UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Senior Clinical Admin Nurse (RN Required) Telecommuting Opportunity!-314012
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
Position Description:
We currently seek an experienced RN with strong interpersonal skills to join our team. The chosen Sr. Clinical Administration Nurse would be responsible for reviewing incoming member cases to determine if the appropriate care was given. He/she would also work closely with risk management to prevent future hospitalizations. If you see yourself in home-based position that offers a M-F schedule with great potential for career advancement, we encourage you to apply today!
In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Positions in this function include RN (with current licensure) roles responsible for providing clinical expertise in any of the following areas:
- Clinical Grievances (analyzing, reviewing and evaluating quality of care concerns (grievances);
- Clinical Interface/Liaison (clinical problem solver with facilities, providers, resolution of issues concerning members , program definition and clarification);
- Clinical Operations Analysis (monitors and analyzes medical management activities; provides analytical support to clinical programs; may perform clinical assessments and clinical audits);
- Clinical Writing (writing nursing tools and reference information to support the design of clinical products and services).
- Generally work is self-directed and not prescribed.
- Works with less structured, more complex issues.
- Solves moderately complex problems and/or conducts moderately complex analyses.
- Translates concepts into practice.
- Assesses and interprets customer needs and requirements.
- Identifies solutions to non-standard requests and problems.
- Works with minimal guidance; seeks guidance on only the most complex tasks.
- Provides explanations and information to others on difficult issues.
- Coaches, provides feedback, and guides others.
- Acts as a resource for others with less experience.
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. Qualifications
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A current, valid and unrestricted RN licensure in your state of residence. (Only licensed RNs will be considered for this position.)
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Strong computer proficiency is required.
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Clinical experience in an acute care or an outpatient setting is also required.
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Strong written and verbal communication skills are required.
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Experience in Clinical Quality Programs in Managed Care strongly preferred.
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CHPQ Certified strongly preferred.
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Previous experience in an ER or ICU is preferred, and utilization review and case management experience are each a plus.
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Experience working in a Managed Care environment is highly preferred.
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Strong analytical and research skills are preferred.
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Undergraduate degree or equivalent experience. A BSN is preferred.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
