Lead Clinical Review Nurse
Elevance Health(12 days ago)
About this role
The Lead Clinical Review Nurse role is a virtual, non-management position focusing on overseeing nursing staff involved in clinical audits, coding accuracy, and quality assurance in a healthcare setting. The role emphasizes collaboration with healthcare providers and internal teams to ensure high quality, compliant, and cost-effective care while managing complex audit issues and leading educational initiatives.
Required Skills
- Nursing
- Coding
- Auditing
- Healthcare Compliance
- Medical Records
- Medical Billing
- Claims Review
- Retrospective Review
- Healthcare Quality
- Provider Relations
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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