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.

As a Remote Medical Review Nurse:
Medicare Claims Governance, you will play an important part at SCAN Health Insurance in Sacramento, CA, United States.

Join us at SCAN Health Insurance as our next Remote Medical Review Nurse:
Medicare Claims Governance in Sacramento, CA, United States.

We are currently recruiting a Remote Medical Review Nurse:
Medicare Claims Governance for our team in Sacramento, CA, United States.

This is a great opportunity to take on the Remote Medical Review Nurse:
Medicare Claims Governance role at SCAN Health Insurance.