Indianapolis, IN · On-site
$30 - $34/hr
Company Description Anthem, Inc. is working to transform health care with trusted and caring ... Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ...
Indianapolis, IN · On-site
$30 - $34/hr
Company Description Anthem, Inc. is working to transform health care with trusted and caring ... Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ...
Atlanta, GA · On-site
$29 - $38.50/hr
Reviews require data analysis and research within the Anthem data systems. * Candidates must have ... Qualifications * Clear and active RN, LPN, or LVN license in the state of GA * Licensed ...
Atlanta, GA · On-site
$29 - $38.50/hr
Reviews require data analysis and research within the Anthem data systems. * Candidates must have ... Qualifications * Clear and active RN, LPN, or LVN license in the state of GA * Licensed ...
Albuquerque, NM · On-site
$15.50 - $19/hr
Anthem Memory Care is guided by a single purpose: To engage, protect, and love people living with ... nursing notes, payroll summary and resident review; * Ability to prepare performance appraisals ...
Albuquerque, NM · On-site
$15.50 - $19/hr
Anthem Memory Care is guided by a single purpose: To engage, protect, and love people living with ... nursing notes, payroll summary and resident review; * Ability to prepare performance appraisals ...
Richmond, VA · On-site
$35 - $40/hr
Company Description Anthem, Inc. is working to transform health care with trusted and caring ... Retrieval, review, and abstraction of medical record data. Data entry into a HEDIS software system.
Richmond, VA · On-site
$35 - $40/hr
Company Description Anthem, Inc. is working to transform health care with trusted and caring ... Retrieval, review, and abstraction of medical record data. Data entry into a HEDIS software system.
Albuquerque, NM · On-site
$17.50 - $18.50/hr
Anthem Memory Care is guided by a single purpose: To engage, protect, and love people living with ... nursing notes, payroll summary and resident review; * Ability to prepare performance appraisals ...
Albuquerque, NM · On-site
$17.50 - $18.50/hr
Anthem Memory Care is guided by a single purpose: To engage, protect, and love people living with ... nursing notes, payroll summary and resident review; * Ability to prepare performance appraisals ...
Defuniak Springs, FL · On-site
$17.50 - $21.50/wk
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
Defuniak Springs, FL · On-site
$17.50 - $21.50/wk
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Decatur, GA · On-site
$39 - $42/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
Decatur, GA · On-site
$39 - $42/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
$33 - $39/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
$33 - $39/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Pensacola, FL · On-site
$33 - $39/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
Pensacola, FL · On-site
$33 - $39/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
$17.50 - $22.50/wk
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
New
Quick apply
$17.50 - $22.50/wk
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
New
$43 - $48/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
$43 - $48/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
$38 - $47/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
$38 - $47/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
$33 - $41/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
$33 - $41/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Blackshear, GA · On-site
Ensure accurate medical records and documentation review * Coordinate with physicians to provide ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
Blackshear, GA · On-site
Ensure accurate medical records and documentation review * Coordinate with physicians to provide ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Marianna, FL · On-site
$37 - $41/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
Marianna, FL · On-site
$37 - $41/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
$25.25 - $34.25/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
$25.25 - $34.25/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
$25 - $40/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
$25 - $40/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
$33 - $36/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
Quick apply
$33 - $36/hr
... review * Initiate consultations or referrals as appropriate based on resident needs * Perform ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance
$28.37 - $29.68
12% of jobs
$29.68 - $30.99
4% of jobs
$30.99 - $32.30
3% of jobs
$32.30 - $33.61
3% of jobs
$33.81 is the 25th percentile. Wages below this are outliers.
$33.61 - $34.92
16% of jobs
$34.92 - $36.23
6% of jobs
The median wage is $37.22 / hr.
$36.23 - $37.54
6% of jobs
$37.54 - $38.85
10% of jobs
$38.85 - $40.17
1% of jobs
$40.94 is the 75th percentile. Wages above this are outliers.
$40.17 - $41.48
22% of jobs
$41.48 - $42.79
16% of jobs
$28
$37
$42
| Aspect | Anthem Nurse Reviewer | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, possibly certifications in case management or utilization review | RN license, certifications in utilization review or case management often preferred |
| Work Environment | Insurance company, healthcare plan setting | Hospitals, insurance companies, or healthcare organizations |
| Employer & Industry | Major health insurance providers like Anthem | Hospitals, insurance firms, healthcare organizations |
| Search & Comparison Intent | Understanding roles within Anthem or insurance review processes | Comparing utilization review roles across healthcare settings |
Both roles involve reviewing patient cases to determine coverage and appropriateness of care. The Anthem Nurse Reviewer specifically works within Anthem's insurance framework, focusing on policy compliance. The Utilization Review Nurse may work in various healthcare settings, performing similar reviews but outside of a specific insurance provider. While their core responsibilities overlap, the main difference lies in the employer and specific work environment.
States with the most job openings for Anthem Nurse Reviewer jobs include:
The top searched job categories for Anthem Nurse Reviewer jobs are:
Indianapolis, IN • On-site
$30 - $34/hr
Full-time
Medical, Dental, Vision
Re-posted yesterday
Anthem, Inc. is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With more than 73 million people served by its affiliated companies including nearly 40 million enrolled in its family of health plans, Anthem is one of the nation's leading health benefits companies.
One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.
We offer a broad range of medical and specialty products.
These candidates will be working in the continued stay review department. They will be looking at emerging urgent inpatient admissions for medical necessity. Strong computer skills, positive attitude, and ability to hit high production goals is what the manager is looking for here. Expected to review 20 cases a day with a 95% accuracy rate.
Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources
MAJOR JOB DUTIES AND RESPONSIBILITIES
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
$30 - $34 per hour
Monday - Thursday 8am-5pm EST Friday - 9am - 6pm EST Occasional Saturday rotation (8am-Noon) EST
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003
