What Jobs are available for Nurses in Salt Lake City?

**Description**
**Introduction**
Do you want to join an organization that invests in you as a(an) Patient Care Tech PRN? At St. Mark's Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
St. Mark's Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Patient Care Tech PRN like you to be a part of our team.
**Job Summary and Qualifications**
As a Patient Care Technician you will be a crucial member of our collaborative nursing care team, delivering hands-on care and helping create a safe, welcoming environment for patients. Your support brings comfort, dignity, and connection to those who need it most - and helps make our mission to improve lives a reality for patients every day.
**Your responsibilities will include:**
+ Assisting with patient preparation, mobility, transfers, and comfort to support smooth procedures and recovery
+ Providing non-medicated care like dressing changes, skin protection, and use of supportive devices
+ Keeping patient areas, operating rooms, and common spaces clean, organized, and stocked to maintain safety and efficiency
+ Managing supplies, equipment, and environmental logs to keep the team ready and protect patients through infection control
+ Communicating kindly with patients, families, and the care team while promoting safety and quality efforts
**What qualifications you will need:**
+ Basic Cardiac Life Support, or BCLS Instructor must be obtained within 30 days of employment start date
For 150 years, St. Mark's Hospital ( has provided a full-spectrum of healthcare services to Salt Lake City and its surrounding communities. As Utah's first hospital, St. Mark's team members uphold a rich tradition of patient-centered, top-quality care at our 308 plus bed hospital. St Mark's drives the development of some of the regions finest clinical service areas such as neurosciences, trauma, orthopedics, cardiac care and robotic surgery. St. Mark's was named to the Fortune/IBM Watson Health 100 Top Hospitals® list. This is the eighth time this hospital has been recognized with this honor as one of the top performing Teaching Hospitals in the U.S.
St. Mark's has expanded emergency access to the communities we serve with two free standing emergency centers, Taylorsville Emergency Center ( and West Valley Emergency Center ( . Both locations have 10 plus patient rooms are staffed 24/7 by experienced board-certified emergency room physicians, nurses and support teams from St. Mark's Hospital. In addition to ER care, both facilities give comprehensive imaging services, including computerized tomography (CT scan), Xray, and ultrasound as well as a fully-equipped medical laboratory.
Nestled at the foot of the Wasatch Mountains, St. Mark's sits in a picturesque and ideal location. From our hospital doors it's a quick commute to Salt Lake's urban and cultural benefits, and a short drive to outdoor adventures and Utah's glorious national parks.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Patient Care Tech PRN opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

**Shift- Monday- Friday 8:30 am - 5:00 pm PST - or as business needs dictate -remote**
**_What Customer Service Operations contributes to Cardinal Health_**
Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.
Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution
**_Job Summary_**
The Representative II, Customer Service Operations processes orders for distribution centers and other internal customers in accordance to scheduling, demand planning and inventory. The Representative II administers orders in internal systems and responds to customer questions, clearly communicating delays, issues and resolutions. This job also processes non-routine orders, such as product samples, and ensures that special requirements are included in an order.
This position specializes in new patient care on the customer service team.
**_Responsibilities_**
+ Processes routine customer orders according to established demand plans, schedules and lead times using SAP and other internal systems. Enters all necessary order information, reviews order contents, and ensures that orders are closed once completed.
+ Responds to inquiries from internal customers, such as Distribution Centers, regarding order tracking information as well as on-hold, back order and high priority statuses.
+ Identifies and communicates resolutions to order delays, missing information, and product availability based on customer profiles.
+ Uses dashboards and reporting from internal systems to identify causes of order issues, such as lack of inventory or invalid measures or requirements in the order. Creates visuals and conducts analyses as necessary to understand and communicate order data and issues.
+ Coordinates with a variety of internal stakeholders, including Planners and externally facing Customer Service Representatives, regarding customer issues.
+ For international shipping and in cases of special-order requirements, coordinates with Quality and Global Trade teams in order to ensure compliance of orders.
+ Processes orders for product samples and trials, coordinating with Marketing teams as necessary to understand the purpose and requirements of the samples.
**_Qualifications_**
+ 1-3 years of experience, preferred
+ High School Diploma, GED or equivalent work experience, preferred
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**Anticipated hourly range:** $15.75 per hour -$18.50 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPa _y_
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 11/21/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (

