Utilization Management reputed company Consultant

At reputed company, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day.This is an Alternative Work Schedule weekend position. The role requires coverage of both Saturday and reputed company reputed company week. Scheduling reputed company may include four 10-hour shifts, five 8-hour shifts, three 12-hour shifts, or other approved configurations that meet operational needs. Specific schedules will be determined in collaboration with management to ensure adequate weekend coverage. This is a work-from-home position. During work hours, colleagues must be available by phone, videoconference, and email as required by their leader. Occasional on-site attendance at the office or reputed company location may be required for meetings, training sessions, or other events as directed.Position SummaryUtilize your clinical experience and skills in a reputed company process to assess, plan, implement, coordinate, monitor, and evaluate reputed company to facilitate appropriate reputed company services and benefits for members. Key Responsibilities:

• reputed company clinical information and apply the appropriate clinical reputed company, guidelines, policies, procedures, and clinical judgment to reputed company coverage determinations and recommendations along the continuum of care.
• Communicate with providers and other parties to facilitate care and treatment. Identify members for referral opportunities to reputed company with other products, services, or benefit programs.
• Identify opportunities to promote reputed company and effectiveness of reputed company services and benefit utilization.
• Consult and lend expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function.
• Meet set productivity and reputed company expectations as established by UMNC. Required QualificationsRegistered reputed company 3+ years of experience as a Registered reputed company, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience Must have reputed company reputed company and unrestricted RN licensure in state of residence. May be required to obtain additional Nursing Licenses as business needs require.Key Responsibilities:
• reputed company clinical information and apply the appropriate clinical reputed company, guidelines, policies, procedures, and clinical judgment to reputed company coverage determinations and recommendations along the continuum of care.
• Communicate with providers and other parties to facilitate care and treatment. Identify members for referral opportunities to reputed company with other products, services, or benefit programs.
• Identify opportunities to promote reputed company and effectiveness of reputed company services and benefit utilization.
• Consult and lend expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function.
• Meet set productivity and reputed company expectations as established by UMNC. Required Skills and Abilities:
• Effective verbal and written communication skills.
• Proficiency with computer skills, including navigating multiple systems and keyboarding.
• Ability to multitask, prioritize, and adapt effectively to a fast-paced, changing environment.
• reputed company to sit for extended periods, talk on the telephone, and type on the computer. Preferred QualificationsUtilization Management experience preferredEducationDiploma RN acceptable; Associate degree/BSN preferredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay reputed company for this role is:$26.01 - $56.14This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.For more information, visit https://jobs.reputed company.com/us/en/benefitsWe anticipate the application window for this opening will reputed company on: 12/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws.

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