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Maternity and NICU RN Case Manager - MD Market
UnitedHealth Group
-
Baltimore, MD
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medicati
Email Job
Posted 3 days ago
Sr. Clinical Analyst - Remote
UnitedHealth Group
-
Minnetonka, MN
Work with business partners in the design and development of products that deliver operational efficiency during chart chase Interact with multiple teams and roles seamlessly, communicating effectively Translate business partner requirements into consumable format for Engineering consumption Review, reconcile, and troubleshoot issues submitted by business partners during
Email Job
Posted 1 day ago
Utilization Management Nurse RN Florida Remote
UnitedHealth Group
-
Orlando, FL
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 impro
Email Job
Posted 1 day ago
Medical Director DMEPOS - Remote
UnitedHealth Group
-
Dallas, TX
Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer to peer discussions Be knowledgeable in
Email Job
Posted 1 day ago
Licensed Behavioral Health Care Coordinator, ALTCS - Remote in AZ
UnitedHealth Group
-
Phoenix, AZ
Apply clinical knowledge to Case Managers behavioral health reviews to enrollee's identified as needing or receiving behavioral health services Conduct behavioral health consults with Case Managers, daily and maintain a quarterly schedule for identified members needing or receiving behavioral health services Serve as member advocate by addressing stigma, following Guiding
Email Job
Posted 2 days ago
Senior Data Engineer - Remote Nationwide
UnitedHealth Group
-
Horsham, PA
Lead IS TDM customer operations for test data fulfillment Create features for data masking, self service, subsetting Support TDM technology advancement to advance TDM goals Coordinate with vendor team at offshore Lead TDM documentation initiatives on SOP, run books etc. Researches security trends, emerging threats and incorporates design and build solutions, policies, and
Email Job
Posted 2 days ago
HSS Clinical Coordinator RN - Kansas City, KS Metro Area
UnitedHealth Group
-
Kansas City, KS
Assess, plan and implement care strategies that are individualized and directed toward the most appropriate level of care for Medicare and Medicaid members while proactively engaging the member to manage their own health and healthcare Utilize strong skill sets of managing multiple tasks at a time, being self motivated, driven toward quality results, managing time well, b
Email Job
Posted 2 days ago
Workers' Compensation Claims Adjuster (Lost Time) - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Evaluates new and on going claims to determine liability, giving consideration to contract provisions, disability management duration contract guidelines, medical evidence and vocational evidence. Investigates questionable claims. Determines need for additional medical information. Performs periodic follow ups to verify continued existence of a disabling condition. Respon
Email Job
Posted 2 days ago
Telephonic Case Manager - Remote
UnitedHealth Group
-
Albany, NY
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 outside sources Provide a complete continuum of quality care through close communication with members via in person or on phone interaction Support members with condit
Email Job
Posted 3 days ago
HSS Clinical Coordinator RN - MD Market
UnitedHealth Group
-
Baltimore, MD
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medicati
Email Job
Posted 3 days ago
Statistical Analyst 1, Surest
UnitedHealth Group
-
Minnetonka, MN
Use SQL and Python to support team's automation capabilities. For example, contribute to code development and production of automated client reporting Support the Data Insight team's research efforts to evaluate Surest performance, with a gradual increase in responsibilities Use SQL and Python to design, build, and organize data for analytical purposes Support short and l
Email Job
Posted 1 day ago
Clinical Coverage Review Medical Director - Remote
UnitedHealth Group
-
Austin, TX
Conduct coverage review based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in peer to peer telephone calls Use clinical knowledge in the application and interpretation of medical policy and benefit document language in the process of clinical co
Email Job
Posted 1 day 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 3 days ago
HSS Clinical Coordinator - Wichita, KS Market - Remote
UnitedHealth Group
-
Wichita, KS
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease 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 Com
Email Job
Posted 4 days ago
Associate Director Marketing - Conference Planning - Remote
UnitedHealth Group
-
Eden Prairie, MN
Lead a team of Event Planners with effective people leadership through effective coaching, feedback, and people management practices Manage end to end complex conference/event/incentive travel program planning coordination that drives a consistent attendee experience Develop, streamline, and create standards of excellence in designing and executing events while keeping th
Email Job
Posted 1 day ago
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