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UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.
Enjoy a Monday-Friday business schedule with great benefits and the potential to telecommute after six months! Our Medical Management department is looking for a Case Review Nurse to focus on the following:
Reviewing requests (mostly from doctors’ offices) regarding authorizations for procedures
Sending appropriate notifications to requestors with approval
Forwarding denied cases to the Medical Director for additional review
Current, unrestricted RN licensure in TX is required, along with substantial clinical experience – ideally in home health, hospital, and/or long-term care. Managed care experience is strongly preferred. A BSN and experience with pre-authorization are also preferred. Case management experience is a plus.
UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
