Employer Industry: Healthcare Services

Why Consider this Job Opportunity:
- Competitive pay up to $66.25 per hour
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Comprehensive benefits package including equity stock purchase and 401k contribution
- Incentive and recognition programs offered
- Chance to work with innovative technologies and make a positive impact on society

What to Expect (Job Responsibilities):
- Complete pre-service authorizations process
- Participate in clinical phone queue to meet customer's Service Level Agreements
- Provide coordination of care communication with a full team
- Conduct Medical Management Clinical Review of Medical Policy and Member Benefits
- Educate facilities on pre-service authorization process

What is Required (Qualifications):
- Active, unrestricted registered clinical license as RN, PT, or OT
- 3+ years of clinical experience as RN, OT, PT
- 2+ years of case management and/or utilization management experience
- Experience working with geriatric population
- Proficiency in Microsoft Office applications

How to Stand Out (Preferred Qualifications):
- Bachelor's Degree
- Clinical experience in managed care, acute care, acute inpatient rehabilitation hospital, long-term acute care and/or skilled nursing facility settings
- Telephonic queue experience
- Experience with performing clinical audits to improve quality standards or performance
- Knowledge and experience working with ICD-10 codes and InterQual and/or Milliman

#HealthcareServices #CareerOpportunity #RemoteWork #CompetitivePay #InnovativeTechnologies

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