Palmetto GBA, a BlueCross BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and determine medical necessity using established guidelines. The role documents decisions and supports utilization review across multiple services.
The position is remote, full-time, with standard hours 8:00 AM–5:00 PM ET, training, and potential overtime. RN license, associate degree, and 2+ years of clinical RN experience required.
#J-18808-LjbffrRemote RN Medical Reviewer II – Utilization & Claims in northern at Unknown Company
- Typical pay
- $71,760–$110,650
For context, most registered nurses earn between $71,760–$110,650 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.