RN Case Manager
2 days ago
We are looking for a skilled Inpatient Care Management Nurse to join our team at UnitedHealth Group Inc. This individual will play a critical role in ensuring the optimal utilization of our health services.
">About the JobThis position involves assessing and interpreting member needs to identify solutions that promote healthier lives. You will collaborate with healthcare professionals to develop plans-of-care, participate in discussions to improve care progression, and consult with medical directors as needed.
The ideal candidate will have 3+ years of clinical nursing experience in an Acute Inpatient Hospital setting and proficiency in computer skills, including Windows, IM, Excel (Microsoft Suite), Outlook, and clinical platforms.
What We Offer- A competitive salary range of $58,300-$114,300 annually
- A comprehensive benefits package, including incentive and recognition programs
- Opportunities for professional development and advancement
UnitedHealth Group is committed to creating a diverse and inclusive work environment where everyone has the opportunity to thrive. Our mission is to help people live healthier lives and make the health system work better for everyone.
Responsibilities- Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria)
- Discuss cases with facility healthcare professionals to obtain plans-of-care
- Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management
- Participate in discussions with the Clinical Services team to improve the progression of care to the most appropriate level
- Active, unrestricted RN license in state of residence
- 3+ years of clinical nursing experience in an Acute Inpatient Hospital setting
- 1+ year of experience in Utilization Review utilizing InterQual Guidelines
Please note that this role requires a designated workspace and access to secure high-speed internet via cable or DSL at home. Permanent residence in Eastern Standard Time or Central Standard Time zones is also required.
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