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EmployerAnthem
Location Calhoun City, MS USA
PostedDecember 9, 2018

Job Details

Clinical Review Nurse I (Preferred location: Harrisburg, PA- Syracuse, NY Dennison, TX or Indianapolis, IN)- PS13257
Clinical Review Nurse I (Preferred location: Harrisburg, PA- Syracuse, NY Dennison, TX or Indianapolis, IN)- PS13257



**Location:** **United States**



**Field:** Medical



**Requisition #:** PS13257



**Post Date:** 5 hours ago



The **Clinical Review Nurse** **I** position 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.



**Onsite location: Preferred location: Harrisburg, PA**



**Other sites considered: Syracuse, NY Dennison, TX or Indianapolis, IN**



**The position will be an in office position with the ability to work from home after 6 months**



+ 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.

Job #NLX132347573