Clinical review nurse anthem

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August undefined, 2024

WebClinical Review Nurse (Remote) Wexford, PA $60K - $84K (Glassdoor est.) 6d As a Clinical Review Nurse you will be responsible for performing a variety of nursing/clinical and customer service support tasks such as answering telephone…… 2.4 ezURs Utilization Review Nurse Remote 30d+ WebInteractive Care Reviewer (ICR) is Anthem’s innovative utilization management (UM) portal that allows health care professionals to submit prior authorization requests and clinical …

Anthem, Inc. Nurse Utilization Management l - Pre-Certification …

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 … 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 ... napa y sonoma excursiones tours y tickets

Anthem, Inc. Nurse Reviewer I -(CA residents only) Job in …

WebApr 5, 2024 · Nurse Reviewer I. Location: This position will work a hybrid model (remote and office). WORKING HOURS:Flex hours/late and weekend shifts required. M-SAT 7AM-10PM CST. The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing ... 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. 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. … napa youth soccer

Remote Nurse Reviewer Jobs, Employment Indeed.com

Nurse Medical Management Lead - Anthem, Inc.

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 … 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 … melamine coated chipboardWebNurse 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 ·. napb account

"WebDr. 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. " - Clinical review nurse anthem

Clinical review nurse anthem

Elevance Health Clinical Reviewer Salaries Glassdoor

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 ... WebThe Clinical Review Nurse I is responsible for reviewing and making medical determinations as to whether a claim meets the benefits the member carries. Primary …

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WebAnthem Clinical Reviewer jobs Sort by: relevance - date 11 jobs Crisis Intervention Specialist (contract) Elevance Health 3.6 Remote Estimated $35.7K - $45.1K a year … 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…

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. WebUtilization Management Nurse. 12/2011 - 07/2016. New York, NY. Confers with physicians and Physician Advisors when medical record documentation fails to meet criteria. Collaborates with Care Coordinator to assess patient's clinical course and verify need for acute hospital level of care or medical stability for care at the next level.

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... WebMar 24, 2024 · The average salary for a Utilization Review Nurse is $73,888. Base Salary. $59k - $89k. Bonus. $716 - $6k. Total Pay. $56k - $93k. Based on 442 salary profiles (last updated Feb 26 2024)

WebElevance Health Careers

WebJan 1, 1999 · Read reviews from the world’s largest community for readers. undefined napbc best practicesWebDescription. 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 ... napa your way wine tourWebI’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 ... napbc accredited facilities napa yountville winery hotelsWebAnthem, 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 … napbc accredited centersWebApr 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 … napbc accredited hospitals in gaWebMar 7, 2024 · The estimated total pay for a Utilization Review Nurse at Elevance Health is $107,711 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 $103,186 per year. melamine coating on wood