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Preservice RN - Remote In VA Only - Remote Eligible

Coordinate HCBS authorizations and associated documentation with providers and care managers in Virginia
Arlington, Virginia, United States
Junior
$29 – 52 USD / hour
8 hours agoBe an early applicant
Optum

Optum

A health services and innovation company offering healthcare solutions to improve the efficiency of the healthcare system.

Caring. Connecting. Growing Together

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference?

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.

For consideration you must be available to work Saturday and Sunday 8am until 5pm as well as three additional work week days 8am until 5pm and reside within the state of VA. If you reside within the state of Virginia, and you will have the flexibility to work remotely* as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

  • Authorization review and entry for HCBS authorizations using Virginia specific criteria
  • Review of state specific documents required for HCBS services
  • Communication with HCBS Providers
  • Gather clinical information to assess and expedite care needs
  • Consult with the Care Manager and/or Medical Director as needed to troubleshoot difficult or complex cases

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:

  • Unrestricted, active RN license
  • 3+ years of RN experience in an acute setting
  • Ability to create, edit, save and send documents utilizing Microsoft Word. Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches

Preferred Qualifications:

  • HCBS authorization experience
  • Utilization management, prior authorization, and case management experience
  • Managed care experience
  • Working knowledge of ICUE and CAT_LaunchPad

*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 are 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 $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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Preservice RN - Remote In VA Only - Remote Eligible
Arlington, Virginia, United States
$29 – 52 USD / hour
Support
About Optum
A health services and innovation company offering healthcare solutions to improve the efficiency of the healthcare system.