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UnitedHealth Group Inc

Inpatient Care Management Nurse RN - Remote

Utilization Review/ManagementRNNot SpecifiedFull-timeRemote60200 - 107000 USD/YEAR

Job description

Inpatient Care Management Nurse RN - Remote at UnitedHealth Group ","FormTypeId":null,"UrlLanguageCode":null,"PreviewType":0,"DateCreated":"2026-03-13T13:45:39.5319907","DateUpdated":"2026-07-13T17:56:15.0506395"}, "site"); Caring. Connecting. Growing together. With these values to guide us, our people are committed to making a meaningful difference in the lives of those we are honored to serve. Integrity Compassion Inclusion Relationships Innovation Performance Inpatient Care Management Nurse RN - Remote Requisition number: 2372543 Job category: Nursing Primary location: Atlanta, Georgia Date posted: 08/06/2026 Overtime status: Exempt Travel: No Share this job • Facebook • X • LinkedIn • Email 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. There"s an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to 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. As an 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. 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. Schedule will vary to include some weekend requirements based off the business needs. You"ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria) • Discuss cases with facility healthcare professionals to obtain plans-of-care • Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management • Participation in discussions with the Clinical Services team to improve the progression of care to the most appropriate level • Consult with the Medical Director, as needed, for complex cases and make appropriate referrals to downstream partners • Apply clinical expertise when discussing case with internal and external Case Managers and Physicians • Identify delays in care or services and manage with MD • Follow all Standard Operating Procedures in end-to-end management of cases • Obtain clinical information to assess and expedite alternate levels of care • Facilitate timely and appropriate care and effective discharge planning • Participate in team meetings, education, discussions, and related activities • Maintain compliance with Federal, State and accreditation organizations • Identify opportunities for improved communication or processes • Participate in audit activities and 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: • Active, unrestricted RN license in state of residence • 1+ years of clinical nursing experience in a Hospital setting • Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms • Designated workspace and access to install secure high-speed internet via cable / DSL in home Preferred Qualifications: • Bachelor"s degree • Compact RN license • 2+ years of acute inpatient case management experience/utilization review • 1+ years of experience in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company • Managed care experience • Experience performing discharge planning • All employees working remotely will be required to adhere to UnitedHealth Group"s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you"ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply Internal apply Bookmark job Benefits Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well. Life Resources and support to focus on what matters most to you, in every facet of your life. Emotional Education, tools and resources to help you reduce and manage stress, build resilience and more. Physical Health plans and other coverage to support wellness for you and your loved ones. Financial Benefits for today and to help you plan for the future, including your retirement. Learn more • Learn more • Learn more • Discover our family of businesses See how we're structured to help build a modern, high-performing health system. Learn more • Explore our hiring process Learn what to expect when you pursue an opportunity with us. Learn more • Benefits that support your well-being Explore opportunities from coast to coast. Learn more • Learn more • Learn more • Learn more • Lorem Ipsum Lorem Ipsum is simply dummy text of the printing Learn more • Lorem Ipsum Lorem Ipsum is simply dummy text of the printing Learn more • Lorem Ipsum Lorem Ipsum is simply dummy text of the printing Learn more • How we're transforming care Find out how we're making care smarter and more personalized. Learn more • Committed to sustainability Take a look at all the ways we're working for a healthier, more sustainable future. Learn more • One team improving health care Here's how we're making the health system more connected and easier to navigate. Learn more • Learn more Load more Connect with us • Facebook • Instagram • YouTube • LinkedIn Do not sell or share my personal information Social responsibility Fraudulent activity Cookie management Site map Privacy Policy Family & Medical Leave Act (PDF) Equal Employment Law Poster (PDF) SMS Terms & Conditions (PDF) Employee Polygraph Protection Act (PDF) E-Verify Participation Poster (PDF) Pay Transparency Nondiscrimination Provision (PDF) Immigrant and Employee Right to Work Poster (PDF) Health Plan Notices (PDF) County of LA Fair Chance Ordinance (PDF) 2026 UnitedHealth Group. All rights reserved. UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday. UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. × Fraudulent Activity Notice We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. These counterfeit-check cashing schemes exist and use a variety of deceptions to get people to cash these fraudulent checks. UnitedHealth Group will never request you to pay a vendor or pay a fee of any sort to explore employment opportunities with our company. If you wish to verify the legitimacy of any email alleging or claiming to have been sent by or on behalf of UnitedHealth Group Executives or Recruiters, please call 1-800-561-0861 between 7 a.m. and 7 p.m. CT, Monday - Friday, for assistance. × Our Commitment to Communities At UnitedHealth Group, we are committed to giving back to the communities where we live and work, across the nation and around the world. Through charitable contributions and volunteering, our people are deeply and personally involved in building healthier communities. Learn how we are giving back to our communities Remote Skills: Accreditation Standards, Broadband, Case Management, Clinical Assessment, Clinical Information, Clinical Medicine, Clinical Nursing, Computer Skills, Consulting, DSL (Digital Subscriber Line), Disability Accommodations, Discharge Plans, Facebook, Health Insurance, Health Plan, Healthcare, Hospital, Interviewing Skills, LinkedIn, Maintain Compliance, Managed Care, Microsoft Excel, Microsoft Outlook, Microsoft Product Family, Microsoft Windows Operating System, Needs Assessment, Nursing, Patient Care, Printing, Process Improvement, Quality of Care, Registered Nurse (RN), Sales, Standard Operating Procedures (SOP), Sustainability, Time Management, Training Tools, USPS (United States Post Office), Utilization Management, Work From Home, YouTube undefined: UnitedHealth Group Inc UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. What we do Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video. https://www.youtube.com/watch?v=5PbNyi2IDkY Caring. Connecting. Growing together. Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how: • Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer. • Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture. • Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop. Company Size: 10,000 employees or more Industry: Healthcare Services undefined: 1977 Website: http://careers.unitedhealthgroup.com/

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About UnitedHealth Group Inc

UnitedHealth Group is a large diversified health care company (UnitedHealthcare and Optum) providing health benefits, care delivery, pharmacy services, and data-driven healthcare solutions across the U.S.

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