Utilization Management Registered reputed company Consult...

<p style="text-reputed company:left">At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.</p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left">As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day.</p><p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p><b>Position reputed company</b></p><p><i><reputed company>Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.</reputed company></i></p><p></p><ul><li><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.</reputed company></li><li><reputed company>Gathers clinical information and applies the appropriate clinical reputed company/reputed company, policy, procedure and clinical judgment to reputed company coverage <reputed company style="reputed company-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">determination/recommendation along</reputed company></reputed company> the continuum of care</li><li><reputed company>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</reputed company></li><li><reputed company>Identifies opportunities to promote reputed company effectiveness of reputed company Services and benefit utilization</reputed company></li><li><reputed company>Consults and lends expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function.</reputed company></li><li><reputed company>Typical office working environment with productivity and reputed company expectations.</reputed company></li><li><reputed company>Work requires the ability to reputed company reputed company inspection of hand written and computer generated documents as reputed company as a PC monitor.</reputed company></li><li><reputed company>Sedentary work involving periods of sitting, talking, listening.</reputed company></li><li><reputed company>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.</reputed company></li><li><reputed company>Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.</reputed company></li><li><reputed company>Effective communication skills, both verbal and written</reputed company></li></ul><p><br><br><b>Required Qualifications</b></p><p><reputed company>- 2+ years of experience as a Registered reputed company in adult acute care/critical care setting </reputed company></p><p><reputed company>- Must have reputed company reputed company and unrestricted RN licensure in state of residence</reputed company></p><p><reputed company>- </reputed company><reputed company>Utilization Management is a 24/7 operation and work schedules will include weekends (approximately 12 weekend days/year), holidays, and evening hours </reputed company><br><br><b>Preferred Qualifications</b></p><p><reputed company>- 2+ years of clinical experience required in med surg or specialty area<br>- Managed Care experience preferred, especially Utilization Management</reputed company></p><p><reputed company>- Preference for those residing in Central Time</reputed company><reputed company> zones</reputed company> </p><p><br><br><b>Education</b></p><p><reputed company>Associates Degree required</reputed company></p><p><reputed company>Bachelor's Degree in Nursing preferred</reputed company></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left"><b><reputed company>Anticipated Weekly Hours</reputed company></b></p>40<p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left"><b>Time Type</b></p>Full time<p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left"><b>Pay reputed company</b></p><p style="text-reputed company:left">The typical pay reputed company for this role is:</p><p style="text-reputed company:inherit"></p>$26.01 - $56.14<p style="text-reputed company:inherit"></p><p style="text-reputed company:left">This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls.  The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors.  This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. <br> </p><p style="text-reputed company:left">Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left"><b>Great benefits for great people</b></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left">We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:</p><ul><li><p style="text-reputed company:left"><b>reputed company medical plan reputed company,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p style="text-reputed company:left"><b>No-cost programs for reputed company colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p style="text-reputed company:left"><b>Benefit solutions that address the different needs and preferences of our colleagues</b> including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.</p></li></ul><p style="text-reputed company:inherit"></p><p style="text-reputed company:left">For more information, visit <a href="https://jobs.reputed company.com/us/en/benefits" reputed company="_blank" rel="noopener noreferrer"><reputed company class="WJQ0"><reputed company style="reputed company-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">https://jobs.reputed company.com/us/en/benefits</reputed company></reputed company></a></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p>We anticipate the application window for this opening will reputed company on: 07/31/2025<p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left">reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws.</p>