🌎
This job posting isn't available in all website languages
📁
Medical
📅
PS13930 Requisition #
Thanks for your interest in the Nurse Medical Mgmt I/II Remote - (PS13930) position. Unfortunately this position has been closed but you can search our 726 open jobs by clicking here.


Nurse Medical Management I

Requires:

  

  • Current active unrestricted RN license practice in state of residence.
  • 2 years clinical RN experience.
  • 2 years of experience with medical review and/or utilization management required.
  • Managed Care experience preferred.
  • Experience working with Microsoft Office (Outlook and Word).
  • Experience using electronic documentation and using multiple computer screens.
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • Claims research preferred 
Nurse Medical Management II
Requires: 
  • Current active unresctirced RN license in state of residence.
  • 3-5 Medical review and or utilization management required.
  • Managed Care experience preferred. 
  • Participation in the American Association of Managed Care Nurses preferred.
  • Experience working with Microsoft Office (Outlook and Word).
  • Experience using electronic documentation and using multiple computer screens
  • 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.
  • Utilization and medical review background
  • Claims research preferred 
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

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. 





Previous Job Searches

Activity Feed

27773
Job shares through Anthem, Inc.
Someone applied to the Nurse Case Manager I/II/Senior - Atlanta, GA or St. Louis, MO - PS14109 position. Less than a minute ago
Someone applied to the Health Promotion Consultant-Remote in KY, IN, TN, MO (PS10762) position. Less than a minute ago
Someone applied to the Implement & Coding Consultant - Selected Anthem locations only (PS15717) position. Less than a minute ago
Someone applied to the Network Contract Administrator - St. Louis, MO (Office-based) - PS18027 position. About a minute ago
Someone applied to the Customer Care Representative I: Denver, CO (0141046) position. 2 minutes ago

Similar Listings

Mason, Ohio, United States

📁 Medical

Requisition #: PS13556

Norfolk, Virginia, United States

📁 Medical

Requisition #: PS17088

Norfolk, Virginia, United States

📁 Medical

Requisition #: PS13675

Underwriting

Work alongside some of the most skilled actuarial professionals in the business. Our underwriting team has opportunities available in pre-sales, retention and iimplementation, risk analysis, life and disability underwriting, and medical evidence underwriting.

Anthem Underwriting associates collaborate with some of the most skilled actuarial professionals in the business. Join us as we apply advanced research and risk analysis to deliver solutions that positively impact lives of consumers .

  • Work across life and disability underwriting, pre-sales, retention and implementation, risk analysis and medical evidence underwriting
  • Combine out-of-the-box thinking and solid analytical skills to generate innovative, life-enhancing solutions
  • Partner with sales professionals to write profitable business that achieves enterprise-wide goals
  • Accurately assess risk and craft coverage plan proposals that meet the needs of both the Company and its members

View Related Jobs