-time position. The role covers utilization management, pre/post payment claim reviews, and authorization assessments for inpatient and outpatient cases.
Ideal candidates hold a BSN with RN license (compact or VA) and at least 3 years of acute care experience, plus familiarity with NCQA, CMS, and DMAS guidelines. Remote nationwide opportunities and comprehensive benefits are offered.
Our organisation is growing, and we are hiring a Remote RN Claims Reviewer — Utilization & Appeals in ND, United States.
The position is based in ND, United States.
This opportunity is part of our work in Finance, Bio & Pharmacology & Health.
The advertised compensation is 93..
We aim to respond to suitable candidates as soon as possible.
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