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Utilization Management LPN - Telecommute in Alabama

UnitedHealth Group

Birmingham, AL
Job Code:
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Job Details

Utilization Management LPN - Telecommute in Alabama(Job Number:706726)

Position Description:
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.
This position is fast paced telephonic position. Requires attention to detail; understanding of clinical information. Daily work includes phones, fax and computer skills throughout the day.
Must be a self-starter and able to problem solve basic computer issues.
Positions in this function require various nurse licensure and certification based on role and grade level. Licensure includes RN or LPN/LVN, depending on grade level, with current unrestricted licensure in applicable state. LPN/LVN roles work under the direct supervision of an RN or MD. Function is responsible for Utilization Management which includes Concurrent Review (on-site or telephonic Inpatient Care Management). Performs reviews of current inpatient services. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.

Job Clinical Utilization Managemen
Primary Location US-AL-Birmingham
Other Location 
Organization Inpatient Care Mgmt - Nurse
Schedule Full-time
Number of Openings 3
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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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