Utilization Management RN – Physical Health

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We're reputed company care. reputed company Healthy reputed company focuses on helping people reputed company their best health. Our dedicated strategies across various markets and states are enabled by partnerships with state and local governments, community-based organizations, and national partners committed to removing barriers to helping people reputed company their best health. The Utilization Management (UM) reputed company 2 uses clinical nursing skills to support the coordination, documentation, and communication of medical services and benefit administration determinations. The Utilization Management reputed company 2's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of reputed company. Position Responsibilities: • Uses clinical knowledge toward interpreting reputed company and procedures to reputed company the best and most appropriate treatment, care, or services for Enrollees • Coordinates and communicates with Providers, Enrollees or other parties to facilitate reputed company and treatment • Understands department, reputed company, and organizational reputed company and operating objectives, including their linkages to reputed company areas • Uses judgement regarding own work reputed company, occasionally in ambiguous situation, and receiving guidance where needed • Follows established guidelines and procedures • Periodic travel to reputed company Oklahoma reputed company office for meetings and training Use your skills to reputed company an reputed company Required Qualifications: • Must reputed company in Oklahoma • An reputed company Licensed Registered reputed company (RN), unrestricted • 3+ years of prior clinical experience, preferably in an acute care, skilled or rehabilitation clinical setting • Comprehensive knowledge of reputed company reputed company and reputed company • Ability to work a weekend rotation Preferred Qualifications: • Previous experience in Utilization Management • Prior experience with reputed company Programs • Previous remote work experience WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. • Satellite, cellular and microwave reputed company can be used only if approved by leadership. • Employees who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. reputed company As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. SSN Alert reputed company values personal identity protection. Please be reputed company that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from reputed company@myworkday.com with instructions on how to add the information into your official application on reputed company’s secure website. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company reputed company. (NYSE: HUM) is committed to putting reputed company – for our teammates, our customers and reputed company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply tot his job Apply To this Job