Medicare Claims Review Nurse I - Remote & Flexible Hours

Elevance Health

Elevance Health is seeking a Clinical Review Nurse I to join their Medicare Part A team. This role allows virtual work full-time, requiring some in-person training. Responsibilities include assessing claims' necessity and reviewing adjudication based on medical policy. The ideal candidate must have an AS in nursing, a current RN license, and at least one year of clinical experience. Preference is given to those with a BS in nursing and knowledge of Medicare guidelines. #J-18808-Ljbffr

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Vacancy posted 3 days ago

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