Preservice Review RN - Remote In VA Market Only

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Are you ready for your next challenge? Discover it here at UnitedHealthcare and help us reinvent the health system. This can be your opportunity to take on a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. You will discuss cases with treating physicians and other healthcare professionals to ensure our members receive the proper health services. You will be required to maintain communication with acute long-term care, acute rehabilitation, or skilled nursing facilities in order to help patients through their care plan. This is an exciting opportunity at a truly inspired organization. Join us. This can be the start of your life's best work.

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.

If you reside within the state of Virginia, you’ll enjoy the flexibility to work remotely * as you take on some tough challenges.

Primary Responsibilities

Authorization review and entry for HCBS authorizations using Virginia specific criteria
Review of state specific documents required for HCBS services
Communication with HCBS Providers
Gather clinical information to assess and expedite care needs
Consult with the Care Manager and/or Medical Director as needed to troubleshoot difficult or complex cases

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

Unrestricted, active RN license
3+ years of RN experience in an acute setting
Ability to create, edit, save and send documents utilizing Microsoft Word
Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches

Preferred Qualifications

HCBS authorization experience
Utilization management, prior authorization, and case management experience
Working knowledge of ICUE and CAT Launchpad
Previous managed care experience a plus
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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. Read more