13 days old

Clinical Grievances RN - Missouri - Telecommute - 917910

Kansas City, MO 64105 Work Remotely
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  • Job Code
    917910
  • Jobs Rated
    122nd

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doingyour life's best work.(sm)

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Positions in this function require RN licensure or LSW with current unrestricted licensure in applicable state and may require certification based on role and grade level. Provides clinical support for responding to quality of care grievances and may provide quality intervention services. Process includes analyzing, reviewing and evaluating quality of care concerns in compliance with state and federally mandated turn-around-times and process requirements.

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If you are located in the state of Missouri, you will have the flexibility to telecommute* as you take on some tough challenges.

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**Monday -Friday, 8am - 5pm**

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Primary Responsibilities:

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  • Assess and interprets customer needs and requirements
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  • Identify solutions to non-standard requests and problems
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  • Solve moderately complex problems and / or conducts moderately complex analyses
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  • Work with minimal guidance; seeks guidance on only the most complex tasks
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  • Translate concepts into practice
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  • Provide explanations and information to others on difficult issue
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  • Coach, provide feedback, and guide others
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  • Acts as a resource for others with less experience
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  • Work with minimal guidance, using critical thinking skills
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You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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Required Qualifications:

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  • Bachelor's degree in Social Work or Nursing or equivalent expereince
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  • Residency in the state of MO and an active unrestricted licensure in nursing or LCSW license
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  • 2+ years of clinical experience in an acute or outpatient facility
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  • Proficient with MS Office Products to include Excel, Word and Outlook
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  • Access to high speed internet and a designated workspace in the home
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  • Prior field-based work experience
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Experience in Healthcare Quality
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  • Experience with arranging community resources
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  • Experience in Healthcare Quality concurrent Grievances
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Careers with UnitedHealthcare.Let's talk about opportunity. Start with a Fortune6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can doyour life's best work.(sm)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy

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"Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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"UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Social Work, Nursing, clinical, outpatient, LCSW, RN, MS Office, Excel, Word, Outlook, healthcare quality, grievances, community resources, Kansas City, St. Louis, Springfield, Columbia, Independence, Missouri

Jobs Rated Reports for Registered Nurse

Posted: 2021-04-01 Expires: 2021-05-09

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Clinical Grievances RN - Missouri - Telecommute - 917910

UnitedHealth Group
Kansas City, MO 64105

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