Remote Inpatient Case Manager RN

RXinsider LTD.; Atlanta (GA); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group is seeking aRegistered Nurse in the United States for utilization review and case management. The role supports inpatient care decisions, discharge planning, and collaboration with clinical leadership to ensure high-quality patient outcomes.

Remote work is available nationwide, with scheduling that may include weekend requirements based on business needs. The position offers comprehensive benefits and career development opportunities within a global health services

Qualifications

• Active, unrestricted RN license in state of residence.
• 1+ years of clinical nursing experience in a Hospital setting.
• 1+ years of experience in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company.

Responsibilities

• Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria).
• Discuss cases with facility healthcare professionals to obtain plans-of-care.
• Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management.
• Facilitate timely and appropriate care and effective discharge planning.

Skills

RN license

Nursing experience

Utilization Review

Microsoft Excel

Windows/Outlook

Education

Bachelor's degree

Tools

Microsoft Suite

Outlook

Job description

UnitedHealth Group is seeking aRegistered Nurse in the United States for utilization review and case management. The role supports inpatient care decisions, discharge planning, and collaboration with clinical leadership to ensure high-quality patient outcomes.

Remote work is available nationwide, with scheduling that may include weekend requirements based on business needs. The position offers comprehensive benefits and career development opportunities within a global health services