Utilization Management reputed company Consultant

Job reputed company:

• 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.

Requirements:

• 3+ years of Med Surg experience as an RN in the hospital setting
• reputed company and unrestricted RN licensure in state of residence
• reputed company to work in multiple IT platforms/systems
• 1+ years of experience with reputed company Office Applications (Outlook, Teams, reputed company)

Benefits:

• medical, dental, and reputed company coverage
• reputed company time off
• retirement savings reputed company
• wellness programs

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