Remote Medical Review Nurse: Medicare Claims Governance

SCAN Health Insurance in the United States is seeking a clinically focused claims reviewer with an active California RN license to evaluate complex medical claims and post-service appeals. You will interpret CMS guidelines, determine medical necessity, and collaborate with leadership to ensure accurate determinations.

This remote role offers a base hourly wage, annual bonus program, and strong wellness and PTO benefits.

We invite applications for the Remote Medical Review Nurse:
Medicare Claims Governance position located in Sacramento, CA, United States.

For the Remote Medical Review Nurse:
Medicare Claims Governance position at SCAN Health Insurance, we are reviewing applications now.

Step into the Remote Medical Review Nurse:
Medicare Claims Governance role at SCAN Health Insurance in Sacramento, CA, United States and grow with us.

Please review the full job details above before applying.