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Found 2034 Jobs
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Clinical Claims Review RN, Work from any UHG Office in U.S. (556024)
Full-time Baltimore, MD or Telecommute Considered
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: MD City: Baltimore
Position 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)  ***Position can be filled from almost anywhere in the country; must work from UnitedHealth Group office***  We are searching for an RN to join our Clinical Claim Review team!  You will be responsible for providing clinical expertise in any of the following areas: Â·                  Reviews pre an...

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Call Center RN - Disease Case Management (556899)
Full-time Eden Prairie, MN
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: MN City: Eden Prairie
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) Disease Management RN Case Manager  This position is office based in Eden Prairie, MN. OPTUM 11030 OPTUM CIRCLE EDEN PRAIRIE, MN 55344  OptumHealth works with employers, payers and providers to help improve the health and wellness of nearly 60 million people. To keep up with the growing business needs, we continuously add RNs to our sta...

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Case Manager, RN ~ Kidney Resource Services (555774)
Full-time Lisle, IL or Telecommute Considered
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: IL City: Lisle
Position Description:
Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdf If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling...For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.SM As a Case Manager, RN for the Kidney Resource Services program, you will be responsib...

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Clinical Claims Review RN - Telecommute Opportunity (560349)
Full-time Greensboro, NC or Telecommute Considered
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: NC City: Greensboro
Position Description:
There's 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) Primary Responsibilities: Reviews pre and post service claims for clinical eligibility for coverage as prescribed by the Plan benefits Reviews and interprets Plan language appropriately Utilizes clinical guidelines and criteria appropriately Responsible for accurately documenting determinations Adher...

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Maternal Child LPN - Float to Various SMA clinics (559997)
Full-time Las Vegas, NV
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: NV City: Las Vegas
Position 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)  This LPN will be responsible for direct provider support for the Maternal Child Department for various SMA Clinics.  He/she will  provide 1:1 coverage, floating to other clinical locations within the Maternal Child Department, including OB/GYN, as necessary and/or available.   Primary Responsibili...

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Hospice RN - Per Diem - Phoenix, AZ (559643)
Phoenix, AZ
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: AZ City: Phoenix
Position 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) Not sure if this role is for you?  View the Realistic Job Preview that is focused on the things that matter most to you: Hospice_RN_OptumHealth.pdf We are seeking a knowledgeable, compassionate RN to handle patient visits on a PRN basis for day shift hours with our Hospice patients. As a Hospice Nu...

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FL LTC - Manager of Case Management - Sarasota to Port Charles (559856)
Full-time FL or Telecommute Considered
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: FL City:
Position Description:
The Manager of Case Management/Care Coordination is responsible for the direct management of the field based staff that support public sector population in the state of FL. Working with ages from birth to geriatric in the home and community setting concentrating on providing holistic case management services to members who are receiving or may be in need of medical daycare services or personal care assistant services. Will be traveling into member homes and medical daycare settings to conduct in depth assessments and set up plan of car. The care coordination team facilitates, promotes and advo...

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Case Manager Licensed Vocational Nurse - Telecommute - Port Lavaca, TX & Victoria, TX (559883)
Full-time Victoria, TX or Telecommute Considered
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: TX City: Victoria
Position Description:
Position 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.SMYou will be visiting Nursing Home facilities to conduct assessments on patients who want to transfer from the Nursing Home to a Community setting. This assessment will determine what the plan is and detail what is necessary to get them moved to the Community destination of their c...

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Hospice RN - Tuesday-Saturday 1 pm - 10 pm - Phoenix, AZ (559739)
Full-time Phoenix, AZ
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: AZ City: Phoenix
Position 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) Not sure if this role is for you?  View the Realistic Job Preview that is focused on the things that matter most to you: Hospice_RN_OptumHealth.pdf We are seeking a knowledgeable, compassionate RN to provide direct care to hospice patients in their homes or skilled nursing facilities. As the Hospic...

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Onsite RN Case Manager - Queens, NY (561362)
Full-time Queens, NY
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: NY City: Queens
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)Field-based (Onsite) Case Managers will lead the new frontier in care coordination in the emerging provider market through full partnerships with health systems, hospitals, physicians, communities, patients and their families.  In this role, the Case Manager will interact and collaborate daily with hospital licensed caregivers, health sy...

