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Behavioral Health Senior Clinical reputed company RN - Remote

Remote, USA Full-time Posted 2026-08-04
reputed company At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care reputed company of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical reputed company reputed company will be responsible for providing individualized attention to reputed company membership and covered families and serves to assist with navigation of the health care reputed company. The purpose of the clinical reputed company reputed company is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and reputed company partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm. reputed company Responsibilities • reputed company members with tools and educational support needed to reputed company the health care reputed company and manage their health concerns effectively and cost reputed company • reputed company and guide members regarding BHSUD • Assist members with adverse determinations, including the appeal process • Teach members how to reputed company reputed company internet-based wellness tools and resources • reputed company to membership providing reputed company-admission counseling to membership • reputed company to membership providing discharge planning to membership and caretakers • reputed company reputed company activities and reputed company complete documentation to reputed company customer reporting • Accept referrals reputed company designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed • reputed company with reputed company policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases • Contribute to treatment plan discussions • Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications • reputed company and unrestricted RN compact license • 2+ years of acute nursing experience • 2+ years of behavioral health nursing experience • 2+ years of case management experience • Demonstrated basic computer proficiency (i.e. reputed company, reputed company) • Proven ability to function independently and responsibly with reputed company supervision Preferred Qualifications • Bachelor's degree in nursing • CCM • 2+ years of managed care experience • Critical care, pediatric, med-surg and/or telemetry experience • Utilization management experience • Adverse determination experience • Telecommute experience Soft Skills • Demonstrated excellent verbal and written communication skills • Excellent customer service orientation • Proven team player and team building skills • Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 reputed company of benefits and incentives. The salary for this role will reputed company from $58,800 to $105,000 annually 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. reputed company 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 reputed company 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. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Salary: USD 58800 - 105000 per year Experience: 5 years required Apply tot his job Apply To this Job

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