Utilization Management RN
WelbeHealth · California, United States · 2 days ago
Healthcare$99k–$131k/yrFull-time
Essential Job Duties
- Direct oversight of day-to-day operations within the designated UM team
- Aid the team in reviewing prior-authorization requests for medical necessity and appropriateness
- Identify, develop, and provide orientation and competency development for staff processing and/or reviewing authorizations
- Collaborate with providers (internal and external), clinical staff, and others to timely resolve any utilization management issues
Job Requirements
- Minimum of three (3) years of relevant clinical nursing experience
- Strong preference for prior PACE experience
- Two (2) years of supervisory experience with demonstrated aptitude to mentor and develop team members
Benefits
- Medical insurance coverage (Medical, Dental, Vision)
- Work/life balance - 17 days of personal time off (PTO), 12 holidays observed annually, and sick time
- 401K savings + match
- Advancement opportunities - hiring and promoting from within
- Additional benefits
Pay
- $99,309.58—$131,088.64 USD
Schedule
- Not specified
Qualifications
- Not specified
Skills
- Not specified
Benefits
- Apply your expertise in new ways as we rapidly expand
- Encouraging and loving environment where every person feels uniquely cared for
- Medical insurance coverage (Medical, Dental, Vision)
- Work/life balance - 17 days of personal time off (PTO), 12 holidays observed annually, and sick time
- 401K savings + match
- Advancement opportunities - hiring and promoting from within
- Broad range of additional benefits
Pay
- Competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits
Schedule
- Not specified
Qualifications
- Not specified
Skills
- Not specified
Company Information
- Full remote position
- CA residents preferred
- Mission: Unlock the full potential of our vulnerable seniors
- Equal opportunity employer
- Committed to diversity, equity, and inclusion
- COVID-19 Vaccination Policy
- Report suspected scam activity to [fraud.report@welbehealth.com](mailto:fraud.report@welbehealth.com)