Clinical Review Nurse I
Elevance Health(1 month ago)
About this role
Clinical Review Nurse I (Medicare Part A) is a licensed nursing role within Elevance Health’s National Government Services division that supports administration of Medicare programs and partnership with CMS. The position is primarily remote with required in-person training and aligns with clinical nursing services for Medicare-related operations. It is based in New York (alternate nearby locations may be considered) and follows a standard Monday–Friday, 8 am–5 pm EST schedule.
Required Skills
- Clinical Review
- Medical Review
- Medical Policy
- Claims Review
- Nursing
- Documentation
- Clinical Assessment
- Communication
Qualifications
- AS in Nursing
- RN License (Unrestricted)
- BS in Nursing (Preferred)
- US Residency (3 of 5 Years)
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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