Remote RN: Claims Review & Utilization Expert
Lincoln, Lancaster County, Nebraska, 68501, USA
Listed on 2026-10-30
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Nursing
RN Nurse
Sentara Health Plans is seeking an experienced RN Clinician for a remote role to perform comprehensive claim reviews, pre- and post-payment, and authorization reviews across inpatient and outpatient settings. You will handle provider inquiries and ensure adherence to policy and regulatory standards while supporting accreditation efforts.
The position requires an RN with a BSN, 3 years of acute care experience, and a CPC certification within 1 year.
This Full Time opportunity is for the Remote RN:
Claims Review & Utilization Expert role at Sentara Health.
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:
Claims Review & Utilization Expert role in the description above.
We appreciate your interest in this position.
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