RN Appeals Analyst (W@H SC or GA)

What you’d do

Review complex medical appeal requests to determine if services meet medical necessity guidelines, document decisions timely and in compliance with regulations. Full-time remote position in SC or GA, Monday-Friday 8:30am-5:00pm EST. Found on the employer's careers page on Oct 23, 2026. Apply through the link.

You’ll need

• Bachelor's degree in Nursing preferred
• 3 years utilization/medical review or quality assurance experience preferred
• 5 years clinical experience preferred
• Knowledge of Administrative Law Judge (ALJ) process preferred
• Full-time Monday-Friday 8:30am-5:00pm EST remote in SC or GA