UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Registered Nurse

Location

Texas

Posted

5 days ago

Salary

$28 - $51 / hour

Seniority

Senior

Professional Certificate

Job Description

Registered Nurse

UnitedHealth Group

Title: Registered Nurse - GI - Main Campus Location: Houston, TX, United States Job Description: Requisition number: 2358497Job category: NursingPrimary location: Houston, TX Overtime status: Non-exempt Travel: No Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The registered nurse provides nursing care to patients in an assigned clinical area and leadership on the unit, under the supervision of a Nurse Supervisor, or RN Coordinator. The RN applies clinical nursing knowledge and utilizes demonstrated skills to ensure the safety and comfort of patients and families according to legal, organizational and professional standards. The RN utilizes critical thinking to identify priorities and make judgments concerning basic and comprehensive needs of multiple patients in order facilitate appropriate and timely care. 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: - Graduate from an approved professional registered nursing program - Current and valid Texas RN license - Current BLS through American Heart Association - 6+ months in a clinical area. 1+ years KSC experience may be considered in lieu of 6 months RN experience with approval from Sr Dir Nursing Services - Computer experience - Proven ability to use equipment and related supplies for selected patient population for the assigned clinical area Including CPR, oxygen administration, and intravenous therapy Preferred Qualifications: - Bachelor's degree in nursing - Specialty nursing certification in ambulatory care or one appropriate to the specialty area assigned - ACLS and/or PALS - 2+ years of ambulatory care - EPIC experience - Windows bases computer skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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Registered Nurse Care Manager

Humana

Louisville, Kentucky-based Humana is a leading healthcare company that offers a variety of health, wellness, and insurance products and services designed to off

Manager5 days ago

Title: Registered Nurse Care Manager Location: Dodgeville, WI United States Remote Job: Yes Full time Category:Nursing Job ID:R-417861 Job Description: Become a part of our caring community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program providing essential care coordination, support, and education. You will make a difference in the lives of those you serve and within your own community. You will serve members in the Iowa County (Dodgeville), WI area. Take the next step in your nursing career and make a meaningful difference with us! Key responsibilities: - Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP). - Conduct regular health assessments - Coordinate with acute and primary care providers. - Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications to support informed decision-making while respecting each person's autonomy. - Document in member files within required DHS contract timeframes. - Participate in member monthly phone contacts and travel to attend in person visits in members setting. - Work remotely from your home and travel approximately 40% of the time to visit your members. Use your skills to make an impact Required Qualifications - Associate degree in nursing - Licensed Registered Nurse in the state of Wisconsin (in good standing) Preferred Qualifications: - Reside within 45 mins of the assigned coverage area - 1 year previous Care Management experience Additional Information - Location: Iowa County (Dodgeville) - Travel: Up to 40% - Typical Workdays/Hours: Monday through Friday, 8:00 am - 4:30 pm CST. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. Mileage reimbursement is provided for work-related travel. Eligible mileage includes: - Travel from your home to your first work location of the day. - Travel between client or assignment locations during the workday. - Travel from your final work location back to your home. TB Screening This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. WAH Internet Statement The self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. HireVue As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum. About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Wisconsin
$71.1K - $97.8K / year
Full TimeHybridTeam 10,001+Since 1933H1B No Sponsor

Title: Finance Manager - South Florida Location: West Palm Beach Fort Lauderdale Miami United States Job Description: time type: Full time job requisition id: R174522 Job Description: **This position would be remote/hybrid in the south Florida area** Summary The Manager Finance is responsible for the analytical review of all of the Finance and Accounting Support functions for FMS maintenance and operations, including budgeting, forecasting, reporting and variance analysis. Will report to Group Director FMS Finance and support COO span of control Essential Functions - Analytical review/Corrective Action: 1. Review Financial and Operational results 2. Comparison of Actual results to Rated (contract), Plan and/or Forecast 3. Act as Financial Advisor to General Managers and teams - Financial Coordination of Contract: 1. Negotiations and New Account Startup 2. Match financial risks and rewards 3. Establish cost controls and billing procedures 4. Establish customer reporting processes - Financial Reporting: 1. Financial integrity of location results 2. Coordination between Headquarters and Field - Planning: 1. Monthly forecasting 2. Annual planning Additional Responsibilities - Performs other duties as assigned. Skills and Abilities - Demonstrates analytical skills , Required - Ability to build strong customer relationships , Required - Ability to lead/manage others Proven leadership skills, Required - Strong verbal and written communication skills , Required - Ability to create and maintain professional relationships within all levels of the organization (peers, work groups, customers, supervisors). , Required - Ability to work independently and as a member of a team , Required - Flexibility to operate and self-driven to excel in a fast-paced environment , Required - Capable of multi-tasking, highly organized, with excellent time management skills , Required - Detail oriented with excellent follow-up practices, Required Qualifications - Bachelor's Degree in Accounting, Finance or Economics, Required - Master's Degree in Business Administration (MBA), Preferred - 7 years or more in Managing Finance and Accounting (including Inventory Management and Control, Financial Analysis and Planning, Financial Reporting, Accounts Payable, Accounts Receivable and Billing), Required - Candidate must have functional knowledge of the WMS system based on the location. Intermediate, Required - Must have a working understanding of the Supply Chain Management and logistics process based on the location. Intermediate, Required - Advanced computer/spreadsheet knowledge (Excel). Advanced, Required Travel - No Job Category: Financial Analysis Compensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate’s relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Compensation ranges for the position are below: Pay Type: Salaried Minimum Pay Range: $100,000.00 Maximum Pay Range: $120,000.00 Benefits Information: For all Full-time positions only: Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan. Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Important Note: Some positions require additional screening that may include employment and education verification; motor vehicle records check and a road test; and/or badging or background requirements of the customer to which you are assigned.

