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UnitedHealth Group

UnitedHealth Group is looking for a Utilization Management Nurse RN – Telecommute in EST  #JobsHiringNearPagosaSprings #JobSitePagosaSprings #ManagementJobsPagosaSprings #NurseJobsPagosaSprings #RNJobsPagosaSprings

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 doing your life’s best work.(sm)If you are located within EST Time zone , you will have 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 3+ years of clinical nursing experience practicing clinically  1+ years background that involves utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) Experience in acute care Demonstrate a proficiency in computer skills – Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms 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: Certification in Case Management Compact license A Bachelors degree 2+ years case management experience Managed Care experience Experience performing discharge planning Ability to work independently Demonstrated effective verbal and written communication skillsCareers 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 do your life’s best work.(sm)*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 Management, Case Manager, Clinical, Inpatient, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Atlanta, GA, Cleveland, OH, New York, NY, Detroit, MI Recommended SkillsUtilization ManagementMicrosoft AccessMicrosoft ExcelMicrosoft OutlookCase ManagementMicrosoft WindowsRecommended JobsUtilization Management NurseAtlanta,GaUtilization Management Nurse, Atlanta,GaUtilization Management Nurse RN – Telecommute in ESTUnitedHealth GroupWork From HomeFull-TimeUtilization Management Nurse RN – Telecommute in ESTUnitedHealth GroupAtlantaRegistered Nurse RN – Utilization ManagementWellStar Health SystemMarietta

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