**Description**
**Introduction**
We are seeking a(an) RN Clinical Nurse Coordinator ER with St. Mark's Hospital to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!
**Benefits**
St. Mark's Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
We are seeking a(an) RN Clinical Nurse Coordinator ER for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!
**Job Summary and Qualifications**
The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance.
**What you will do in this role:**
+ Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.
+ Participates in the ongoing assessment of the quality of patient care services provided in the unit, in collaboration with other members of the management team.
+ Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.
+ Supports a patient-first philosophy and engages in service recovery when necessary.
+ Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including employee rounding, hourly rounds, and other initiatives.
+ Provides recommendations related to interviewing, selecting, and training new staff. Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.
+ Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.
+ Supports proper inventory control and assists with managing supplies and equipment.
+ You will help manage the Free Standing ED in Taylorsville
**What qualifications you will need:**
+ Trauma Nursing Core Course must be obtained within 1 year of employment start date
+ (RN) Registered Nurse
+ Basic Cardiac Life Support, or BCLS Instructor, or Associate Degree, or Bachelors Degree must be obtained within 30 days of employment start date
+ Advanced Cardiac Life Spt, or ACLS Instructor must be obtained within 90 days of employment start date
+ PALS Pediatric Adv Life Supt, or PALS Instructor must be obtained within 90 days of employment start date
+ **2+ years Emergency Room RN experience required**
For 150 years, St. Mark's Hospital ( has provided a full-spectrum of healthcare services to Salt Lake City and its surrounding communities. As Utah's first hospital, St. Mark's team members uphold a rich tradition of patient-centered, top-quality care at our 308 plus bed hospital. St Mark's drives the development of some of the regions finest clinical service areas such as neurosciences, trauma, orthopedics, cardiac care and robotic surgery. St. Mark's was named to the Fortune/IBM Watson Health 100 Top Hospitals® list. This is the eighth time this hospital has been recognized with this honor as one of the top performing Teaching Hospitals in the U.S.
St. Mark's has expanded emergency access to the communities we serve with two free standing emergency centers, Taylorsville Emergency Center ( and West Valley Emergency Center ( . Both locations have 10 plus patient rooms are staffed 24/7 by experienced board-certified emergency room physicians, nurses and support teams from St. Mark's Hospital. In addition to ER care, both facilities give comprehensive imaging services, including computerized tomography (CT scan), Xray, and ultrasound as well as a fully-equipped medical laboratory.
Nestled at the foot of the Wasatch Mountains, St. Mark's sits in a picturesque and ideal location. From our hospital doors it's a quick commute to Salt Lake's urban and cultural benefits, and a short drive to outdoor adventures and Utah's glorious national parks.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary:**
The **Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program.
**Job Duties include (but are not limited to):**
+ Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services.
+ Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
+ Gathers clinical information and applies the appropriate medical necessity criteria/guideline, policy, procedure, and clinical judgment to render coverage determination/recommendation/discharge planning along the continuum of care.
+ Utilizes clinical experience and skills in a collaborative process to evaluate and facilitate appropriate healthcare services/benefits for members.
+ Coordinates and communicates with providers and other parties to facilitate optimal care/treatment.
+ Identifies members who may benefit from care management programs or other post discharge programs and facilitates referrals.
+ Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization.
**Required Qualifications** :
+ 3+ years of experience in clinical practice.
+ Ability to work 10-hour shifts, 4-days per week, with rotating days (including some weekends & holidays), supporting Arizona Time Zone.
+ Must have an active and unrestricted RN ( _Registered Nurse_ ) licensure in the state of Arizona or Compact RN licensure.
**Preferred Qualifications** :
+ Resides in one of the following time zones: MST ( _Mountain Standard Time_ ), AZ ( _Arizona_ ), or PST ( _Pacific Standard Time_ ).
+ Previous experience with prior authorization.
+ Previous experience with utilization management.
+ Previous experience in an acute care setting.
+ Previous clinical experience in Emergency Department, Home Health, ICU ( _Intensive Care Unit_ ), Telemetry, or Medical/Surgical.
+ Bachelors of Science in Nursing.
**Education** :
+ Associate's degree.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$26.01 - $74.78
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 11/07/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

