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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
RN Concurrent Review - UM
Location
United States
Posted
10 days ago
Salary
$60.2K - $107.4K / year
Seniority
Mid Level
No structured requirement data.
Job Description
RN Concurrent Review - UM
UnitedHealth Group
Role Description The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to established criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients' progress toward recovery for early identification of continuing care needs in an attempt to facilitate discharge for specified populations. This position works closely with Medical Management Physician leadership and various internal departments. - 4 - 10 hour shifts per week, including every Saturday and Sunday. - Required to work both Saturday and Sunday each week as part of their regular schedule (two of the four scheduled shifts). - The remaining two (2) shifts will be scheduled on weekdays (Monday through Friday) based on business needs and in coordination with management. - Assigned weekday shifts may be adjusted as operational needs dictate. - Whenever possible, schedule changes will be communicated at least two (2) weeks in advance. - Shift start and end times will be established based on operational requirements and will comply with all applicable federal, state, and local employment laws and regulations. - Flexibility to work remotely from anywhere within the U.S. - Environment that challenges you and provides clear direction on success in your role. Qualifications - Associate Degree in Nursing or higher - Active Texas RN license or multistate compact RN license - 5+ years of nursing experience in concurrent review - Managed Care knowledge Requirements - Certification in area of specialization, BSN - ACP certification - Case Management Certification - 2+ years in area of specialization - 2+ years of Case Management/Utilization Review experience - Proven program development skills - Proven communication and problem-solving skills - Computer literate - All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (subject to eligibility requirements) - Salary range: $60,200 - $107,400 annually based on full-time employment Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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Director, Compliance and Privacy
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