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Utilization Management LVN - La Palma, CA (716577)

UnitedHealth Group


Location:
PALMA, CA
Date:
06/23/2017
2017-06-232017-07-22
Job Code:
1756908
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Job Details


Utilization Management LVN - La Palma, CA (716577)(Job Number:718607)
Description

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)


There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you’ll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready for a new path? Join us and start doing your life's best work.(sm)

 
What makes your nursing career greater with UnitedHealth Group?  You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.  

Primary Responsibilities:
  • Perform utilization management, utilization review, or concurrent review (on - site or telephonic inpatient care management)
  • Determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
  • Assess and interpret customer needs and requirements
  • Identify solutions to non - standard requests and problems
  • Work with minimal guidance; seeks guidance on only the most complex tasks
  • Translate concepts into practice
  • Provide explanations and information to others on difficult issues
  • Coach, provide feedback, and guide others
  • Act as a resource for others with less experience

Job Clinical Utilization Managemen
Primary Location US-CA-LA PALMA
Other Location 
Organization AppleCare
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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