**Schedule:** Monday to Friday - Eastern Time
**Location:** Remote
**About the role**
As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams.
**In this role, you will:**
· Maintain ownership and responsibility for assigned accounts.
· Maintain working knowledge of applicable health insurers' internal claims, appeals, and retro-authorization as well as timely filing deadlines and processes.
· Review clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment.
· Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party guidelines.
· Effectively document and log claims/appeals information on relevant tracking systems
· Utilize critical thinking skills to interpret guidelines of internal policies for clinical determination.
· Medical Necessity Reviews can be based on InterQual, Milliman Clinical Guidelines (MCG), Medicare guidelines, and health insurer specific guidelines.
· Review retro-authorizations in accordance with health insurer requirements and follow insurer process guidelines.
· Identify denial patterns with clients to mitigate risk and minimize regulatory penalties.
· Escalate potential risks to client, client partners and/or leadership.
· Demonstrates critical thinking skills to interpret guidelines of internal policies for clinical determination
We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
**What you need to have to be considered**
· Educational background - Registered Nurse (RN)
· 2-3 years combined clinical and/or utilization management experience with managed health care plan
· 3 years' experience in health care revenue cycle or clinic operations
· Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and concurrent reviews
· Intermediate Microsoft Office knowledge (Excel, Word, Outlook)
· In-patient and outpatient experience
**These will help you stand out**
· Epic experience
· Experience in drafting appeals disputing inpatient clinical validations audits is a plus.
We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.
**Salary and Other Compensation** : Applications will be accepted until October 20 th , 2025.
The annual salary for this position is between $70,000 - $74,000 depending on the experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program and stock awards, based on performance and subject to the terms of Cognizant's applicable plans.
**Benefits** : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
**_Disclaimer_** : The salary, other compensation, and benefits information is accurate as of the date of this posting.
Cognizant reserves the right to modify this information at any time, subject to applicable law.
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
Cog2025
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

**Your Future Evolves Here**
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Your Future Evolves Here**
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are performed within the RN/LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. Acts as a member advocate by expediting the care process through the continuum, working in concert with the health care delivery team to maintain high quality and cost effective care delivery.
**What You'll Be Doing:**
+ Performs utilization review of outpatient procedures and ancillary services.
+ Fulfills on call requirements for selected clients as scheduled.
+ Determines medical necessity and appropriateness of services using clinical review criteria.
+ Accurately documents all review determinations and contacts providers and members according to established timeframes.
+ Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director.
+ Appropriately identifies and refers quality issues to UM Leadership.
+ Appropriately identifies potential cases for Care Management programs
+ Collaborates with physicians and other providers to facilitate provision of services throughout the health care continuum.
+ Performs accurate data entry.
+ Communicates appropriate information to other staff members as necessary/required.
+ Participates in continuing education initiatives.
+ Collaborates with Claims, Quality Management and Provider Relations Departments as requested.
+ Availability on some weekends and holidays may be required
+ Performs other duties as assigned.
**The Experience You'll Need (Required):**
+ Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license.
+ High School Diploma or equivalent required
+ Minimum of three years of direct clinical patient care
+ Minimum of one year of experience with medical management activities in a managed care environment
+ Schedule: Monday-Friday, 9:00 AM-6:00 PM PST, with weekend and holiday rotation required.
**Finishing Touches (Preferred):**
+ Experience with clinical decision-making criteria sets (i.e. Milliman, InterQual)
+ UM Experience
+ Strong interpersonal, oral and written communication skills.
+ Possess basic computer skills
To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $32-$37/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Schedule:** Monday to Friday - Eastern Time
**Location:** Remote
**About the role**
As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams.
**In this role, you will:**
· Maintain ownership and responsibility for assigned accounts.
· Maintain working knowledge of applicable health insurers' internal claims, appeals, and retro-authorization as well as timely filing deadlines and processes.
· Review clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment.
· Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party guidelines.
· Effectively document and log claims/appeals information on relevant tracking systems
· Utilize critical thinking skills to interpret guidelines of internal policies for clinical determination.
· Medical Necessity Reviews can be based on InterQual, Milliman Clinical Guidelines (MCG), Medicare guidelines, and health insurer specific guidelines.
· Review retro-authorizations in accordance with health insurer requirements and follow insurer process guidelines.
· Identify denial patterns with clients to mitigate risk and minimize regulatory penalties.
· Escalate potential risks to client, client partners and/or leadership.
· Demonstrates critical thinking skills to interpret guidelines of internal policies for clinical determination
We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
**What you need to have to be considered**
· Educational background - Registered Nurse (RN)
· 2-3 years combined clinical and utilization management experience with managed health care plan
· 3 years' experience in health care revenue cycle or clinic operations
· Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and concurrent reviews
· Intermediate Microsoft Office knowledge (Excel, Word, Outlook)
· In-patient and outpatient experience
**These will help you stand out**
· Epic experience
· Experience in drafting appeals disputing inpatient clinical validations audits is a plus.
We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.
**Salary and Other Compensation** : Applications will be accepted until October 25 th , 2025.
The annual salary for this position is between $70,000 - $74,000 depending on the experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program and stock awards, based on performance and subject to the terms of Cognizant's applicable plans.
**Benefits** : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
**_Disclaimer_** : The salary, other compensation, and benefits information is accurate as of the date of this posting.
Cognizant reserves the right to modify this information at any time, subject to applicable law.
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
Cog2025
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Description & Requirements

