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Remote Nurse Reviewer - Medical Necessity Imaging

Remote / Online - Candidates ideally in
Miami, Miami-Dade County, Florida, 33222, USA
Listing for: Elevance Health
Remote/Work from Home position
Listed on 2026-07-19
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse
Salary/Wage Range or Industry Benchmark: 70000 - 90000 USD Yearly USD 70000.00 90000.00 YEAR
Job Description & How to Apply Below

Elevance Health seeks a Nurse Reviewer I to perform preauthorization and medical necessity reviews for diagnostic imaging, working remotely with in-person training requirements. The role involves collaborating with providers and members to ensure appropriate, high-quality imaging services and optimal member benefits.

Qualifications include an ASN in nursing with 3 years of clinical nursing or equivalent utilization management experience and an active RN license.

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