Remote RN Medical Reviewer – Utilization & Claims

Broadway Ventures is seeking a Medical Reviewer to evaluate radiology, ambulance, physical therapy, and surgical claims using established criteria and clinical guidelines. This remote role requires an active RN license in the U.S. and an associate degree in nursing.

You will document medical necessity decisions, support claims reviews, and educate staff on review processes. A BSN is preferred, with 5 years of clinical experience and knowledge of Medicare rules.

Are you ready to take on the Remote RN Medical Reviewer – Utilization & Claims role at BROADWAY VENTURES, LLC?

We would love to welcome a new Remote RN Medical Reviewer – Utilization & Claims to our organisation in Charleston, SC, United States.

For the Remote RN Medical Reviewer – Utilization & Claims position at BROADWAY VENTURES, LLC, we are reviewing applications now.