Who we are:
Meridian, a WellCare Company, is part of a national network of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry.
We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in Michigan, Illinois, Indiana, and Ohio. As a part of the WellCare Family of companies, we deliver healthcare excellence to millions of members nationwide.
Our associates work hard, play hard, and give back. Meridian associates enjoy an exceptional experience and culture including special events, company sports teams, potlucks, Bagel Fridays, and volunteer opportunities.
A Day in the Life of a Utilization Management Inpatient Review Nurse:
This position ensures that authorization requests and provider inquiries are handled appropriately within established timeframes, and established guidelines and protocol are utilized for clinical decision-making. Functions collaboratively with the members of the Utilization Management team, and specifically with the review nurses, case managers and Medical Directors to ensure for timely disposition of inpatient authorization requests and discharge planning activities.
What you can bring to Meridian:
Equal Opportunity Employer