Clinical review nurse anthem

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August undefined, 2024

WebThe clinical care nurse serves as a nurse reviewer for admissions, lengths of stay and a facilitator for discharge planning. Must have strong computer skills. Posted 15 days ago · More... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. Responsible for coordinating cases for precertification… WebClinical Review Nurse Anthem, Inc. May 2024 - Present 2 months. Disease Management Nurse Anthem, Inc. Apr 2024 - May 2024 3 years …

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WebElevance Health Careers WebThe estimated total pay for a Clinical Reviewer at Elevance Health is $121,297 per year. This number represents the median, which is the midpoint of the ranges from our proprietary Total Pay Estimate model and based on salaries collected from our users. The estimated base pay is $104,127 per year. The estimated additional pay is $17,170 per ... aia annualchinese

Anthem, Inc. Clinical Review Nurse I (US) Job in Indianapolis, IN ...

WebApr 4, 2024 · 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 … WebAt Anthem Inc., we believe that having a diverse workforce is critical to innovation and to addressing the needs of the diverse customers and communities we serve. Women make up 76% of our workforce and 63% of all management roles. People of color represent 43% of our workforce and 29% of management. WebFeb 2, 2024 · Anthem Properties has an overall rating of 3.8 out of 5, based on over 58 reviews left anonymously by employees. 61% of employees would recommend working at Anthem Properties to a friend and 68% have a positive outlook for the business. This rating has decreased by -1% over the last 12 months. aia apologised

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NGS Clinical Review Nurse I- PS14982 - Anthem, Inc. Careers

WebClinical Review Nurse at Elevance Health Brooks, Georgia, United States121 connections Join to connect Anthem, Inc. Valdosta State … WebClinical Review Nurse I. Anthem 3.6. Indianapolis, IN 46201 +4 locations. Full-time. Day shift + 1. Prior experience with claim review helpful. Two (2) years of clinical experience. Conducts investigations and reviews of member and … aiaa promotional codeWebDr. Shawn Green, DNP is a Clinical Nurse Specialist in Atlanta, GA. 0 (0 ratings) Leave a review. 1175 Peachtree St NE Ste 1000 Atlanta, GA 30361. Make an Appointment. (800) 318-3963. Share Save. aia apply

"WebFeb 11, 2024 · The estimated total pay for a Clinical Review Nurse at Anthem Properties is $107,346 per year. This number represents the median, which is the midpoint of the … " - Clinical review nurse anthem

Clinical review nurse anthem

NGS Clinical Review Nurse I- PS16513 - Anthem, Inc. Careers

WebFeb 11, 2024 · The estimated total pay for a Clinical Review Nurse at Anthem Properties is $107,346 per year. This number represents the median, which is the midpoint of the ranges from our proprietary Total Pay Estimate model and based on salaries collected from our users. The estimated base pay is $99,326 per year. The estimated additional pay is … WebNurse Appeals (contract) Elevance Health 3.6. San Diego, CA. Estimated $77K - $97.5K a year. Contract. Monday to Friday. Conducts investigations and reviews of member and provider medical necessity appeals. Utilize leadership skills and serves as a subject matter expert for…. Posted 13 days ago ·.

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WebApr 1, 2024 · Schedule: PRN Weekends and Evenings Weekends: 4 hrs required Sat-Sun Evenings: work hours after 7p CST (8 EST) Must work at least 8 hrs every 4 weeks; maximum 8 hrs weekly. Pay range is $41.00/HR- $41.00/HR Position responsibilities: Develop resources regarding clinical items for internal and external customers Interview … WebApr 4, 2024 · Anthem, Inc. Clinical Review Nurse I (US) Job in Indianapolis, IN Glassdoor Elevance Health 3.7 ★ Clinical Review Nurse I (US) Indianapolis, IN Apply …

WebCLINICAL APPEALS NURSE HealthSmart 3.0 Remote in Abingdon, VA 24212 Estimated $58.7K - $74.4K a year Full-time View all 7 available locations Process Health Plan appeal, IRE appeal, and ALJ appeal notifications and determinations as needed. Experience with appeals and/or denials processing. Posted 8 days ago · More... WebUtilization Review Nurse. Ocean Beach Hospital and Medical Clinics Ilwaco, WA. $39.38 to $64.23 Hourly. Full-Time. Ocean Beach Hospital and Medical Clinics is seeking a full-time Utilization Review Nurse! Build your career with us! We believe in collaborative mentorship in a family feel atmosphere.

WebInteractive Care Reviewer (ICR) is Anthem’s innovative utilization management (UM) portal that allows health care professionals to submit prior authorization requests and clinical … WebEnsures member access to medical necessary, quality healthcare in a cost-effective setting according to contract. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process. Collaborates with providers to assess member’s needs for early ...

WebAll Titles RN (71,171) Nurse Case Manager (11,602) Nurse (5,015) Clinical Nurse Manager (4,295) Clinical Registered Nurse (3,627) Staff Nurse (3,287) Staff Registered Nurse (3,240) Hedis Registered Nurse Rn (2,103) Endoscopy Registered Nurse (1,822) Utilization Review Nurse (791) Nurse Practitioner (550) Registered Nurse Nursery …

WebI’m a Filipino Nurse based in New York with BSN degree and RN certifications in CA, NY, WA (expired) and CO. I’m currently completing my Capstone project for MSN Program with major in Adult ... aia architect qualification statementWebAnthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2024 DiversityInc magazine Top 50 Company for … aia appWebClinical Appeals Nurse KPC Global MSO Corona, CA $38.91 to $85 Hourly Full-Time Yes Vocational Nurse license The Clinical Appeals Nurse is responsible for investigating and processing medical necessity appeals from members and providers to payers. Possesses the ability to ... Appeals Specialist I or II DOE Cambia Health Tacoma, WA Remote Full … aia ardecheWebThe Clinical Review Nurse I is responsible for reviewing and making medical determinations as to whether a claim meets the benefits the member carries. Primary … aia arbitroWebDec 28, 2024 · Clinical guidelines approved by the Medical Policy & Technology Assessment Committee are available for general adoption by plans or lines of business … aiaa scholaroneWebAbout. Utilization Management RN with 10 years of experience. Currently a Team Lead and SME for Utilization Management PSCCR (post-service … aia asccWebDescription. Nurse Utilization Management I – Medicaid Pre-Cert (JR64837) Location: Must reside in the state of Louisiana. (Remote) Work Hours: 8am – 5pm, Monday – Friday, Central Time Zone. The Nurse Medical Management l is responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize ... aiaa regional conference