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Clinical Letter Review LPN
4 months ago
For those interested in shaping the future of healthcare, here is a great opportunity. We are taking healthcare to the next level with integrated health programs that span the entire care continuum. Join us to kickstart a journey of compassion, connection, and growth together.
This is a full-time position (40 hours/week) that requires flexibility to work different shifts within regular business hours in the Pacific or Mountain time zones, including weekends.
If you are based in states within the PST or MST time zones, you will have the option to work remotely* as you tackle challenging tasks.
Primary Responsibilities:
- Adhere to standardized processes for managing add or change requests and implementing them in the letter generation system
- Review denial letters to ensure compliance with state and federal program requirements, while optimizing procedures for efficiency
- Conduct internal Quality Control reviews on letter writing processes
- Identify and rectify any deficiencies in letters
- Work independently or collaboratively in a team setting
- Demonstrate exceptional attention to detail, strong documentation skills, and organizational abilities
- Collaborate with business partners, Letter Owners, and other team members on letter template design and development
- Create new templates or modify existing ones based on approved requests
- Implement tested letter templates into production
- Analyze inventory and propose streamlining opportunities
- Summarize results and present findings to supervisors
- Other duties as assigned within the scope of practice
You will be recognized and rewarded for your contributions in an environment that challenges you and provides clear guidance on how to excel in your role, along with opportunities for growth into other positions.
Required Qualifications:
- LPN nurse with a current unrestricted compact state license, ability to obtain additional state licenses as required
- Minimum of 1 year of direct clinical patient care experience
- Familiarity with medical terminology
- Basic computer proficiency
- Comfort working with medical directors
- Strong interpersonal, oral, and written communication skills
- Excellent written skills with a focus on grammar and punctuation
- Detail-oriented approach
Preferred Qualifications:
- Over 3 years of direct clinical patient care experience
- Understanding of managed care principles
- At least 1 year of experience in medical management activities within a managed care setting
*All remote employees must adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Nevada or Washington Residents Only: The hourly pay range for this position is between $19.47 and $38.08. Compensation is determined based on various factors including local labor markets, education, experience, and certifications, among others. UnitedHealth Group ensures compliance with applicable minimum wage regulations. In addition to salary, benefits include a comprehensive package, incentive programs, equity stock purchase, and retirement contributions (subject to eligibility criteria). Regardless of where or when you start at UnitedHealth Group, a wide range of benefits and incentives await you.
Application Deadline: This posting will be active for a minimum of 2 business days or until a sufficient applicant pool is established. The post may close early due to high volume of applicants.
At UnitedHealth Group, our goal is to empower people to lead healthier lives and enhance the functionality of the healthcare system for all. We believe that every individual, irrespective of race, gender, age, orientation, location, or income, should have the opportunity to achieve optimal health. Nevertheless, many barriers to good health still exist, particularly affecting individuals of color, marginalized communities, and those with lower incomes. We are dedicated to minimizing our environmental footprint and providing equitable care to address health disparities and enhance health outcomes, a company-wide mission reflected in our purpose.
Diversity fosters a healthier environment: OptumCare is an Equal Employment Opportunity/Affirmative Action employer, and all qualified candidates will receive consideration for employment without regard to race, color, religion, age, nationality, veteran status, disability, sexual orientation, gender identity, marital status, genetic information, or any other legally protected characteristic.
OptumCare maintains a drug-free workplace. Candidates must successfully complete a drug test before commencing employment.
