WelbeHealth
Utilization Management RN
California, USA
Sponsorship not specified$99k-$131kDetected 2 days ago
About the role
- Our Health Plan Services team plays a critical role in our participant's journey, and our Utilization Management team ensures we can provide timely, quality, compliant, and cost-effective care to our participants.
- We're proud to be an equal opportunity employer.
- Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only.
Responsibilities
- 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
- At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging.
- You will never be asked to purchase your own employment equipment.
- By guiding this team, the Utilization Management RN drives the continuous improvement of our care delivery processes.
- Advancement opportunities - we've got a track record of hiring and promoting from within, meaning you can create your own path!
Requirements
- Two (2) years of supervisory experience with demonstrated aptitude to mentor and develop team members
- In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment.
- WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.
- You can report suspected scam activity to fraud.report@welbehealth.com
Compensation
- consists of base salary plus bonus.
- Actual compensation will be determined based on experience and relevant qualifications.
- $99,309.58 - $131,088.64 USD
Benefits
- Medical insurance coverage (Medical, Dental, Vision)
- 17 days of personal time off (PTO), 12 holidays observed annually, and sick time
- And additional benefits
- Assist the team in reviewing prior-authorization requests for medical necessity and appropriateness
- WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits.
- Our Commitment to Diversity, Equity and Inclusion
Visa & Work Authorization
- der, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristic
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This listing is sourced directly from WelbeHealth's careers page and normalized into a canonical job model.