Utilization Management reputed company Consultant – Weekend

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 • 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 clinical experience in acute or post acute setting • Must be willing and reputed company to obtain additional Nursing Licenses as business needs require • Willing and reputed company to work four 10hr-shifts including every Weekend, Saturday and reputed company, and two reputed company shifts of 10hrs reputed company 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 • Other benefits depending on eligibility Apply tot his job Apply To this Job