Nurse Reviewer I - Remote Opportunity with Carelon Global Solutions at Carelon Global Solutions Philippines | JobGan

Nurse Reviewer I - Remote Opportunity with Carelon Global Solutions

Carelon Global Solutions Philippines
Full time 🌐 Remote Mid
📡 United States 🏙 United States 📅 Dec 31, 1969 ⏳ Closes Aug 19, 2026
💰 $34 – $58 CAD/hr
📋 Job Description

The Nurse Reviewer I role at Carelon Global Solutions focuses on conducting preauthorization and treatment reviews for diagnostic imaging services, ensuring quality outcomes for members. This position involves initial medical necessity screenings and collaboration with healthcare providers to optimize member benefits. Candidates should have a nursing degree and relevant clinical experience, along with familiarity with healthcare guidelines and coding.

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HIRING COMPANY:
Carelon Global Solutions Philippines
📡 United States
Carelon Global Solutions, part of the Elevance Health family, is a leading healthcare services organization committed to integrating and personalizing care to make it more affordable. With a diverse team of professionals, including specialty-care physicians, nurse practitioners, and data scientists, Carelon focuses on …

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⏳ Closes Aug 19, 2026
Nurse Reviewer I - Remote Opportunity with Carelon Global Solutions
Carelon Global Solutions Philippines · $34 – $58 CAD/hr