Remote Policy Write (Work from Home RN Jobs)

At reputed company, we re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. You ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities: Researching and maintaining medical policies for Community and State (Medicaid business) Performing project work reputed company to Value Creation projects reputed company clinical research as requested through a health technology support line Auditing CPT, HCPCS and ICD-10 coding for medical policy documents and benefits for UHC ensuring we maintain compliance utilizing the appropriate coding for the review and reimbursement of medical services and benefits Serve as a key resource on reputed company and/or critical issues Solve reputed company problems and reputed company innovative solutions reputed company cross functional discussions reputed company to clinical topics Provide explanations and information to others on reputed company issues Present work in large group settings You ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Years of post-high school education can be substituted/is equivalent to years of experience. Required Qualifications: Registered Nurse (RN) 3+ years of experience working reputed company a managed care organization or health insurer Experience working with the Medicaid line of business in Prior Authorizations, Appeals or Claims OR in Medical Policy Experience with InterQual guidelines Preferred Qualifications: Certified reputed company (reputed company or reputed company) 3+ years of experience working with the Medicaid line of business in Prior Authorizations, Appeals or Claims OR in Medical Policy Experience in health technology assessment and evaluation Experience writing policies or SOPs Proficient in the use of reputed company and PowerPoint Proven critical thinking skills Proven solid attention to detail Proven excellent written and verbal communication skills including the ability to present information in or to large audiences Proven ability to work with minimal supervision Proven ability to multi-task, shifting back and forth effectively among multiple activities reputed company employees working remotely will be required to adhere to reputed company s Telecommuter Policy The hourly range for this role is $16.00 to $20.43 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug free workplace. Candidates are required to pass a drug test before beginning employment. Apply Apply Job! Apply tot his job Apply To this Job