About this role
Payment Integrity Nurse – Medicare Advantage at BlueCross BlueShield of South Carolina. Location: South Carolina, United States. Role: monitoring compliance, conducting reviews, coordinating HEDIS Requirements: Associate degree, 4 years clinical (including 2 years quality management), active state behavioral health license or RN (or compact RN) or RHIA (LPN for DIV 4B), proficiency with Microsoft Office, strong communication and analytical skills. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Office Certifications: behavioral health, rn, nurse licensure compact (nlc), rhia, lpn Commitment: Full Time Workplace: Remote Languages: English