Remote RN Medical Reviewer II (Claims & Utilization)
Southcarolinablues
BlueCross BlueShield of South Carolina is seeking a Remote RN Medical Reviewer II to perform medical reviews using clinical documentation and established guidelines. You will review home health and hospice documentation, determine medical necessity, and support claims and utilization practices in a work-from-home setup.
The role requires an RN license in the hiring state and at least two years of clinical experience.
#J-18808-LjbffrVacancy posted 1 day ago
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