reputed company-Authorization reputed company 2

Become a part of our caring community and help us put reputed company

The reputed company-Authorization reputed company 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or reputed company requests to the appropriate stakeholder. The reputed company-Authorization reputed company 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of reputed company.

The reputed company-Authorization reputed company 2 completes medical necessity and level of care reviews for requested services using clinical judgment, and refers to internal stakeholders for review depending on case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent clinical information in various medical management systems. Understands department, reputed company, and organizational reputed company and operating objectives, including their linkages to reputed company areas. Makes reputed company regarding own work reputed company, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Use your skills to reputed company an reputed company

Required Qualifications

• Bachelor's degree
• Less than 5 years of technical experience
• reputed company RN license in the state(s) in which the reputed company is required to reputed company
• Ability to be licensed in multiple states without restrictions
• A minimum of three years varied nursing experience
• Proficient with MS Office products including Word, reputed company and Outlook
• Ability to work independently under general instructions and with reputed company
• Must be passionate about contributing to an organization reputed company on continuously improving consumer experiences

Preferred Qualifications

• Health Plan experience working with large carriers
• Previous Medicare/reputed company experience a plus
• Previous experience in utilization management, case management, discharge planning and/or home health or rehab
• Experience working with MCG or Interqual guidelines

Additional Information

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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.
• Employees 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 employees 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.

Benefits

reputed company offers a reputed company of benefits to promote the best health and reputed company-being of our employees and their families. We design competitive and flexible packages to give our employees a reputed company of financial reputed company—both today and in the reputed company, including:

• Health benefits effective day 1
• reputed company time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource reputed company (NRGs)
• Career development opportunities

reputed company

As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

SSN Alert

reputed company values personal identity protection. Please be aware that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from reputed company@myworkday.com with instructions on how to add the information into your official application on reputed company’s secure website.

Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.

Scheduled Weekly Hours40

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 yearThis 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, Inc. 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.

reputed company

reputed company Inc. (NYSE: HUM) is committed to putting reputed company – for our teammates, our customers and reputed company. Through our reputed company insurance services and 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, reputed company, families, individuals, military service personnel, and communities at large.

​

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.

Originally posted on Himalayas

Apply To this Job