Utilization Review RN - Care Quality & Compliance; LA)
Job in
Lane, Williamsburg County, South Carolina, 29564, USA
Listed on 2026-08-25
Listing for:
Blue Cross and Blue Shield of Louisiana Inc.
Full Time
position Listed on 2026-08-25
Job specializations:
-
Nursing
Job Description & How to Apply Below
Location: Lane
Blue Cross and Blue Shield of Louisiana seeks a Registered Nurse to coordinate and manage inpatient and outpatient claims, ensuring medical necessity and contractual compliance. The role involves identifying improvement opportunities and maintaining strict regulatory standards across URAC, MNRO, and DOL guidelines.
Preferred candidates hold a Louisiana nursing license and may obtain CPUR/CPC within 24 months.
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