Utilization Management RN Optum West - Remote - MST or 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 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.

Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse at UnitedHealth Group, you will make sure our health services are administered efficiently and effectively. You'll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready to make an impact? Must be available to work on the weekend, Saturday and Sunday as part of a 5 day work week schedule. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Must work PST or MST schedule

Positions in this function require unrestricted compact RN licensure Function is responsible for utilization management which includes Prior Authorization Review of skilled nursing facility, acute inpatient rehabilitation and long-term acute care hospital Determines medical appropriateness of level of care following evaluation of medical guidelines and benefit determination Generally, work is self-directed and not prescribed Works with less structured, more complex issues 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