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Healthcare Administration Healthcare Management

LPN Medical Review & Utilization Specialist

Job in Myrtle Beach, Horry County, South Carolina, 29588, USA
Listing for: BlueCross BlueShield of South Carolina
Full Time position
Listed on 2026-02-04
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
A healthcare management company in Myrtle Beach seeks a Medical Review Specialist to perform medical reviews and utilization management. This role involves documenting decisions, educating staff, and providing support for medical claims. A Bachelor's degree in Social Work or equivalent nursing credentials and at least two years of clinical experience are required. Preferred candidates will have strong analytical skills and a working knowledge of Microsoft Office tools.

This position also offers competitive benefits and an inclusive work environment.
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