Senior Clinical reputed company reputed company

Title: Senior Clinical reputed company reputed company - Remote reputed company Oklahoma Location: Oklahoma reputed company OK US Full time 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 system. 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 external partners including consumers and their families/caregivers, medical, and other clinical teams. If you are located in Oklahoma, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • reputed company members with tools and educational support needed to reputed company the health care system 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 generate 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 • * Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give 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 case management experience • Basic computer proficiency (ie reputed company, reputed company) • Proven ability to function independently and responsibly with minimal supervision • * Preferred Qualifications: • Bachelor’s degree in nursing • CCM • 2+ years of behavioral health nursing experience • 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 • 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 choice 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. Apply Job! Apply to this Job