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Remote RN Medical Reviewer II - Claims & Utilization

BlueCross and BlueShield of South Carolina

New York, NY
  • Remote job

BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment determinations. Ideal candidates have RN licensure, 2 years of clinical experience, strong communication, and the ability to educate internal/external staff while supporting quality goals. This is a work-from-home, full-time role with daytime hours. #J-18808-Ljbffr BlueCross and BlueShield of South Carolina

Vacancy posted 1 day ago
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