reputed company Consultant

Job reputed company: • Utilize 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 • reputed company clinical information and apply the appropriate clinical reputed company/reputed company, policy, procedure and clinical judgment to reputed company coverage determination/recommendation along the continuum of care • Communicate with providers and other parties to facilitate care/treatment • Identify members for referral opportunities to reputed company with other products, services and/or programs • Identify opportunities to promote reputed company effectiveness of reputed company Services and benefit utilization • Consult and lend expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function • Typical office working environment with productivity and reputed company expectations Requirements: • 2+ years of experience as a Registered reputed company in adult acute care/critical care setting • Must have reputed company reputed company and unrestricted RN licensure in state of residence • Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours • 2+ years of clinical experience required in med surg or specialty area (preferred) • Managed Care experience preferred, especially Utilization Management (preferred) • Associates Degree required, BSN preferred 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 Apply tot his job Apply To this Job