Sentara Health Plans is seeking an RN Clinician for a remote role focused on utilization management and claim review. The position requires an active RN license (VA or Compact) and a BSN, with at least 3 years of acute care experience, including utilization review or post-payment review.
CPC certification within 1 year is preferred. The role supports compliance with BOI/NCQA/CMS and requires strong communication and coding expertise.
#J-18808-LjbffrRemote RN Claims Reviewer - Utilization & Review 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.