Utilization Management Nurse (Field-based/Telecommuting RN role in Tucson, AZ!)
Location: Arizona
Description: UnitedHealth Group is at the momment seeking for Utilization Management Nurse (Field-based/Telecommuting RN role in Tucson, AZ!) right now, this vacancy will be placed in Arizona. Detailed specification about this vacancy opportunity kindly read the description below. Get better informed to determine your fit into this position. Click here to view the Realistic Job Preview: Onsite_UM_Nurse.pdf
UnitedHealthcare has an outstanding opportunity available for a Utilization Management Nurse in the Tucson, AZ area. The successful candidate will be responsible for making scheduled in-person visits to local Skilled Nursing Facilities in order to assess patients and make determinations related to authorizations for continued stays. The RN will interact with Social Workers, Case Managers, Physicians and patients' families on a regular basis to gather information, provide education and make discharge planning arrangements.
When not visiting facilities, this employee will be home-based. However, interested applicants must be willing and available to attend meetings in either Tucson or Phoenix when needed.
Utilization Management Nurse responsibilities include:
Perform utilization and concurrent review using Milliman and Medicare criteria
Conduct clinical chart assessments
Discuss cases with treating physicians and other healthcare professionals to better understand plans-of-care
Identify and evaluate delays in care
Initiate a discharge planning and readmission prevention plan when applicable
Approve bed days for inpatient cases when applicable
Arrange alternative care services; Contact and maintain communication with acute long term care, acute rehabilitation, or skilled nursing facilities to move patients through the care continuum
Gather clinical information to assess and expedite care needs
Maintain appropriate documentation
Consult with the Medical Director as needed to troubleshoot difficult or complex cases
Participate in telephonic and in-person staff meetings
- .
If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to UnitedHealth Group.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Sun, 09 Sep 2012 00:39:10 GMT
Apply Utilization Management Nurse (Field-based/Telecommuting RN role in Tucson, AZ!) Here