About the position At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. For consideration you must be available to work Saturday and Sunday 8am until 5pm as well as three additional work week days 8am until 5pm and reside within the state of VA. If you reside within the state of Virginia, and you will have the flexibility to work remotely as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Responsibilities

• Authorization review and entry for HCBS authorizations using Virginia specific criteria
• Review of state specific documents required for HCBS services
• Communication with HCBS Providers
• Gather clinical information to assess and expedite care needs
• Consult with the Care Manager and/or Medical Director as needed to troubleshoot difficult or complex cases

Requirements

• Unrestricted, active RN license
• 3+ years of RN experience in an acute setting
• Ability to create, edit, save and send documents utilizing Microsoft Word. Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches

Nice-to-haves

• HCBS authorization experience
• Utilization management, prior authorization, and case management experience
• Managed care experience
• Working knowledge of ICUE and CAT_LaunchPad

Benefits

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution