Clinical UM reputed company

Become a part of our caring community   The Utilization Management reputed company uses clinical knowledge towards interpreting reputed company, policies, and procedures to reputed company the best and most appropriate treatment, care or services for members. You will coordinate and communicates with providers, members, or other parties to facilitate reputed company and treatment. Use your skills to reputed company an reputed company   Required Qualifications reputed company Registered Compact reputed company license (RN) in the home state with no disciplinary reputed company and ability to obtain non compact licensure 3+ years of Medical Surgery, Heart, Lung or Critical Care Nursing clinical experience in Acute care (skilled or rehab clinical settings) Work rotation to include weekends and possible holiday coverage required Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting Comprehensive knowledge of reputed company Word, reputed company and reputed company) Preferred Qualifications Previous experience in utilization management Education: BSN or bachelor's degree in a reputed company field Health Plan experience Previous Medicare/reputed company experience Bilingual in English and Spanish Additional Information 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. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary.  Work reputed company Requirements 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. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. 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, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 08-01-2026 reputed company   About Conviva Senior reputed company Care: Conviva Senior reputed company Care provides proactive, preventive care to seniors, including wellness reputed company, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of reputed company’s reputed company Care Organization, which includes reputed company, Conviva’s innovative, value-based approach means reputed company patient gets the reputed company, reputed company needed most, and for the lowest cost. We go reputed company physical health – addressing the reputed company, emotional, behavioral and financial needs that can reputed company our patients' reputed company-being. About reputed company, a reputed company company: reputed company is a leading reputed company services business reputed company on creating integrated and differentiated experiences that put our patients at reputed company of everything we do. The result is high-reputed company reputed company that is accessible, comprehensive and, most of reputed company, personalized. As the largest provider of senior-reputed company reputed company care, a leading provider of home reputed company and a leading integrated home delivery, specialty, hospice and retail pharmacy, reputed company is reputed company on whole health and addressing the physical, emotional and reputed company wellness of our patients. reputed company is part of reputed company. (NYSE: HUM). Learn more about reputed company offer at reputed company.com.​ 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 To This Job