Medical Management Clinician
Elevance Health(1 month ago)
About this role
The Medical Management Clinician at Elevance Health performs licensed clinical reviews to support appropriate administration of plan benefits for MyCare Ohio Plan members. The role is a nursing-focused position working primarily virtually out of Ohio with required in-person training and onboarding.
Required Skills
- Utilization Management
- Clinical Review
- Medical Necessity
- Case Coordination
- Provider Communication
- Benefit Interpretation
Qualifications
- HS Diploma
- 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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