At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start
Caring. Connecting. Growing together.
If you are located in Central Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities
- Conducts concurrent review for patients admitted to SNF, LTAC or Rehab facilities utilizing InterQual review criteria
- Collaborates with the interdisciplinary care team (ICT) and medical director(s) to facilitate appropriate treatment for members and identify high risk members that will be followed by the care coordinators
- Initiates care coordination (Nurse Practitioner, MSW, RN) referrals for members when necessary
- Monitors the member's adherence to the plan of care
- Collaborates with the facility case management staff and facility care providers to review admission and discharge planning
- Visits/makes contacts with members and/or caregivers to discuss and set measurable health care goals
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
- Current/Active Louisiana Registered Nurse (RN) or Compact License from any state
- Experience in a clinic/hospital or similar setting
- Experience with clinical documentation systems
- Experience in assessing members and developing care plans
- Computer/typing proficiency to enter/retrieve data in electronic clinical records and documentation systems, experience with email, internet research, use of online calendars and other software applications
- Reside in a state within the Central Time Zone
Preferred Qualifications
- Bachelor of Nursing
- 3+ years of clinical experience in health care and/or managed care
- Experience with medical terminology and coding
- Working knowledge in Interqual and CMS guidelines
- Understanding of healthcare industry
- Understanding of nursing home, skilled nursing facility and long-term acute care regulations
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
