Aetna Jobs From Home, Remote Jobs No Experience #Apply Today ( Utilization Management Clinical Consultant )
Company Name: Aetna
Post Name: Utilization Management Clinical Consultant
Qualification: Graduation
Industry: Private
Employment Type: Full Time
Work Hours: 8 Hours
Salary: $20-30/hour
Location: Nevada, USA
Full Description:
Makes use of medical talents to coordinate, document and speak all elements of the utilization/benefit management software.
Applies essential questioning and is knowledgeable in clinically appropriate treatment, proof based care and clinical practice guidelines for Behavioral fitness and/or medical situations primarily based upon application focus.
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- LCSW, LCPC, RN with revel in in psychiatric putting required.
- Utilizes clinical revel in and capabilities in a collaborative process to evaluate appropriateness of treatment plans throughout stages of care, follow evidence based requirements and practice tips to remedy wherein appropriate.
- Coordinate, reveal and compare alternatives to facilitate appropriate healthcare offerings/advantages for members.
- Provides triage and crisis guide.
- Gathers scientific records and applies the right clinical standards/tenet, policy, technique and scientific judgment to render coverage. Dedication/recommendation alongside the continuum of care helps along with effective discharge planning.
- Coordinates with companies and different events to facilitate surest care/treatment.
- Identifies individuals at threat for terrible results and enables referral possibilities to combine with different products, offerings and/or packages.
- Identifies opportunities to promote great effectiveness of healthcare services and benefit utilization.
- Consults and lends information to other internal and external parts inside the coordination and administration of the utilization/gain control characteristic.
Remote Jobs No Experience #Apply Today ( Utilization Management Clinical Consultant )
Pay range
The standard pay range for this function is:
Minimum: 28.25
Maximum: 60.50
Please remember that this range represents the pay range for all positions in the task grade within which this position falls. The actual salary offer will don't forget a wide range of factors, together with vicinity.
Required qualifications
- Should be a licensed independent Behavioral fitness clinician with lively current unrestricted licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse (RN) with contemporary lively and unrestricted kingdom license with psychiatric specialty, certification, or experience in state of house
- Three+ years scientific practice revel in, e.G., clinic placing and behavioral health
- Position calls for proficiency with laptop skills which incorporates navigating a couple of structures and keyboarding
Aetna Jobs From Home
Preferred qualifications
- Controlled care enjoy
- Utilization evaluate revel in preferred
- Revel in in a behavioral health inpatient setting
- Capacity to multitask, prioritize and efficiently adapt to a fast paced changing surroundings
Schooling
- Master’s degree of education resulting in independent Behavioral fitness licensure (LCSW, LPCC, LMFT, LPAT, LP) or if a a nurse buddies degree required; BSN favored
Remote Jobs No Experience #Apply Today ( Utilization Management Clinical Consultant )
