Remote Fertility UM Nurse for Care Coordination

UnitedHealth Group; Des Moines (IA); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Remote work from anywhere in the U.S.

Job summary

UnitedHealth Group is seeking a Utilization Management Nurse to ensure services are administered efficiently and effectively. You will assess member needs and identify solutions to improve health outcomes.

This role offers remote work from anywhere in the U.S., standard 8:00 am to 5:30 pm CST hours, and opportunities to grow within a globally respected organization while benefiting from a comprehensive benefits package.

Qualifications

• Current unrestricted RN licensure in state of residence.
• Compact license and/or willingness to obtain additional licenses in CA, NV, NM, OK, WA and WY.
• 3+ years of Managed Care and/or Clinical experience.
• 1+ years of fertility experience.
• Proven computer proficiency, including data entry and Windows navigation.
• Willing or able to work core hours 8a-5:30p CST.

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.
• Works with less structured, more complex issues.
• Serves as a resource to others.
• Make decisions that directly impact our members in a rapidly-changing, production-driven environment.

Skills

Managed Care experience

Fertility experience

Windows navigation

Data entry

Core hours 8a-5:30p CST

Education

RN licensure

Tools

Microsoft Windows

Job description

UnitedHealth Group is seeking a Utilization Management Nurse to ensure services are administered efficiently and effectively. You will assess member needs and identify solutions to improve health outcomes.

This role offers remote work from anywhere in the U.S., standard 8:00 am to 5:30 pm CST hours, and opportunities to grow within a globally respected organization while benefiting from a comprehensive benefits package.