Nurse Reviewer (Associate or Level I) - Glendale, CA

The Job Holder
California, USA
Jan 15, 2020

Client Name

Anthem, Inc.

Requirements

Your Talent. Our Vision. At AIM Specialty Health (AIM), a glad individual from the Anthem, Inc. group of organizations, it's an amazing blend, and the establishment whereupon we're making more noteworthy access to think about our individuals, the more noteworthy incentive for our clients, and more prominent wellbeing for our networks. Consolidate us and we will drive the fate of medicinal services. This is an excellent chance to do inventive work that implies more to you and those we serve. 

Medical caretaker Reviewer Associate level will think about RN's with no experience 

This position is in a call-focus condition 

***Work from home accessible after gathering execution requirements*** 

Answerable for leading preauthorization, out of system and fittingness of treatment audits for demonstrative imaging administrations by using proper arrangements, clinical and division rules. 

Essential obligations may incorporate, yet are not restricted to: 

  1. Works together with human services suppliers to advance the most fitting, highest caliber and powerful utilization of demonstrative imaging to guarantee quality part results, and to enhance part benefits. 
  2. Gets preauthorization demands from bleeding-edge consumption. 
  3. Behaviors introductory therapeutic needs clinical screening. 
  4. Decides whether starting clinical data exhibited meets therapeutic needs criteria or requires extra medicinal need audit.