Utilization Management RN
Location
Florida
Posted
36 days ago
Salary
$77.6K - $126.1K / year
Seniority
Senior
Job Description
Utilization Management RN
GuideWell Source
• Serve as a liaison between internal clients and functional departments. • Help clients achieve their objectives by serving as a resource. • Identify risks, evaluate controls and prepare findings and recommendations. • Implement compliance programs to prevent illegal, unethical or improper business practices. • Ensure through audits that the organization’s programs are consistently administered in compliance. • Monitor and evaluate the effectiveness of solutions, policies, practices and processes. • Recommend improvements to achieve and deliver high quality, value-added services. • Develop, implement, administer and revise policies, procedures and programs. • Research, analyze, maintain, modify, validate and prepare data, information and content. • Produce, edit and distribute a variety of business documents. • Create, present and/or facilitate meetings, webinars, trainings, etc. • Represent assigned function at external hearings, mediations, audits, meetings, etc. • Participate on or lead large, complex departmental and/or divisional projects. • Develop and build internal and external partnerships.
Job Requirements
- 5+ years related work experience.
- Related Bachelor’s degree or additional related equivalent work experience.
- FL active and unrestricted RN license or compact RN license.
Benefits
- Medical, dental, vision, life and global travel health insurance;
- Income protection benefits: life insurance, short- and long-term disability programs;
- Leave programs to support personal circumstances;
- Retirement Savings Plan including employer match;
- Paid time off, volunteer time off, 10 holidays and 2 well-being days;
- Additional voluntary benefits available;
- A comprehensive wellness program
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