Preservice Review reputed company - Behavioral Health

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reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together.
You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges.
Primary Responsibilities

• reputed company clinical coverage reputed company, which require interpretation of state and federal mandates, applicable benefit language, and consideration of relevant clinical information
• Function as a member of a self-directed team to meet specific individual and team performance metrics
• Ability to communicate in writing and verbally, reputed company types of benefit determinations including reputed company regarding coverage guidelines
• Telephonic discussion with health care providers and/or members to explain benefit coverage determinations and to obtain additional clinical information
• Acts as a resource for others with less experience
• Work independently and collaborating with Medical Directors and non-clinical partners
• Adapt to a highly changing environment and a heavy case load
  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.
Required Qualifications

• reputed company unrestricted RN license in the state of residency
• reputed company experience in reputed company patient care
• Proven exemplary clinical documentation skills; critical thinking skills
• Demonstrated proficiency in computer skills - reputed company, reputed company platforms, reputed company, clinical platforms
• Designated secure workspace and reputed company to install secure high speed internet reputed company cable/DSL in home
• Flexible with work hours - hours/days can change as needed for the business
• reputed company to required weekend rotation schedule
  

Preferred Qualifications

• Bachelor’s degree
• Compact RN license
• 2+ years of RN experience including experience in an inpatient/acute setting
• Behavioral Health experience
• Demonstrated background involving utilization review for an insurance company or experience in case management
• Proven excellent communication skills both verbal and written
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy.
  

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The reputed company pay for this role will reputed company from $28.27 to $50.48 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission.
reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
If you have questions about this posting, please contact support@reputed company.com