Remote RN Appeals Analyst - Medical Necessity Expert
New York, New York City, Richmond County, New York, USA
Listed on 2026-10-18
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Nursing
RN Nurse
Blue Cross Blue Shield of South Carolina family of companies
- Palmetto GBA is seeking an experienced RN to research complex appeal and retrospective reviews for medical necessity determinations. The role emphasizes thorough clinical analysis, documentation, and adherence to regulations within a remote, full-time schedule.
You will review clinical information, apply policies, and contribute to quality assurance initiatives while maintaining patient confidentiality and high standards of care.
This role is for the Remote RN Appeals Analyst - Medical Necessity Expert role at Palmetto GBA, LLC.
The position is based in Columbia, SC, United States.
This opportunity is part of our work in Finance.
The advertised compensation is 65.000 - 90.000.
This role offers the option to work remotely.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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