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Utilization Management Nurse RN

This job is expired..
Location
Dallas, TX

Profile

UnitedHealthcare, part of the **MEMBERS ONLY**SIGN UP NOW***. family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.

UnitedHealth Care is currently staffing for a Utilization Management Nurse RN in the Fort Worth, TX area. The Utilization Management Nurse responsibilities include, but are not limited to:

•Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management)

•Determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination

•Assess and interpret customer needs and requirements

•Identify solutions to non-standard requests and problems

•Work with minimal guidance; seeks guidance on only the most complex tasks

•Translate concepts into practice

•Provide explanations and information to others on difficult issues

•Coach, provide feedback, and guide others

•Act as a resource for others with less experience

Job Requirements

Requirements:

•Unrestricted RN license required in state of residence

•Minimum of 3 years of Managed Care and/or Clinical experience required -Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment

Additional Assets Preferred:

•Pre-authorization experience -Case Management experience

•Certified Case Manager (CCM)

•Undergraduate degree

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

**MEMBERS ONLY**SIGN UP NOW***. is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Keywords: Utilization Management, UM, Case Manager, Case Management, Pre-authorization

Company info

UnitedHealth Group
Website : http://www.unitedhealthgroup.com

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