Per Diem Utilization Management Nurse RN - Remote
About The Position
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. The nurse will complete their case within the time expectations while providing high quality reviews. The Utilization Management Nurse will perform their job functions, adhering to both Optum and OPAS policies and procedures, which include but are not limited to the following. Schedule: Per Diem as needed, flexible start times with the ability to support evening, weekend and holiday shifts. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Requirements
- Unrestricted Registered Nurse License in your state of residence
- 3+ years of bedside nursing experience in ED/telemetry/ICU/CCU
- Advanced level of experience with Microsoft applications and software, internet navigation and utilization
- Ability to type 45 wpm
Nice To Haves
- Proven working knowledge of Word
- Proven effective communication skills
- Proven excellent typing skills with a minimum of 45/min speed
- Proven solid, effective verbal and written communication skills
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Responsibilities
- Follows directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, inclusion of appropriate medical literature references, and use of national criteria guidelines.
- Adheres to company policies and procedures as well as policies, procedures, and laws
- Understands and complies with HIPAA confidentiality requirements
- Support and promote OPAS, Optum, and the enterprise goals and mission
- Build relationships across Optum, OPAS, OGA and our clients
- Collaborate with peers to assure continuity of communication and execution of deliverables as needed
- Adheres to quality and productivity expectations
- Participate in and contribute to meetings as appropriate
- Maintains organization on the team and ensures everyone conducts themselves professionally
- Remains up to date with all learning modules, competencies, and state required licenses
- Performs other related duties, tasks, and processes as required by leadership
- Ability to establish priorities, be self-motivated, work independently, and follow instructions with supervision and structure
- Positive attitude and the ability to function as a collaborative team member
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Education Level
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