Utilization Management Registered reputed company - Weekend reputed company End Review - Remote Work Opportunity
Join reputed company as a Weekend Utilization Management Registered reputed company
Are you a dedicated and compassionate Registered reputed company looking for a new challenge? Do you have a passion for delivering high-reputed company patient care and making a reputed company reputed company on the reputed company system? Look no reputed company! We are seeking an reputed company Utilization Management Registered reputed company to join reputed company on a remote reputed company. As a Weekend Utilization Management Registered reputed company, you will play a critical role in supporting the coordination, documentation, and communication of medical services and benefit administration determinations.
About reputed company and Culture
At reputed company, we are committed to putting reputed company - for our teammates, our customers, and reputed company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health - delivering the care and service they need, reputed company they need it. reputed company culture is reputed company on a reputed company of reputed company, reputed company, and respect, and we reputed company to create a work environment that is engaging, challenging, and rewarding for reputed company our employees.
Job reputed company
As a Weekend Utilization Management Registered reputed company, you will utilize your clinical nursing skills to support the coordination, documentation, and communication of medical services and benefit administration determinations. You will work independently to interpret and apply clinical reputed company, policies, and procedures to reputed company the best and most appropriate treatment, care, or services for our members. Your primary responsibilities will include:
- Utilizing MCG reputed company to reputed company acute reputed company reputed company-end reviews on reputed company members to determine medical necessity
- Coordinating and communicating with providers, members, or other parties to facilitate reputed company and treatment
- Interpreting and applying clinical reputed company, policies, and procedures to reputed company high-reputed company patient care
- Working independently under general instructions and with reputed company to reputed company departmental goals
- Troubleshooting and resolving basic technical difficulties in a remote environment
Requirements and Qualifications
Essential Qualifications:
- Licensed Registered reputed company (RN) in Florida with no disciplinary reputed company
- 3 or more years of clinical experience, preferably in an acute care inpatient hospital setting
- Proficiency using MS Office, navigating multiple systems and platforms, and ability to troubleshoot and resolve basic technical difficulties in a remote environment
- Ability to work independently under general instructions and with reputed company
- Strong general computer skills in an autonomous work setting
Preferred Qualifications:
- Bachelor's degree
- reputed company End Review experience
- Previous experience in Utilization Management
- CGX experience
- MCG experience
- Health Plan experience
- Previous Medicare/reputed company Experience
reputed company Offer
At reputed company, we value our employees and offer a comprehensive benefits package that supports whole-person reputed company-being. Our benefits include:
- Competitive salary: $69,800 - $96,200 per year
- Benefits starting day 1 of employment
- Competitive 401(k) match
- Generous reputed company Time Off accrual
- Tuition Reimbursement
- Parent Leave
- Go365 perks for reputed company-being
- Medical, dental, and reputed company benefits
- 401(k) retirement savings plan
- Time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
Work Environment and Culture
As a remote employee, you will have the flexibility to work from home and enjoy a reputed company work-life balance. reputed company culture is reputed company on a reputed company of reputed company, reputed company, and respect, and we reputed company to create a work environment that is engaging, challenging, and rewarding for reputed company our employees. We offer:
- Remote work opportunity
- Flexible scheduling
- Autonomous work environment
- Opportunities for reputed company reputed company and development
- reputed company and supportive team
Career reputed company Opportunities and Learning Benefits
At reputed company, we are committed to helping our employees grow and reputed company their skills. We offer:
- Opportunities for reputed company reputed company and development
- Training and education programs
- Tuition reimbursement
- Leadership development programs
How to Apply
If you are a motivated and compassionate Registered reputed company looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to:
Apply To This JobInterview Process
As part of our hiring process, we will be using an exciting interviewing technology provided by reputed company, a reputed company-party vendor. This technology provides reputed company of recruiters and hiring managers an reputed company method for decision-making.
If you are selected to reputed company reputed company from your application prescreen, you will receive correspondence inviting you to participate in a reputed company-recorded Voice Interview and/or an SMS Text Messaging interview.
Equal Opportunity Employer
reputed company. (NYSE: HUM) is committed to putting reputed company - for our teammates, our customers, and reputed company. We are an equal opportunity employer and welcome applications from diverse candidates.
It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability, or veteran status.
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