Fertility Utilization Management RN - Remote

UnitedHealth Group; Iowa; Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase and 401k

Job summary

UnitedHealth Group is seeking a Fertility Utilization Management RN in the United States. This remote role requires 3+ years in managed care and fertility experience, plus an unrestricted RN license in the resident state.

The position is full-time with day shifts, based in the Des Moines, IA area, and requires residency in the U.S. The role emphasizes efficient service utilization and member-focused solutions.

Qualifications

• Current unrestricted RN licensure in state of residence.
• 3+ years of Managed Care and/or Clinical experience.
• 1+ years of fertility experience.
• Compact license and/or willingness to obtain additional licenses in CA, NV, NM, OK, WA, and WY required

Responsibilities

• Determine the appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.
• Identify solutions to non-standard requests and problems.
• Translate concepts into practice.
• Act as a resource for others; provide explanations and information on difficult issues.
• Generally, work is self-directed and not prescribed.
• Work with less structured, more complex issues.
• Serve as a resource to others.
• Make decisions that directly impact members while leveraging technologies and resources

Skills

RN governance

Managed Care experience

Fertility experience

Education

RN licensure

Compact license willingness

Job description

About This Role

As a Fertility Utilization Management RN at UnitedHealth Group, you will ensure health services are administered efficiently and effectively, assessing member needs and identifying solutions to help them live healthier lives. This remote position is ideal for those looking to make a significant impact in healthcare.

Highlights

• Pay: $60,200 - $107,400/year
• Location: Des Moines, IA
• Schedule: Full Time, Day shift
• Residency: Must reside in the U.S.

What You'll Do

• Determine the appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
• Identify solutions to non-standard requests and problems
• Translate concepts into practice
• Act as a resource for others; provide explanations and information on difficult issues
• Generally, work is self-directed and not prescribed
• Work with less structured, more complex issues
• Serve as a resource to others
• Make decisions that directly impact members while leveraging technologies and resources

Requirements

Education:

• Current unrestricted RN licensure in state of residence

Experience:

• 3+ years of Managed Care and/or Clinical experience
• 1+ years of fertility experience

Licenses & Certifications:

• Compact license and/or willingness to obtain additional licenses in CA, NV, NM, OK, WA, and WY required

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They harness technology and innovation to make healthcare simpler, more affordable, and more connected for the people they serve. The organization values inclusion and empowers employees to bring their authentic selves to work.