The Licensed Utilization Review II at Elevance Health is responsible for working with healthcare providers to ensure appropriate and consistent administration of plan benefits through preauthorization services, assessing medical necessity, out-of-network services, and appropriateness of treatment setting. This role involves applying medical policies, clinical guidelines, and plan benefits within the scope of licensure to improve health outcomes for members. The position is remote, requiring the candidate to reside in Florida.

Licensed Utilization Review II (RN)

Licensed Utilization Review II

The Credentialing & Licensure Manager at Radia Medical Imaging is responsible for managing the day-to-day operations of the credentialing department, providing consistent, accurate, and timely credentialing support for the professional services corporation. This role involves overseeing hospital credentialing processes, licensure renewals, primary source verification, and more, as well as staff management, regulatory requirements, and process improvement.

Credentialing & Licensure Manager

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If QUICK_APPLY_SKIP_SUBMIT is set to true these providers will ignore the setting and still submit.

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Licensed Jobs in Ellington, CT Hiring Now

Licensed Utilization Review II (RN)

Credentialing & Licensure Manager