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Utilization Management LPN - Telecommute in Central Time Zone more...
Location:Dallas, TX
Company:UHC Clinical Services
First posted:May 10, 2017
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Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doingyour life's best work.This position is fast paced telephonic position. Requires attention to detail; understanding of clinical information. Daily work includes phones, fax and computer skills throughout the day.Must be a self-starter and able to problem solve basic computer issues.Positions in this function require various nurse licensure and certification based on role and grade level. Licensure includes RN or LPN / LVN, depending on grade level, with current unrestricted licensure in applicable state. LPN / LVN roles work under the direct supervision of an RN or MD. Function is responsible forUtilization Managementwhich includes Concurrent Review (on-site or telephonic Inpatient Care Management). Performs reviews of current inpatient services. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.

Required Qualifications:High School Diploma / GED or higher 5+ years of experience as LPN / LVN3+ years of experience in Case Management ( UM preferred )Ability to utilize a Windows PC and learn new / complex applications easilyMust have a current LPN / LVNMust live in the Central Time ZoneCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can doyour life's best work.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Groupis a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: UHG, LPN, LVN, Case Management, Discharge Planning

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