Remote RN Medical Reviewer II - Utilization & Claims

Southcarolinablues

Remote job

Palmetto GBA, a BlueCross BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and determine medical necessity using established guidelines. The role documents decisions and supports utilization review across multiple services. The position is remote, full-time, with standard hours 8:00 AM–5:00 PM ET, training, and potential overtime. RN license, associate degree, and 2+ years of clinical RN experience required. #J-18808-Ljbffr Southcarolinablues

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Vacancy posted 1 day ago

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