001 Blue Cross And Blue Shield Of South Carolina

Medical Reviewer III - Home Health and Hospice

Nashvilleremote

Posted today · via Workday

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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 companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts.…

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Level fit

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Domain experience

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Recency

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Location fit

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