Clinical Review Nurse

Are you a compassionate and detail-oriented healthcare professional looking for a fulfilling role? Are you passionate about improving patient outcomes and ensuring the highest quality of care? Look no further, as Elevance Health is seeking a dedicated Clinical Review Nurse to join our team.As a Clinical Review Nurse, you will play a crucial role in reviewing and evaluating patient medical records to ensure accuracy and compliance with industry standards. Your expertise and attention to detail will help our organization provide exceptional care to our patients. We are looking for individuals who possess strong critical thinking skills, excellent communication abilities, and a desire to make a positive impact in the healthcare industry.If you meet the qualifications listed below and are interested in joining a dynamic and growing healthcare company, we encourage you to apply for this exciting opportunity.

1. Review and evaluate patient medical records to ensure accuracy and compliance with industry standards.
2. Utilize critical thinking skills to identify any discrepancies or concerns in patient records.
3. Communicate effectively with healthcare providers to gather additional information and clarify any discrepancies.
4. Collaborate with other healthcare professionals to ensure the highest quality of care for patients.
5. Maintain a thorough understanding of industry standards and regulations related to patient care and record-keeping.
6. Utilize electronic medical record systems to document all review findings and actions taken.
7. Identify and report any potential risk management issues to appropriate parties.
8. Participate in quality improvement initiatives to enhance patient outcomes and overall care delivery.
9. Maintain strict confidentiality and adhere to HIPAA regulations at all times.
10. Stay current with advances in healthcare technology and techniques, and incorporate them into the review process.
11. Attend training and educational sessions to continuously improve knowledge and skills.
12. Provide support and assistance to other team members as needed.
13. Demonstrate a commitment to compassionate and patient-centered care.
14. Adhere to company policies and procedures and maintain a high level of professionalism at all times.
15. Act as a positive representative of the organization and promote a positive image to patients and healthcare providers.

According to JobzMall, the average salary range for a Clinical Review Nurse in Chicago, IL, USA is $62,000-$86,000 per year. This range may vary depending on factors such as experience, education, and specific job responsibilities. Additionally, bonuses and benefits may also affect the overall salary for this position.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.