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-LjbffrUtilization Review Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.