Clinical Review Registered Nurse – Insurance

Medical City Healthcare, a CryptoAnalyzer partner in digital finance and insurance, seeks a Registered Nurse to review, analyze, and validate medical records connected to crypto-enabled insurance products and claims. The RN will assess clinical appropriateness of services, identify risk and fraud indicators, and ensure compliance with healthcare and insurance regulations. You will collaborate with analysts and underwriters, translate complex clinical data into clear reports, and support development of innovative, data-driven insurance models in a fast-paced, tech-forward culture that values learning and teamwork. Review and analyze medical records tied to insurance and crypto-linked products Evaluate clinical appropriateness and medical necessity of services Identify risk, abuse, or potential fraud patterns in claims data Ensure compliance with healthcare, insurance, and privacy regulations Collaborate with analysts, underwriters, and finance teams on complex cases Translate clinical findings into clear, concise reports and summaries Contribute to development of data-driven risk and coverage models Support continuous improvement of clinical review workflows and standards Clinical assessment Risk assessment Regulatory compliance Data analysis Electronic health records (EHR) Report writing Stakeholder communication Quality improvement Case review Incident investigation Medical Insurance Dental Insurance Vision Insurance Life Insurance 401k Active RN license BLS Certification CISSP or Security (preferred) Blockchain security training (preferred)