30 days old

Utilization Mgmt Nurse RN - Telecommute - 899521

Phoenix, AZ 85003 Work Remotely
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  • Job Code
    899521
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?

If you live in Arizona or New Mexico, you'll"enjoy the flexibility to telecommute* as you take"on some tough challenges

Primary Responsibilities:
  • Determine the appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
  • Identify solutions to non-standard requests and problems
  • Translate concepts into practice
  • Act as a resource for others; provide explanations and information on difficult issues
  • It feels great to have autonomy, and there's also a lot of responsibility that comes with it. In this role, you'll be accountable for making decisions that directly impact our members. And at the same time, you'll be challenged by leveraging technologies and resources in a rapidly-changing, production-driven environment.

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.

Required Qualifications:
  • Unrestricted RN license required in state of residence
  • 3+ years of Managed Care and/or Clinical experience
  • Preferred Qualifications
  • Pre-authorization experience
  • Utilization Management experience
  • Case Management experience
  • Knowledge of Milliman Criteria
  • Certified Case Manager (CCM)
  • 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 similar UnitedHealth"Group-approved symptom screener. When in a UnitedHealth Group building,"employees are required to wear a mask in common areas. In addition, employees"must comply with any state and local masking orders

Join us and discover how a superior professional environment and incredible opportunities make a difference in the lives of patients. We're a place where leaders thrive, and innovation abounds. Seize this opportunity to achieve your life's best work.(sm)


*All"Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter"Policy.

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.


Job Keywords: Utilization Management Nurse, RN, Telecommute, AZ, Arizona, New Mexico, NM

Posted: 2020-10-30 Expires: 2020-12-26

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 Mgmt Nurse RN - Telecommute - 899521

UnitedHealth Group
Phoenix, AZ 85003

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