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Nurse Reviewer I*Future Opportunity* Indianapolis, IN in Indianapolis, IN at Anthem, Inc.

Date Posted: 11/23/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Anthem, Inc., 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.
  •*This posting if for future hiring only.**
 

The Clinical Review Nurse I will be responsible for reviewing and making medical determinations as to whether a claim meets the benefits the member carries. Primary duties may include, but are not limited to:
  • Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials.
  • Requires an AS/BS in nursing; 1 year of clinical experience with an understanding of clinical experience; or any combination of education and experience, which would provide an equivalent background.
  • Current unrestricted RN license required.
  • Ability to comprehend medical policy and criteria to clearly articulate health information required.
 
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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