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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 999 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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