[Hiring] 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.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. 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.

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 (all benefits are 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.