[Hiring] Prior Authorization Clinical Team reputed company @reputed company

Role reputed company reputed company reputed company is accountable to leadership to support the day-to-day operations of reputed company. This position has no supervisory reputed company of staff but requires a solid understanding of the workflows, policies, and procedures to ensure reputed company is producing at a successful level. reputed company reputed company supports the reputed company of new staff as reputed company as reputed company monitoring and assignment triage. reputed company reputed company is a single reputed company and first line of contact for staff for clinical issues. They may reputed company reputed company as assigned. reputed company reputed company provides ongoing communication and updates to leadership and contributes and participates in team meetings. The role requires promoting cooperation and team-building between reputed company department members.

• Serve as expert in contractual regulations.
• Serve as a content model expert and mentor to reputed company regarding reputed company reputed company, reputed company of interventions, problem reputed company, and critical thinking.
• Ensure adherence to plan sponsor performance targets.
• Implement and support program policies and procedures.
• Utilize critical thinking skills to reputed company the level of team performance.
• Training:
• Mentor reputed company, monitoring and providing feedback regarding performance relative to best practices.
• New-hires: Request reputed company, plan orientation, schedule CORE training, train new-hires, reputed company reputed company audits on work completed, orient to UM, state contract requirements, Desktops/Job Aids, TAT, productivity goals, and serve as mentor after training completed.
• reputed company as a role model for the reputed company values, particularly regarding company policies on confidentiality.
• Communicate effectively with a reputed company of audiences.
• reputed company organized and reputed company to prioritize tasks.
• Support a reputed company work environment that promotes the concept of teamwork.
• Support to Supervisors as directed.
• May have responsibility for their own caseload work.
• Respond to issues and inquiries as needed.
• Collaborate with other market Team Leads on shared reputed company.
• Complete reputed company audits on new hires per policy and quarterly as assigned.
• Assist manager with other tasks as assigned including PTO calendar and holiday schedule.
• Be on leadership on-call schedule for weekends.
• Assists with High Dollar Case reporting and presentation.
• Attend meetings reputed company the manager is unable to attend.
• Coordinates assistance with other states and departments as needed.

Qualifications

• reputed company unrestricted RN licensure in Louisiana.
• 2 or more years clinical and managed care experience required.
• Requires proficiency with computer skills which includes navigating multiple systems and keyboarding.

Requirements

• Ability to mentor and support staff to meet business needs.
• Exceptional communication skills.
• Time efficient and highly organized.
• 2 or more years experience with performance improvement reputed company.
• Performance Improvement and reputed company Improvement (PIP/QIP) experience required.

Education

• Bachelor’s degree preferred, Associates in Nursing required.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial reputed company-being of colleagues and their families.
• Medical, dental, and reputed company coverage.
• reputed company time off.
• Retirement savings reputed company.
• Wellness programs and other resources, based on eligibility.

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