Clinical Claims Review RN — Analyze & Resolve Post-Service Claims
Listed on 2026-10-30
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Nursing
Nurse Practitioner, RN Nurse
CVS Health is seeking a Clinical Claim Review Nurse to evaluate clinical information and determine payment on member and provider claims according to policies and regulations. The role requires interpreting medical records, applying criteria, and collaborating with clinicians to resolve complex cases.
The ideal candidate holds an RN with 2–3 years of licensed clinical experience, proficient in Microsoft Office, and familiar with utilization management.
This role, Clinical Claims Review RN — Analyze & Resolve Post-Service Claims at CVS Health, could be your next career step.
We would love to welcome a new Clinical Claims Review RN — Analyze & Resolve Post-Service Claims to our organisation in WV, United States.
For the Clinical Claims Review RN — Analyze & Resolve Post-Service Claims position at CVS Health, we are reviewing applications now.
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