Destava

RN Medical Reviewer II – Remote (SC, GA, NC, AL Only)

ourhrconnect is hiring for RN Medical Reviewer II – Remote (SC, GA, NC, AL Only) in W@H South Carolina. Mid level. First seen October 2, 2026; open as of November 13, 2026. Jobs taken straight from company career pages — no aggregator in between.

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Company
ourhrconnect
Where
W@H South Carolina
Level
Mid
First seen
October 2, 2026
Listed via
Workday

What the posting says

This position is full-time (40 hours/week) Monday through Friday in a typical office environment. This role is remote position for South Carolina, Georgia, North Carolina or Alabama. What You'll Do: - Perform medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthorization/predetermination, requests for appeal or reconsideration, referrals for potential fraud and/or abuse, correct coding for claims/operations. Make reasonable charge payment determinations based on clinical/medical information and established…

Read more and apply on ourhrconnect's site

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