# Clinical Claims Review Nurse

- **Company:** CVS Health
- **Published:** Sep 9, 2026
- **Location:** On-site, Texas
- **Salary:** $29.10-62.32 per hour
- **Employment type:** Full-time
- **Credentials:** RN
- **Apply:** https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/TX---Work-from-home/Clinical-Claims-Review-Nurse_R1020736

## About

CVS Health is hiring for "Clinical Claims Review Nurse" in Texas. The job is full-time, 40 hours a week. Pay runs from $29.10 to $62.32 per hour. The schedule is Monday to Friday, 8am to 5pm.

### What you'll do

- Review and interpret clinical documentation
- Apply clinical criteria to post-service claims
- Coordinate clinical resolutions with clinician support
- Act as resource for claims processing teams
- Train new and existing staff members

### Requirements

- 5+ years clinical experience
- 2+ years experience as registered nurse
- Proficiency in Microsoft Office products
- Experience using Internet Explorer and Chrome
- Utilization Management review (preferred)
- Managed Care experience (preferred)
- Client processing experience (preferred)

## Insurance

- Health
- Dental
- Vision

## Benefits

- Paid time off
- Retirement savings plan
- Wellness programs

Source: https://medjoblist.com/jobs/clinical-claims-review-nurse-cvs-health-1bce3289-7777-42ed-a43d-0b5dab83d305