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Remote RN Appeals Analyst — Medical Review Expert

Remote / Online - Candidates ideally in
Albany, Linn County, Oregon, 97321, USA
Listing for: Palmetto GBA, LLC
Full Time, Remote/Work from Home position
Listed on 2026-10-30
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 53000 - 102000 USD Yearly USD 53000.00 102000.00 YEAR
Job Description & How to Apply Below

Blue Cross Blue Shield of South Carolina is seeking an experienced RN reviewer for complex appeal and retrospective review work. The role involves researching medical necessity and documenting decisions within regulatory time frames, in a remote full-time capacity.

Requires an active RN license in the United States and at least two years clinical experience plus one year in utilization/medical review or three years clinical. Strong analytical and communication skills are essential.

This posting is for the Remote RN Appeals Analyst — Medical Review Expert role at Palmetto GBA, LLC, based in Salem, OR, United States.

Take a moment to read everything above and see whether this role is right for you.

We are looking to fill the Remote RN Appeals Analyst — Medical Review Expert position at Palmetto GBA, LLC in Salem, OR, United States.

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