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JobsRegistered Nurse JobsRemote Registered Nurse JobsNurse Reviewer I

Pays $35.54-$55.73/hr — Registered Nurse market median is ~$92k (156 jobs)

Elevance Health logo
Elevance Health
Chicago, Illinois · Remote OK

Nurse Reviewer I

Registered Nurse 9.3 Work-LifeNo callFull-Time
Posted 44m ago · Verified live

About the Role

Remote Nurse Reviewer I. Mon-Fri 11:30am-8pm CST with alternating weekends. $35.54 - $55.73/hour. Chicago, IL.

Join Elevance Health as a Nurse Reviewer I – Remote, Alternating Weekends in Chicago, Illinois. Anticipated End Date: 2026-09-11 Position Title: Nurse Reviewer I Job Description: Nurse Reviewer I *Seeking RNs that have a current, unrestricted RN license in either the state of Illinois and/or California.

Benefits & Compensation

  • Pay rate: $35.54 - $55.73/hour.
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Paid holidays
  • Paid Time Off
  • Medical, dental, vision
  • Short and long term disability
  • Life insurance

Work Schedule

  • Full-Time position.
  • Remote position - work from anywhere.
  • No call required.
  • Weekend coverage may be required.

This position offers no call requirements, remote work flexibility. Work with Elevance Health in Chicago, Illinois.

Key Responsibilities

The Nurse Reviewer I conducts medical necessity reviews for preauthorization requests and diagnostic imaging services to ensure quality member outcomes. They also manage appeal requests and collaborate with healthcare providers to optimize member benefits.

Requirements

Candidates must hold an Associate degree in nursing and possess at least 3 years of clinical nursing experience or 1 year of utilization management experience. A current, unrestricted RN license in Illinois or California is mandatory.

Qualifications

Education
Associate degree
Experience
2+ years of experience

Key Skills

Utilization managementMedical necessity reviewClinical nursingPreauthorizationDiagnostic imagingAppeal processingICD-9 codingCPT-4 codingManaged health careHMOPPOPOSDocumentationProvider communicationQuality management

Position Insights

AI ANALYSIS

This role scores 9.3/10 on work-life balance for Registered Nurse roles. No call coverage keeps hours predictable.

Career trajectory: This position offers advancement within 2-3 years. The compensation analysis shows this employer pays...

Benefits analysis: Compared to 156 similar roles, this listing's benefits package ranks...

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Elevance Health logo

About Elevance Health

Hospitals and Health Care
Indianapolis, Indiana
10,000+ employees
Website All Elevance Health jobs

Benefits & Perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Paid holidays
Paid Time Off
Medical, dental, vision
Short and long term disability
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