Nurse Appeals RN-Quality of Care
Elevance Health(27 days ago)
About this role
The Nurse Appeals RN - Quality of Care at Elevance Health works within the licensed nurse job family to support appeals and quality-of-care processes for members and providers. This virtual-first position contributes clinical context and summaries to medical directors and supports regulatory and member communications in a managed care environment.
Required Skills
- Clinical Review
- Medical Records
- Case Management
- Documentation
- Regulatory Compliance
- Clinical Summaries
- Communication
Qualifications
- HS Diploma or Equivalent
- AS in Nursing
- BS in Nursing
- RN License
- Multi-State/Compact RN License
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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