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Nurse Reviewer -Utilization Review Call Center - Westchester, IL - PS8743

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Medical
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PS8743 Requisition #
Thanks for your interest in the Nurse Reviewer -Utilization Review Call Center - Westchester, IL - PS8743 position. Unfortunately this position has been closed but you can search our 1,196 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 Illinois
  • 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 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

 

 TO APPLY, CLICK ON THE ORANGE STRIP AT THE BOTTOM OF THE PAGE.

 

 

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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Operations

Apply your problem-solving skills and work on enterprise-level projects with cross-functional teams.

Operations professionals at Anthem:

  • Drive greater consistency, standardization and constant improvement of our business processes and technology platforms
  • Contribute to our goal of reducing health disparities between different segments of the population by working to optimize processes that increase health care affordability and transparency
  • Leverage advanced technology to continually offer associates and members new ways to connect and share information related to their health and health benefits

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