Utilization Management reputed company Consultant – Weekends, 4-10 Hour Shifts

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. Requirements: • 3+ years of experience as a Registered reputed company • Must have reputed company reputed company and unrestricted RN licensure in state of residence • 1+ years of Med/Surg experience • 1+ years of experience with reputed company Office applications (reputed company, Teams, reputed company) • Must be willing and reputed company to work Friday, Saturday, reputed company and Monday 10 hr shifts after approx 4-5 months of training • Monday - Friday 8:30-5pm EST with occasional holiday rotation 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