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Telephonic Inpatient Care Manager RN, Work from Home in Missouri!
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | St. Louis, MO St. Louis, Missouri |
About this job
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.(sm)
The Telephonic Inpatient Care Manager RN, sometimes referred to as a Utilization Management Nurse, is responsible for utilization management, utilization review and concurrent review. The UM RN reviews current inpatient services and determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. Want to learn more before applying for this role? Click here to view the Realistic Job Preview:
UnitedHealthcare is currently hiring for a Telephonic Inpatient Care Manager RN
Work schedule: This is a work from home position which requires a dedicated work space. Standard business hours: Monday - Friday 8A.M - 5P.M. CST.
Telephonic Inpatient Care Manager RN responsibilities include:
- Performing utilization management, utilization review, or concurrent review (telephonic inpatient care management)
- Determining medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
- Assessing and interpret customer needs and requirements
- Identifying solutions to non-standard requests and problems
- Working with minimal guidance; seeks guidance on only the most complex tasks
- Translate concepts into practice
- Providing explanations and information to others on difficult issues
- Coaching, providing feedback, and guiding others
- Acting as a resource for others with less experience
Requirements
- Active and unrestricted Missouri RN license
- 1-2 years of Discharge Planning
- 1-2 years with care assessments
- Minimum of 3 years of Clinical experience
- Minimum of 3 years of UR or UM experience
- Intermediate computer skills - Microsoft Word, with the ability to navigate a Windows environment - must be able to handle multiple systems
- Excellent verbal and written communication skills
Additional Assets Preferred:
- Pre-authorization, Utilization Management or Concurrent review experience
- Milliman or Interqual knowledge
- Medicare and Medicaid experience
- Case Management experience
- Undergraduate degree
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group 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.
Keywords: RN, Inpatient, Acute care, Inpatient, Utilization Management, Utilization Review, UM, UR, Managed Care, HMO, Medicaid, Case Management, telephonic, telecommute, work from home, Missouri, MO
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