Utilization Management Nurse RN

IntelliResume; Minnesota; On-site; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group in Eden Prairie, MN is seeking an Utilization Management Nurse RN to evaluate the appropriateness of outpatient services and provide solutions while offering autonomy and the opportunity to impact health outcomes.

The role requires an associate's degree, 3+ years in managed care or clinical settings, and an unrestricted RN license; it is a full-time daytime position based in Eden Prairie.

Qualifications

• Associate's degree required.
• 3+ years of Managed Care and/or Clinical experience required.
• Unrestricted Registered Nurse License in your state of residence required.

Responsibilities

• Determine the appropriateness of outpatient services following evaluation of medical guidelines and benefit determination.
• Identify solutions to non-standard requests and problems.
• Translate concepts into practice and act as a resource for others; provide explanations and information on difficult issues.

Education

Associate's degree

Job description

About This Role

The Utilization Management Nurse RN at UnitedHealth Group is responsible for evaluating the appropriateness of outpatient services and providing solutions to non-standard requests. This role is ideal for nurses seeking autonomy and the opportunity to impact health outcomes.

Highlights

• Pay: $60,200 - $107,400/year
• Location: Eden Prairie, MN
• Schedule: Full Time, Day shift

What You've Do

• Determine the appropriateness of outpatient services following evaluation of medical guidelines and benefit determination
• Identify solutions to non-standard requests and problems
• Translate concepts into practice
• Act as a resource for others; provide explanations and information on difficult issues

Requirements

• Education:
  • Associate's degree required
• Experience:
  • 3+ years of Managed Care and/or Clinical experience required
• Licenses & Certifications:
  • Unrestricted Registered Nurse License in your state of residence required

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on improving health outcomes and connecting people with the resources they need to live healthier lives.