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Found 1644 Jobs
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Maternity RN Case Manager (548370)
Full-time Tonawanda, NY
Job Posting: 4/19/2014
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Maternity RN Case Manager
Posted 4/19/2014
Region: North America Country: United States
State/Province: NY City: Tonawanda
Position Description:
Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdf 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) OptumHealth is currently searching for a RN to fill an exciting role in our new Maternity Support Program. This is a Telephonic Case Management role guiding referred members through their high risk and normal...

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HIM Operational Consultant - Travel (548863)
Full-time Chicago, IL or Telecommute Considered
Job Posting: 4/19/2014
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Region: North America Country: United States
State/Province: IL City: Chicago
Position Description:
No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) HIM Operational ConsultantOptum360 is bringing additional talent to our Health Information Management Consulting Team. We are searching for consultants that can perform HIM operational excellence and Computer Assisted Coding assessments at hospitals and large physician...

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Research Director for Optum Labs! (548846)
Full-time Cambridge, MA
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: MA City: Cambridge
Position Description:
Optum Labs provides an environment where the health care industry can come together to combine information and ideas that benefit patients today, while driving long-term improvements in the delivery of quality care. By working together and sharing information with partners on a national scale, we develop a detailed, analysis-based image of the health care landscape that we believe offers new insights into solving our national health care problems.  The Director of Research provides leadership for one or more Optum labs Research Agenda areas (CER, Behavioral/Policy, and Variation in Care, Heter...

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Sr. Research Analyst for Optum Labs! (552425)
Full-time Cambridge, MA
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: MA City: Cambridge
Position Description:
A Sr. Research Analyst in Optum Labs will work on a variety of health care research projects.   This employee will create project specification, data sets, data verification, descriptive and multivariate statistical analysis, creating tables for final reports. This employee will be expert in R and SQL and be able to teach experiences analysts and researchers to transition to use of these tools.  The RAII will also participate in research infrastructure projects and act as a statistical consultant for the researchers.Responsibility for creating specification, data sets, data dictionaries, and d...

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Research Associate for Optum Labs (Big Data) (552426)
Full-time Cambridge, MA
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: MA City: Cambridge
Position Description:
A Research Associate (RA) in Optum Labs will work on a variety of health care research projects. The RA will assist researchers and analysts in the conduct of research studies.  The RA will also participate in research infrastructure projects, support operational activities and perform administrative tasks.  Work is conducted in a collaborative, multi-disciplinary, academic partnership environment which requires appreciation of diversity of perspectives and good communication skills. Job Components:  Assist with the implementation of studies under the direction of senior staffAssist with prepa...

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Research Analyst for Optum Labs (552393)
Full-time Cambridge, MA
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: MA City: Cambridge
Position Description:
The Research Analyst in Optum Labs will work on a variety of health care research projects.  This employee will create project specifications, data sets, data verification, descriptive and multivariate statistical analysis, and create tables for final reports. The Research Analyst will participate in research infrastructure projects, act as a statistical consultant for the researchers, participate in the evaluation and training of new analytical tools, and insure data quality and appropriate data use. There will also be opportunities to contribute to the intellectual design and interpretation ...

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Telephonic Utilization Mgmt RN - Office based in Memphis (550009)
Full-time Memphis, TN
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: TN City: Memphis
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 is a Monday - Friday business hour position which is office based in Memphis*Primary Responsibilities: Perform utilization and concurrent review using Milliman criteria Conduct clinical chart reviews Discuss cases with treating physicians and other healthcare professionals to better unders...

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RN Clinical Claims Review Las Vegas NV (550325)
Full-time Las Vegas, NV
Job Posting: 4/18/2014
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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) 1. Reviews specific claims (e.g. ER, inpatient, diagnostic procedures) to evaluate medical necessity and determine appropriate levels of care and site of service.2. Prepares claims for medical director review by completing worksheets and attaching all pertinent medical information.3. Responsible fo...

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RN Service Coordinator - Bell County, TX (549156) (549162)
Full-time Killeen, TX
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: TX City: Killeen
Position Description:
Talk about meaningful work.  Talk about an important role.  Let's talk about your next career move. UnitedHealth Group is offering an innovative new standard for health advocacy.   We are seeking Registered Nurses who share our passion for helping people live healthier lives to join our team.  It's an inspiring role and it can inspire your career.  For those who want to invent the future of health care, here's your opportunity.  Find out more about these opportunities to do your life's best work.(SM) Work Monday - Friday, Telecommute with 75% Local TravelEnjoy holidays and weekends off! Apply ...

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Field Case Manager RN, Kansas (551809)
Full-time KS or Telecommute Considered
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: KS City:
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)The RN Case Manager will manage the care of members by completing health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.  The RN Case Manager will provide clinical and medical management services, including case management, health assessments, interventions, and disch...