Florida
$100K - $120K / year

Region Manager Revenue Cycle Inpatient Coding

CommonSpirit Health

CommonSpirit Health is a nonprofit organization that is on a mission to improve people’s health while making “the healing presence of God known.” The orga

Manager5 days ago

Title: Region Manager Revenue Cycle Inpatient Coding-Central Location: Central, United States Job Description: About Us Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. Our Mission As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values. The posted compensation range of $47.52 - $78.41 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. Job ID 2026-476031 Employment Type Full Time Department Revenue Cycle Management Hours/Pay Period 80 Weekly Schedule Monday - Friday (8:00 AM - 5:00 PM) Shift Day Remote Yes Category Accounting and Finance Job Summary and Responsibilities Provides oversight of coding teams holding them accountable to enterprise established KPIs, including DNFC. Must be a subject matter expert in current ICD coding classification systems, reimbursement, and enterprise compliance plan. Manages staff to ensure the coding team is meeting productivity and quality standards. Develops performance improvement plans as needed. Acts as a liaison between CDI, physicians, clinical quality, patient financial services, and other departments to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record. - Oversees inpatient coding, ensuring optimal performance and adherence to compliant coding practices and regulatory requirements. Adhere to he ethical standards of coding as established by AAPC and/or AHIMA - Actively monitors daily DNFC and coding work queues to ensure KPIs are met. Ensures coding team meets productivity and coding accuracy standards, develop action plans for sustained improvements and KPIs - Acts as a liaison with CDI, patient financial services, patient registration, clinical staff to resolve problems and improve workflow - Ability to identify and determine resolution of complex issues. Ability to troubleshoot computer issues timely while working remotely - Assist CSH leadership in strategic planning and assists with the development of combined coding and CDI steering presentations - Ability to communicate effectively, deliver presentations to large groups, stay organized, and demonstrate effective leadership skills Job RequirementsRequired - Associates Other Associate’s degree in HIM or related field and 4-6 years, upon hire and - 4-6 years 5 years of recent management of hospital-based coding teams (hospital, large multi-facility organization, etc.), upon hire and - 4-6 years Experience in process improvement strategies and mentoring staff, upon hire and - 4-6 years Previous experience effectively managing remote teams, upon hire and - Registered Health Information Administrator, upon hire or - Registered Health Information Technician, upon hire and - Certified Coding Specialist, upon hire Preferred - Bachelors Other Bachelor’s degree in HIM or related field, upon hire and - 3+ years of inpatient coding experience, upon hire and - 4-6 years Experience working in a level I/II trauma center and/or teaching hospital with complex conditions and procedures (cardiovascular/interventional radiology, orthopedic, neurosurgery, and obstetrics/NICU), upon hire and - Experience working with a CDI program, upon hire Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Total Rewards Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

North Dakota + 15 moreAll locations: North Dakota | South Dakota | Nebraska | Kansas | Oklahoma | Texas | Minnesota | Iowa | Missouri | Arkansas | Louisiana | Wisconsin | Illinois | Kentucky | Mississippi | Alabama
$47 - $78 / hour

