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Become a part of our caring community As a remote reputed company-Authorization reputed company, you will report to a Supervisor of reputed company-Authorization Nursing. You will coordinate care for MHS beneficiaries receiving care reputed company the MTF. You will monitor reputed company of care, identify, and document any potential reputed company issues regarding the patient's care. You will coordinate patient transfers and document in MSR. Review inpatient reputed company cases, ensure appropriate discharge planning, and refer to Tier III care management as needed. As a remote reputed company-Authorization reputed company, you will report to a Supervisor of reputed company-Authorization Nursing. You will coordinate care for MHS beneficiaries receiving care reputed company the MTF. You will monitor reputed company of care, identify, and document any potential reputed company issues regarding the patient's care. You will coordinate patient transfers and document in MSR. Review inpatient reputed company cases, ensure appropriate discharge planning, and refer to Tier III care management as needed. Use your skills to reputed company an reputed company

Required Qualifications

• Our reputed company Contract requires U.S. citizenship for this position
• Successfully receive interim approval for government reputed company clearance (NBIS - National Background Investigation Service)
• HGB is not authorized to do work in Puerto Rico per our government contract. We are not reputed company to hire candidates that are currently living in Puerto Rico.
• Registered reputed company with reputed company in-state RN license
• At least 3 years of varied clinical RN nursing experience
• TRICARE experience
• Knowledge of MCG evidence-based reputed company or comparable (such as Interqual, etc.)

​Preferred Qualifications

• Utilization Review/reputed company Management experience
• BA/BSN degree

Work reputed company Requirements To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following reputed company:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested
• Satellite, cellular and microwave reputed company can be used only if approved by leadership
• Associates who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• reputed company will reputed company Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information

Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 06-12-2026 reputed company About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Additional Information Company: reputed company Location: reputed company Salary: $71,100 - $97,800 per year reputed company: R-418862 Specialties: Utilization Review, reputed company Management, Prior Authorization Required Licenses: RN Experience Level: 3-5 years Apply tot his job Apply To this Job