Medical Management Clinician Senior -licensed Nurse

Elevance Health

Tampa, FL, United States
Hybrid
Clinical experience
Utilization review experience
Lpn/lvn or rn license
The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessities under relevant guidelines

Job Summary

  • The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessities under relevant guidelines.
  • This role enables associates to work virtually full-time, providing maximum flexibility and autonomy.
  • Elevance Health is dedicated to improving lives and communities, making healthcare simpler.

Matching Summary

The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessities under relevant guidelines.

Skills & Requirements

Must-have

  • clinical experience
  • utilization review experience
  • LPN/LVN or RN license

Nice-to-have

  • process improvement initiatives
  • collaborative team environment
  • training and orientation materials

Key Requirements

  • minimum of 6 years of experience
  • multi-state licensure required

Work Rights

Not specified

Tailored Resume

Cover Letter