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Utilization Review Nurse

Remote, USA Full-time Posted 2026-06-25

We are proud to announce an exciting opportunity for an experienced and motivated Utilization Review Nurse at BlueCross BlueShield of South Carolina. This position will give the right candidate a chance to make a meaningful contribution to our organization as they assist us in providing quality healthcare services to our members.The ideal candidate will have a comprehensive knowledge of medical terminology, a strong background in healthcare policy, an understanding of the utilization review and discharge planning processes, and the ability to work well with a diverse range of stakeholders. Additionally, we are looking for a professional who is able to work independently and as part of a team, and who is capable of multitasking and managing a wide variety of tasks.A successful Utilization Review Nurse at BlueCross BlueShield of South Carolina will have a current Registered Nurse license in South Carolina and a minimum of two years’ experience in utilization review and/or discharge planning. A Bachelor’s degree in Nursing is preferred.We are excited to find a candidate who is passionate about healthcare and is ready to take on this important role in our organization. If you think you are the best person for the job, please don’t hesitate to apply. Responsibilities for Utilization Review Nurse at BlueCross BlueShield of South Carolina: Assisting with providing quality healthcare services to members. Utilizing a comprehensive knowledge of medical terminology. Possessing a strong background in healthcare policy. Having an understanding of utilization review and discharge planning processes. Ability to work independently and as part of a team. Capable of multitasking and managing a wide variety of tasks. Maintain a current Registered Nurse license in South Carolina. Possess a minimum of two years’ experience in utilization review and/or discharge planning. Possess a Bachelor’s degree in Nursing (preferred). Passionate about healthcare. BlueCross BlueShield of South Carolina is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply Job!

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