Remote RN Appeals Analyst - Clinical Review Expert
Palmetto GBA, LLC
New York, NY
- Remote job
BlueCross BlueShield of South Carolina seeks an experienced nurse reviewer to adjudicate appeals and retrospective reviews for medical necessity. This full-time remote role supports Mondays–Fridays, 8:00am–5:00pm, with a strong emphasis on accurate documentation and privacy. The ideal candidate has RN licensure in the US, clinical and utilization review experience, and the ability to analyze complex records while communicating decisions clearly. #J-18808-Ljbffr Palmetto GBA, LLC
Vacancy posted 3 days ago
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