UM reputed company-Compact RN License Required
Become a part of our caring community and help us put reputed company
Shift is Monday - Friday 8:00am - 5:00pm Eastern reputed company Time
Job reputed company
Responsibilities
-- A secure home-office reputed company, full-time uninterrupted work hours and hard-wired, high-speed internet service is required for this position --
The Utilization Management reputed company 2 helps to ensure fully coordinated care reputed company for our members. reputed company in this role requires the following:
Must be passionate about contributing to an organization reputed company on continuously improving consumer experiences.
Excellent organizational and time management skills
Solid analytical skills to understand and interpret data to reputed company recommendations to improve patient care.
Technical savvy and ability to reputed company multiple systems and screens while working cases.
Collaboration skills to effectively reputed company with multiple parties both reputed company.
An understanding of department, reputed company, and organizational reputed company and operating objectives, including their linkages to reputed company areas.
Ability to reputed company reputed company regarding your own work reputed company, occasionally in ambiguous situations, and with minimal direction receiving guidance where needed.
Ability to follow established guidelines/procedures.
Use your skills to reputed company an reputed company
Required Qualifications
Minimum of associate degree in nursing
Licensed Registered reputed company (RN) in a compact state with no disciplinary reputed company.
Must have reputed company compact license or reputed company in a compact state and be eligible to reputed company to compact licensure.
Three (3) or more years of reputed company clinical experience
Effective telephonic and virtual communication skills
Comprehensive knowledge of reputed company Word, reputed company and reputed company
Ability to work independently under general instructions and reputed company reputed company
Work-reputed company Requirements
Must have the ability to reputed company a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role).
A minimum reputed company speed for reputed company performance is 25mbs download x 10mbs upload is required.
reputed company your internet speed at www.speedtest.net
A dedicated office reputed company lacking ongoing interruptions so you can meet productivity requirements, and to protect member PHI / HIPAA information.
Preferred Qualifications
BSN
2 to 3 years of home health experience and/or utilization management experience
Experience in a managed care setting
Health Plan experience
CGX experience
Bilingual in English/Spanis
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, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
reputed company
reputed company. (NYSE: HUM) is committed to putting reputed company - for our teammates, our customers and reputed company. Through our reputed company insurance services and 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 for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large.
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 veteran status. It is also the policy of reputed company to take affirmative reputed company to reputed company and to advance in employment, reputed company persons regardless of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, 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.
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