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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Nurse

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Clinical Quality RN - OptumCare - Phoenix, AZ

UHG - Phoenix, Arizona

Posted: 12/10/2018

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)

 

Primary Responsibilities:
  • Review and audit contracted sub - delegates
  • Assist with report preparation and records regarding work function activities and projects
  • Supports quality improvement and utilization management programs
  • Participates in and represents the Clinical Quality Team by collaborating with internal business partners focusing on quality improvement
  • Participates in or coordinates with other department projects as needed

Required Qualifications:
  • Current, unrestricted AZ RN license or temporary AZ license with the ability to obtain permanent AZ RN license upon expiration of temporary AZ RN license
  • 5+ years of clinical experience
  • 1+ years of clinical quality experience
  • 1+ year working in managed care or in the insurance industry
  • Ability to evaluate medical records with attention to detail to perform quality audits
  • Experience with Medicare and / or Medicaid
  • Knowledge base of clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements
  • Proficiency in software applications that include, but are not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
  • Ability to travel 10 - 15% (as needed) to visit contracted Providers / Vendors. Local travel within Maricopa County. Mileage reimbursement available
  • Access to reliable transportation that will enable you to travel to client / patient sites
Preferred Qualifications:
  • Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance and achieve targets 
  • Ability to do formal presentations in different settings - internal / external auditors, reporting on projects and reports that have been created and analyzed
  • Subject matter expert for CMS
  • Experience with project coordination
  • Strong organizational skills, self-motivated and ability to interact with company staff at all levels

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


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.

 

 

Job Keywords: Optum, AZ, Clinical, Quality, UHG, audit, RN, managed care, HEDIS, Medicaid, medicare, CMS

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