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BlueCross BlueShield of South Carolina

Remote RN: Managed Care & Utilization Coordinator

BlueCross BlueShield of South Carolina, Columbia, South Carolina, United States

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A leading health insurance provider is seeking a Managed Care Coordinator I to join their team. This fully remote position requires you to review and evaluate medical eligibility regarding benefits and clinical criteria. Candidates must have an Associate's degree and 2 years of clinical experience. A valid RN or LMSW license is essential. The role involves patient education, maintaining provider knowledge, and ensuring compliance with regulations. Comprehensive benefits and a focus on diversity and inclusion are offered. #J-18808-Ljbffr