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Nurse Medical Management I/II/Senior - Based in Indiana or Georgia - Potential to Work Remotely - PS6326

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Medical
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PS6326 Requisition #
Thanks for your interest in the Nurse Medical Management I/II/Senior - Based in Indiana or Georgia - Potential to Work Remotely - PS6326 position. Unfortunately this position has been closed but you can search our 1,308 open jobs by clicking here.

NURSE MEDICAL MANAGEMENT I:

Requires 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 acute care clinical experience. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

 

NURSE MEDICAL MANAGEMENT II:

Requires current active unrestricted RN license to practice as a health professional in applicable state(s) or territory of the United States and 3-5 years acute care clinical experience or case management, utilization management or managed care experience, which would provide an equivalent background. Participation in the American Association of Managed Care Nurses preferred. Must have knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products. Prior managed care experience strongly preferred. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

 

NURSE MEDICAL MANAGEMENT SENIOR:

Requires 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 3 to 5 years acute care clinical experience or case management, utilization management or managed care experience, which would provide an equivalent background. Certification in the American Association of Managed Care Nurses preferred. Must have knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products. Prior managed care experience required. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Must exhibit leadership skills.

 

***May be hired as a Nurse Case Manager I, II or Senior depending upon level of education and relevant experience***


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 antheminc.com/careers. EOE. M/F/Disability/Veteran


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