- Review clinical information to meet Medical Necessity Criteria.
- Requires knowledge of managed care contracting and clinical review requirements.
- Ensures accurate information is entered into claims system.
1 open remote positions
Sentara Health is a not-for-profit integrated healthcare provider based in Virginia and Northeastern North Carolina that has been in business for over 131 years. It has close to a 30,000-member workforce, and diversity, inclusion, and belonging is a guiding principle of the organization.