Nurse Appeals Senior
Elevance Health(25 days ago)
About this role
The Nurse Appeals Senior is a licensed clinical nursing role within Elevance Health's medical organization focused on the appeals function and clinical decision support. This non-management exempt position is primarily virtual and supports regulatory compliance and clinical review activities for the health plan.
Required Skills
- Appeals Investigation
- Medical Review
- Medical Necessity
- Documentation
- Communication
- Analytical Skills
- Case Management
- Medical Policy
Qualifications
- HS Diploma or Equivalent
- Active Unrestricted RN License
- AS in Nursing (Preferred)
- BS in Nursing (Preferred)
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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