Utilization Management Nurse RN - Remote PST Hours

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.

Must be able to work Saturday and Sunday as part of your regular work schedule. Work schedules are either 4/10 hour days or 5/8 hour days. All schedules are in the PST. If you have the ability to work PST Hours, you will have the flexibility to work remotely* as you take on some tough challenges.

Determine the appropriateness of inpatient and 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 It feels great to have autonomy, and there’s also a lot of responsibility that comes with it. In this role, you’ll be accountable for making decisions that directly impact our members. And at the same time, you’ll be challenged by leveraging technologies and resources in a rapidly-changing, production-driven environment. 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.