About the Alliance Coal Health Plan
The Alliance Coal Health Plan is a single employer health plan established for the benefit of the employees and dependents of Alliance Resource Partners, L.P. (ARLP) . The Health Plan is committed to supporting the health and well-being of our workforce through high-quality, cost-effective care.
Alliance Resource Partners, L.P. is a leading producer and marketer of coal and owner of mineral and royalty interests. ARLP is committed to providing reliable energy while maintaining a strong focus on employee safety and environmental responsibility.
Position Summary
The Utilization Review and Preauthorization Nurse plays a critical role in evaluating medical services for medical necessity, benefit eligibility, and compliance with plan guidelines before care is provided. As a key member of the Utilization Review team, this role ensures efficient authorization processing, supports high-quality care outcomes, and promotes compliance with regulatory standards. The Specialist serves as a central point of communication between healthcare providers, members, and internal departments.
Key Responsibilities
Authorization Processing & Utilization Review
Communication & Customer Service
Compliance & Documentation
Collaboration & Operational Support
Qualifications
Education & Experience
Skills & Competencies
Working Conditions
Benefits Overview
Ready to join a team that prioritizes high-quality care, operational excellence, and the well-being of our members? Apply today and be part of a mission-driven health plan serving the employees and families of Alliance Resource Partners.
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