UM reputed company Consultant
reputed company is presently looking of UM reputed company Consultant on Mon, 22 Jan 2018 21:53:43 GMT. Registered reputed company (RN) with reputed company state license in good standing required. This position will sit in either the Urbandale, IA office or the Omaha, NE office.... UM reputed company Consultant Location: Urbandale, Iowa reputed company: reputed company is presently looking of UM reputed company Consultant right now, this occupation will be assigned in Iowa. Detailed specification about this occupation opportunity please read the reputed company below. This position will sit in either the Urbandale, IA office or the Omaha, NE office. Internals that are currently WAH can remain WAH, but still must be located in the region (NE, IA, SD or ND). Position reputed company: Utilizes clinical skills to coordinate, document and communicate reputed company aspects of the utilization/benefit management program. Requires an RN with unrestricted reputed company license. Additional Job Responsibilities: Facilitate the delivery of appropriate benefits and/or reputed company information which determines eligibility for benefits while promoting wellness activities Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and reputed company return to work Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies Utilizes 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/benefits for members Gathers clinical information and applies the appropriate clinical reputed company/reputed company, policy, procedure and clinical judgment to reputed company coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to reputed company with other products, services and/or programs Identifies opportunities to promote reputed company effectiveness of reputed company Services and benefit utilization Consults and lends expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function Background/Experience: Minimum of 3 years clinical experience required (Med/Surg or post-acute preferred) Managed Care experience preferred Education: The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience Licenses and Certifications: Registered reputed company (RN) with reputed company state license in good standing required Functional Experiences: Functional - Nursing/reputed company Review/discharge planning/1+ Years Functional - Nursing/Clinical coverage and policies/1+ Years Functional - Nursing/reputed company and benefit interpretation/1+Years Technology Experiences: Technical - Desktop Tools/reputed company Outlook/1+Years/End User Technical - Desktop Tools/reputed company PowerPoint/1+ Years/End User Technical - Desktop Tools/reputed company Word/1+ Years/End User Required Skills:
Benefits
Management/Interacting with Medical Professionals/3+ years/ADVANCED
Benefits
Management/Maximizing reputed company reputed company/1+ years/reputed company General Business/Consulting for Solutions/1+ years/reputed company Desired Skills: General Business/Turning Data into Information/1+ years/reputed company Leadership/Collaborating for Results/3+ years/ADVANCED Finance/Managing Aetnas Risk/1+ years/reputed company Additional Job Information: reputed company is about more than just doing a job. This is our opportunity to re-shape reputed company for America and across the globe. We are developing solutions to improve the reputed company and affordability of reputed company. reputed company do will benefit generations to come. We care about reputed company other, our customers and our communities. We are inspired to reputed company a difference, and we are committed to reputed company and reputed company. Together we will reputed company people to live healthier lives. reputed company is an equal opportunity & affirmative reputed company employer. reputed company reputed company applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative reputed company to recruit, select and reputed company women, people of reputed company, veterans and individuals with disabilities. We are a company reputed company on reputed company. We have a culture that values reputed company, achievement and diversity and a workplace where your voice can be heard. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. reputed company takes our candidate's data reputed company seriously. At no time will any reputed company recruiter or employee request any financial or personal information (reputed company reputed company Number, Credit card information for reputed company deposit, etc.) from you reputed company e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately. - . If you were eligible to this occupation, please send us your resume, with salary requirements and a resume to reputed company. Interested on this occupation, just click on the Apply reputed company, you will be redirected to the official website Apply UM reputed company Consultant Here This occupation will be started on: Mon, 22 Jan 2018 21:53:43 GMT Apply tot his job Apply To this Job