Job Description
Aetna At Home Jobs(Data Entry) $24/Hour
Job Responsibilities: Prior Authorization Clinical Reviewer
Hiring Organization: Aetna
Educational Requirements: Bachelor’s Degree
Industry: Private
Employment Type: Full Time
Salary: $24-$34/Hour
Location: Phoenix, USA
Full Job Description:-
Position Rundown
This is a full-time working-from-home position. Hours for this occupation are Monday – Friday 8 am – 5 pm Arizona time. Discontinuously essential for consideration during events and week’s end through the turn (about once at standard spans). Discontinuous events rely upon the circumstance. Space for versatility is expected considering business needs. Aetna At Home Jobs(Data Entry) $24/Hour
Branch out to go to occasional in-person office get-togethers. Ought to be willing and all set for in-state social occasions once in a while. Reliable transportation is required. Mileage is reimbursed per our association cost reimbursement methodology
Tolerance Care is a not-income driven Medicaid-directed care prosperity plan, serving Arizonans beginning around 1985. We give induction to physical and social clinical benefits organizations, to people who are equipped for Medicaid. Our people integrate families, children, seniors, and individuals who have developmental/mental inadequacies. We hold various concurrences with AHCCCS, Arizona’s Medicaid office, and pass organizations generally on through the state. Aetna At Home Jobs(Data Entry) $24/Hour
Consideration Care is coordinated by Aetna, a CVS Prosperity association. Our staff is used by Aetna and CVS Prosperity. This gives Generosity Care the resources of a public affiliation, yet allows us to bring our people the shared trait and presence of a close-by gathering of people who put our people at the point of convergence of all that we do. Aetna At Home Jobs(Data Entry) $24/Hour
This Position Incorporates:
- Prior endorsement review of physical and social prosperity-related organizations. Aetna At Home Jobs(Data Entry) $24/Hour
- Utilization of clinical capacities to arrange, record, and bestow all pieces of the use/benefit of the board program.
- Utilization of conclusive thinking and data on clinically legitimate treatment, verification-based care, and clinical need models for fitting the use of organizations for people with inadequacies and exceptional clinical benefits needs.
- Tolerating provider calls associated with the previous endorsement questions and making choices for people to exhort regarding the consideration confirmation. Aetna At Home Jobs(Data Entry) $24/Hour
- Gathering clinical information and applying appropriate clinical need guidelines/rules, techniques, framework, and clinical judgment to convey consideration affirmation/idea/discharge orchestrating along the continuum of care
- Use of clinical experience and capacities in a helpful cycle to survey and work with legitimate clinical consideration organizations/benefits for people
- Recognizing confirmation of people who could benefit from care the board activities and help of the reference
- Recognizing confirmation of opportunities to propel quality ampleness of clinical consideration organizations and benefit utilization. Aetna At Home Jobs(Data Entry) $24/Hour
- Dormant work including seasons of sitting, talking, tuning in
Required Capacities
- 5+ significant length of clinical experience as an RN
- Ought to have dynamic and unhindered RN licensure in the region of Arizona
- Ought to stay in MST (AZ) time district. Aetna At Home Jobs(Data Entry) $24/Hour
- Ought to be willing and all set for in-state get-togethers now and again. Strong transportation is required. Mileage is reimbursed per our association cost reimbursement system
- Inclined toward Capacities
- Prior Utilization The board’s understanding. Aetna At Home Jobs(Data Entry) $24/Hour
- Strong definitive thinking and made social capacities.
Guidance:
- Long-term affirmation in Nursing is required. Aetna At Home Jobs(Data Entry) $24/Hour
-: USA Job Market Trends:-
Right here are a few standard traits that have been affecting the process marketplace within side the United States. Please note that the process marketplace is a challenge to change, and for the maximum modern-day and correct information, it is critical to consult the modern-day reviews and records from
- Remote Work and Hybrid Models: The COVID-19 pandemic caused a sizable growth in remote work and bendy work arrangements. Many employers and personnel embraced remote and hybrid work models, which can affect how jobs are established within side the future
- Technology and Digital Skills: The call for technology-associated skills, which include coding, records analysis, and virtual marketing, has been continuously high. Technology-pushed roles have been at the upward thrust throughout numerous industries.
- Healthcare and Biotechnology: The pandemic highlighted the significance of the healthcare sector, mainly due to the persistent boom in roles associated with healthcare, pharmaceuticals, biotechnology, and clinical research.
- Renewable Energy and Sustainability: There has been growing interest in renewable power reasserts and sustainability practices, using process boom in regions like smooth power, environmental conservation, and inexperienced technology.
- E-Commerce and Logistics: The shift toward online purchasing has pushed a call for jobs in e-trade platforms, delivery chain management and last-mile logistics
- Cybersecurity: With the growing reliance on virtual infrastructure, cybersecurity has ended up a crucial concern, main to a developing call for expert professionals in cybersecurity and records protection.
- Health and Well-being: Companies have been focusing extra on worker well-being, mainly to accelerate the call for roles associated with intellectual fitness support, well-being programs, and work-life stability initiatives.
- Skilled Trades and Vocational Roles: Skilled trades which include electricians, plumbers, and mechanics have visible a scarcity of workers, supplying possibilities for people inquisitive about vocational careers.
- Diversity, Equity, and Inclusion (DEI): Organizations are setting extra emphasis on developing various and inclusive work environments, mainly due to the emergence of roles targeted at DEI initiatives.
- Gig Economy and Freelancing: The gig financial system continues to grow, providing possibilities for people to work as freelancers, consultants, and impartial contractors in numerous industries.
- Aging Workforce and Succession Planning: The growing old populace has triggered discussions approximately the body of workers making plans and skills succession techniques in industries with a big percentage of older workers Reskilling and Upskilling: Lifelong mastering and non-stop talent improvement have ended up critical as industries evolve rapidly. Many people are looking for possibilities to reskill or upskill to stay aggressive within side the process marketplace.
Aetna At Home Jobs(Data Entry) $24/Hour