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Remote RN Medical Claims Reviewer II

Remote / Online - Candidates ideally in
Aiken, Aiken County, South Carolina, 29805, USA
Listing for: Southcarolinablues
Full Time, Remote/Work from Home position
Listed on 2026-10-03
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 70000 - 90000 USD Yearly USD 70000.00 90000.00 YEAR
Job Description & How to Apply Below

Palmetto GBA seeks a Medical Reviewer II to perform clinical reviews of complex claims, determine medical necessity, and document rationale using established guidelines. This full-time, remote role requires RN licensure and 2 years of RN experience with proficiency in Microsoft Office.

Training includes six weeks with onsite sessions in Columbia, SC, or Birmingham, AL. Benefits include health, dental, 401(k) with match, PTO, and education assistance to support ongoing career development.

Our organisation is growing, and we are hiring a Remote RN Medical Claims Reviewer II in SC, United States.

We would love to welcome a new Remote RN Medical Claims Reviewer II to our organisation in SC, United States.

For the Remote RN Medical Claims Reviewer II position at Southcarolinablues, we are reviewing applications now.

Step into the Remote RN Medical Claims Reviewer II role at Southcarolinablues in SC, United States and grow with us.

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