Senior Clinical Long Term Care Quality of Care RN

1 month ago

Lake Havasu City, United States UnitedHealthcare Full time
Job Description

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Position is based in Mohave County, Arizona and will require travel up to 25% of the time in Arizona.

If you are located in Arizona, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.


Primary Responsibilities:

  • Perform clinical documentation review of inpatient and outpatient care delivered to adults and children with Medicaid, Medicare health care benefits through Arizona United Health Care Community Plans for peer review and internal investigations of Quality of Care concerns
  • Create professionally written case investigation summaries for Peer Review, present case summaries at the Provider Advisory Committee as applicable
  • Review plans of correction from providers in response to a substantiated QOC occurrence
  • Effectively interface with external customers, facilities and providers to resolve quality of care concerns, obtain medical records and other information 
  • Conduct delegated oversight reviews of contractors that perform work on behalf of UnitedHealthcare. This includes reviewing samples of contractor work against an audit tool or information found in medical charts
  • Collaborate internally with Medical Directors and staff in other UHCCP departments
  • Manage multiple tasks and projects and changing priorities; prioritize work products effectively
  • Maintain timeliness for deliverables and regulator requests
  • Work independently while utilizing good critical thinking skills, as well as excellent verbal and written communication skills
  • Occasional on-site provider visits may be required for potential Quality of Care concerns


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.

Required Qualifications:

  • Active, unrestricted RN license in the state of Arizona
  • 5+ years of experience working as a Registered Nurse
  • 1+ years of hospital experience as a Registered Nurse
  • Long-term care nursing experience
  • Experience evaluating and auditing medical records
  • Intermediate skills in Microsoft Office, Word, and Excel ability to work with multiple data bases to retrieve and enter information
  • Resident of Arizona 
  • Willing or ability to travel 25% of the time within the state of Arizona, as needed 

Preferred Qualifications:

  • Quality Management experience in a healthcare setting
  • Experience analyzing information and preparing written summaries
  • Experience working in a deadline driven environment prioritizing responsibilities
  • Knowledge of Medicare/Medicaid regulations

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Nursing Care Coordinator

    1 week ago

    Oklahoma City, Oklahoma, United States Voyage Long Term Care Full time

    Nursing Care Coordinator OpportunityVoyage Long Term Care is a leading provider of care facilities in the OKC metro, dedicated to delivering exceptional care and service to our residents and their families.Key Responsibilities:Direct Nursing Care: Provide high-quality nursing care to residents, ensuring their physical and emotional needs are met.Supervision...

  • Registered Nurse

    2 weeks ago

    Bullhead City, Arizona, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is currently seeking a travel nurse RN specializing in Long Term Care for an exciting opportunity.Job Overview:Specialty: Long Term CareDiscipline: RNEmployment Type: Travel NursingPosition Details:This role involves working 12-hour shifts, with a focus on providing exceptional care to patients in a long-term care setting. The...

  • Travel Nurse RN Long Term Care Opportunity

    3 days ago

    Bullhead City, Arizona, United States LRS Healthcare - Long Term Care Full time

    Job DetailsLRS Healthcare - Long Term Care is seeking a skilled travel nurse to join their team in a long term care setting.Job RequirementsSpecialty: Long Term CareDiscipline: RN36/48 rotating weeksMust have 2 TB skin testsAbout the PositionThis is a travel nursing opportunity that offers a chance to work in a long term care setting and gain valuable...

  • Travel Nurse RN

    1 month ago

    Central City, United States LRS Healthcare - Long Term Care Full time

    Job DescriptionLRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Central City, Nebraska.Job Description & RequirementsSpecialty: Long Term CareDiscipline: RNStart Date: 08/26/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel6am-6pmLRS Healthcare - Long Term Care Job ID...

  • Travel Nurse RN

    1 month ago

    Central City, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Central City, Nebraska.Job Description & RequirementsSpecialty: Long Term CareDiscipline: RNStart Date: 08/26/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel6am-6pmLRS Healthcare - Long Term Care Job ID #1953541. Pay...

  • Travel Nurse RN

    1 month ago

    bullhead city, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Bullhead City, Arizona.Job Description & RequirementsSpecialty: Long Term CareDiscipline: RNStart Date: 08/05/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel36/48 rotating weeks, must have 2 TB skin testsLRS Healthcare -...

  • Travel Nurse RN

    1 month ago

    Bullhead City, United States LRS Healthcare - Long Term Care Remote Work Freelance Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Bullhead City, Arizona.Job Description & RequirementsSpecialty: Long Term CareDiscipline: RNStart Date: 08/26/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel36/48 rotating weeks, must have 2 TB skin testsLRS Healthcare -...