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RN Home Health Central Region (561348)
Full-time Las Vegas, NV
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: NV City: Las Vegas
Position Description:
If you enjoy an autonomous role and spending more time with your patients please bring your clinical knowledge and experience to a home based direct care nursing position! Family Home Health Services a home health division of United Health Group offers flexible shifts and the opportunity to make a difference in the care of patients in their home setting. Ready for a new path? Start doing your life's best work.(sm) The Home Health RN provides quality care and coordinates home care to clients served by a Primary Care Team under the direction of the RN supervisor. The Home Health RN supervises an...

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Inpatient Review Nurse RN or LVN AppleCare Medical Buena Park CA (562671)
Full-time Buena Park, CA
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: CA City: Buena Park
Position Description:
AppleCare Medical was formed in in 1996. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors—but the mission has remained the same. Today, AppleCare Medical Group is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communi...

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Social Worker or RN Field Care Coordinator, Wauwatosa, WI (562904)
Full-time Wauwatosa, WI
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: WI City: Wauwatosa
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)Responsibilities for a Field Care Coordinator include: Making outbound calls to assess members' current health status Identifying gaps or barriers in treatment plans Providing patient education to assist with self management Interacting with Medical Directors on challenging casesCoordinating care for membersMaking referrals to outside so...

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Senior RN Case Manager - Las Vegas, NV (562884)
Full-time Las Vegas, NV
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: NV City: Las Vegas
Position Description:
The Senior RN Case Manager manages case management services and directs care coordination for high risk members and post acute care discharges. May be clinic based or virtual office. Option for clinic, home, and telephonic visits. The Sr. RN Case Manager works in collaboration with members, providers and key stakeholders in coordinating health services and referrals. Collaborates with physicians and assists in the facilitation of healthcare resources to ensure services and care are delivered in a timely manner. Advocates for patients/families and liaisons with key team member to ensure that pa...

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Clinical Practice Consultant (562835)
Full-time AZ
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: AZ City:
Position 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)  Primary Job Responsibilities include: Lead projects for improvement of assigned quality measures including the development, implementation and timely completion of performance improvement initiatives for HEDIS measures or state regulatory mandates. Communicate regularly with providers and health ...

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Preservice Review Nurse RN (562620)
Full-time Cypress, CA
Job Posting: 7/25/2014
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Preservice Review Nurse RN
Posted 7/25/2014
Region: North America Country: United States
State/Province: CA City: Cypress
Position Description:
 Prior Authorization!  Nurse!  Cypress, CA!  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) Due to continued growth, we are looking for two Preservice Review Nurses to work out of our Cypress, CA office.  As a Preservice Review Nurse you will be responsible for applying new medical necessity guidelines to Prior Authorization requests and respon...

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RN Home Health West Region (561346)
Full-time Las Vegas, NV
Job Posting: 7/25/2014
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RN Home Health West Region
Posted 7/25/2014
Region: North America Country: United States
State/Province: NV City: Las Vegas
Position Description:
If you enjoy an autonomous role and spending more time with your patients please bring your clinical knowledge and experience to a home based direct care nursing position! Family Home Health Services a home health division of United Health Group offers flexible shifts and the opportunity to make a difference in the care of patients in their home setting. Ready for a new path? Start doing your life's best work.(sm) The Home Health RN provides quality care and coordinates home care to clients served by a Primary Care Team under the direction of the RN supervisor. The Home Health RN supervises an...

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Clinical Coding RN WellMed Tampa, FL and surrounding area (560810)
Full-time Tampa, FL
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: FL City: Tampa
Position 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) Responsibilities:Reviews clinical information from a variety of medical records and assigns appropriate ICD-9-CM and/or CPT codes to patient records. Accountable for the review of medical records (both paper and electronic) using CMS HCC methodology to ensure that records are being appropriately co...

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Utilization Management Nurse RN - Telecommute Work from Home (560638)
Full-time Lisle, IL
Job Posting: 7/25/2014
Quick Look
Region: North America Country: United States
State/Province: IL City: Lisle
Position 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)Utilization Management Nurse responsibilities include: -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 ben...

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Case Manager RN Overland Park KS (560780)
Full-time Overland Park, KS
Job Posting: 7/25/2014
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Region: North America Country: United States
State/Province: KS City: Overland Park
Position Description:
Careers at OptumHealth. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. North American Medical Management specializes in working with leading physicians and hospitals to successfully manage the delivery of medical services. We have developed sophisticated techniques for managing the revenue and health care ...

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