Sentara Health Plans seeks a Clinical Claims Reviewer RN for remote work. You will perform utilization management, review pre/post payment claims and authorizations for inpatient/outpatient cases, and address provider inquiries with appropriate referrals to Medical Directors.
Requirements include a BSN, an RN license, and 3 years of acute care experience. The role supports multiple states and offers full-time employment with competitive pay and benefits.
#J-18808-LjbffrRemote RN Claims Reviewer: Utilization & Appeals in workfromhome at Unknown Company
- Typical pay
- $85,280–$132,233
For context, most registered nurses earn between $85,280–$132,233 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.