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Remote RN Appeals Analyst — Clinical Review Expert

BlueCross and BlueShield of South Carolina

New York, NY
  • Remote job

BlueCross BlueShield of South Carolina is seeking a nurse to research the substance of complex appeal requests, perform clinical review to determine medical necessity, and document decisions within required timeframes. This full-time remote role (40 hours/week, 8 a.m.–5 p.m. local time) requires an active RN license in the United States, CMS residency constraints, and strong analytical, communication, and confidentiality skills. #J-18808-Ljbffr BlueCross and BlueShield of South Carolina

Vacancy posted 1 day ago
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