Medical Management Clinician Sr.
Elevance Health(1 month ago)
About this role
The Medical Management Clinician Sr. at AmeriBen (an Elevance Health company) is a senior clinical professional within the medical management organization who ensures clinical decisions align with plan policies and member needs. The role operates primarily virtually with required in-person training and supports clinical operations and oversight for complex case work. An active nursing license is required for the position.
Required Skills
- Clinical Review
- Utilization Review
- Medical Policies
- Case Management
- Provider Collaboration
- Clinical Guidelines
- Quality Audits
- Precertification
- Member Education
- Process Improvement
Qualifications
- HS Diploma Or Equivalent
- LPN/LVN License
- RN License
- Multi-State Licensure
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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