Lifelancer hayot fanlari, farmatsevtika va IT sohalariga yo‘naltirilgan, sun’iy intellekt asosida ishlaydigan iste’dodlarni ishga yollash platformasidir. U malakali mutaxassislarga o‘z tajribasini namoyish etish, xalqaro ish va loyiha imkoniyatlarini topish hamda ixtisoslashgan mutaxassislarni izlayotgan ish beruvchilar bilan bog‘lanishga yordam beradi. Ishga yollash jamoalari uchun Lifelancer sun’iy intellekt yordamida nomzodlarni izlashni bir nechta mamlakatlarda ishga qabul qilish va ish haqi to‘lash jarayonlarini qo‘llab-quvvatlash bilan birlashtiradi; bunda muvofiqlik masalalari ham hisobga olinadi.
Behavioral Health Utilization Management Nurse Consultant
Review inpatient and outpatient behavioral health care for managed-care members, applying clinical criteria to service authorization and provider escalations. This remote role serves CVS Health members in Arizona.
Tavsif
- Review inpatient and outpatient services requiring precertification using evidence-based criteria and clinical guidelines.
- Authorize procedures and services based on applicable criteria, or refer cases to a Medical Director.
- Gather and assess clinical information from providers.
- Work with providers and escalate cases when needed.
- Use multiple systems and keep records accurate.
- Conduct utilization reviews in a fast-paced, computer-based setting.
- Perform desk and telephone duties, including sitting, speaking, listening, and computer use.
Talablar
- Hold an active, unrestricted Registered Nurse license in your state of residence.
- Have at least 3 years of acute behavioral health and/or substance abuse clinical nursing experience.
- Have at least 1 year of concurrent review or prior authorization experience; behavioral health and substance abuse experience is preferred.
- Attend all sessions of mandatory three-week training, Monday through Friday, 8:30 a.m. to 5:00 p.m. Eastern Time.
- Be able to provide occasional rotating on-call coverage on weekends and some holidays.
- Have an associate degree in nursing (RN).
- Be proficient with computers and able to navigate multiple systems.
- Maintain a dedicated workspace free from interruptions.
- Arrange separate care for dependents during work hours.
- Preferred: At least 1 year of managed care organization experience.
- Preferred: At least 1 year in a high-volume clinical call center.
- Preferred: Remote work experience.
- Preferred: Bachelor of Science in Nursing.
Imtiyozlar
- Medical coverage.
- Dental coverage.
- Vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs.
- Resources supporting physical, emotional, and financial well-being.
- Eligibility for CVS Health bonus, commission, or short-term incentive programs.