RN Medical Reviewer II

BlueCross · W@H Alabama

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About this role

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. Description Why should you join the BlueCross BlueShield of South Carolina family of…

Excerpt only. The full posting is on the employer’s careers site.

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