UnitedHealth Group is seeking a Clinical Claim Review RN in Massachusetts for full-time remote work. The role involves performing compliance reviews of medical and administrative documentation to identify fraud, waste, or abuse, using claims data, audits, and investigations. Site visits and desk audits may be required.
Training weeks are provided, with 8-hour shifts 8:00 am–5:00 pm local time. Responsibilities include reviewing records, presenting findings, collaborating with a 2-5 auditor team,
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