Remote RN Medical Reviewer III - Clinical Claims & Denials Job at Southcarolinablues, Lexington, SC

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  • Southcarolinablues
  • Lexington, SC

Job Description

Southcarolinablues is seeking a RN Medical Reviewer III (Remote in SC) to perform medical reviews using clinical information and established guidelines. This role involves reviewing complex medical claims and educating teammates on healthcare processes. The ideal candidate should possess an active RN license, have at least two years of clinical experience, and demonstrate strong communication and analytical skills. The position offers the flexibility to work from home while ensuring compliance with healthcare standards and quality control. #J-18808-Ljbffr

Job Tags

Work from home

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