RN Coverage Review Nurse Clinician, Work from Home, Anywhere, USA

Job Description – This is a Work at Home role – anywhere in the US
Express Scripts Coverage Review Department (CRD

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Role Summary

Nurse clinicians are responsible for reviewing if coverage can be granted for a medication based on guidelines established by each particular plan. Work closely with utilization management pharmacists and physicians.

Responsibilities

  • Utilizes multiple systems and other clinical resources to research information
  • Applies patient assessment skills to provide pharmacists and medical directors key information to aid in their reviews
  • Works and maneuvers within a queue system that prioritizes clinical reviews
  • Works and collaborates with a multi-disciplinary clinical team to provide a customer-centric experience

Work hours: 8:30 am-5:00 pm; Also, must be available to work every 6th weekend rotation working either Saturday or Sunday, will receive a day off during the week.

Qualifications

  • Licensed Registered Nurse
  • Bachelor’s Degree in Nursing preferred
  • 5+ years of clinical experience; pharmacy knowledge preferred
  • Proficient technical skills utilizing Microsoft Office applications required
  • Utilization Management Experience Preferred, but not required
  • Experience with Specialty Pharmacy/Pharmaceuticals preferred
  • 2+ years lead/supervisor experience preferred

Suppose you will be working at home occasionally or permanently. In that case, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 29 – 49 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.

Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status about public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.

Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

If you can start right away, please apply below.

Top 10 Tips for Interview

  1. Keep your mind and body, relaxed.
  2. Never try to give a long answer to an interview question. Keep your answer short and effective.
  3. If you don’t know the answer of any question, do not try to mislead the interviewer because he knows everything. Here your answer should be just some simple words “Sorry Sir/Ma’am, I do not know the answer”.
  4. Your dress should be formal. The formal dress always leaves a good impact on the interviewer.
  5. Take permission from the interviewer before going inside the interview room by saying “May I come in Sir/Madam?”.
  6. Do not shake your leg and hand again and again.
  7. Your clothes should be neat and clean.
  8. If the interviewer asks the question in English/Hindi, you should answer in the same language. If you are not comfortable in that language, you should ask your interviewer “I am not comfortable in English/Hindi. Sir, Can I answer in ‘your comfortable language'”. Do not try to give the answer in which language you are not comfortable because in this situation. You would not be able to give your 100% in that language.
  9. How much time you will stay in the interview room, do not be out of focus. Your focus should be on the interviewer. Do not miss any single word out of what he would be asking. Because if you do so, you will need to listen to that question again. And trust me, guys. This is a very bad impact. So try to understand and listen to the question properly at once.
  10. Before leaving the room. You should say ‘Thank you to your interviewer’

Some rules which are followed in good companies by good employees. About what you should know so that you may easily adapt them, given below.

  1. Company always wants you to be on time and you should be.
  2. Take less leave from the office.
  3. Focus on your work and try to learn more.
  4. Speak from your work not for your mouth.
  5. Keep on trying to get new things from your seniors, regarding your profile.
  6. Raise your point but only then when you are 100% sure about your point.
  7. Never hurry because haste makes waste.
  8. For earning some extra points than others. Just play out of your comfort zone.
  9. Always respect your seniors.
  10. Learn from mistakes made by you and others and do not try to repeat them.

Some Common Interview Question You Could Be Asked

  1. Tell me about yourself or describe yourself or give your introduction?
  2. Why are you leaving your current company?
  3. How will you take our company ahead from here with the help of your work?
  4. Are you comfortable with our company’s work timing?
  5. Why should we hire you for this position?
  6. How much do you expect as a salary?

Answers should be given below.

  1. Introduction: 
  1. My name is ‘NAME’, 
  2. I have done ‘QUALIFICATION’,
  3. I am from ‘Location’, 
  4. Currently I am working in ‘Company Name’ “Ignore if fresher”
  5. My current position is ‘Position Name’ “Ignore if fresher”
  6. I am working on ‘Project Name’ “Ignore if fresher”

Why USA is a Good Place to Work on for Foreigners

  1. Money (Most Important Reason):

As we all know 99.99% people do jobs only because of money and in America (USA) the monthly average salary is $5500. A graph is given below to understand easily. 

Countries USA Dolor Other Currencies
India 5500 429382
China 5500 36898
Nigeria 5500 2,305,710
Nepal 5500 700,393.10
Canada 5500 7,027.08
Pakistan 5500 1,201,750
Brazil 5500 27,920
Sri Lanka 5500 1,979,616

 

  1. Safety in USA:

If you live in America then you can say that you are one of those people in America who are the safest in this planet 

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