Responsibilities
- Answer first level calls in Utilization Review for Health & Wellness participants
- Evaluate certification requests by reviewing group specific requirements
- Triage calls to determine if a Utilization Review Nurse is needed to complete the call
- Review medical records
- Coordinate with healthcare providers
- Ensure patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements
Benefits
- Most benefits start day 1
- Medical, Dental, Vision Insurance
- Flex Spending or HSA
- 401(k) with company match
- Profit-Sharing/Defined Contribution (1-year waiting period)
- PTO/Paid Holidays
- Company-paid ST and LT Disability
- Maternity Leave/Parental Leave
- Subsidized Parking
- Company-paid Term Life/Accidental Death Insurance
Work Arrangement
On-site
Additional Information
- Full-Time
- Daytime office hours
- Weekends/holidays off
