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RN Medical Reviewer II - Claims & Utilization
Job in
Greer, Greenville County, South Carolina, 29651, USA
Listed on 2026-08-30
Listing for:
033 Palmetto GBA
Full Time
position Listed on 2026-08-30
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Blue Cross Blue Shield of South Carolina is seeking a registered nurse to perform medical reviews from home, evaluating claims against criteria and guidelines. The role emphasizes documentation, adherence to timelines, and collaboration with internal teams.
The position requires an active RN license (SC or compact), 2+ years of clinical RN experience, and strong communication skills. Training begins 10/12/2026 with standard business hours and occasional extra hours. Preference for SC/AL residents.
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