Integrated Nurse Case Manager/Registered Nurse (RN) for Inpatient and Outpatient Clinical Appeals- Remote in Virginia!
Remote - VAremotemanager
Posted 3 days ago · via Workday
About this role
City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring an Integrated Nurse Case Manager/Registered Nurse (RN) for Inpatient and Outpatient Clinical Appeals- Remote in Virginia! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Remote in Virginia Overview: Manage inpatient and outpatient provider appeals across all payer types, including government and commercial insurance Review clinical denials (non-billing related), identify root causes, and perform post-claim analysis to support appeal submissions Education: N-3YR - RN-Diploma (Non-degree) REQUIRED; Bachelors Degree in Nursing preferred Certification/Licensure: Registered Nurse (RN) License (Compact or Virginia) preferred Experience: 3 years exp…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
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2
Level fit
This role is manager-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
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Skills in this role
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