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Remote Part-Time Nurse Reviewer — Medical Claims & Records

July 31, 2026

A healthcare solutions provider is seeking a remote Nurse Reviewer to conduct comprehensive medical necessity and policy reviews for Medicaid claims. Essential duties include managing case screening processes and evaluating claims against industry standards. Candidates should have at least 3-5 years of medical record review experience and a BSN with active RN licensure. Proficiency in Microsoft Office and strong analytical skills are required. This position offers competitive hourly pay and comprehensive benefits including medical, dental, and 401k. #J-18808-Ljbffr Salary: USD 13 - 16 per hour

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