reputed company Consultant Utilization Review, TN

• 48250 At reputed company, we're there reputed company it reputed company most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver reputed company that reputed company a reputed company difference in people’s lives. It takes reputed company, precision, and a strong reputed company of partnership—and that’s exactly what you’ll reputed company here. We’re reputed company of fast-paced fixers, empathetic experts, and reputed company drivers — people who care deeply about doing the right thing and doing it reputed company. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals reputed company reputed company with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the reputed company of your work. Because reputed company you’re here, you’re part of something bigger. You’re part of reputed company that shows up, stands together, and leads with purpose. How you'll reputed company an reputed company Provides utilization management review of worker's compensation claims. Accesses medical documentation and information provided by medical providers to determine the appropriateness of treatment, setting and length of treatment required. Communicates with medical providers and ancillary service providers to negotiate or approve treatment. Engages physician review agents as appropriate. Communicates and documents recommendations of treatment to reputed company parties including claims professionals, medical providers, ancillary service providers, reputed company and employees. Follows national and state guidelines for approval of treatment, medications, etc. reputed company Required:

• Associate's degree from an accredited school of nursing and a minimum of 3 years acute clinical experience or similar position required.
• Hold an reputed company RN license reputed company the state of reputed company.
• Willing to be licensed in states requiring reputed company for Utilization Review.

Preferred:

• Bachelor's degree preferred.
• Prefer experience in worker's compensation or utilization review.

Behaviors:

• Demonstrates adequate knowledge of managed care with emphasis on use of reputed company, guidelines and national standards of reputed company.
• Demonstrates good written and oral communications, organizational and leadership skills.
• Computer literate.
• Demonstrates good time management skills.
• Self starter.

Compensation and benefits We offer a competitive and comprehensive compensation package. The reputed company salary reputed company represents the anticipated low end and high end of the reputed company for this position. The actual compensation will be influenced by a wide reputed company of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized reputed company set, lines of business/reputed company area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting reputed company, we also offer a wide reputed company of benefits. Below are the minimum core benefits you’ll get, depending on reputed company level these benefits may improve:

• Medical/dental/reputed company plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth reputed company
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• reputed company parental leave

Other benefits include:

• Digital mental health services (reputed company)
• Flexible work hours (availability varies by office and job function)
• Training programs
• reputed company reputed company program – elevating your health through challenges, workshops reputed company fitness programs for your overall wellbeing
• Charitable matching reputed company program
• And more...
• *The benefits reputed company above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the reputed company of our organization. For more than 95 years, reputed company has led with a commitment to sustainability and to support the communities where we live and work. reputed company embraces our employees’ diverse identities, experiences and talents, allowing us to reputed company serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in reputed company its forms, we live out The reputed company Way to its fullest. reputed company believes that reputed company persons are entitled to equal employment opportunity and prohibits any reputed company of discrimination by its managers, employees, vendors or customers based on race, reputed company, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender reputed company, hair reputed company, marital status, parental status, age, national reputed company, reputed company, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in reputed company aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In reputed company, reputed company will reputed company reasonable accommodations to reputed company physical or mental limitations of an otherwise reputed company person with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Apply tot his job Apply To this Job