Remote Post Service Review RN – Sr. – California

Job Overview

  • Clinical License RN
  • State(s) CA
Judge Healthcare is currently seeking a fully remote Post Service Review RN – Sr. in CA!

This job will have the following responsibilities:

  • Conducts clinical review of claims for medical necessity, coding accuracy, medical policy. compliance and contract compliance.
  • Verify insurance eligibility.
  • Review claims against FEP Benefits and policy to determine if claim can be approved, denied, or if we need additional information to make a determination.
  • Utilize Medical Director to assist with medical necessity determinations.

Qualifications & Requirements:

  • Active CA RN License
  • Bachelor’s degree or equivalent experience
  • Previous post service review experience
  • Previous utilization management, prior authorization or concurrent review experience
If you or anyone you know is interested, send your resume to or call me at 949-383-2536  for immediate consideration!

Thanks for visiting!

The Remote Nurse is a large online community and Job Board specializing in Remote Telehealth Jobs for Nurses, Nurse Practitioners, and Physician Assistants.

Follow us!