Senior Inpatient Care Management Nurse RN – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
As a Senior Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready for a new path?
What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you’ll open doors for yourself that simply do not exist in any other organization, anywhere.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Work schedule will be Monday – Friday from 8:00 AM – 5:00 PM Pacific Time Zone.
Primary Responsibilities:

Serves and a Leader/Mentor; acts as a resource for others with less experience and provides coaching and mentoring to staff members as needed

Precept New/Existing Employees

Actively participates in workgroups and initiatives

Complete team specific reporting

Consult with the Medical Director as needed for complex cases

Anticipates customer needs and proactively develops solutions to meet them

Serves as a key resource on complex and/or critical issues; solves complex problems and develops innovative solutions

Performs complex conceptual analyses

Reviews work performed by others and provides recommendations for improvement

Forecasts and plans resource requirements

Authorizes deviations from standards

May lead functional or segment teams or projects

Provides explanations and information to others on the most complex issues

Motivates and inspires other team members

Monthly team audits and coaching

Assist with team meetings

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:

Current, unrestricted compact RN license in state of residence

3+ years total RN experience including recent clinical experience in an inpatient/acute setting

2+ years of UM/UR experience required including experience performing admission and continued inpatient stay reviews using Interqual criteria

Demonstrate a proficiency in computer skills – Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms

Designated work space and access to install secure high speed internet via cable/DSL in home

Ability to work Monday – Friday from 8:00 AM – 5:00 PM Pacific Time Zone

Preferred Qualifications:

BSN degree

RN license in Hawaii

2+ years of experience as a Charge Nurse, SME, Team Lead or other lead type role

Experience in discharge planning and/or chart review

Experience with utilization review for an insurance company or in a managed care environment

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group