![How to Use GA4 to Track Social Media Traffic: 6 Questions, Answers and Insights [VIDEO]](https://www.orbitmedia.com/wp-content/uploads/2023/06/ab-testing.png)
![How Human Behavior Impacts Your Marketing Strategy [Video]](https://contentmarketinginstitute.com/wp-content/uploads/2025/03/human-behavior-impacts-marketing-strategy-cover-600x330.png?#)
![How to Make a Content Calendar You’ll Actually Use [Templates Included]](https://marketinginsidergroup.com/wp-content/uploads/2022/06/content-calendar-templates-2025-300x169.jpg?#)
![Building A Digital PR Strategy: 10 Essential Steps for Beginners [With Examples]](https://buzzsumo.com/wp-content/uploads/2023/09/Building-A-Digital-PR-Strategy-10-Essential-Steps-for-Beginners-With-Examples-bblog-masthead.jpg)
South Carolina RN Medical Reviewer
A company is looking for an RN Medical Reviewer III (Reporting and Research). Key Responsibilities Perform medical claim reviews and determine medical necessity and appropriateness for coverage and reimbursement Educate internal and external staff on medical reviews, terminology, and coding procedures Participate in quality control activities and assist with special projects as assigned by management Required Qualifications, Training, and Education Active, unrestricted RN licensure in the state of hire or a compact multistate RN license Associate degree in Nursing or a bachelor's degree in a health-related field Two years of clinical experience plus two years in utilization/medical review or quality assurance Working knowledge of managed care and healthcare delivery systems Proficiency in Microsoft Office, particularly Excel for reporting and research tasks
A company is looking for an RN Medical Reviewer III (Reporting and Research).
Key Responsibilities
Perform medical claim reviews and determine medical necessity and appropriateness for coverage and reimbursement
Educate internal and external staff on medical reviews, terminology, and coding procedures
Participate in quality control activities and assist with special projects as assigned by management
Required Qualifications, Training, and Education
Active, unrestricted RN licensure in the state of hire or a compact multistate RN license
Associate degree in Nursing or a bachelor's degree in a health-related field
Two years of clinical experience plus two years in utilization/medical review or quality assurance
Working knowledge of managed care and healthcare delivery systems
Proficiency in Microsoft Office, particularly Excel for reporting and research tasks