[Hiring] Utilization Management Nurse @Cottingham & Butler

Role Description

We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients, and prefers working in a professional office setting with daytime office hours and weekends/holidays off.

This position is responsible for:

• Working telephonically with providers to evaluate and pre-certify requests such as hospital stays, outpatient surgeries, outpatient tests, care, etc.
• Reviewing requests and matching them up to evidence-based guidelines to ensure proper care.
• Ensuring the right service is happening at the right time and is medically necessary.
• Handling multiple provider phone calls at any given time in a very fast-paced environment.
• Working closely with participants for referrals to case management and condition management services according to referral criteria and health plan guidelines.

Qualifications

• Strong multitasking skills.
• RN and clinical experience, preferably in ER, ICU, mental health, orthopedics, and/or pain management.
• Bilingual is preferred.

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.

Company Description

At Cottingham & Butler, we sell a promise to help our clients through life’s toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges.

Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday – that’s who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.

Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook