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Remote Medicare Part B Clinical Review Nurse

Remote / Online - Candidates ideally in
South Portland, Cumberland County, Maine, 04106, USA
Listing for: Elevance Health
Remote/Work from Home position
Listed on 2026-10-13
Job specializations:
  • Nursing
    Healthcare Nursing, Clinical Nurse Specialist, Public Health Nurse, RN Nurse
Salary/Wage Range or Industry Benchmark: 67000 - 101000 USD Yearly USD 67000.00 101000.00 YEAR
Job Description & How to Apply Below
Position: Remote Medicare Part B Clinical Review Nurse I

Elevance Health is seeking a Clinical Review Nurse I – Medicare Part

B. This role supports federal programs with virtual work and required in-person onboarding; occasional office locations may apply within a commuting distance.

You will review claims for medical necessity using policy guidelines and communicate determinations clearly. Minimum requirements include AS in nursing with 1 year of clinical experience and an unrestricted RN license; residency rules apply for certain federal divisions.

The Remote Medicare Part B Clinical Review Nurse I position in the Bio & Pharmacology & Health field is open for applications.

Join us at Elevance Health as our next Remote Medicare Part B Clinical Review Nurse I in South Portland, ME, United States.

We are currently recruiting a Remote Medicare Part B Clinical Review Nurse I for our team in South Portland, ME, United States.

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