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LPN Medical Reviewer - Utilization & Claims

Remote / Online - Candidates ideally in
Myrtle Beach, Horry County, South Carolina, 29588, USA
Listing for: BlueCross BlueShield of South Carolina
Remote/Work from Home position
Listed on 2026-01-01
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Nursing
Job Description & How to Apply Below
A leading health insurance provider seeks a professional for medical reviews and utilization management in Myrtle Beach, SC. You will handle clinical assessments, review medical claims, and educate members. An active LPN/LVN or LBSW license is required, along with a Bachelor's degree in Social Work. With on-site work for six months, this role offers opportunities for remote work afterwards. Enjoy a supportive benefits package including health plans and a 401k plan.
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