Utilization Management Nurse RN - Remote - FL

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.

If you are located in the state of FL, you will have the flexibility to work remotely* as you take on some tough challenges.

Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management) Oversee private duty nursing authorization reviews, medical complaints, and behavioral staffing Identify solutions to non-standard requests and problems Work with minimal guidance; seeks guidance on only the most complex tasks Translating concepts into practice Provide explanations and information to others on difficult issues Coach, provide feedback and guide others Act as a resource for others with less experience Critical analysis of case manager UM submission with review of supporting tools Communication and collaboration with Medical Director Case preparation and presentation for Medical Director review Documentation in supportive rationale for UM decision Timely and accurate documentation in database of UM decision