Medical Director RN

2 weeks ago


Mason, Ohio, United States Elevance Health, Inc. Full time
Job Summary

We are seeking a skilled Medical Director RN to join our team at Elevance Health, Inc. The ideal candidate will have a strong background in medical management and a passion for delivering high-quality, cost-effective care.

Key Responsibilities
  • Assess the medical necessity of inpatient admissions and outpatient services
  • Evaluate the appropriateness of focused surgical and diagnostic procedures
  • Review out-of-network services and ensure they are medically necessary
  • Collaborate with healthcare teams to develop and implement cost-effective care plans
Requirements
  • Current RN licensure
  • Minimum 3 years of experience in medical management
  • Strong analytical and problem-solving skills
  • Excellent communication and collaboration skills

Elevance Health, Inc. is an equal opportunity employer and welcomes applications from diverse candidates. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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