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UnitedHealth Group

UnitedHealth Group is looking for a Inpatient Care Management Nurse RN – Telecommute in Tennessee  #JobsAvaliableNearPagosaSprings #JobBankNearPagosaSprings #ManagementJobsPagosaSprings #NurseJobsPagosaSprings #RNJobsPagosaSprings

There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you’ll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.Must be licensed and reside in the state of TNAs an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready for a new path? Join us and start doing your life’s best work. (sm)What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you’ll open doors for yourself that simply do not exist in any other organization, anywhere.Work schedule will be Monday – Friday from 8am – 5pm Local TimeIf you live in the state of Tennessee, youll enjoy the flexibility to telecommute* as you take on some tough challenges.Primary Responsibilities: Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (i.e. MCG / Interqual criteria) Discuss cases with facility healthcare professionals to obtain plans-of-care Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management Participation in discussions with the Clinical Services team to improve the progression of care to the most appropriate level Consult with the Medical Director, as needed, for complex cases and make appropriate referrals to downstream partners Apply clinical expertise when discussing case with internal and external Case Managers and Physicians Identify delays in care or services and manage with MD Follow all Standard Operating Procedures in end to end management of cases Obtain clinical information to assess and expedite alternate levels of care Facilitate timely and appropriate care and effective discharge planning Participate in team meetings, education, discussions, and related activities Maintain compliance with Federal, State and accreditation organizations Identify opportunities for improved communication or processes Participate in audit activities and meetingsYoull 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: A current, unrestricted RN license in the stae of Tennessee Resident of Tennessee 3+ years of clinical nursing experience practicing clinically (Acute Inpatient, SNF/AIR/LTAC, Emergency Department, Urgent Care, Doctors Office, School Nurse) 1+ years of utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) Experience in acute, long term care, acute rehabilitation, or skilled nursing facilities  Demonstrate a proficiency in computer skills “ Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms Must have a designated workspace and access to install secure high-speed internet via cable / DSL in home 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 attainedPreferred Qualifications: 2+ years case management experience Managed Care experience Experience performing discharge planning Certification in Case Management Compact license A Bachelors degree Ability to work independently Demonstrated effective verbal and written communication skillsCareers with UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 7 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 thats second to none. This is no small opportunity. It’s where you can do your life’s best work.(sm)Colorado Residents Only: The salary range for Colorado residents is $53,300 to $95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Groups 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Job Keywords: Utilization Review; Utilization Management; concurrent Review; MCG; Milliman; Interqual; UM; UR; RN; Registered Nurse; Inpatient; Discharge Planning, critical care, acute, long term care, acute rehab, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, TN, Tennessee Recommended SkillsLong Term CareUtilization ManagementMicrosoft AccessManaged CareMicrosoft ExcelMicrosoft OutlookRecommended JobsNurseWound Care NurseAtlanta,GaWound Care Nurse, Atlanta,GaInpatient Care Management Nurse RN – Telecommute in TennesseeUnitedHealth GroupWork From HomeFull Time
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