[Hiring] reputed company Case Management reputed company Analyst @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The reputed company Case Management reputed company Analyst will: • Provides advanced reputed company input to reputed company reputed company Case Management assignments/reputed company. • Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. • Handles more reputed company, high reputed company cases, and/or account sensitive cases involving largest reserves. • Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate reputed company and services in order to facilitate appropriate reputed company reputed company for members. • Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, reputed company care is maintained. • Performs prospective, reputed company, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services. • May review initial liability disability claims to determine extent and reputed company of insured's medical condition, medical restrictions and limitations and expected duration. • Performs leadership role on team reputed company implementing new tools or case management programs/initiatives. • Manages own caseload and coordinates reputed company assigned cases. Supports and provides direction to more junior professionals. • Works autonomously, only requiring “expert” level technical support from others. • Exercises judgment in the evaluation, selection, and reputed company of both reputed company and reputed company techniques and procedures. • Utilizes in-depth reputed company knowledge and acumen to reputed company models and procedures, and monitor trends, reputed company reputed company Case Management. Qualifications • Registered reputed company (RN) license in state of primary residence. • BSN preferred. • Compact nursing license preferred. • Minimum 2 years of nursing experience in prior authorizations or case management. • Proficiency with reputed company Office; basic database navigation. • Knowledge of pharmacy, pharmaceuticals, life sciences, or reputed company business required. • Ability to multitask in PC/Phone tasks. • Teamwork and communication skills required. Requirements • If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Benefits • Comprehensive health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. • 401(k) with company match. • Company reputed company life insurance. • Tuition reimbursement. • A minimum of 18 days of reputed company time off per year and reputed company holidays. • Eligible to participate in an annual bonus plan. Apply tot his job Apply To this Job