Remote RN Appeals Specialist
Summerville, Dorchester County, South Carolina, 29486, USA
Listed on 2026-11-01
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Nursing
RN Nurse
Blue Cross Blue Shield of South Carolina is seeking an RN Appeals Analyst for a fully remote, 40-hour work week with a standard Monday–Friday schedule. The role focuses on complex appeal reviews, clinical validation, and medical necessity determinations within CMS and internal guidelines.
Qualifications include an active RN license, an associate degree in nursing, and 2+ years of clinical and 1+ year in utilization/medical review. Strong research, analytical, and communication skills are essential.
Our organisation is growing, and we are hiring a Remote RN Appeals Specialist in SC, United States.
We appreciate your interest in this position.
Join Southcarolinablues and contribute to our ongoing work.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Remote RN Appeals Specialist role at Southcarolinablues, based in SC, United States.
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