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Preservice Review Nurse - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Evaluate and assess each request verifying eligibility and specific product Determine benefit level based on site of service Utilize written criteria to approve, pend or send the case to the medical director for review Send cases for pending process when appropriate Maintain at least 98% accuracy of clinical review case notes in Facets Maintain productivity standards and
Email Job
Posted 8 days ago
Care Coordinator - Tippecanoe County Indiana and surrounding areas
UnitedHealth Group
-
Lafayette, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs Develop and implement individualized, person centered care plans inclusiv
Email Job
Posted 8 days ago
Account Executive, Small Business 2-50 - Remote in Toledo/Cleveland, OH
UnitedHealth Group
-
Toledo, OH
Identifies opportunities for specialty/enterprise products on all new sales Negotiate with underwriting when necessary Understand and effectively selling multiple products, requiring knowledge of Health Care Reform guidelines and how they differ between level funded and specialty products Develop and maintain solid broker/consultant relationships Properly setting broker a
Email Job
Posted 8 days ago
Senior Complex Case Manager
UnitedHealth Group
-
Albuquerque, NM
Primary Responsibilities Conducts clinical evaluation of members per regulated timelines, determining who may qualify for complex case management based on clinical judgment, changes in member's health, social determinants, and gaps in care Creates and implements a case management plan in collaboration with the member, caregiver(s), provider(s), and/or other appropriat
Email Job
Posted 8 days ago
Strategic Account Executive Key Accounts - Columbia, MD
UnitedHealth Group
-
Columbia, MD
Forge relationships with key customers and consultants, and act as main contact for UnitedHealthcare and as "CEO" of their account Renew the customer year over year in the 100 3000 lives segment Clearly demonstrate the value propositions for specialty and ancillary business to improve customer growth and retention Develop and monitor client financial performance, includin
Email Job
Posted 9 days ago
Supervisor, Non-Medical Counselor (NMC) Program
UnitedHealth Group
-
Washington, DC
Supervise the daily operations of NMC staff Be available to assist staff with risk calls or calls requiring additional consultation Coach and train current staff, deliver information to NMC team regarding new and changed procedures, policies, etc. Monitor and manage individual and team performance; offer constructive and positive feedback to team members and coaching for
Email Job
Posted 10 days ago
Telecommute Behavioral Health Care Advocate
UnitedHealth Group
-
Marion, VA / Bristol, VA / Abingdon, VA
Telecommute Position! Sign-On Bonus! Great Opportunity! Fortune 5 Organization!
Email Job
Posted 12 days ago
Director, Account Management - Tri-State Area - Remote
UnitedHealth Group
-
New York, NY
Build an Elite Team of Field Account Managers As a Director of Account Management, you will be responsible for leading a team of Field Account Managers to support execution of the client's daily activities Execution of customer satisfaction and retention Work directly with Strategic Account Executives, Project Manager, and Operation team to ensure your team is executing o
Email Job
Posted 14 days ago
HSS Coordinator-Fort Bend and Matagorda County, TX
UnitedHealth Group
-
Bay City, TX
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Co
Email Job
Posted 1 day ago
Audit Analyst
UnitedHealth Group
-
Minnetonka, MN
Assist audit management or audit lead in the execution of internal audits including audit planning, detailing control procedures, and the related testing and reporting in accordance with professional and departmental standards including financial (i.e. Sarbanes Oxley testing) and operational projects Prepare clear, accurate and complete workpapers in accordance with depar
Email Job
Posted 2 days ago
Patient Access Supervisor - Emergency Department
UnitedHealth Group
-
Bakersfield, CA
Supervisory Position/Fortune 5 Organization/Excellent Compensation and Benefit Package!
Email Job
Posted 4 days ago
Telephonic Nurse Case Manager - Optum Remote
UnitedHealth Group
-
Phoenix, AZ
Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self management Make referrals to internal and external sources as outlined by member's benefit plan design Provide a complete continuum of quality care through close communication with members via on
Email Job
Posted 5 days ago
Clinical Operations Supervisor - Field Based in Grand, Jackson, Rio Blanco, Moff
UnitedHealth Group
-
Craig, CO
Serve as a supervisor overseeing CMA Case Management functions and associated staff. Assumes HSS Coordinator duties when necessary Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position Cond
Email Job
Posted 7 days ago
Associate Clinical Administrative Coordinator
UnitedHealth Group
-
Las Vegas, NV
Manage administrative intake of members Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers Reviewing incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles Handle resolution/inquiries from members and/or providers Handle incoming crisis calls fro
Email Job
Posted 8 days ago
Registered Nurse RN Utilization Review/ICM Louisiana
UnitedHealth Group
-
New Orleans, LA
Perform initial and concurrent review of inpatient cases applying evidenced based criteria (i.e. MCG / Interqual criteria) Discuss cases with facility healthcare professionals to obtain plans of care Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management Participation in discussions with the Clinical Services team to imp
Email Job
Posted 8 days ago
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