Remote RN Medical Reviewer II - Claims and Medical Policy
Palmetto GBA
Palmetto GBA, LLC, a BlueCross BlueShield subsidiary, seeks an RN reviewer to conduct medical claim reviews from a home office. You will assess medical necessity and ensure adherence to established criteria, while supporting staff with guidance and education. The role requires clinical RN experience and strong communication skills. The position is full-time with typical business hours, remote work from home, and potential overtime to meet business needs. Training begins soon after hire. #J-18808-Ljbffr
Vacancy posted 12 hours ago
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