13 days old

Utilization Management Nurse RN - Telecommute in AZ or NM - 941501

Phoenix, AZ 85003 Work Remotely
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  • Job Code
    941501

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doingyour life's best work.(sm)

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Youll need to be able to work in multiple locations, while managing multiple priorities. Youll find the pace fast and the patient - centered environment inspiring.

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Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse at UnitedHealth Group, you will make sure our health services are administered efficiently and effectively. You'll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready to make an impact?

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If you are located in AZ or NM, you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Positions in this function require unrestricted RN licensure
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  • Function is responsible for utilization management which includes Concurrent Review of Acute admissions(via telecommute telephonic Inpatient Care Management).
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  • Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
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  • Generally, work is self-directed and not prescribed
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  • Works with less structured, more complex issues
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  • Identify solutions to non-standard requests and problems
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  • Translate concepts into practice
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  • Act as a resource for others; provide explanations and information on difficult issues
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Youll 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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  • Unrestricted RN license
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  • BSN preferred
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  • 3+ years of Managed Care and/or Clinical experience
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  • Rotating weekend on-call required 1 Saturday per quarter
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Preferred Qualifications:

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  • Pre-authorization experience
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  • Utilization Management experience
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  • Case Management experience
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  • Knowledge of Milliman Criteria
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  • Accredited Case Manager
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Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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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OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords:Utilization Management Nurse RN, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, Arizona, New Mexico

Posted: 2021-07-17 Expires: 2021-08-16

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.

Sponsored by:
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Utilization Management Nurse RN - Telecommute in AZ or NM - 941501

UnitedHealth Group
Phoenix, AZ 85003

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