RN Medical Management Clinician Sr.
Elevance Health(27 days ago)
About this role
Senior RN Medical Management Clinician at Elevance Health supporting medical management and utilization review for members within plan policies and clinical guidelines. Virtual-eligible role requiring Virginia residency and an active RN license. Sits within the licensed nursing job family at a large healthcare insurer.
Required Skills
- Nursing
- Utilization Review
- Medical Necessity
- Clinical Guidelines
- Case Management
- Provider Collaboration
- Quality Auditing
- Training
- Process Improvement
Qualifications
- Current Active RN License - Virginia
- 6 Years Clinical Experience
- HS Diploma or Equivalent
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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