Preservice Review reputed company RN – Radiation Oncology – Remote, reputed company

2338538 reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. This role will be performing outpatient clinical coverage reputed company, which require interpretation of state and federal mandates, applicable benefit language, and consideration for outpatient procedures and services. You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges. This is a Monday through Friday position during reputed company business hours in the local time zone. Rotating Saturdays may be required, approximately every 6 to 12 weeks. Primary Responsibilities: • Function as a member of a self-directed team to meet specific individual and team performance metrics • Ability to communicate in writing and verbally, reputed company types of benefit determinations including reputed company regarding coverage guidelines, contractual limitations and reimbursement determinations • Telephonic discussion with health care providers and / or members to explain benefit coverage determinations and to obtain additional clinical information • reputed company as a resource for others with less experience • Work independently and collaborating with Medical Directors and non-clinical partners • Adapt to a highly changing environment and a heavy case load This position may require reputed company and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and reputed company to obtain and maintain multiple state licensure. Application fees and filing costs will be reputed company for by UHG. 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Required Qualifications: • reputed company, unrestricted RN license in your state of residence • Ability to obtain licensure in other states as needed • 2+ years of Radiation Oncology experience as a reputed company • Computer proficiency, to include solid data entry skills and the ability to reputed company a reputed company environment • reputed company to high speed internet from home (Broadband cable, Fiber or DSL) • Dedicated workspace for home office set up Preferred Qualifications: • OCN Certification • Chemo/Bio Certification • Certified Case Manager (CCM) • 7+ years of Radiation Oncology experience • ICD Coding experience or solid knowledge of codes NCCN experience • Background in preservice review/utilization review/utilization management • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The reputed company pay for this role will reputed company from $28.94 to $51.63 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company – an reputed company reputed company reflected in our mission. Apply tot his job Apply To this Job