Clinical Nurse Specialist

2 days ago


Phoenix, Arizona, United States UnitedHealth Group Full time
Job Summary

UnitedHealth Group is seeking a skilled Clinical Nurse Specialist to join our team. As a key member of our healthcare team, you will play a critical role in reviewing and interpreting medical records to ensure high-quality care for our patients.

Key Responsibilities:

  • Review and interpret medical records to identify missing information and request additional documentation as needed
  • Validate diagnostic and procedure codes to ensure accuracy and relevance
  • Apply knowledge of medical terminology and disease processes to interpret medical records
  • Make determinations based on relevant protocols and guidelines

Requirements:

  • Valid RN license
  • Compact licensure
  • 3+ years of RN experience in an acute setting
  • Advanced computer proficiency

Preferred Qualification:

  • 3+ years of experience as an RN in utilization management

What We Offer:

  • A comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase and 401k contribution

Application Deadline:

This job posting will be live for a minimum of 2 business days or until a sufficient candidate pool has been collected.


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