Employer Industry: Healthcare Services

Why Consider this Job Opportunity:
- Salary up to $CompetitivePay
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on reducing health disparities
- Eligibility for remote work within specified states
- Comprehensive benefits package including medical, dental, vision, and retirement options

What to Expect (Job Responsibilities):
- Conduct review of hospital notification or prior authorization care requests
- Collaborate with facilities for discharge planning
- Provide coordination support to members transitioning between care settings
- Identify and recommend high-quality care options
- Communicate effectively with medical directors and healthcare providers

What is Required (Qualifications):
- Bachelor's degree in a relevant field or equivalent experience
- Current, unrestricted license as an RN, LPN, LMHC, LICSW, or LMFT
- Minimum of two years clinical experience in healthcare settings
- Previous experience in Utilization Management and Managed Care
- Knowledge of clinical guidelines and health plan policies

How to Stand Out (Preferred Qualifications):
- Familiarity with criteria sets such as MCG, InterQual, ASAM, and LOCUS
- Experience with care management workflow systems
- Proficiency in Microsoft Office products

#HealthcareServices #UtilizationManagement #CareerDevelopment #RemoteWork #InclusiveWorkEnvironment

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