Lead Clinical Review Nurse

Elevance Health

Multiple Locations
Hybrid
7 years acute care experience
Current unrestricted rn license
Managed care experience
The Lead Clinical Review Nurse serves as a team lead for nursing staff collaborating with cross-functional teams

Job Summary

  • The Lead Clinical Review Nurse serves as a team lead for nursing staff collaborating with cross-functional teams.
  • This role ensures quality audits and promotes education and training for the DRGV team.
  • Elevance Health offers a flexible work environment with a focus on personal and professional growth.

Matching Summary

The Lead Clinical Review Nurse serves as a team lead for nursing staff collaborating with cross-functional teams.

Skills & Requirements

Must-have

  • 7 years acute care experience
  • Current unrestricted RN license
  • Managed care experience

Nice-to-have

  • BS in nursing preferred
  • Claims auditing experience
  • Knowledge of medical payment methodologies

Key Requirements

  • AS in nursing required
  • CCS, RHIT, RHIA coding certificate preferred

Work Rights

Not specified

Tailored Resume

Cover Letter