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NICU Care Management Registered Nurse

2 months ago

Houston, Texas, United States UnitedHealth Group Full time
About UnitedHealth Group:
UnitedHealth Group is a worldwide organization committed to enhancing health outcomes through innovative care solutions and technology. We strive to connect individuals with essential health services, pharmacy benefits, and vital resources to promote healthier living. Our culture is deeply rooted in diversity and inclusion, providing a supportive environment for talented professionals to thrive.

Your Role:
As a NICU Care Management Registered Nurse, you will play a crucial role in ensuring that our health services are delivered efficiently and effectively. Your responsibilities will include assessing member needs, interpreting clinical data, and identifying tailored solutions to enhance the health and well-being of our members. This position offers a unique opportunity to contribute to a mission-driven organization focused on advancing health equity globally.

Key Responsibilities:
  • Evaluate the necessity of inpatient services based on established medical guidelines and benefit criteria.
  • Address non-standard requests and devise effective solutions.
  • Translate complex concepts into actionable practices.
  • Serve as a knowledgeable resource for colleagues, providing clarity on challenging issues.

What We Offer:
At UnitedHealth Group, your contributions will be recognized and rewarded in a dynamic environment that encourages professional growth. You will receive clear guidance on achieving success in your role while exploring opportunities for advancement.

Qualifications:
Required:
  • Active, unrestricted Compact RN license in your state of residence.
  • A minimum of 3 years of clinical experience in a NICU setting.
  • Demonstrated proficiency in computer applications, including Microsoft Suite and clinical platforms.
  • Availability to work weekends and holidays on a rotational basis.
  • A designated workspace with high-speed internet access.
Preferred:
  • Certification as a Case Manager (CCM).
  • Experience in Utilization Management.
  • Background in Case Management.
  • Familiarity with InterQual Criteria.

Commitment to Diversity:
UnitedHealth Group is dedicated to fostering an inclusive workplace. We are an Equal Employment Opportunity/Affirmative Action employer, and we encourage applications from individuals of all backgrounds, regardless of race, gender, age, or any other characteristic protected by law.

Workplace Environment:
We maintain a drug-free workplace and require candidates to pass a drug screening prior to employment.