Remote Utilization Management Nurse

University of Minnesota School of Nursing; Northern (KY); On-site; USD 40,000 - 72,000; Part time

Benefits offered by this job

Per diem

Telecommute option

Flexible schedule

Job summary

UnitedHealth Group is seeking a Utilization Management Nurse to review medical records and craft defensible appeal letters. The role supports telecommuting from anywhere in the U.S. and requires a state RN license, 3+ years bedside nursing, and strong data extraction skills.

You will collaborate with teams to meet quality expectations and stay current with licenses and training. The position emphasizes adherence to HIPAA, policy guidance, and efficient case processing within set time frames,

Qualifications

• Associate's degree required.
• Unrestricted Registered Nurse License in your state of residence.
• 3+ years of bedside nursing experience in ED/telemetry/ICU/CCU.
• Advanced level of proficiency with Microsoft applications and software.

Responsibilities

• Compose appeal letters with data extraction and proper references.
• Adhere to HIPAA confidentiality requirements.
• Build relationships with Optum, OPAS, OGA and clients.
• Ensure quality and productivity expectations are met.
• Stay up to date with learning modules and licenses.

Skills

RN license

3+ years bedside

MS Office proficient

typing speed

Education

Associate's degree

Tools

Word

Excel

Job description

UnitedHealth Group is seeking a Utilization Management Nurse to review medical records and craft defensible appeal letters. The role supports telecommuting from anywhere in the U.S. and requires a state RN license, 3+ years bedside nursing, and strong data extraction skills.

You will collaborate with teams to meet quality expectations and stay current with licenses and training. The position emphasizes adherence to HIPAA, policy guidance, and efficient case processing within set time frames,