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Hours Full-time, Part-time
Location Austin, TX
Austin, Texas

About this job

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)


 


Utilization Management Nurse responsibilities include:


* 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


** Onsite UM candidates must be able to work independently, have excellent computer and communication skills, have a valid driver's license, and be willing to travel to assigned facilities to complete reviews **


Requirements

Basic Requirements:


* Unrestricted RN license required in state of residence


* Minimum 3 years of Managed Care and/or Clinical experience required


* Basic level of experience with Microsoft Word, Outlook, and Internet


Additional Assets Preferred:


* Pre-authorization experience


* Case Management experience


* Certified Case Manager (CCM)


*Undergraduate degree


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: UM, Utilization Management, Austin, TX, Texas