Join our team at Employelevate as a Clinical Claims Reviewer LVN, where you will have the flexibility to work remotely and make a meaningful impact on the lives of millions of people. As a global organization, Optum delivers care aided by technology to help individuals live healthier lives. In this role, you will be part of a culture guided by diversity and inclusion, working alongside talented peers, and enjoying comprehensive benefits and career development opportunities. We are seeking a skilled and dedicated Clinical Claims Reviewer LVN to join our team, with a strong foundation in clinical experience and a passion for delivering exceptional care. As a remote-based position, you will have the autonomy to work from the comfort of your own home, with the support of our dynamic team. Key Responsibilities:

• Conduct thorough reviews of clinical claims to ensure accuracy and adherence to regulatory guidelines
• Utilize your clinical expertise to make sound, independent judgments and act professionally under pressure
• Collaborate with cross-functional teams to drive business outcomes and improve health equity
• Stay up-to-date with industry trends and developments, applying this knowledge to inform your decision-making

Requirements:

• Undergraduate degree or equivalent experience
• Unrestricted LVN/LPN license in the state of California
• 1 year of recent clinical experience working as an LVN/LPN

Preferred Qualifications:

• Care management, utilization review, or discharge planning experience
• Claims reviewer experience
• Computer literacy and ability to work with multiple platforms simultaneously
• Proven ability to work independently and make sound judgments under pressure

At UnitedHealth Group, we are committed to creating a healthcare system that works better for everyone. We offer a competitive hourly range of $19.86 to $38.85, comprehensive benefits, and opportunities for growth and development. If you are a motivated and compassionate individual who is passionate about delivering exceptional care, we encourage you to apply for this exciting opportunity. Apply Now and join our team of dedicated professionals who are shaping the future of healthcare. Apply for this job