Nurse Reviewer I
Elevance Health(1 month ago)
About this role
The Nurse Reviewer I is an entry-level clinical reviewer who conducts preauthorization, out-of-network and appropriateness reviews for diagnostic imaging services. The role is part of Carelon Medical Benefits Management (Elevance Health) and supports clinical decision-making to ensure appropriate, cost-effective use of imaging. The position is primarily virtual with occasional in-person training and location-based considerations.
Required Skills
- Preauthorization Review
- Clinical Screening
- Utilization Management
- Provider Communication
- Documentation
- Medical Coding
- Nursing
Qualifications
- AS in Nursing
- BS/BA Preferred
- Unrestricted 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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