Nurse Functional Assessor

North West England, Yorkshire and North East England

Monday to Friday - 09:00 - 17:00

£37,800 - £9,500

Do good. Be great as a nurse.

Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance?

About the role

As a Nurse Functional Assessor at Maximus, you'll use your clinical expertise to understand how a person's disability or health condition affects their daily life. You'll work on complex cases involving physical and mental health conditions and chronic pain disorders, while your compassion and experience helps customers move forward with their lives.

The role can be both challenging and rewarding, which is why we provide a tailored training programme to help you thrive. You'll begin with formal training before assessing customers and have ongoing support and mentorship in your role with us.

Duties and responsibilities

• Conduct telephone, video or face-to-face assessments to understand how a person's disability or health condition affects their daily life
• Produce Personal Independent Payment (PIP) reports to help the Department for Work and Pensions (DWP) determine a person's eligibility for benefits
• Develop your clinical knowledge and assessment skills with the support of regular feedback and supervision

Requirements

• Valid NMC registration number
• At least 1 year of broad post-registration adult or mental health experience gained within or outside of the NHS
• You MUST have the right to work in the UK - we cannot offer sponsorships
• Excellent oral and written communication skills
• Comfortable using computer software to type and produce detailed reports

What we offer

• 7,800 - 9,500 salary depending on which benefit type you are working on
• Flexible working - full-time, part-time and hybrid
• No bank holidays, evenings or weekends
• A recognised accreditation with the University of Salford upon completion of training*
• Leading maternity and paternity paid leave
• Bank holidays plus 25 days' holiday with the option to buy or sell 5 days
• Ongoing CPD, clinical development and reimbursed validation fees
• ,000 for referring a friend
• Life insurance and Medicash Healthcare Cash Plan
• In-person clinical conferences held annually

Join us and become part of a team that's making a real difference to people's lives.

EEO Statement

Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal wellbeing and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post.

We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process.

Minimum Salary

37,800.00

Maximum Salary

39,500.00

Description & Requirements

Nurse Functional Assessor

North West England, Yorkshire and North East England

Monday to Friday - 09:00 - 17:00

£37,800 - £9,500

Do good. Be great as a nurse.

Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance?

About the role

As a Nurse Functional Assessor at Maximus, you'll use your clinical expertise to understand how a person's disability or health condition affects their daily life. You'll work on complex cases involving physical and mental health conditions and chronic pain disorders, while your compassion and experience helps customers move forward with their lives.

The role can be both challenging and rewarding, which is why we offer a tailored training programme to help you thrive. You'll begin with 6 weeks of training before assessing customers and have ongoing support and mentorship in your role with us.

Duties and responsibilities

• Conduct telephone, video or face-to-face assessments to understand how a person's disability or health condition affects their daily life
• Produce reports to help the Department for Work and Pensions (DWP) determine a person's eligibility for benefits
• Develop your clinical knowledge and assessment skills with the support of regular feedback and supervision

Requirements

• Valid NMC registration number
• At least 1 year of broad post-registration adult or mental health experience gained within or outside of the NHS
• You MUST have the right to work in the UK - we cannot offer sponsorships
• Excellent oral and written communication skills
• Comfortable using computer software to type and produce detailed reports

What we offer

• 7,800 - 39,500 salary depending on which benefit type you are working on
• Flexible working - full time, part time and hybrid
• No bank holidays, evenings or weekends
• Leading maternity and paternity paid leave
• Bank holidays plus 25 days' holiday with the option to buy or sell 5 days
• Ongoing CPD, clinical development and reimbursed validation fees
• ,000 for referring a friend
• Life insurance and Medicash Healthcare Cash Plan
• In-person clinical conferences held annually

Join us and become part of a team that's making a real difference to people's lives.

EEO Statement

Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal wellbeing and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post.

We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process.

Minimum Salary

39,500.00

Maximum Salary

46,300.00