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Aetna Remote Jobs Florida, No Experience Remote Jobs #Apply Today ( Utilization Management Nurse Consultant )
Hiring Organization: Aetna
Post Name: Utilization Management Nurse Consultant
Qualification: Graduate
Industry: Private
Employment Type: Full Time
Work Hours: 8 Hours
Salary: $20 – $30/Hour
Location: Florida, USA
Full Job Description
Prior Authorization UM Nurse Consultant
Utilizes scientific revel in and capabilities in a collaborative procedure to assess, plan, implement, coordinate, screen and examine alternatives to facilitate suitable healthcare offerings/advantages for participants. Gathers scientific statistics and applies the best scientific criteria/guideline, policy, system and scientific judgment to render insurance determination/advice alongside the continuum of care. Communicates with companies and different events to facilitate care/remedy Identifies participants for referral possibilities to combine with different products, offerings and/or packages Identifies possibilities to sell nice effectiveness of Healthcare Services and advantage usage Consults and lends knowledge to different inner and outside ingredients withinside the coordination and management of the usage/advantage control function.
Aetna Remote Jobs Florida, No Experience Remote Jobs #Apply Today ( Utilization Management Nurse Consultant )
Required Qualifications
- 3+ years of revel in as an RN
- 1+ years of inpatient health center revel in
- Registered Nurse in kingdom of residence
- Must have previous authorization usage revel in
- Able to paintings in more than one IT platforms/systems
Preferred Qualifications
- Knowledge of Medicare/Medicaid
- Managed care revel in
- In the training field, perceive the diploma required and the equal revel in if relevant for the function. Note this doesn't follow to scientific or unique certification roles. Click right here for greater statistics and to view the chart.
Education
- Associates diploma required; BSN preferred
Business Overview
Bring your coronary heart to CVS Health Every one people at CVS Health stocks a single, clean cause: Bringing our coronary heart to each second of your fitness. This cause courses our dedication to supply superior human-centric fitness take care of a unexpectedly converting world. Anchored in our brand — with coronary heart at its center — our cause sends a non-public message that how we supply our offerings is simply as essential as what we supply. Our Heart At Work Behaviors™ aid this cause. We need all people who works at CVS Health to experience empowered through the function they play in reworking our subculture and accelerating our capacity to innovate and supply answers to make fitness care greater non-public, handy and affordable. We attempt to sell and maintain a subculture of diversity, inclusion and belonging each day. CVS Health is an affirmative motion employer, and is an identical possibility employer, as are the physician-owned organizations for which CVS Health presents control offerings. We do now no longer discriminate in recruiting, hiring, promotion, or every other employees motion primarily based totally on race, ethnicity, color, country wide origin, sex/gender, sexual orientation, gender identification or expression, religion, age, disability, included veteran status, or every other feature included through relevant federal, kingdom, or neighborhood law. We proudly aid and inspire human beings with army revel in (active, veterans, reservists and National Guard) in addition to army spouses to use for CVS Health activity possibilities.
Aetna Remote Jobs Florida, No Experience Remote Jobs #Apply Today ( Utilization Management Nurse Consultant )
