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Remote RN Medical Reviewer II – Claims & Coverage

Remote / Online - Candidates ideally in
Bluffton, Beaufort County, South Carolina, 29910, USA
Listing for: Southcarolinablues
Full Time, Remote/Work from Home position Listed on 2026-11-09
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 70000 - 90000 USD Yearly USD 70000.00 90000.00 YEAR

Job Description & How to Apply Below

Blue Cross Blue Shield of South Carolina seeks an RN Medical Reviewer II to perform medical reviews using clinical guidelines and protocol sets. You will document decisions, support claims reviews and educate staff, working primarily from a home office in a full-time, remote role.

The ideal candidate holds an RN license, an associate degree in nursing, 2 years of clinical experience, and solid MS Office skills.

This position is for the Remote RN Medical Reviewer II – Claims & Coverage role at Southcarolinablues.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.

The position is based in SC, United States.

This opportunity is part of our work in Finance, Bio & Pharmacology & Health.

The advertised compensation is 70.000 - 90.000.

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