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Remote Appeals & Medical Review Nurse

Remote / Online - Candidates ideally in
Nashville, Davidson County, Tennessee, 37247, USA
Listing for: 033 Palmetto GBA
Full Time, Remote/Work from Home position
Listed on 2026-10-04
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, Nurse Educator, Travel Nurse
Salary/Wage Range or Industry Benchmark: 70000 - 100000 USD Yearly USD 70000.00 100000.00 YEAR
Job Description & How to Apply Below

Palmetto GBA, a Blue Cross Blue Shield South Carolina subsidiary, seeks an experienced RN reviewer to research complex appeal requests and determine medical necessity per guidelines. This is a full-time remote role, 40 hours per week, Mon–Fri 8:00am–5:00pm. Sponsorship is not available.

Responsibilities include documenting decisions, thoroughly researching appeals, and supporting quality assurance initiatives in a confidential healthcare setting.

For the Remote Appeals & Medical Review Nurse position at 033 Palmetto GBA, we are reviewing applications now.

We are seeking a motivated Remote Appeals & Medical Review Nurse to join 033 Palmetto GBA in United States.

Consider building your career as a Remote Appeals & Medical Review Nurse at 033 Palmetto GBA.

The Remote Appeals & Medical Review Nurse position in the Finance, Bio & Pharmacology & Health field is open for applications.

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