Remote RN: Preservice Review & Utilization

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

Job summary

Optum in Hawaii seeks a Preservice Review RN to work remotely from HI, handling non-clinical and clinical review tasks to support determinations. You will assess needs, interpret clinical documentation, and apply guidelines to determine appropriate actions with minimal supervision.

You will collaborate with care teams, review records, codes, and policies, and contribute to efficient, compliant determinations while maintaining focus on patient-centered outcomes.

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.

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.

Skills

Advanced computer proficiency

Saturday availability

Job description

Optum in Hawaii seeks a Preservice Review RN to work remotely from HI, handling non-clinical and clinical review tasks to support determinations. You will assess needs, interpret clinical documentation, and apply guidelines to determine appropriate actions with minimal supervision.

You will collaborate with care teams, review records, codes, and policies, and contribute to efficient, compliant determinations while maintaining focus on patient-centered outcomes.