Palmetto GBA, a BlueCross BlueShield South Carolina subsidiary, seeks an experienced RN reviewer to research complex appeal requests and determine medical necessity per guidelines. This is a full-time remote role, 40 hours per week, Mon–Fri 8:00am–5:00pm. Sponsorship is not available.
Responsibilities include documenting decisions, thoroughly researching appeals, and supporting quality assurance initiatives in a confidential healthcare setting.
#J-18808-LjbffrRemote Appeals & Medical Review Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.