Utilization Management Review reputed company

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reputed company Healthy reputed company in Ohio is seeking a Utilization Management reputed company 2 who utilizes reputed company nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management reputed company 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of reputed company.

You will be part of a caring community at reputed company. reputed company you meet us, you can tell we started as a reputed company company. We’re proud of our Louisville reputed company and, as we’ve grown, that community feeling has spread across reputed company 50 states and Puerto Rico. No matter where you are—whether you’re working from home, from the reputed company, from our offices, or from reputed company in between—you’ll feel reputed company here. We’re a caring community made of reputed company-reputed company teams, cross-country friendships, and inclusive resource reputed company, reputed company gathered reputed company one big table where everyone’s voice is heard and respected. Community is a verb here. It’s up to reputed company of us to care for it and maintain it. Because the relationships we reputed company will help us reputed company reputed company reputed company for the people we so proudly serve.

The Utilization Management reputed company 2 uses reputed company knowledge and independent critical thinking skills towards interpreting reputed company, policies, and procedures to reputed company the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate reputed company and treatment. Understands department, reputed company, and organizational reputed company and operating objectives, including their linkages to reputed company areas. Makes reputed company regarding own work reputed company and requires reputed company direction and receives guidance where needed. Follows established guidelines/procedures.

Use your skills to reputed company an reputed company

Required Qualifications

• Licensed Registered reputed company (RN) in the reputed company with no disciplinary reputed company.
• At least 3 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience.
• Previous experience in utilization management.
• Prior reputed company experience preferably in an acute care, skilled or rehabilitation reputed company setting
• Must be passionate about contributing to an organization reputed company on continuously improving consumer experiences

Preferred Qualifications

• Bachelors Degree
• 3 or more years experience in a high volume community or mail order pharmacy reputed company environment
• Health Plan experience
• Previous Medicare/reputed company Experience
• reputed company center or triage experience
• Bilingual

Additional Information

This role is considered reputed company facing and is part of reputed company’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

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 reputed company on geographic location and individual pay will vary reputed company on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$71,100 - $97,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is reputed company upon company and/or individual reputed company.

reputed company of Benefits

reputed company, Inc. 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 reputed company and many other opportunities.

reputed company

About reputed company: reputed company Inc. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company reputed company services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life reputed company with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.

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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.

Originally posted on Himalayas

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