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RN / LVN - Utilization Management - Ontario, CA

UnitedHealth Group

Ontario, CA
Job Code:
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Job Details

738212 RN LVN Utilization Management Ontario CA

RN / LVN - Utilization Management - Ontario, CA (738212)

Position Description

At NAMM California, an OptumCare Company, you will perform within an innovative culture focusing on transformational change in the health care system. You will leverage your skills across a diverse and multi - faceted business. Your contributions will have an impact greater than you have ever imagined! Join us and help people live healthier lives while doing your life's best work.(sm)


Schedule: Monday - Friday, 8:00am - 5:00pm
Primary Responsibilities:
  • Manage the concurrent review of patients SNF Medical Record
  • Prepare transition of care plans for patients readiness for discharge
  • Attend SNF case management rounds
  • Meet face to face with patients and family
  • Manage the NOMNOC process with the SNF
  • Ability to travel to various assigned SNF facilities involved- 50% in Inland Empire area
Required Qualifications:
  • Current and unrestricted California RN or LVN
  • 3+ years of concurrent review in a managed care environment
  • Proficient in Microsoft Word / Excel
Preferred Qualifications:
  • Previous experience working in SNF
  • Strong clinical documentation skills
  • BSN
  • Bilingual

North American Medical Management, California, Inc. (NAMM California) partnered with OptumCare in 2012. NAMM California and OptumCare share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and manages provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.


The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.


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.



Job Keywords: RN, LVN, Managed care, UM, SNF, concurrent review, BSN, case manager, Ontario, Chino, Rancho Cucamonga, CA

Job Details

  • Contest Number738212
  • Job TitleRN / LVN - Utilization Management - Ontario, CA
  • Job FamilyNursing
  • Business SegmentOptumCare

Job Location Information

  • Ontario, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 50 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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