- Current and unrestricted RN License in state of residence
- Minimum 3 years of clinical experience in an inpatient/acute setting
- United States Citizenship
- Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86
- Strong organizational skills
- Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans,
- Drive performance and achieve targets
- Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.
- Intermediate to Advanced computer skills-Microsoft Word, Outlook and Internet Explorer, with the ability to navigate a Windows environment
Preferred Qualifications:
- Previous TRICARE Experience
- Utilization Review experience
- Knowledge of Milliman Care Guidelines
- Experience in discharge planning and/or chart review is desired
- Experience in acute long term care, acute rehabilitation, or skilled nursing facilities is desired
- A background that involves utilization review for an insurance company or in a managed care environment is desired
- A Bachelor's degree is preferred
As a requirement of UnitedHealth Group’s contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86
http://www.opm.gov/forms/pdf_fill/sf86.pdf
, (the National Agency Check or “NACâ€). Successful completion of the NAC process is a requirement for continued employment in this role. NAC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense. Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received. Failure to obtain final NAC approval will result in termination from this role.
Careers at UnitedHealthcare Military & Veterans. When it comes to their health care, the men and women who help keep the peace deserve the greatest peace of mind. That’s why UnitedHealthcare is the organization that’s called on to serve them and their loved ones. We’re all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It’s a genuine opportunity to do your life’s best work.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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