Offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Crisis Management Representative I, II, or III. This position can be filled at the Utilization Management Representative I, II, or III level. Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company.

Utilization Management Representative. Utilization Management Rep III. The health of our associates and communities is a top priority for Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health.

Beacon Health Options is a proud member of the Elevance Health family of companies. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

As a Utilization Management Representative, you will be responsible for managing incoming calls, including triage, opening of cases, and authorizing sessions. This position can be filled at Utilization Management Representative I or Utilization Management Representative II. The hiring manager will determine the level, based on the candidate's experience and background.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements.

May act as liaison between Medical Management and internal departments. + Medical terminology training, time management skills, organizational skills. Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.

Elevance Health will also follow all relevant federal, state and local laws. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate.

At Elevance Health, the team is comprised of the best and brightest from diverse experiences, cultures, and backgrounds. ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

This position can be filled at Utilization Management Representative I or Utilization Management Representative II, or Utilization Management Representative III. The hiring manager will determine the level, based on the candidate's experience and background.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Elevance Health, Inc. is anE-verify Employer.

Refers cases requiring clinical review to a nurse reviewer; handle referrals for specialty care. Provide authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.

Process incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests for precertification and/or prior authorization. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

For candidates working in person or remotely in the below locations, the salary. Conduct a thorough radius search in Provider Finder and follow up with provider on referrals given. Ability to obtain your Associates' or Bachelor's degree or further your education with tuition reimbursement.