RN Appeals Analyst: Clinical Review & Med Necessity
Listed on 2026-10-30
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Nursing
RN Nurse, Nurse Educator
Blue Cross Blue Shield of South Carolina is seeking a Registered Nurse to perform clinical review and medical necessity determinations for complex appeals and retrospective reviews. This is a full-time remote role with standard 8:00am–5:00pm hours and CMS residency requirements; candidates must hold an active RN license in the U.S.
and have 2 years of clinical experience plus 1 year of utilization/medical review or 3 years clinical experience.
As a RN Appeals Analyst:
Clinical Review & Med Necessity, you will play an important part at Palmetto GBA, LLC in Iowa City, IA, United States.
We would love to welcome a new RN Appeals Analyst:
Clinical Review & Med Necessity to our team in Iowa City, IA, United States.
For the RN Appeals Analyst:
Clinical Review & Med Necessity position at Palmetto GBA, LLC, we are reviewing applications now.
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