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Texas Health Institute

Remote RN: Clinical Claim Review Specialist

plymouth, MA

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Job description

UnitedHealth Group is seeking an IRR Clinical Claim Review Nurse to perform claim reviews, verify correct coding and charges, and document research of state and federal guidelines. The role involves analyzing medical records, ensuring compliance, and supporting negotiations and appeals within a production environment.

You will work with limited supervision within established policies and procedures, with telecommuting flexibility from anywhere in the U.S.

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Worksite address

plymouth, MA, 02360, US

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Last received from source 2026-10-31

Source: Jobg8

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