Remote Preservice Review RN – Clinical Decisions (HI)

Optum; Honolulu (HI); Remote; USD 40,000 - 72,000; Full time

Job summary

UnitedHealth Group is seeking a Preservice Review RN to work remotely in Hawaii. The role involves reviewing non-clinical and clinical documentation to support determinations, with duties across research, coding validation, and care coordination support. Location in Hawaii allows remote work while handling complex cases.

The role requires an Hawaii RN license, 3+ years acute RN experience, strong computer skills, and Saturday availability. A background in utilization management is preferred.

Qualifications

• Valid RN license in Hawaii.
• Residence in Hawaii.
• 3+ years of RN experience in an acute setting.
• Advanced computer proficiency (Microsoft Word, Outlook, and Internet).
• Saturday availability.
• Preferred: 3+ years of RN experience in utilization management.

Responsibilities

• Assesses and interprets customer needs and requirements.
• Identifies solutions to non-standard requests and problems.
• Solves moderately complex problems and/or conducts moderately complex analyses.
• Works with minimal guidance; seeks guidance on only the most complex tasks.
• Translates concepts into practice.
• Provides explanations and information to others on difficult issues.
• Coaches, provides feedback, and guides others.
• Acts as a resource for others with less experience.

Tools

Microsoft Word

Outlook

Internet

Job description

UnitedHealth Group is seeking a Preservice Review RN to work remotely in Hawaii. The role involves reviewing non-clinical and clinical documentation to support determinations, with duties across research, coding validation, and care coordination support. Location in Hawaii allows remote work while handling complex cases.

The role requires an Hawaii RN license, 3+ years acute RN experience, strong computer skills, and Saturday availability. A background in utilization management is preferred.