Sentara Health Plans is seeking an RN Clinician for remote utilization management and claims review. You will perform pre/post payment reviews, authorizations, and post-payment inquiries in a compliant manner with NCQA, CMS, DMAS guidelines.
Requires a BSN and 3 years of acute care clinical experience; CPC preferred. Remote options available across multiple states, with standard 8am-5pm EST hours, M-F.
#J-18808-LjbffrRemote RN Claims Reviewer Utilization & Post-Payment in workfromhome at Unknown Company
- Typical pay
- $88,140–$137,280
For context, most registered nurses earn between $88,140–$137,280 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.