( Utilization Managment Nurse Consultant ) Aetna Health Insurance Remote Jobs, Cvs Aetna Remote[...]

Responsibilities Uses clinical experience and abilities in a cooperative cycle to survey, plan, carry out, direction, screen and assess choices to work with suitable medical care administrations/benefits for individuals. Assembles clinical data and applies the proper clinical measures/rule, strategy, method and clinical judgment to deliver inclusion assurance/proposal along the continuum of care. Speaks with suppliers and different gatherings to work with care/treatment. Distinguishes individuals for reference chances to coordinate with different items, administrations as well as projects. Recognizes chances to advance quality viability of Medical care Administrations and advantage use. Counsels and loans skill to other inner and outer constituents in the coordination and organization of the use/benefit the executives capability. Work requires the capacity to perform close examination of manually written and PC produced records as well as a PC screen. Requires sitting for broadened periods, chatting on the phone and composing on the PC. Capacity to perform multiple tasks, focus on and really adjust to a quick moving changing climate. Position requires capability with PC abilities which incorporates exploring various frameworks and keyboarding Viable relational abilities, both verbal and composed. Required Capabilities 3+ long periods of involvement as an Enrolled Medical caretaker Should have dynamic current and unlimited RN licensure in condition of home Should have 1+ long periods of post-intense involvement in either (LTC), Long haul Care (LTAC), Long haul Intense Consideration, Intense Recovery (AR), Talent Nursing (SNF) The job of PPS facilitator, MDS facilitator, Overseer of nursing in any of the settings LTAC, AR or SNF is solid possibility for the job Education Partner degree required; BSN liked Pay Range Least: $28.25 Most extreme: $60.50 per hour. The genuine base compensation proposition will rely upon various variables including experience, schooling, geology and other applicable elements. Benefits The Organization offers a full scope of clinical, dental, and vision benefits. Qualified representatives may sign up for the Organization's 401(k) retirement investment funds plan, and a Worker Stock Buy Plan is additionally available for qualified workers. The Organization gives a completely paid term life coverage plan to qualified workers, and present moment and long haul inability benefits. CVS Wellbeing likewise offers various prosperity programs, instruction help, free improvement courses, a CVS store endlessly rebate programs with taking an interest accomplices. Paid PTO and paid occasions throughout the year with predictable significant state regulation and Company arrangements. #J-18808-Ljbffr Aetna