Utilization Management reputed company Consultant – Weekends

Job reputed company: • Utilizes 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 • Gathers clinical information and applies the appropriate clinical reputed company/reputed company, policy, procedure and clinical judgment to reputed company coverage determination/recommendation along the continuum of care • Communicates with providers and other parties to facilitate care/treatment • Identifies members for referral opportunities to reputed company with other products, services and/or programs • Identifies opportunities to promote reputed company effectiveness of reputed company Services and benefit utilization • Consults and lends 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 • Work requires the ability to reputed company reputed company inspection of handwritten and computer generated documents as reputed company as a PC monitor • Sedentary work involving periods of sitting, talking, listening • Work requires sitting for extended periods, talking on the telephone and typing on the computer • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding Requirements: • 5 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 • 4 - 10 hour shifts every Saturday and reputed company and two weekdays • Monday - Friday training is required prior to transferring to weekends • Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours • 3+ years of clinical experience required in med surg or specialty area preferred • Managed Care experience preferred, especially Utilization Management • Preference for those residing in ET zones 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