Remote Utilization Management Nurse RN | Flexible Hours

Construction Association of Michigan; Northern (KY); Hybrid; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group is seeking a qualified Utilization Management Nurse to review patient records and craft appeal letters, ensuring accuracy and compliance. You will support OPAS and enterprise goals while collaborating across teams to deliver high-quality reviews.

Requirements include an RN license, 3+ years bedside nursing in acute care, and proficiency with Microsoft Office plus 45 wpm typing. This is a telecommute-friendly role across the United States.

Qualifications

• Associate's degree required.
• Unrestricted RN license in your state of residence.
• 3+ years bedside nursing experience in ED/telemetry/ICU/CCU.
• Proficient with Microsoft Office; able to type 45 wpm.

Responsibilities

• Review and extract case details from patient records and craft defensible appeal letters.
• Follow HIPAA confidentiality requirements and company policies.
• Support OPAS, Optum, and enterprise goals and mission.
• Collaborate with peers across Optum, OPAS, OGA and clients to ensure deliverables.

Skills

Bedside nursing

Communication skills

Typing 45 wpm

Education

Associate's degree

Tools

Microsoft Office

Microsoft Word

Job description

UnitedHealth Group is seeking a qualified Utilization Management Nurse to review patient records and craft appeal letters, ensuring accuracy and compliance. You will support OPAS and enterprise goals while collaborating across teams to deliver high-quality reviews.

Requirements include an RN license, 3+ years bedside nursing in acute care, and proficiency with Microsoft Office plus 45 wpm typing. This is a telecommute-friendly role across the United States.