Remote RN Medical Reviewer: Claims & Coverage Expert
Jacksonville, Duval County, Florida, 32099, USA
Listed on 2026-11-01
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Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Practitioner
Broadway Ventures is seeking an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse referrals. The role requires applying clinical expertise and established coverage guidelines to determine medical necessity and support accurate payment determinations.
We offer a remote, full-time position with competitive pay and benefits. Active RN licensure in the state hired is required, with a preference for a BSN.
We are currently recruiting a Remote RN Medical Reviewer:
Claims & Coverage Expert for our team in United States.
Join us at BROADWAY VENTURES, LLC as our next Remote RN Medical Reviewer:
Claims & Coverage Expert in United States.
This is a great role to take on the Remote RN Medical Reviewer:
Claims & Coverage Expert role at BROADWAY VENTURES, LLC.
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