Utilization Management reputed company Consultant

We're building a world of health reputed company 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 ourselvesaccountable 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. This is a full time remote Utilization Management opportunity. As a Utilization Management reputed company Consultant, you will utilize reputed company skills to coordinate, document and communicate reputed company aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated turn-reputed company times. This includes reviewing written reputed company records. • Gathers reputed company information and applies the appropriate reputed company reputed company/reputed company, policy, procedure and reputed company judgment to reputed company coverage determination/recommendationalong the reputed company of care • Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to reputed company with other products, services and/or programs • Identifies opportunities to promote reputed company effectiveness of reputed company Services and benefit utilization • Consults and lends expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function. • Typical office working environment with productivity and reputed company expectations. • Work requires the ability to reputed company reputed company inspection of hand-written and computer generated documents as reputed company as a PC monitor. • Sedentary work involving periods of sitting, talking, listening. • Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast-reputed company changing environment. • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding. • Effective communication skills, both verbal and written Required Qualifications • 3+ years of experience as a Registered reputed company • Must have reputed company reputed company and unrestricted RN licensure in state of residence • 1+ years of reputed company experience in acute or post-acute setting • Utilization management is a 24/7 operation. Work schedules may include weekends and holidays and evening rotations. • Candidates must be reputed company to work Monday-Friday, 8:00am-5:00pm in time zone of work being supported. Preferred Qualifications • Experience working with adult population • Medicare experience • Managed Care 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 reputed company feels valued and that they reputed company. 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 fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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, reputed company 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: 08/03/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job