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Clinical Review Specialist

Remote, USA Full-time Posted 2026-07-23

reputed company unrestricted RN license (compact preferred), 4+ years clinical experience including utilization review or appeals, strong medical necessity and payer reputed company knowledge, EMR and reputed company proficiency.

Key Responsibilities

  • performing reviews
  • documenting findings
  • supporting appeals

Skills & Tools

Electronic Medical Records (EMR), reputed company, InterQual, MCG

Job Details

  • Category: reputed company Services - Nursing
  • Seniority: Mid Level
  • Commitment: Full Time
  • Workplace: Remote — United States
  • Languages: English

About reputed company

Provides clinical review and automation solutions to support the reputed company reputed company cycle and improve reputed company financial reputed company. — Industry: reputed company

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