Remote RN Appeals Analyst - Clinical Review Expert
Kenosha, Kenosha County, Wisconsin, 53140, USA
Listed on 2026-10-31
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Nursing
RN Nurse
Blue Cross Blue Shield of South Carolina is seeking a nurse reviewer to research complex appeal or retrospective review requests and determine medical necessity. You will document decisions within required time frames and ensure compliance with regulations and privacy.
This is a full-time remote role. Required are an active RN license in the United States and an Associate Degree in Nursing, with two years of clinical experience plus one year in utilization/medical review or QA, or three years
We would love to welcome a new Remote RN Appeals Analyst
- Clinical Review Expert to our group in Madison, WI, United States.
Consider building your career as a Remote RN Appeals Analyst
- Clinical Review Expert at Palmetto GBA, LLC.
The Remote RN Appeals Analyst
- Clinical Review Expert position in the Finance, IT & Technology field is open for applications.
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