Manager of Credentialing and Medical Location: KANSAS CITY, MO 64114 Hybrid • Gillis Campus Overview Salary Range $60,000.00 - $62,000.00 Salary/year Position Type Full Time Job Description: We are seeking a Manager of Credentialing and Medical to join our team. Salary Range: $60,000 - $62,000 This remote hybrid role is responsible for overseeing core revenue cycle operations including client intake, eligibility and authorization processes, medical billing, accounts receivable, and provider credentialing, including licensure and supervision compliance. This role ensures accurate front-end data integrity and efficient back-end reimbursement processes while maintaining compliance with regulatory and payor requirements. WHAT YOU WILL DO: - Provide leadership and direct supervision to Billing & Coding, Credentialing & Accounts Receivable (AR), and Intake team members, including staffing, training, performance management, and workflow prioritization. - Ensure continuity of operations through appropriate staffing coverage, cross-training, and serving as a functional backup during team member absences or high-volume periods. - Serve as an escalation point for team members and manage complex issues related to billing discrepancies, credentialing, intake, and reimbursement processes. - Oversee intake and front-end operations, ensuring accurate client registration, documentation, eligibility verification, financial responsibility communication, and completion of prior authorizations and renewals. - Direct billing and accounts receivable functions, including claim submission, payment posting, denial management, and timely follow-up on unbilled, rejected, and aging claims to optimize reimbursement and reduce denials. - Manage provider credentialing, enrollment, and recredentialing activities, ensuring compliance with payor, regulatory, and organizational requirements. - Oversee licensure and supervision compliance, including verification, renewal tracking, adherence to supervision requirements, and alignment with billing and regulatory standards. - Partner with revenue cycle director and program leadership to validate provider credentials, scope of practice, and supervision structures to ensure compliant service delivery and billing. - Ensure compliance with HIPAA, Medicaid, Medicare, and commercial payor requirements and maintain audit readiness across all functions. - Other duties, as assigned. WHAT YOU WILL BRING: Our ideal candidate will have 2-3 years of healthcare revenue cycle experience and the following: - High school diploma, required. - Bachelor's degree in healthcare administration, business, or related field, preferred. - Minimum of 1-2 years of leadership or management experience, required. - Experience with Medicaid and KS/MO payors, preferred. - Experience with behavioral health credentialing/billing, preferred. - At least 21 years of age and pass background check, physical, and drug screening. - A valid driver’s license in the state you reside in, proof of current vehicle insurance, and reliable transportation. WHO WE ARE: Cornerstones of Care is a mental and behavioral health nonprofit certified in trauma-informed care that provides evidence-based prevention, intervention, treatment, and support services to help children and families improve their safety and health by making positive changes in their lives. Each year, our team empowers children and families in Kansas, Missouri, and beyond through three key service areas: - Youth & Family Support – We help youth gain independence through social and living support programs while empowering families with the skills and resources they need to become resilient and successful. - Foster Care & Adoption – We reunify and unite families while recruiting and providing support to foster parents and youth in foster care. - Education & Community Trainings – We help students achieve academic success while giving educators the tools to create safe learning environments to improve their students’ behaviors and offer innovative learning opportunities to build and improve knowledge in the community. CORNERSTONES OF CARE’S ORGANIZATIONAL COMMITMENTS: - Nonviolence - helping to build safety skills and a commitment to a higher purpose. - Emotional Intelligence - helping to teach emotional management skills. - Social Learning - helping to build cognitive skills. - Open Communication - helping to overcome barriers to healthy communication, learn conflict management. - Democracy - helping to create civic skills of self-control, self-discipline, and administration of healthy authority. - Social Responsibility - helping to rebuild social connection skills, establish healthy attachment relationships. - Growth and Change - helping to work through loss and prepare for the future. OUR WIDE STATEMENT: At Cornerstones of Care, we commit to fostering a community where every individual, regardless of background or identity, feels deeply welcomed, valued, and empowered. We envision a diverse community where inclusion and welcoming are prioritized. A community where all voices are heard, listened to, and respected. A community where everyone’s physical, emotional, social, and psychological needs are met. At Cornerstones of Care, we have a vision where equity is not just a goal but is present in all we do; every team member feels empowered to authentically contribute to their fullest potential. We hold a collective commitment to WIDE (welcoming, inclusion, diversity, and equity) that will drive us forward as a stronger organization. OUR DIVERSITY STATEMENT: - We partner for safe and healthy communities. - We cultivate a culture in which children, families, team members, volunteers, donors, and community partners feel welcomed, safe, respected, empowered, and celebrated. - We value diversity of race, religion, color, age, sex, national origin or citizenship status, sexual orientation, gender identity and expression, geographical location, pregnancy, disability, neurodiversity, socio-economic, and military status. - We stand for anti-racism, equity, and inclusivity. - We insist and affirm that discrimination and violence have no place in safe and healthy communities, including in our organization. - We strive toward a more welcoming, inclusive, diverse, and equitable organization through our policies, partnerships, and practices. OUR BENEFITS: Cornerstones of Care offers a competitive benefits package, which includes: - 9 Paid Holidays, Unlimited Paid Time Off, and Paid Sick Leave - Team members who work at least 30 hours per week are eligible for - Health insurance benefits (medical, prescription, dental, vision) - Cafeteria plans (Health Savings Account (HSA) and Medical and Dependent Care Flexible Spending Accounts) - Ancillary insurance benefits (accident insurance, critical illness insurance, hospital indemnity insurance, short-term disability insurance, voluntary life) - Cornerstones of Care provides long-term disability insurance and basic term life/AD&D insurance at no cost to the team member - Retirement savings plan (401K) with employer match - Pet Insurance - Employee assistance program (EAP) - Tuition reimbursement program - Public Service Loan Forgiveness. - To view more information on our benefits, please visit our Job Openings page at Join Our Team - Cornerstones of Care to download the current benefits guide.

Missouri
$60K - $62K / year