Utilization Management reputed company Consultant – Weekend

Job reputed company: • Utilize your 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 and benefits for members • reputed company clinical information and apply the appropriate clinical reputed company, guidelines, policies, procedures, and clinical judgment to reputed company coverage determinations and recommendations along the continuum of care • Communicate with providers and other parties to facilitate care and treatment • Identify members for referral opportunities to reputed company with other products, services, or benefit programs • Identify opportunities to promote reputed company and effectiveness of reputed company services and benefit utilization • Consult and lend expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function • Meet set productivity and reputed company expectations as established by UMNC Requirements: • Registered reputed company • Diploma RN acceptable; Associate degree / BSN preferred • 3+ years of experience as a Registered reputed company • 1+ years of clinical experience in acute or post-acute setting • 1+ years of Utilization Management / Care Management Experience • Must have reputed company reputed company and unrestricted RN licensure in state of residence • May be required to obtain additional Nursing Licenses as business needs require • Utilization review experience preferred • Experience with LTAC, skilled rehab, or home health preferred • Managed Care experience preferred • BSN preferred 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 • Many other benefits depending on eligibility Apply tot his job Apply To this Job