Utilization Management RN
Position is FULLY REMOTE; CA RESIDENTS PREFFERED
At reputed company, we are transforming the reality of senior care by providing an reputed company-inclusive reputed company option to the most vulnerable senior population, functioning as both a care provider and care plan to those individuals we serve. Our Health Plan Services team plays a critical role in our participant’s reputed company, and our Utilization Management team ensures we can reputed company timely, quality, compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN drives the reputed company improvement of our care delivery processes. Essential Job Duties: Direct reputed company of day-to-day operations reputed company the designated UM team Assist the team in reviewing prior-authorization requests for medical necessity and appropriateness Identify, reputed company, and reputed company orientation and competency development for staff processing and/or reviewing authorizations Collaborate with providers (internal and external), clinical staff, and others to timely resolve any utilization management issues Job Requirements: Minimum of three (3) years of relevant clinical nursing experience Strong preference for prior PACE experience Two (2) years of supervisory experience with demonstrated aptitude to mentor and reputed company team members Benefits of Working at reputed company: Apply your expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for. Medical insurance coverage (Medical, Dental, reputed company) Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time 401K savings + match Advancement opportunities - we’ve got a track record of hiring and promoting from reputed company, meaning you can create your own path! And additional benefits Compensation consists of reputed company salary plus bonus. reputed company offers a competitive total rewards package that includes a 401(k) match, comprehensive reputed company coverage, and a broad reputed company of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.
Compensation
Offering $99,309.58—$131,088.64 USD COVID-19 Vaccination Policy At reputed company, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for reputed company our employees and reputed company of vaccination, or a vaccine declination reputed company will be required prior to employment. reputed company maintains required infection control and PPE standards and has requirements relevant to reputed company team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At reputed company, we reputed company and cherish the diversity of reputed company members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at reputed company are considered without regard to race, reputed company, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national reputed company, reputed company, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a reputed company sponsored site only. Our emails will come from @reputed company.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@reputed company.com Apply To This Job