LTSS Service Coordinator-RN Clinician/Care Plan or UAS Nurse. The Care Plan Nurse is a remote role working from home. Occasional travel or hybrid work option to Lake Success office may be requiredPlease be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company.

Range for this specific position is $29.32 to $35.98 for Nurse Reviewer Associate, and $31.86 to $39.10 for Nurse Reviewer I. Nurse Reviewer (Associate or Level I) The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.

Nurse Reviewers are responsible for conducting pre-authorization, out of network and appropriateness of treatment reviews for diagnostic imaging and other services by utilizing appropriate policies, clinical and department guidelines.

The health of our associates and communities is a top priority for Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. Elevance Health will also follow all relevant federal, state and local laws.

Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate.

ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Notifies ordering physician or rendering service provider office of the pre-authorization determination decision.

Conducts initial medical necessity review of out of network pre-authorization requests for services requested outside of the client health plan network. Documents the results of the initial clinical review and determination in the pre-certification computer system.

Receives pre-authorization requests from front-line intake. 3+ years of clinical nursing experience in an ambulatory or hospital setting or 1 year of prior utilization management, medical management and/or quality management, and/or call center experience.

Our Nurse Practitioners and Physician Assistants play a vital role at Aspire - and this is an ideal choice for the individual who has the passion, devotion, and desire to impact the lives of the patients and families we serve in palliative care.

Family or Adult Nurse Practitioner OR Physician Assistant with appropriate certification and licensure in the state where you reside is required. Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements.

Nurse Practitioner - Field. Nurse Practitioners and Physician Assistants. Elevance Health, Inc. is anE-verify Employer ( Maintain daily patient medical records and medical documentation consistent with state regulations and Aspire Health standards and policy through our EMR system.