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RN Case Manager - Boston MA (551295)
Full-time Boston, MA or Telecommute Considered
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: MA City: Boston
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)  Case Manager will coordinate and/or provide appropriate level of care under the direct supervision of an RN or MD.  The position will be responsible for clinical and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating).  This includes case management, co...

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RN Service Coordinator - Lavaca / Jackson / Colorado Counties, TX (550503)
Full-time Edna, TX or Telecommute Considered
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: TX City: Edna
Position Description:
Talk about meaningful work.  Talk about an important role.  Let's talk about your next career move. UnitedHealth Group is offering an innovative new standard for health advocacy. We are seeking Registered Nurses who share our passion for helping people live healthier lives to join our team.  It's an inspiring role and it can inspire your career.  For those who want to invent the future of health care, here's your opportunity.  Find out more about these opportunities to do your life's best work.(SM) Work Monday - Friday, Telecommute with 75% Local TravelEnjoy holidays and weekends off! Apply fo...

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LVN Triage Nurse- WellMed/ New Braunfels Courtyard Clinic ( New Braunfels) (548352)
Full-time NEW BRAUNFELS, TX
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: TX City: NEW BRAUNFELS
Position Description:
Job Summary Under the direction of physicians, the LVN Triage Nurse provides clinical support functions and professional nursing care to patients using established standards of clinical nursing care and practices approved by WellMed Medical Group.  Essential Job Functions1.      Assesses patient needs using established triage protocol. 2.      Recommends follow-up as indicated by protocol.3.      Schedules same day appointments, as indicated.4.      Documents all encounters in electronic medical records system. 5.      Evaluates follow-up on patient condition and/or reaction to drugs and treat...

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Clinical Fraud and Waste Operations Manager - RN required (547870)
Full-time Eden Prairie, MN or Telecommute Considered
Job Posting: 4/18/2014
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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)     Medical Coding and Clinical Auditing Operations Manager   This position is office based in Eden Prairie, MN, and manages a team of 12. This Clinical Operations Manager is responsible for oversight of  fraud detection investigations within the prospective and retrospective Clinical Investigations team. Medical coding and clinical aud...

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RN Manager of SMA Cardiology and Multi-Specialties (547828)
Full-time Las Vegas, NV
Job Posting: 4/18/2014
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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)   The RN Manager of Cardiology and Multi-Specialties receives direction operationally from the Vice President of Clinic Operations and gives direction to clinical support staff members of the Cardiology and Multi-Specialty teams. This RN must be fluent in all aspects of Cardiology patient care. Thi...

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Senior Pharmacy Network Program Specialist - Irvine, CA or Eden Prairie, MN (551728)
Full-time Irvine, CA
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: CA City: Irvine
Position Description:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.The Senior Network Program Specialist will support Pharmacy Benefit Manager's (PBM) client base by ensuring pharmacy network compliance with regulatory requirements. Implement programs to manage federal and state regulations requirements.  Examples include provider relations activities, pharmacy compliance audi...

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Director, UCS Government Business Development-RN-Telecommuter (550555)
Full-time Minnetonka, MN
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: MN City: Minnetonka
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)  Director, UCS Government Business DevelopmentThe Director, UCS Government Business Development supports the development, on-going management and administration of Medicare & Medicaid clinical programs and Medicare Retiree new group implementations for United Clinical Services. This position is responsible for working with our Medicare...

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Regional HEDIS Clinical Quality Manager (550229)
Full-time Minnetonka, MN or Telecommute Considered
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: MN City: Minnetonka
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)   Regional HEDIS Manager UnitedHealthcare Quality Management & Performance is an integrated team serving all UnitedHealthcare businesses, focused on improving the health of our members, enhancing our operational effectiveness, reinforcing brand and reputation for high-quality health plans and helping members lives healthier lives. Quali...

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Care Coordinator for Phoenix Social worker RN LPN or related field (550222)
Full-time Phoenix, AZ or Telecommute Considered
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: AZ City: Phoenix
Position Description:
Responsibilities for Care Coordinators include: -Engaging members telephonically to coordinate services, community resources, and treatment needs -Delivering a holistic approach to coordinated care based on the enrollee needs -Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file -Creating, reviewing and revising Plan of Care plans and focusing on disease management -Functioning as an advocate for members and decreasing unnecessary hospitalizations -Collaborating with the member's PCP to deliver and coordinate necessary services -Building relat...

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Union Lab Technician 1 - Baltimore, MD (548744)
Full-time Baltimore, MD
Job Posting: 4/18/2014
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Region: North America Country: United States
State/Province: MD City: Baltimore
Position Description:
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) Positions in this function support the vision operations (retail vision stores, production lab) of the business. Only employees who are represented by a Union should be in this function.Limited work experience.Works on simple tasks using established procedures.Depends on others for guidance.Work is typically review...

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