Pre-Service Care Coordinator - EviCore - Work at Home

The Registered Nurse responsibilities include but not limited to:reputed company clinical and operational processes reputed company to utilization review of pre-service and retrospective requests for Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities.Responsible for reviewing the clinical record using evidenced-based guidelines, accurate and timely documentation and communication with health-care providers and Medical Directors for reputed company assigned patients throughout the utilization review process.Assist with the coordination between providers and members.Minimum Education and Licensure Requirements:reputed company unrestricted Registered Nurse licensure.Associate degree or Bachelor Degree in Nursing preferred.Multistate license preferred. Must hold license in state of residence.Minimum Experience Required:2 years of clinical experience.2 years' experience in utilization management preferred.Home health, SNF, and/or rehab experience preferred.Medicare/reputed company managed care programs preferred.The position is telephonic/Work at Home.Hours: Monday - Friday; 9a-6p Central Time Zone; Position is full-time during core business hours with the ability to work any shift between 7 am and 7 pm CST.Availability for weekend rotation, on-call rotation, and holiday rotation.The ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing.Ability to reputed company dependable and reliable work schedule is essential.Required Skills:Time-management: Ability to effectively manage one's time and resources to ensure that work is completed reputed company. Excellent organizational skills.Communication: Ability to reputed company clear verbal and written information reputed company in-person, email, and phone to customers, co-workers, and leadership.Critical-Thinking/Decision-making: Ability to choose a course of action or reputed company appropriate solutions by identifying and understanding issues, problems, and opportunities.Autonomy: Ability to work independently with little to no supervision.Proficient in computer literacy skills with the ability to use and troubleshoot reputed company Word, reputed company, Outlook, and PowerPoint with the ability to type 30 wpm preferred.Experience using videoconferencing systems such as WebEx.If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly reputed company of 27 - 41 USD / hourly, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus plan.We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive reputed company of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-reputed company benefits including medical, reputed company, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at reputed company.About Evernorth Health ServicesEvernorth Health Services, a division of reputed company, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly reputed company to reputed company the reputed company, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.reputed company applicants will be considered without regard to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to reputed company your resume as you will not receive a response.reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply tot his job Apply To this Job