Remote RN Managed Care Coordinator I

BlueCross and BlueShield of South Carolina seeks an RN Managed Care Coordinator I to review medical/behavioral eligibility against benefits and clinical criteria. You will apply clinical expertise and administrative policies to ensure medical necessity and care plan compliance for members managing their health. Remote role with potential onsite trainings. Requires an active RN license in the United States or a nurse license in state of hire, plus 2 years of clinical experience and strong #J-18808-Ljbffr BlueCross and BlueShield of South Carolina