Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise and established guidelines to determine medical necessity and support accurate payment determinations.
The role is remote and full-time, requiring an active RN license and at least two years of clinical experience in managed care or related settings.
#J-18808-LjbffrRemote RN Medical Reviewer: Claims & Compliance in workfromhome at Unknown Company
- Typical pay
- $71,760–$117,820
For context, most registered nurses earn between $71,760–$117,820 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.