Preservice Review RN - VA Market Only - Remote

UnitedHealthcare; Odessa (TX); Remote; Full time

Job summary

A leading healthcare organization is seeking an experienced RN to provide high-quality care and support to patients. This role involves collaboration with healthcare professionals, ensuring appropriate services, and maintaining communication with care facilities. Join us to make a meaningful impact in healthcare delivery while enjoying a supportive team culture and opportunities for growth.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Stock purchase options

401(k) contributions

Qualifications

• Active RN license in Virginia required.
• 3+ years of RN experience in an acute setting.

Responsibilities

• Authorization review and entry for HCBS authorizations.
• Consulting with Care Manager and/or Medical Director on complex cases.

Skills

Communication

Clinical Assessment

Education

Active RN license in VA

3+ years of RN experience in an acute setting

Tools

Microsoft Word

Microsoft Outlook

Job description

At UnitedHealthcare, we're dedicated to simplifying the healthcare experience, fostering healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions. Join us to build a more responsive, affordable, and equitable healthcare system. Ready to make a difference? Come be part of Caring. Connecting. Growing together.

Are you prepared for your next challenge? Discover it at UnitedHealthcare, where you can help reinvent the health system. This role offers an opportunity to provide a higher level of care and utilize your skills in shaping healthcare delivery. You will collaborate with treating physicians and healthcare professionals to ensure members receive appropriate services and maintain communication with care facilities to support patients' care plans. This is an exciting opportunity at a truly inspired organization. Join us—this could be the start of your life's best work.

What makes your nursing career greater with UnitedHealth Group? You can improve others' health and help heal the healthcare system. You will be part of an incredible team culture that fosters clinical and business collaboration, learning, and evolution daily. Your contributions will open doors that are unavailable elsewhere.

If you reside in Virginia, you'll enjoy the flexibility to work remotely while tackling challenging tasks.

Primary Responsibilities:

1. Authorization review and entry for HCBS authorizations using Virginia-specific criteria
2. Review of state-specific documents required for HCBS services
3. Communication with HCBS Providers
4. Gathering clinical information to assess and expedite care needs
5. Consulting with the Care Manager and/or Medical Director to troubleshoot complex cases

You'll be recognized and rewarded for your performance in an environment that challenges you, provides clear success criteria, and offers development opportunities for other roles you may pursue.

Required Qualifications:

• Active RN license in VA
• 3+ years of RN experience in an acute setting
• Proficiency in creating, editing, saving, and sending documents in Microsoft Word
• Ability to navigate Windows, use Microsoft Outlook, and conduct Internet searches

Preferred Qualifications:

• HCBS authorization experience
• Utilization management, prior authorization, and case management experience
• Managed care experience
• Knowledge of ICUE and CAT Launchpad

*Remote employees must adhere to UnitedHealth Group's Telecommuter Policy.

The hourly rate ranges from $28.61 to $56.06, depending on full-time employment factors such as location, education, experience, and certifications. UnitedHealth Group complies with all applicable minimum wage laws. Benefits include a comprehensive package, incentive and recognition programs, stock purchase options, and 401(k) contributions, subject to eligibility.

Our mission is to help people live healthier lives and improve the healthcare system for everyone. We are committed to addressing health disparities and promoting equitable care, especially for marginalized groups and those with lower incomes. We also prioritize environmental sustainability and equitable health outcomes.

UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will be considered regardless of race, gender, sexuality, age, location, or other protected characteristics. We are a drug-free workplace; candidates must pass a drug test before employment.