Remote RN Medical Reviewer II: Claims & Utilization
Rock Hill, York County, South Carolina, 29732, USA
Listed on 2026-10-03
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Nursing
RN Nurse, Healthcare Nursing
Palmetto GBA, a Blue Cross Blue Shield South Carolina subsidiary, seeks a Medical Reviewer II to perform medical reviews using clinical information and established guidelines. You will determine medical necessity and document rationale to support payment decisions.
The role is full-time and remote with training throughout a six-week program. Eligible candidates will hold an active RN license, have 2+ years of RN clinical experience, and be comfortable using Microsoft Office.
Join us at Palmetto GBA, LLC as our next Remote RN Medical Reviewer II:
Claims & Utilization in SC, United States.
The advertised compensation is 70.000 - 95.000.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote RN Medical Reviewer II:
Claims & Utilization role in the description above.
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