Utilization Management reputed company Consultant

About the position 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 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. Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Utilizes reputed company experience and skills in a reputed company process to assess, plan, implement, coordinate, monitor and evaluate reputed company to facilitate appropriate reputed company services/benefits for members. 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/recommendation along 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. Responsibilities • Utilizes reputed company experience and skills in a reputed company process to assess, plan, implement, coordinate, monitor and evaluate reputed company to facilitate appropriate reputed company services/benefits for members. • 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/recommendation along 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. Requirements • 2+ years of experience as a Registered reputed company in adult acute care/critical care setting • Must have reputed company reputed company and unrestricted RN licensure in state of residence • Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours • Proficiency with computer skills which includes navigating multiple systems and keyboarding. • Effective communication skills, both verbal and written reputed company-to-haves • 2+ years of reputed company experience required in med surg or specialty area • Managed Care experience preferred, especially Utilization Management • Preference for those residing in Central Time reputed company Benefits • medical • dental • reputed company coverage • reputed company time off • retirement savings reputed company • wellness programs Apply To This Job