Aetna Work From Home Jobs Ohio, Aetna Nurse Jobs Remote #Apply Today ( Utilization Management Nurse Consultant )
Company Name: Aetna
Post Name: Utilization Management Nurse Consultant
Qualification: Graduation
Industry: Private
Employment Type: Full Time
Work Hours: 8 Hours
Salary: $20-30/hour
Location: Ohio, USA
Full Description:
NICU Concurrent evaluate Clinician
Eliminate role
Hours: Monday – Friday eight:00 – 5:00 EST with ability to work rotating weekends.
- makes use of medical skills to coordinate, record and speak all elements of the usage/benefit management program. Applies essential wondering and knowledge in clinically suitable treatment, evidence-primarily based care and clinical necessity criteria for suitable usage of services.
- Consults and lends know-how to other inner and outside ingredients inside the coordination and management of the utilization/benefit management function
- Gathers clinical facts and applies the suitable clinical necessity criteria/tenet, policy, procedure and medical judgment to render coverage determination/advice/discharge making plans alongside the continuum of care
- utilizes medical experience and competencies in a collaborative technique to evaluate and facilitate suitable healthcare offerings/advantages for contributors together with pressing or emergent interventions (such as triage / disaster guide)
- Coordinates/Communicates with vendors and other parties to facilitate optimum care/treatment
- Identifies members who may additionally gain from care management packages and allows referral
- Identifies possibilities to promote nice effectiveness of healthcare offerings and gain usage
Aetna Work From Home Jobs Ohio
Pay range
The typical pay range for this role is:
Minimal: 28.25
Maximum: 60.50
Required qualifications
- ought to have lively unrestricted compact RN state licensure in kingdom of house
- Willingness to achieve extra nation licenses
- capacity to work rotating weekends
Favored qualifications
- three+ years of clinical exercise enjoy in an inpatient NICU putting required
- controlled care/utilization evaluation enjoy
- Discharge making plans experience
- utilization management revel in
Schooling
- Bachelor’s degree or equal revel in
Aetna Nurse Jobs Remote #Apply Today ( Utilization Management Nurse Consultant )
