Clinical Reviewer, Nurse (Medical Oncology)

Evolent Specialty Services, Inc(4 days ago)

RemoteFull TimeSenior$64,000 - $72,800Healthcare

About this role

Evolent is seeking a Clinical Review Nurse to perform precertification and prior approvals for oncology treatments, working within a nurse's scope of practice. The role involves assessing medical necessity, collaborating with healthcare providers, and ensuring high-quality, cost-effective care. It offers the opportunity to contribute to patient care coordination in a mission-driven healthcare organization.

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Required Skills

RN
Clinical Decision-Making
Oncology
Utilization Review
Data Entry
Communication
Critical Care
Chemotherapy
Telehealth
MS Office

Qualifications

Active Nursing License
3+ Years Clinical Experience
Oncology Experience

About Evolent Specialty Services, Inc

evolent.com

Evolent Health is a healthcare technology and services company focused on transforming the way healthcare is delivered and paid for. By leveraging their innovative platform, Evolent partners with health systems to improve patient outcomes, reduce costs, and streamline operations across diverse care settings. Their solutions include support for population health management, care delivery optimization, and value-based care models, all aimed at enhancing the provider and patient experience in the American healthcare system. Evolent is dedicated to simplifying healthcare complexities to create a more effective and efficient care environment.

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