Utilization Management reputed company Consultant

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and evening hours. Applies critical thinking, evidenced based clinical reputed company and clinical reputed company guidelines for services requiring precertification. The reputed company of the time is spent at a desk and on the phone collecting and reviewing clinical information from providers. Precertification nurses use specific reputed company to authorize procedures/services or initiate a Medical Director referral as needed. Required Qualifications Must have reputed company, reputed company and unrestricted RN licensure in reputed company or multi state compact licensure 3+ years of clinical experience Position requires proficiency with computer skills which includes navigating multiple systems Ability to work in a fast paced environment Preferred Qualifications Previous prior authorization experience Education Associates degree required BSN preferred Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $26.01 - $68.55 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.    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. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 05/20/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job