Medical Management Clinician Associate
Elevance Health(14 days ago)
About this role
The Medical Management Clinician Associate is responsible for reviewing clinical information and assessing medical necessity for benefits administration. It involves handling less complex benefit plans, conducting reviews, and ensuring appropriate medical services within scope of licensure. The role supports automated processes and referrals to more senior staff for complex cases.
Required Skills
- ClinicalReview
- MedicalNecessity
- UtilizationReview
- BenefitPlans
- MedicalPolicies
- Algorithms
- LPN
- RN
- Healthcare
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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