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Healthcare Nursing

RN Medical Claims Reviewer II – Hybrid​/Remote

Remote / Online - Candidates ideally in
Twin Falls, Twin Falls County, Idaho, 83303, USA
Listing for: BlueCross BlueShield of South Carolina
Full Time, Remote/Work from Home position
Listed on 2026-03-03
Job specializations:
  • Healthcare
    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 leading health insurance provider is seeking an experienced Registered Nurse to perform medical reviews and claims assessments. This role involves evaluating medical necessity and appropriateness, educating staff, and participating in quality control activities. The ideal candidate should possess an active RN license, an Associate degree in nursing, and have two years of clinical experience. Competitive pay and a comprehensive benefits package including healthcare, retirement plans, and paid time off are offered.
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