Remote RN Medical Reviewer II Claims & Utilization Expert

BlueCross BlueShield of South Carolina is looking for a qualified applicant to perform medical reviews and support medical claims processing. The role involves reviewing complex claims and documenting decisions based on established clinical guidelines. Applicants must hold an active RN license and have at least two years of clinical experience. The position is full-time and includes a six-week training, partially onsite in Columbia, SC. #J-18808-Ljbffr