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Utilization Management LPN - Telecommute in Alabama more...
Location:Birmingham, AL
Company:UHC Clinical Services
First posted:March 31, 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 doing your 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 for Utilization Management
which 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 or GED
5+ years of experience as LPN / LVN
3+ years of experience in Case Management (UM preferred)
Ability to utilize a Windows PC and learn new / complex applications easily
Must have a current LPN / LVN
Careers 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 do your 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 Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UHG, Alabama, LPN, LVN, Case Management, Discharge Planning

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