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RN Per-Diem - Irvine, CA

UnitedHealth Group


Location:
Irvine, CA
Date:
02/16/2018
2018-02-162018-03-17
Job Code:
746232
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Job Details

746232 RN PerDiem Irvine CA

RN Per-Diem - Irvine, CA (746232)

Position Description

What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining OptumCare and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(sm)
 
This RN will be to support our Utilization Management team. Must be familiar with all lines of business (Senior/Commercial/Government) and able to function as reviewing nurse or with correspondence process. This RN must be willing to move to different queues as work volume/staffing needs demand. Ability to transition to case management and inpatient/SNF teams as needed for unexpected or short notice staffing needs with minimal training/orientation.
 
Schedule: 8:00am - 5:00pm, 2 to 5 days a week. Maximum 920 hours per year.
 
Primary Responsibilities:
  • Review referrals and authorizations following established policies and procedures in accordance with nationally recognized standards
  • Ensure referrals are reviewed and processed within required timeliness standards. Process referrals using online system, evidence based guidelines and criteria hierarchy from CMS and health plans
  • Coordinate health care services with appropriate physicians, facilities, contracted providers, ancillary providers, allied health professionals, funding sources and community resources
  • Ability to be flexible and be willing to work with as little as 2 hour notice when emergency situations occur
Required Qualifications:
  • Current and unrestricted California RN license
  • 2+ years of UM experience
  • Experience processing authorizations across multiple lines of business- Senior, Commercial, Medi-Cal
  • Proficient with Microsoft Word, Excel, Outlook
Preferred Qualifications:
  • Inpatient case management experience
  • Bilingual Spanish
  • BSN
What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining OptumCare and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(sm)

 


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, Per Diem, UM, Authorizations, case management, referrals, CMS, inpatient, Irvine, Santa Ana, Costa Mesa, California, Fountain Valley, Huntington Beach

Job Details

  • Contest Number746232
  • Job TitleRN Per-Diem - Irvine, CA
  • Job FamilyNursing
  • Business SegmentOptumCare

Job Location Information

  • Irvine, CA
    United States
    North America
  • Other LocationsHuntington Beach, CA
    Costa Mesa, CA
    Santa Ana, CA
    FOUNTAIN VALLEY-California, CA

Additional Job Detail Information

  • Employee StatusTemporary
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • 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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