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Medical
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PS17784 Requisition #
Thanks for your interest in the Nurse Medical Mgmt II / I (Job Family) - PS 17784 - (No/So East Location or No/So East Remote) position. Unfortunately this position has been closed but you can search our 789 open jobs by clicking here.
  • Requires a current, active unrestricted RN license to practice as a health professional within the scope of practice in applicable state(s) or territory of the United States and 2 years of acute care clinical experience (3 years and 5 years respectively for higher level); or any combination of education and experience, which would provide an equivalent background.
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. 
  • Must have current or previous utilization management experience. 
  • Experience with DSNP and or Medicaid/MLTSS benefits a plus. 
  • Discharge planning, skilled nursing facility (SNF) and/or rehabilitation experience strongly preferred. 
  • Recent experience in GBD Facets preferred.
  • Knowledge of MCG, Inpatient Surgical (ISC) and General Recovery Guidelines (GRG) strongly preferred. 
  • Knowledge of Medicare Benefit Policy as it applies to SNF and inpatient rehabilitation strongly preferred.  
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
  • Hours 8AM - 5PM ET with occasional weekends

This position must be located in any of our NO or SO East Anthem locations or NO/So East remote is available.

 

 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. An Equal Opportunity Employer/Disability/Veteran

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Drive the future of health care, by helping to improve health outcomes and consumers' quality of life.

Build upon your clinical skills and experience opportunities for advancement while enjoying a more balanced way of life. Join us and help improve health outcomes and consumers' quality of life.

Medical associates at Anthem:

  • Work collaboratively within our team of exceptional nurses, physicians and pharmacists
  • Support the company's various business units in the development of innovative benefit designs that promote transparency, stability and affordability
  • Show initiative and make key decisions with the potential to influence patient outcomes and positively impact peoples' lives
  • Communicate effectively with associates at all levels of the company, fostering teamwork, while promoting corporate financial viability, stability and leadership
  • Ensure members get the support they need before, during and after their medical procedures, while helping to maintain exceptional quality control at every stage of the consumer journey

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