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Remote RN Medical Reviewer II Claims & Utilization

Remote / Online - Candidates ideally in
Morgantown, Monongalia County, West Virginia, 26501, USA
Listing for: BlueCross BlueShield of South Carolina
Remote/Work from Home position
Listed on 2026-03-04
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 47263 - 90548 USD Yearly USD 47263.00 90548.00 YEAR
Job Description & How to Apply Below
A leading healthcare organization is seeking a qualified individual for medical reviews using clinical information. The candidate will perform medical claim reviews, document decisions, and educate staff on guidelines. Active RN licensure is essential along with two years of clinical experience. The organization offers comprehensive benefits and a transparent pay structure with salaries ranging from $47,263 to $90,548, based on qualifications.
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