Utilization Management Nurse RN

About the role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Responsibilities

• Follow directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, inclusion of appropriate medical literature references, and use of national criteria guidelines
• Adheres to company policies and procedures as well as policies, procedures, and laws
• Understands and complies with HIPAA confidentiality requirements
• Support and promote OPAS, Optum, and the enterprise goals and mission
• Build relationships across Optum, OPAS, OGA and our clients
• Collaborate with peers to assure continuity of communication and execution of deliverables as needed
• Adheres to quality and productivity expectations
• Participate in and contribute to meetings as appropriate
• Maintains organization on the team and ensures everyone conducts themselves professionally
• Remains up to date with all learning modules, competencies, and state required licenses
• Performs other related duties, tasks, and processes as required by leadership
• Ability to establish priorities, be self-motivated, work independently, and follow instructions with supervision and structure
• Positive attitude and the ability to function as a collaborative team member

Required Qualifications

• Associate's degree
• Unrestricted Registered Nurse license in your state of residence
• 3+ years of bedside nursing experience in adult ED/telemetry/ICU/CCU
• Advanced level of proficiency with Microsoft applications and software, internet navigation and utilization
• Ability to type 45 wpm

Preferred Qualifications

• Working knowledge of InterQual and MCG
• Prior experience with utilization management
• Working knowledge of Word
• Strong, effective verbal and written communication skills

Schedule

Monday - Friday (40 Hours a Week) Flexible start times with the ability to support evening, weekend and holiday shifts. You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Pay

The salary for this role will range from $60,200 to $107,400 annually based on full-time employment.