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Nurse Reviewer Associate or Nurse Reviewer I

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Medical
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PS27114 Requisition #
Thanks for your interest in the Nurse Reviewer Associate or Nurse Reviewer I position. Unfortunately this position has been closed but you can search our 1,109 open jobs by clicking here.

Nurse Reviewer I & Nurse Reviewer Associate SHARED qualifications:

  • Registered Nurse with a current, valid unrestricted license in the State of California
  • Candidates must have good computer skills and solid typing speed and accuracy
  • Knowledge of managed healthcare programs - HMO, PPO, and POS are preferred
  • Familiarity with Utilization Management Guidelines preferred
  • Familiarity with ICD-9 and CPT 4 coding preferred 

Nurse Reviewer I specific qualifications:

  • 3 + years recent clinical nursing experience in an ambulatory or hospital setting
  • Previous utilization and/or quality management and/or call center experience is helpful

 

Nurse Reviewer Associate specific qualifications:

 Graduate of an accredited school of nursing

  • Any experience in clinical nursing experience is a plus
  • Customer service experience is preferred
  • Quality management and/or call center experience is a plus

AIM- A Leading Employer of Choice, Benefits at a Glance

 

Along with a dynamic, entrepreneurial work environment, AIM offers competitive compensation, a generous benefits package and the opportunities for career progression you'd expect from an industry leader.

 

These benefits include:

            An array of Health, Dental and Vision Care Insurance plans

  • Term Life Insurance
  • Short- and Long-term Disability Insurance
  • 401(k) Employee Savings Plan with company match
  • Employee Stock Purchase Plan
  • Paid Time Off
  • Tuition Reimbursement
  • Tax-advantaged health care and dependent flexible spending plans
  • Health club reimbursement allowance
  • Licensure reimbursement for medical professionals

 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.


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Life At Anthem

There’s something truly unique going on within Anthem. Everywhere you look, you’ll find smart, passionate people looking for ways to drive the future of health care by making a positive impact.

So what drives us? We’re guided by a powerful set of Values – shared priorities that influence our every interaction with each other, our customers and our community.

We encourage associates to be Innovative, Trustworthy and socially responsible.

We’re committed to being Easy-to-Do Business With; striving always to make things easier for customers.

We work together, with each other and with the people we serve, and we make a real difference by Caring, treating our customers the way we want to be treated.

We demand Accountability, and we take joy in recognizing those who lead by example – at work, and in the community.

We treat others the way we want to be treated, and it makes all the difference. If you’re looking for an opportunity to work with a forward-thinking industry leader, there’s not better place to find yourself than here!

Anthem’s Standards of Ethical Business Conduct (Code of Conduct) guides our actions and supports our values.