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Job Family: Medical
Req #: PS43092-US
Date Posted: Jan 26, 2021
DescriptionSHIFT: Day Job
Your Talent. Our Vision. At AIM Specialty Health (AIM), a proud member of the Anthem, Inc. family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve.
Nurse Reviewers ( Associate or Level I) are responsible for conducting pre-authorization, out of network and appropriateness of treatment reviews for diagnostic imaging and other services by utilizing appropriate policies, clinical and department guidelines. They collaborate with healthcare providers to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits. Whether you are newly licensed RN, or have many years of RN experience, we want to consider you! We currently have multiple new spots to fill.
These positions typically require office training, but due to COVID our offices are currently closed. We have approval to offer remote/virtual training and these positions will work full-time remote from home until further notice. Once we go back to standard operations, these positions will be located in Westchester, IL.
The schedule for this position is Monday - Friday, 9:30am to 6:00 pm CST.
Primary duties may include, but are not limited to:
Nurse Reviewer (Associate or Level I) SHARED qualifications:
Nurse Reviewer I specific qualifications:
All perspective candidates should have an access to the Internet with the following characteristics:
Next available class date is:
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2019 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.
Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.