Senior Inpatient Care Management Nurse - Telecommute in Louisiana
Location: Metairie, Louisiana
Internal Number: 109881873
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
As a Senior Inpatient Care Management Nurse (Telecommute in Louisiana), you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization.
What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
If you are located in Louisiana, you will have the flexibility to telecommute* as you take on some tough challenges.
Serves and a Leader/Mentor; acts as a resource for others with less experience and provides coaching and mentoring to staff members as needed
Precept New/Existing Employees
Actively participates in workgroups and initiatives
Complete team specific reporting
Consult with the Medical Director as needed for complex cases
Anticipates customer needs and proactively develops solutions to meet them
Serves as a key resource on complex and/or critical issues; solves complex problems and develops innovative solutions
Performs complex conceptual analyses
Review work performed by others and provide recommendation for improvement
Forecasts and plans resource requirements
Authorizes deviations from standards
May lead functional or segment teams or projects
Provides explanations and information to others on the most complex issues
Motivates and inspires other team members
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.
Current, unrestricted RN license and residence in state of Louisiana
3+ years of RN experience including clinical experience in an inpatient/acute setting
2+ years of experience as a subject matter expert (SME), Team Lead or other lead type role
2+ years of UM/UR experience in an insurance company or managed care environment
Designated workspace and access to install secure high-speed internet via cable/DSL in home
Bachelor of Science degree in Nursing
2+ years of UM/UR experience required including experience performing admission and continued inpatient stay reviews using either InterQual or MCG criteria
Experience in discharge planning and/or chart review
Experience with utilization review for an insurance company or in a managed care environment
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.