Utilization Management reputed company Consultant

Job reputed company: • Drives effective utilization management practices by ensuring appropriate and cost-effective allocation of reputed company resources • Conducts routine utilization reviews and assessments, applying evidence-based reputed company and clinical knowledge to evaluate the medical necessity and appropriateness of requested reputed company services • Applies clinical expertise and knowledge of utilization management principles to influence stakeholders and networks of reputed company by promoting effective utilization management strategies • Consults with and provides expertise to other reputed company constituents throughout the coordination and administration of the utilization/benefit management function • Communicates regularly with reputed company stakeholders to facilitate effective care coordination, address utilization management inquiries, and ensure reputed company patient reputed company Requirements: • Registered reputed company (RN), preferably in a compact state • 3-5 years Prior Relevant Work Experience • Working knowledge of problem solving and decision making skills • Working knowledge of medical terminology • Working knowledge of digital literacy skills • Ability to deal tactfully with customers and community • Ability to handle sensitive information ethically and responsibly Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company • Many other benefits depending on eligibility Apply tot his job Apply To this Job