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Virtual Clinical Review Nurse Lead
Job in
Cincinnati, Hamilton County, Ohio, 45208, USA
Listed on 2026-07-30
Listing for:
Elevance Health
Full Time
position Listed on 2026-07-30
Job specializations:
-
Nursing
Clinical Nurse Specialist, Nursing Home
Job Description & How to Apply Below
Elevance Health is seeking a Clinical Review Nurse Lead to supervise the nursing team, collaborate with providers and members, and promote quality, cost-effective care.
You will review medical necessity for home health and outpatient services, interpret benefits with medical directors, and lead process improvements; occasional appeals management may be required.
This role supports a virtual/hybrid work model with in-person training, with flexible locations within commuting distance to an office.
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