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Remote Part-Time Nurse Reviewer — Medical Claims & Records

Remote / Online - Candidates ideally in
Sarasota, Manatee County, Florida, 34243, USA
Listing for: Healthcare Quality Strategies, Inc.
Part Time, Remote/Work from Home position
Listed on 2026-01-24
Job specializations:
  • Healthcare
    Healthcare Nursing
Job Description & How to Apply Below
Location: Sarasota

A healthcare services provider is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews and policy assessments for Medicaid claims. The ideal candidate should have a BSN and active RN license with 3-5 years of medical record review experience. Strong analytical skills, proficiency in relevant medical terminology, and effective communication abilities are required. This position offers remote work opportunities and competitive company benefits including medical, dental, vision, and 401k.
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