Remote RN Claims Reviewer – Utilization & Review
Columbia, Howard County, Maryland, 21044, USA
Listed on 2026-11-01
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Nursing
RN Nurse
Sentara Health Plans is seeking an RN Clinician for a remote role focused on utilization management and claim review. The position requires an active RN license (VA or Compact) and a BSN, with at least 3 years of acute care experience, including utilization review or post-payment review.
CPC certification within 1 year is preferred. The role supports compliance with BOI/NCQA/CMS and requires strong communication and coding expertise.
Are you ready to take on the Remote RN Claims Reviewer – Utilization & Review role at Sentara Health?
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in MD, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 93..
We aim to respond to suitable candidates as soon as possible.
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