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Remote RN: Clinical Claims Reviewer & Utilization Expert

L5

sentara healthNew York, NYyesterday
Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN for a remote role. The RN is responsible for utilization management, comprehensive claim reviews pre and post payment, and authorization reviews across inpatient, outpatient, concurrent, and retrospective cases. Requires BSN, 3 years acute care experience, and coding/compliance proficiency. Remote opportunities are available across multiple states; base pay ranges from the low six figures annually with potential bonuses and shift
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Level

SeniorL5

Location

New York, NY

Occupation

Registered Nurses

Industry

General Medical and Surgical Hospitals

Posted

yesterday

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