- Elevance Health (Middletown, NY)
- …member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business ... caller's situation using established criteria and protocol. + Coordinates with case management and/or staff physicians. + Utilizes established software, written… more
- Elevance Health (New York, NY)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation ... advanced practice nurses regarding established guidelines and accepted standards of care as it relates to treatments, surgical procedures, imaging and appropriate… more