  • Travel Nurse RN

    1 month ago

    Central City, United States LRS Healthcare - Long Term Care Remote Work Freelance Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Central City, Nebraska.Job Description & RequirementsSpecialty: Long Term CareDiscipline: RNStart Date: 08/26/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel6am-6pmLRS Healthcare - Long Term Care Job ID #1953541. Pay...

  • Travel Nurse RN

    2 months ago

    Bullhead City, United States LRS Healthcare - Long Term Care Full time

    Job DescriptionLRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Bullhead City, Arizona.Job Description & RequirementsSpecialty: Long Term CareDiscipline: RNStart Date: 08/05/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel36/48 rotating weeks, must have 2 TB skin...

  • Travel Nurse RN Long Term Care Opportunity

    4 days ago

    Carson City, Nevada, United States Fusion Medical Staffing-Long Term Care Full time

    Job DetailsFusion Medical Staffing-Long Term Care is seeking a skilled Travel Nurse RN to join our team in a Long Term Care setting.About the JobJob Type: Travel NursingSpecialty: Long Term CareDiscipline: Registered Nurse (RN)Shift: 12 hours, daysHours per Week: 36Assignment Length: 8 weeksWe offer a competitive pay package based on 12 hour shifts and 36...

  • Travel Nurse RN

    1 month ago

    Bullhead City, AZ, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Bullhead City, Arizona. Job Description & Requirements Specialty: Long Term Care Discipline: RN Start Date: 08/26/2024 Duration: 13 weeks 48 hours per week Shift: 12 hours, days Employment Type: Travel 36/48 rotating weeks, must have 2 TB skin...

  • Travel Nurse RN

    1 month ago

    Central City, NE, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Central City, Nebraska. Job Description & Requirements Specialty: Long Term Care Discipline: RN Start Date: 08/26/2024 Duration: 13 weeks 48 hours per week Shift: 12 hours, days Employment Type: Travel 6am-6pm LRS Healthcare - Long Term Care Job...

  • Travel Nurse RN

    1 month ago

    Central City, NE, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Central City, Nebraska. Job Description & Requirements Specialty: Long Term Care Discipline: RN Start Date: 08/26/2024 Duration: 13 weeks 48 hours per week Shift: 12 hours, days Employment Type: Travel 6am-6pm LRS Healthcare - Long Term Care Job...

  • Travel Nurse RN

    1 month ago

    Bullhead City, AZ, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Bullhead City, Arizona. Job Description & Requirements Specialty: Long Term Care Discipline: RN Start Date: 08/26/2024 Duration: 13 weeks 48 hours per week Shift: 12 hours, days Employment Type: Travel 36/48 rotating weeks, must have 2 TB skin...

  • Registered Nurse

    2 weeks ago

    Lost City, WV, United States Fusion Medical Staffing-Long Term Care Full time

    Company Overview:Fusion Medical Staffing-Long Term Care is dedicated to enhancing the lives of individuals through exceptional healthcare services. We connect healthcare professionals with opportunities in diverse locations, ensuring a fulfilling career journey.Position Summary:We are currently seeking a Registered Nurse (RN) specializing in Long Term Care...

  • Senior Clinical Long Term Care Quality of Care RN

    2 months ago

    Lake Havasu City, United States UnitedHealthcare Full time

    Job DescriptionAt 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 equitable. Ready to make a difference?...

  • Travel Nurse RN

    1 month ago

    Central City, NE, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Central City, Nebraska.Job Description & RequirementsSpecialty: Long Term CareDiscipline: RNStart Date: 08/26/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel6am-6pmLRS Healthcare - Long Term Care Job ID #1953541. Pay...

  • Travel Nurse RN

    2 months ago

    Bullhead City, AZ, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Bullhead City, Arizona.Job Description & RequirementsSpecialty: Long Term CareDiscipline: RNStart Date: 08/05/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel36/48 rotating weeks, must have 2 TB skin testsLRS Healthcare -...

  • Travel Nurse RN

    3 days ago

    Prairie City, Oregon, United States Care Team Solutions Full time

    Job Title: Travel Nurse RN - Long Term CareJob Type: Contract, Travel NursingSpecialty: Long Term Care, Registered NurseShift: 12 hours, Day shiftHours Per Week: 36 hoursGross Weekly Pay: $2005.83About the Job:Care Team Solutions is seeking a travel nurse RN for a long-term care position. As a travel nurse, you will have the opportunity to work in a variety...

  • Travel LPN

    1 month ago

    Bullhead City, United States LRS Healthcare - Long Term Care Full time

    LRS Healthcare - Long Term Care is seeking a LPN / LVN Long Term Care for a travel job in Bullhead City, Arizona.Job Description & RequirementsSpecialty: Long Term CareDiscipline: LPN / LVNStart Date: 08/26/2024Duration: 13 weeks48 hours per weekShift: 12 hours, daysEmployment Type: Travel36.48 rotating weeks, must have 2 TB skin testsLRS Healthcare - Long...