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Elevance Health
Overview
The Clinical Review Nurse I reviews prior authorization requests and clinical documentation to determine medical necessity and benefit coverage. They collaborate with providers to obtain necessary information and escalate complex cases to leadership and physician reviewers.
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Compensation
Salary not listed
Posted
5 days ago
Davies
The role involves independently managing medical claims for injured workers in a Workers' Compensation environment, focusing on coordinating care to ensure quality medical outcomes and timely, cost-effective return-to-work.
$75,000 - $83,000 / YEAR
3 months ago