Registered Nurse - PRN - Accredo - Work at Home

Registered Nurse (PRN) working from home in the US within the Prior Authorization/Utilization Management program. Responsibilities include reviewing escalated clinical criteria for providers, members, and patient advocates; identifying and tracking trends for analytics reporting; interacting with patients to provide education on treatments and disease states; completing monthly appeals across reimbursement and prior authorization processes; leveraging knowledge of payer guidelines and denial resolution strategies; cross-functional collaboration; participating in program meetings and demonstrations of clinical systems competency; and performing special projects as needed. Minimum 16 hours per week with hours to meet business needs. Requires RN license in state of primary residence; BSN preferred; compact license preferred. Salary range $31-$52 per hour, with actual rate depending on experience and geographic location. Includes the Evernorth/Cigna Group context and equal opportunity employment statements. Remote work allowed, with home internet requirements provided in posting.