CNO Financial Group Jobs

Salary Range : $66,500 - $99,700 Annual

Job Details

The stated pay range is based on a national-average location. Actual salary is determined by factors including relevant work experience, skills and location. This position is bonus eligible.

Optavise, a CNO Financial Group Company is seeking a Registered Nurse Advocate to take on a pivotal position where you provide essential support and education to our team of advocates and members. In this capacity, you'll leverage your clinical expertise to aid members in navigating various health-related inquiries and obstacles, spanning chronic diseases, acute conditions, hospital procedures, and preventive care. Serving as a vital link between physicians, insurance companies, and members, you'll orchestrate care, procure second opinions, access medical records, provide insights into insurance coverage, and ensure members are thoroughly informed about their medical choices.

Additionally, you will support our team of advocates by offering educational assistance and lending your subject matter expertise to the billing, claims, and appeals processes, advocating for our members every step of the way. This is your opportunity to utilize your experience in a remote setting. You'll meet the needs of individuals in a non-clinical environment.

As a Registered Nurse Advocate, your responsibilities will include:

• Manage a caseload to meet member clinical service needs while adhering to quality protocols and standards.

• Conduct thorough assessments of member needs and develop personalized plans to address them effectively.

• Evaluate prior authorization requests for medical necessity and review medical records for insurance appeals.

• Work closely with members, their attending physicians, and families to determine and implement care plans, adjusting as needed.

• Coordinate referrals to other disciplines or community resources to ensure comprehensive member care.

• Collaborate with advocates to resolve claims and billing issues and evaluate CPT codes.

• Maintain detailed documentation of all interactions and interventions using proprietary case management platform.

• Stay informed about current nursing practices through continuous education and literature review.

• Partner with leadership to optimize processes and contribute to quality improvement initiatives.

The Registered Nurse Advocate position is well-suited for you if you:

• Demonstrate a comprehensive understanding of health insurance claims and the billing process.

• Have proficient knowledge of pharmacy benefits, including familiarity with alternatives for accessing prescriptions such as coupons and comparison sites like GoodRx.

• Listen to effectively comprehend and make confident decisions.

• Educate members and their families effectively.

• Display excellent written and verbal communication skills, coupled with exceptional organizational abilities.

• Handle highly confidential information professionally, adhering strictly to all HIPAA regulations.

• Show meticulous attention to detail and a highly organized approach to tasks.

• Demonstrate a capacity for exercising mature, independent judgment.

What you’ll need:

• Bachelor’s degree in nursing (BSN) from an accredited institution

• Active registered nurse (RN) license in [state/country of employment].

• Three years of experience in nursing, experience with insurance claims/appeals and CPT code knowledge.

What will set you apart:

• Master’s degree in nursing (MSN) preferred.

• 5 to 7 years nursing experience.

• Experience in case management and grievance procedures is highly desirable.

The Company offers the following benefits for this position, subject to applicable eligibility requirements:

• medical insurance

• dental insurance

• vision insurance

• 401(k) retirement plan with company match

• short-term & long-term disability insurance

• Paid time-off and corporate holidays,

• paid parental leave

• company paid life insurance

Click on this link for additional information.

CNO embraces flexibility and encourages you to work where you’re most productive. Associates who live within a 60-mile radius of a corporate office (Birmingham, Carmel, Chicago, Orlando and Milwaukee) have access to come into that office.

Associates who live outside of a 60-mile radius of a corporate office (Birmingham, Carmel, Chicago, Orlando and Milwaukee) may perform this role full-time work from home (WFH) from any US based location, as long as you are willing to work central or eastern time zone hours.

All associates may be asked to travel to varying corporate offices periodically.

Work cannot be performed from outside of the United States.

Optavise is a trusted benefits partner for business owners and human resources professionals who work hard to build and maintain a healthy, happy workforce. Through Optavise’s cohesive suite of products and services, we guide employers and employees through their healthcare choices to help reduce costs and increase benefits engagement. We streamline administration for employers and educate employees about benefits and care options, making it easy for them to choose and use their benefits wisely. Optavise provides a first-of-its-kind benefits solution, including:

• Benefits administration technology for a streamlined enrollment process

• Customizable selection of voluntary benefits that employees want and need

• Year-round benefits education, communications and advocacy to inform and empower employees to become better healthcare consumers

• Expert resources, helping employees maximize their benefits and make more informed choices for themselves and their family members.

Our goal is to help people make good healthcare decisions. By simplifying administration and making benefits easier to understand, we help drive employee engagement and satisfaction, and save employers time and money.

Optavise is the worksite marketing brand of CNO Financial Group. CNO provides life and health insurance, annuities, financial services, and workforce benefits solutions through our family of brands and supported by our associates and agents. Our customers work hard to save for the future, and we help protect their health, income and retirement needs with 3.2 million policies and more than $35 billion in total assets. Our 3,400 associates, 8,600 exclusive agents and independent partner agents guide individuals, families and businesses through a lifetime of financial decisions.

We are financially strong and well positioned for continued growth, and we are grounded in our core values of Diversity, Equity & Inclusion (DE&I); Integrity, Customer Focus, Excellence, and Teamwork. We have offices in more than 260 communities in the U.S., including our headquarters in Carmel, Indiana, and corporate offices in Birmingham, Chicago, Philadelphia, Orlando and Milwaukee.

At CNO Financial Group, we’re always looking forward—to the security and stability we help create for our insurance brands’ customers, and the growth we create within our own company. We're looking for ambitious people who want to do more. We'll provide you with opportunities to grow your skills through challenging professional experiences.

If you're looking for a culture that encourages development, helps you reach your potential, and rewards you for your contribution, then CNO Financial Group is right for you. For more information, visit CNOinc.com.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Compensation

Pay Range: $66,500.00 - $99,700.00 Annual

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

ReqID : JR168033

Job Type : Full time

Additional Locations : Billings, MT; Salem, OR; Bellevue, WA; Beaverton, OR; Las Vegas, NV; Modesto, CA; Greenwood Village, CO; Missoula, MT; Scottsdale, AZ; Bakersfield, CA; Ft. Collins, CO; Reno, NV; Corona, CA; Kennewick, WA; Albuquerque, NM; San Francisco, CA; Irvine, CA; Boise, ID; San Diego, CA; Peoria, AZ; Eugene, OR; Salt Lake City, UT;