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Clinical Review Coordinator - Remote in Pacific OR Mountain Time Zone

Company: UnitedHealth Group
Location: Gilbert
Posted on: March 18, 2023

Job Description:

If you are located within Pacific OR Mountain Time zone, you will have the flexibility to telecommute (work from home) as you take on some tough challenges.

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.

Positions are responsible for providing clinical and medical management services, including case management, health assessments, interventions, and discharge planning.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 10:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

  • Assesses and interprets customer needs and requirements.
  • Identifies solutions to non-standard requests and problems.
  • Solves moderately complex problems and/or conducts moderately complex analyses.
  • Work with minimal guidance; seeks guidance on only the most complex tasks
  • Translates concepts into practice
  • Provides explanations and information to others on difficult issues.
  • Coaches, provides feedback, and guide others.
  • Acts as a resource for others with less experience.
    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 registered clinical license - Registered Nurse, Physical Therapist or Occupational Therapist
    • Associates Degree (or higher)
    • 3+ Years Clinical Experience
    • Experience with physician engagement and crucial conversations
    • Flexible and willing to work 10am-7pm CST hours to accommodate peaks in volume of work
    • High Speed Internet access
    • Private Secure Home Office
      Preferred Qualifications:
      • Bachelor's Degree (or higher)
      • 2+ years Case Management experience
      • Experience in acute care, rehab, or skilled nursing facility environment
      • Managed Care experience
      • Experience working with geriatric population
      • ICD-10, InterQual and Milliman experience
      • CMS knowledge
      • Solid technical/computer skills
      • Experience in oversight and supervision of assistants (CNAs, PTAs, OTAs)
        Telecommuting Requirements:
        • Reside within Pacific OR Mountain Time zone
        • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
        • Ability to keep all company sensitive documents secure (if applicable)
        • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
          Soft Skills:
          • Solid critical thinking skills and the ability to review patients clinical information holistically
          • Excellent documentation skills
          • Readiness to embrace a fluid, changing, and fast-paced environment
          • Exceptional verbal & written interpersonal and communication skills
          • Ability to work effectively in a self-managed environment
            Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

            California , Nevada, Colorado, OR Washington Residents Only: The salary range for California / Nevada / Washington residents is $32.60 - $63.99.Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

            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.

            Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

            UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Gilbert , Clinical Review Coordinator - Remote in Pacific OR Mountain Time Zone, Healthcare , Gilbert, Arizona

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