Remote RN: Clinical Claims Review

CVS Health is hiring a fully remote Clinical Claim Review Nurse. The role follows a Monday–Friday, 8am–5pm schedule in the candidate's time zone. You will review outpatient therapy records, interpret data, and apply clinical criteria in line with regulatory standards.

Coordination with clinicians for resolutions is required, and you will support customer service and claims teams. Minimum RN licensure and 2+ years of clinical experience are required, with strong Microsoft Office skills.

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