Elevance Health

Elevance Health

Clinical Review Nurse I/II/Sr/Lead

IN-INDIANAPOLIS, 220 VIRGINIA AVE, USA · Senior · Contract

Sponsorship not specified$80k-$115kDetected 1 day ago
AccessibilityProcess ImprovementHRIS

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odds of building a lasting career here

53Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role100
Entry-level history0
PERM / green-card track0
Lottery odds (Level II)66
Fits your clock70

Sponsors, but it's cap-subject — you still face the weighted lottery (~30% per draw at Level II). Good if you win; have a cap-exempt backup on your list.

Lottery odds assume a STEM candidate.

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About the role

  • Responds to the most complex medical issues.
  • May participate in or cross-functional teams, projects and initiatives, process improvement activities.
  • May serve as departmental liaison to other areas of the business.

Responsibilities

  • Clinical Review Nurse I/II/Sr/Lead
  • Serves as a resource to clinical reviewers and support team.
  • The Clinical Review Nurse Senior is responsible for coordinating and overseeing the work of the clinical nurse reviewers and non-clinical support team.

Requirements

  • Requires AS in nursing and minimum of 5 years of clinical experience
  • Current unrestricted RN license required

Nice to have

  • Preferred Skills, Capabilities and Experiences:

Skills

  • BS in nursing preferred.
  • Advanced knowledge of Medicare Home Health regulations.
  • Clinical Review experience.
  • Ability to comprehend medical policy and criteria to clearly articulate health information strongly preferred.

Compensation

  • For candidates working in person or virtually in the below locations, the salary* range for this specific position is $79,760 to $114,655.

Benefits

  • Wellpoint Federal, a subsidiary of Elevance Health, brings deep industry expertise and healthcare service capabilities to support federal programs.
  • The organization delivers solutions across claims administration, data, and care delivery to help address complex challenges and improve health outcomes for federal populations.

Company info

  • Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
  • How We Work
  • At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
  • We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
  • Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
  • We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
  • At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
  • Our values and behaviors are the root of our culture.
  • They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
  • Elevance Health operates in a Hybrid Workforce Strategy.
  • Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
  • Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
  • The health of our associates and communities is a top priority for Elevance Health.
  • We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza.
  • If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.
  • Elevance Health will also follow all relevant federal, state and local laws.
  • 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.
  • Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.
  • Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
  • Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
  • NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date.
  • Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM.
  • In other words - the job is posted until 3/13, not through 3/13.

Visa & Work Authorization

  • ent 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 gend
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This listing is sourced directly from Elevance Health's careers page and normalized into a canonical job model.