Inpatient Care Management Nurse RN - Missouri Telecommute

Unitedhealth Group Inc. Saint Louis , MO 63150

Posted 1 week ago

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Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As an Inpatient Care Management Nurse at UnitedHealth Group, you will make sure our health services are administered efficiently and effectively. You'll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready to make an impact?

If you are located in Missouri, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities

Determine the appropriateness of inpatient services following evaluation of medical guidelines and benefit determination
Identify solutions to non-standard requests and problems
Translate concepts into practice
Act as a resource for others; provide explanations and information on difficult issues

It feels great to have autonomy, and there's also a lot of responsibility that comes with it. In this role, you'll be accountable for making decisions that directly impact our members. And at the same time, you'll be challenged by leveraging technologies and resources in a rapidly-changing, production-driven environment.

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:

Unrestricted RN license required in State of Missouri
Resident of Missouri
3+ years total RN experience including hands on clinical experience in an inpatient acute setting in ICU / CCU / ER / Medical-Surgical
1+ years of utilization review experience
Live in a location that can receive high-speed internet service with a minimum speed of 5 download mps & 1 upload mps. (Mobile cellular data, e.g., fixed wireless, air cards / MiFi devices, and satellite are not approved means of internet connectivity and do not meet the criteria for high-speed internet connection through an Internet Service Provider.)
Have a work space in their home that is separated from non-workspace areas and that can be secured to maintain Protected Health Information (PHI) and/ or Protected Information (PI)
Demonstrate a proficiency in computer skills - windows, IM, excel (Microsoft suite), Outlook, clinical platforms
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

Pre-authorization experience
Case Management experience
Knowledge of Milliman Criteria
Managed Care experience

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

Join us and discover how a superior professional environment and incredible opportunities make a difference in the lives of patients. We're a place where leaders thrive, and innovation abounds. Seize this opportunity to achieve your life's best work.(sm)

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.

Keywords: Missouri, Utilization Management, RN, Nurse, Telecommute, Telecommuter, Work from Home

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