Preservice RN - Remote in VA
About The Position
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
Requirements
- Unrestricted, active RN license
- 3+ years of RN experience in an acute setting
- Utilization management, prior authorization, and case management experience
- Managed care experience
- Ability to create, edit, save and send documents utilizing Microsoft Word. Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches
- Reside within Virginia
Nice To Haves
- HCBS authorization experience
- Working knowledge of ICUE and CAT Launchpad
Responsibilities
- Authorization review and entry for HCBS authorizations using Virginia specific criteria
- Review of state specific documents required for HCBS services
- Communication with HCBS Providers
- Gather clinical information to assess and expedite care needs
- Consult with the Care Manager and/or Medical Director as needed to troubleshoot difficult or complex cases
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
