Telecommute RN: Clinical Claims Review

Sacbar; Plymouth, Northern (MN, KY); Hybrid; USD 40,000 - 72,000; Full time

Job summary

UnitedHealth Group's UnitedHealthcare division seeks a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims, document determinations, and maintain screening criteria.

This telecommuting position from anywhere in the U.S. emphasizes accuracy, detailed writing, and utilization of Microsoft Office tools. Requires an Associate's degree and an active RN license in the resident state.

Qualifications

• Associate's degree required.
• Current and unrestricted RN license in the state of residency.
• 5+ years of clinical documentation experience.
• 3+ years of RN experience in inpatient/acute settings.
• Proficiency in Microsoft Office (Excel, OneNote).
• Designated home office workspace with high-speed internet.

Responsibilities

• Perform administrative reviews of short stay inpatient hospital claims per requirements.
• Document all determinations.
• Maintain accurate use of screening criteria.

Skills

Clinical documentation

Microsoft Office

Writing

Education

Associate's degree

RN license (state of residency)

Tools

Microsoft Excel

OneNote

Job description

UnitedHealth Group's UnitedHealthcare division seeks a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims, document determinations, and maintain screening criteria.

This telecommuting position from anywhere in the U.S. emphasizes accuracy, detailed writing, and utilization of Microsoft Office tools. Requires an Associate's degree and an active RN license in the resident state.