About this role
(RN) Senior Medical Reviewer (Remote in SC) at Palmetto GBA. Location: Lexington County, South Carolina, United States. Role: leading staff, reviewing claims, managing workflow Requirements: Active, unrestricted RN licensure required in state of hire (or compact multistate RN). Minimum 4 years clinical or equivalent mix; medical review/utilization review experience preferred; strong clinical, quality, leadership, and communication skills. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Office Certifications: rn, nlc Commitment: Full Time Workplace: Remote Languages: English