Remote RN Appeals Analyst Medical Review Expert
Palmetto GBA
BlueCross BlueShield of South Carolina is seeking an experienced reviewer to analyze complex appeal requests and determine medical necessity. You will document decisions within required timeframes and ensure compliance with regulations while handling protected health information with discretion. The role requires an active RN license, 2+ years of clinical or 1 year in utilization/medical review, and strong analytical and communication skills to support policy application and quality assurance
#J-18808-LjbffrVacancy posted more than 2 months ago
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