Impactful RN: Clinical Claims Reviewer

22 hours ago

Phoenix, AZ, United States CVS Health Full-time

CVS Health is hiring a Clinical Claim Review Nurse to evaluate clinical information for member and provider claims. The role requires RN licensure, 2–3 years of clinical experience, and strong analytical skills to assess medical claims. You will interpret documentation, apply clinical criteria, and coordinate resolutions with clinicians as needed. This full-time position offers benefits including medical, dental, and vision coverage, PTO, retirement plans, wellness programs, and #J-18808-Ljbffr