Clinical Review Nurse I

About This Role The Clinical Review Nurse I is responsible for reviewing and making medical determinations regarding claims to ensure they meet the benefits carried by members. This role is ideal for individuals seeking a flexible, virtual work environment while contributing to healthcare decision-making. Highlights Location: Atlanta, GA Schedule: Full-time, Virtual What You'll Do Assess the necessity and reasonableness of items supplied in valid claims using medical policy and other materials. Requirements Education: AS in nursing required, BS in nursing preferred Experience: Minimum of 1 year of clinical experience Licenses & Certifications: Current unrestricted RN license required Benefits: Merit increases Paid holidays Paid Time Off Incentive bonus programs Medical, dental, and vision benefits Short and long-term disability benefits 401(k) + match Stock purchase plan Life insurance Wellness programs Financial education resources About Elevance Health Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. They are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels who are passionate about making an impact on their members and communities. #J-18808-Ljbffr Elevance Health