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Remote RN Clinical Reviewer - Care & Denial Reviews

Remote / Online - Candidates ideally in
Lynchburg, Campbell County, Virginia, 24513, USA
Listing for: Maximus
Full Time, Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 61000 - 72000 USD Yearly USD 61000.00 72000.00 YEAR
Job Description & How to Apply Below

Maximus is seeking a Clinical Reviewer in Tysons, VA to evaluate requests for services, ensure compliance with clinical and governmental requirements, and issue appropriate approvals or denials. The role involves documenting activities in contract systems and communicating with providers and state personnel.

Preferred candidates have remote-work experience, strong written and verbal communication skills, and familiarity with HCBS waivers.

We are seeking a motivated Remote RN Clinical Reviewer
- Care & Denial Reviews to join Maximus in Tysons, VA, United States.

Learn more about the Remote RN Clinical Reviewer
- Care & Denial Reviews role in the description above.

We appreciate your interest in this position.

Join Maximus and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

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