Role is responsible for providing clinical expertise in any of the following areas:

• Oversee the management of daily operations within the department.
• Responsible for analyzing and recording inventory and productivity.
• Be available to coach, motivate and develop supervisors.
• Performs disciplinary, and development of action plans and performance evaluations.
• Clinical problem solver with facilities, providers and carriers providing resolution on issues concerning members, program definition and clarification.
• Retrieves/Reviews regulatory reports.
• Identify, implement, and quantify process improvement and efficiencies.
• Forecast and analyze data, review workforce tool, conduct time and motion studies biannually.
• Facilitate, attend and participate in departmental meetings.
• Own relationship with leaders of business segments up or downstream, to include health plans, compliance etc.
• Be a role model and lead by example.

UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

• Registered Nurse with current, unrestricted license in TX
• Significant clinical experience - preferably in acute care, hospital, home health, or long-term care
• Minimum of 3 years of supervisory/management experience
• Minimum of 3 years experience in utilization review, concurrent review and/or risk management
• Microsoft Office Suite proficiency including Powerpoint and Excel
• Must be able to work in the office

In addition, ideal assets include:

• Experience working in a production environment
• Managed Care experience
• BSN or higher
• Experience with Medicaid
• Experience managing a remote staff

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

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.  UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment.