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Healthcare Administration Healthcare Nursing

Remote RN Medical Reviewer II: Claims & Utilization

Remote / Online - Candidates ideally in
Rock Hill, York County, South Carolina, 29732, USA
Listing for: BlueCross BlueShield of South Carolina
Full Time, Remote/Work from Home position
Listed on 2026-02-21
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A regional health insurance provider is seeking a medical reviewer to perform medical claim reviews and determine necessary coverage for reimbursement. The role requires an active RN license, two years of clinical experience, and skills in analytical thinking and communication. Successful candidates will work full-time in a remote environment with the potential for additional hours. Our comprehensive benefits package includes health plans, a retirement savings plan, and paid time off, starting after 28 days of employment.
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