[Hiring] Utilization Management Nurse RN @UnitedHealth Group

Role Description

In this role, you'll be accountable for making decisions that directly impact our members while leveraging technologies and resources in a rapidly-changing, production-driven environment. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

• Determine the appropriateness of outpatient services following evaluation of medical guidelines and benefit determination
• Identify solutions to non-standard requests and problems
• Translate concepts into practice
• Act as a resource for others; provide explanations and information on difficult issues

Qualifications

• Associate’s degree
• Unrestricted Registered Nurse License in your state of residence
• 3+ years of Managed Care and/or Clinical experience

Requirements

• Oncology experience
• Pre-authorization experience
• Utilization Management experience
• Case Management experience
• Knowledge of NCCN guidelines
• Certified Case Manager (CCM)
• Insurance policies experience
• Bachelor's of Science in Nursing

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

• Equal Employment Opportunity employer
• Drug-free workplace