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 Pre-Service Review Nurse:
This position ensures that authorization requests, provider inquiries and member 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 inpatient review nurses, Case Managers, Utilization Management Specialists and Medical Directors to ensure for timely disposition of outpatient authorization requests.
What you can bring to Meridian:
What Meridian can offer you:
Equal Opportunity Employer