Clinical Nurse Specialist
2 days ago
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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