Remote DRG Clinical Validation Lead
Indianapolis, Hamilton County, Indiana, 46262, USA
Listed on 2026-10-07
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Nursing
Healthcare Nursing, Clinical Nurse Specialist
Elevance Health is seeking a DRG Clinical Validation Lead to ensure medically appropriate, high quality, cost effective care by assessing medical necessity across inpatient and outpatient services, using medical policy and industry standards.
This role involves pre-certification reviews, collaboration with medical directors, discharge planning, and leading cross-functional initiatives. Must have RN license and 7+ years acute care and managed care experience.
We are currently recruiting a Remote DRG Clinical Validation Lead for our team in Indianapolis, IN, United States.
This is a strong position to take on the Remote DRG Clinical Validation Lead role at Elevance Health.
As a Remote DRG Clinical Validation Lead, you will play an important part at Elevance Health in Indianapolis, IN, United States.
We invite applications for the Remote DRG Clinical Validation Lead position located in Indianapolis, IN, United States.
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