RN Utilization Management Consultant -- Weekday Schedule!

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.



AmeriChoice, a UnitedHealth Group company, is a recognized leader and innovator in providing managed health care solutions to its Medicaid membership.  With over a decade of growth and success we are poised for continued expansion of our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in thousands of lives.

 

We’re looking for a talented nursing professional to join us in this newly created role.  Acting as liaison to the Utilization Management Vendors of Americhoice, you would enjoy a high degree of visibility within the organization, the support of a close-knit team, and plenty of rewarding career growth potential with a Fortune 100 company. What’s more, we offer nurses a set schedule with no nights, weekends or holidays. You’re invited to apply today!

 

Primary responsibilities include:
Serving as liaison to the Utilization Management Vendors (these include Ancillary Care Management, Care Core and the Utilization Management Group in Houston, TX)
Overseeing errors and closure of errors generated by the Houston site and ensuring that errors are remedied in a timely and satisfactory manner
Providing performance feedback to vendors
Providing issue resolution for situations that arise between the health plan and vendors



Current, unrestricted licensure as an RN In New Yorkis required. Clinical experience is essential. Case management experience is preferred. Prior managed care experience is highly preferred. M&R experience is a plus. PC proficiency is ideal.


 


UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.


 


If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!


 


Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V.