Employer Name: UnitedHealth Group - United Healthcare
Employer Location: San Antonio, TX

Contact Person: Wendy Wilkes
Contact Phone: 972-963-4427

Company Overview:

United Healthcare 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 United Healthcare, 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.

Position Title: Utilization Management RN

Position Description:

The Utilization Management Nurse is responsible for utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management). The UM Nurse will performs reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. Generally work is self-directed and not prescribed. The Utilization Management Nurse works under the direct supervision of an RN or MD.

Primary responsibilities:

• Assesses and interprets customer needs and requirements
• Identifies solutions to non-standard requests and problems
• Solves moderately complex problems and/or conducts moderately complex analyses
• Works with minimal guidance; seeks guidance on only the most complex tasks
• Translates concepts into practice
• Provides explanations and information to others on difficult issues
• Coaches, provides feedback, and guides others
• Acts as a resource for others with less experience

Qualifications:

• Current unrestricted RN license from TX

• 2 years Managed Care and/or Clinical Experience

• Minimum of 2 years of Utilization Review experience

• Microsoft computer proficiency

• Must be able to work at the following location: 6200 Northwest Parkway, San Antonio, TX 78249