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Concurrent Review RN - Utilization mgmt
- Work at Home Jobs, Work from Home Jobs
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Concurrent Review RN - Utilization mgmt / review skills want
US - AZ, Phoenix, 85001
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UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.Ask about our work-from-home program! AmeriChoice, a UnitedHealth Group company, is a recognized leader and innovator in providing managed health care solutions to its Medicaid membership. With over a decade of growth and success we are poised for continued expansion of our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in thousands of lives. Join us, do rewarding work, and build a great career. Are you looking for a change from direct patient care while still using your clinical knowledge to help patients receive excellent medical care? If so, this could be the perfect position for you! Corporate growth has created a need for us to hire a new Concurrent Review Nurse to address utilization management in the Arizona market. The chosen candidate would work with patients and medical providers to determine the appropriateness of various types of medical care. After the candidate has successfully and continually met performance expectations, he/she may have the opportunity to work for home. Use your utilization management and/or review skills with us &8211; apply today. Key responsibilities include:Using Milliman and Robertson (M&R) criteria to evaluate appropriateness of care Performing on-site and telephonic concurrent reviews Maintaining ongoing contact with physicians to obtain accurate patient data and clarify diagnoses Communicating care decisions to physicians and case managers Helping to develop the Concurrent Review Orientation ProgramThe chosen RN must possess:A current and valid licensure in the state of Arizona Clinical experience Basic computer proficiencyHighly preferred assets include:A background in hospital-based utilization management or home care concurrent review Field-based experienceUnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. keywords: healthcare, insurance, nursing, RN, Med/Surg, ICU, CCU, home care, hospice, labor and delivery, obstetrics, post partum, care planner, care planning, case management, CCM, CCMA, utilization review, utilization management, Educational requirements contained in this field supercede any educational requirements contained elsewhere in this job posting.