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AIM Specialty Health-Westchester, IL Nurse Reviewer I or Nurse Associate-March 23 Start Date

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Medical
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0144928 Requisition #
Thanks for your interest in the AIM Specialty Health-Westchester, IL Nurse Reviewer I or Nurse Associate-March 23 Start Date position. Unfortunately this position has been closed but you can search our 752 open jobs by clicking here.
Nurse Reviewer Associate
- Requires an AS/BS in nursing. 
- Current unrestricted RN license in Illinois 
- Familiarity with managed health care programs including HMO, PPO, and POS and with ICD-9 and CPT 4 coding preferred. 

Nurse Reviewer I 
- Requires AS/BS in nursing; and 3 years of clinical nursing experience in an ambulatory or hospital setting or 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted RN license in Illinois 
- Requires familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans. 
- Previous utilization and/or quality management and/or call center experience preferred. 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. 

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