Talent.com
Preservice Review Nurse RN - Remote
Preservice Review Nurse RN - RemoteUnitedHealth Group • Tampa, FL, United States
Preservice Review Nurse RN - Remote

Preservice Review Nurse RN - Remote

UnitedHealth Group • Tampa, FL, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

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.

You'll enjoy the flexibility to work remotely

  • from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

  • Perform clinical coverage review services, which require interpretation of state and federal mandates, applicable benefit language, and consideration of relevant clinical information
  • Function as a member of a self-directed team to meet specific individual and team performance metrics
  • Ability to communicate in writing and verbally, all types of benefit determinations including decisions regarding coverage guidelines
  • Telephonic discussion with health care providers and / or members to explain benefit coverage determinations and to obtain additional clinical information
  • Acts as a resource for others with less experience
  • Work independently and collaborating with Medical Directors and non-clinical partners
  • Adapt to a highly changing environment and a heavy case load
  • 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.

    Required Qualifications :

  • Current unrestricted RN license in the state of residency
  • Professional experience in direct patient care
  • Demonstrated proficiency in computer skills - Excel, Microsoft platforms, Outlook, clinical platforms
  • Proven exemplary clinical documentation skills and critical thinking skills
  • Designated secure workspace and access to install secure high speed internet via cable / DSL in home
  • Flexible with work hours - hours / days can change as needed for the business
  • Open to required weekend rotation schedule
  • Preferred Qualifications :

  • Bachelor's degree
  • Compact RN license
  • 2+ years of RN experience including experience in an inpatient / acute setting
  • Background involving utilization review for an insurance company or experience in case management
  • Proven excellent communication skills both verbal and written
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits re subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

    Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    serp_jobs.job_alerts.create_a_job

    Preservice Review Nurse Rn Remote • Tampa, FL, United States

    Job_description.internal_linking.related_jobs
    Travel Nurse RN - Telemetry - $1,156 to $1,305 per week in Vero Beach, FL

    Travel Nurse RN - Telemetry - $1,156 to $1,305 per week in Vero Beach, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Host Healthcare to find a qualified Telemetry RN in Vero Beach, Florida, 32960!.Host Healthcare is an award-winning travel healthcare company with an immediate ope...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry in Margate, FL

    Travel Nurse RN - Telemetry in Margate, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Patterns LLC to find a qualified Telemetry RN in Margate, Florida, 33093!.The Nurse Manager organizes and manages patient care functions on an ongoing basis.The in...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,755 to $1,867 per week in Tallahassee, FL

    Travel Nurse RN - Telemetry - $1,755 to $1,867 per week in Tallahassee, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Fusion Medical Staffing to find a qualified Telemetry RN in Tallahassee, Florida, 32308!. Facility in Tallahassee, Florida.Fusion Medical Staffing is seeking a skil...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - $1,524 to $1,673 per week in Bradenton, FL

    Travel Nurse RN - $1,524 to $1,673 per week in Bradenton, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Host Healthcare to find a qualified Other RN in Bradenton, Florida, 34209!.Host Healthcare is an award-winning travel healthcare company with an immediate opening ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,233 per week in Titusville, FL

    Travel Nurse RN - Telemetry - $1,233 per week in Titusville, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with GetMed Staffing to find a qualified Telemetry RN in Titusville, Florida, 32796!.GetMed Staffing is searching for a strong Telemetry RN to assist our traveler-frien...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,201 to $1,331 per week in Jacksonville, FL

    Travel Nurse RN - Telemetry - $1,201 to $1,331 per week in Jacksonville, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified Telemetry RN in Jacksonville, Florida, 32204!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Endoscopy - $1,984 to $2,137 per week in Miami, FL

    Travel Nurse RN - Endoscopy - $1,984 to $2,137 per week in Miami, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Host Healthcare to find a qualified Endoscopy RN in Miami, Florida, 33176!.Host Healthcare is an award-winning travel healthcare company with an immediate opening ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Skyline Med Staff Home Health • Clearwater, FL, US
    serp_jobs.job_card.full_time
    Skyline Med Staff Home Health is seeking a travel nurse RN Home Health for a travel nursing job in Clearwater, Florida.Job Description & Requirements. Weekly amount stated in the job postings is...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,877 to $2,030 per week in Tallahassee, FL

    Travel Nurse RN - Telemetry - $1,877 to $2,030 per week in Tallahassee, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Host Healthcare to find a qualified Telemetry RN in Tallahassee, Florida, 32308!.Host Healthcare is an award-winning travel healthcare company with an immediate op...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $691 to $766 per week in Jacksonville, FL

    Travel Nurse RN - Telemetry - $691 to $766 per week in Jacksonville, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified Telemetry RN in Jacksonville, Florida, 32204!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Preservice Review Nurse RN

    Preservice Review Nurse RN

    Optum • TAMPA, Florida, United States
    serp_jobs.job_card.full_time
    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 connect...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    RN Pre-Surgery Part Time

    RN Pre-Surgery Part Time

    AdventHealth Zephyrhills and Dade City • Dade City, FL, US
    serp_jobs.job_card.part_time
    All the benefits and perks you need for you and your family : .Whole Person Wellbeing Resources.Mental Health Resources and Support. Joining AdventHealth is about being part of something bigger.Its ab...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Nurse RN - Telemetry - $2,122 per week in Tallahassee, FL

    Travel Nurse RN - Telemetry - $2,122 per week in Tallahassee, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Tallahassee, Florida, 32308!.A facility in Tallahassee, FL is seeking its next amazing RN (Registered Nurse) ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Nurse RN - Home Health - $1,359 to $1,506 per week in Largo, FL

    Travel Nurse RN - Home Health - $1,359 to $1,506 per week in Largo, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified Home Health RN in Largo, Florida, 33773!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packag...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,442 per week in Jacksonville, FL

    Travel Nurse RN - Telemetry - $1,442 per week in Jacksonville, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Cynet Health to find a qualified Telemetry RN in Jacksonville, Florida, 32204!.Job Title : RN Medical / Surgical Profession : RN Medical / Surgical Specialty : RN Med...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,413 per week in Jacksonville, FL

    Travel Nurse RN - Telemetry - $1,413 per week in Jacksonville, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Focus Staff to find a qualified Telemetry RN in Jacksonville, Florida, 32073!.The ideal candidate will have at least 1 year of experience in a Telemetry setting.Be...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health - $2,070 per week in Orlando, FL

    Travel Nurse RN - Home Health - $2,070 per week in Orlando, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Core Medical Group to find a qualified Home Health RN in Orlando, Florida, 32809!.Contract to Temp opportunity in Orlando FL. Looking for Day shift Home Health RN's...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Administration / Management in Fort Myers, FL

    Travel Nurse RN - Administration / Management in Fort Myers, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Titan Medical Group to find a qualified Admin / Mgmt RN in Fort Myers, Florida, 33993!. Travel Nurse RN - Case Management.Titan Medical is looking for travelers to fi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,996 per week in Tallahassee, FL

    Travel Nurse RN - Telemetry - $1,996 per week in Tallahassee, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Triage Staffing to find a qualified Telemetry RN in Tallahassee, Florida, 32301!.Travel Nursing : Telemetry Tallahassee. Shift Details : 12H Nights (12 : 00 AM-12 : 00 ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,851 per week in Tallahassee, FL

    Travel Nurse RN - Telemetry - $1,851 per week in Tallahassee, FL

    TravelNurseSource • Tampa, Florida, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Atlas MedStaff to find a qualified Telemetry RN in Tallahassee, Florida, 32308!.Atlas Medstaff is currently seeking candidates in the RN (Telemetry) profession for...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted