About this role
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH) at BlueCross BlueShield of South Carolina. Location: Nashville or Charleston or Beaufort or Columbia or Sumter. Role: managing review, training staff, ensuring compliance Requirements: Bachelor's degree, 5 years clinical and utilization review experience with 2 years supervisory; active RN licensure (state or NLC), Microsoft Office proficiency, strong communication and analytical skills. Category: Healthcare Services - Nursing Seniority: Senior Level Tools: Microsoft Office Certifications: rn, nurse licensure compact (nlc) Commitment: Full Time Workplace: Hybrid Languages: English