Job: Inpatient Utilization Management Nurse - Onsite in Nashville TN!!

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Jobing Description

Onsite Inpatient Utilization Management nurse role for Nashville Tennessee.


Get better informed to determine your fit into this position. Click here to view the Realistic Job Preview: Onsite_UM_Nurse.pdf


UnitedHealthcare Employer & Individual, 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 the flexibility of working in a location-based role with no night, weekend or holiday shifts! We're looking for an RN with solid clinical experience to join our team in an exciting role that would cover an assigned territory within the Nashville Tennessee area. As an Onsite and Telephonic Inpatient Care Management Nurse, you would concentrate on advocating for enrollees in acute hospital facilities. This is an excellent opportunity to use your nursing skills in a role where you can work onsite and from the comfort of your home office while receiving all the great benefits that accompany working for our Fortune 50 organization. Take your career in a new direction, and apply today.


Key responsibilities of the Onsite Inpatient Management Nurse include:

Visiting assigned facilities and reviewing patient charts

Perform utilization and concurrent review of inpatient cases using Milliman criteria

Evaluating and identifying delays in care

Facilitating discharge panning

Arranging alternative care services

Discussing inpatient cases with physicians and other healthcare professionals

Making rounds with the Medical Director

Collaborating with physicians, providers and personnel

Developing relationships and using negotiation to create positive situations for patients

UnitedHealthcare Employer & Individual is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

When you work with UnitedHealthcare Employer & Individual, what you do matters. It's that simple...and it's that challenging.

In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

Skills / Requirements

Qualifications:

A current, unrestricted RN license for the state of Tennessee

3+ years professional clinical experience

Must live within a commutable distance of Nashville TN and have reliable transportation

Discharge Planning and/or chart review experience

Computer proficiency

Excellent communication skills and the ability to build and maintain positive business relationships

Additional Assets Preferred:

Pre-authorization experience preferred

Managed care or insurance company experience that included utilization review duties preferred

Case Management experience preferred

Certified Case Manager (CCM)

Undergraduate degree or equivalent experience.

Regardless of your role at UnitedHealthcare Employer & Individual, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.



UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, were removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.





Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.