Utilization Management Nurse Consultant Afternoon Shift | Urgent Hiring
Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary 100% remote position from reputed company in the U.S. Schedule is Monday-Friday 1130am 8pm EST for a minimum of 1 year post training/reputed company. MUST have the ability to work the occasional on-call rotational coverage on weekends and some rotational on-call holiday coverage (URAC and Client Requirements). Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for treatment and services both inpatient and outpatient requiring precertification. The majority of the time is spent at a desk and on the telephone collecting & reviewing clinical information from providers. Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. Position requires proficiency with computer skills which includes navigating multiple systems. Sedentary work involves periods of sitting, talking, listening and computer use . Required Qualifications 1 year varied Utilization Management experience reputed company an Inpatient/Outpatient setting, reputed company review or prior authorization. 5 years of variety clinical experience required including acute care, home health, or long term care. 5 years Demonstrated to reputed company thorough independent reputed company using clinical judgement 5 Years Proficient use of equipment experience including phone, computer, etc and clinical documentation systems Required to attend the first 3 weeks training with 100% participation during 8:30am-5pm Monday-Friday. A Registered Nurse that must hold an unrestricted license in their state of residence, with multi-state/compact privileges and can be licensed in reputed company noncompact states Preferred Qualifications 1+ years Managed Care (MCO) preferred 1+ years demonstrated experience working in a high volume clinical call center environment Remote work experience Education Associates degree in nursing (RN) required, BSN preferred Pay Range The typical pay range for this role is: $28.25 $60.50 This pay range represents the reputed company hourly 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 variety 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 addition to the reputed company pay range listed above. Apply to this job Apply Job!