HSS Clinical Coordinator RN - Telecommute in Texas
$29 - $52 per hourUnitedHealth Group
About This Role The HSS Clinical Coordinator RN position at UnitedHealth Group involves conducting clinical reviews and evaluations related to Medicaid appeals, ensuring compliance and accuracy in assessments. This role is ideal for experienced RNs looking to work remotely while making a significant impact on patient care. Highlights Pay: $29 - $52/hour Location: Sugar Land, TX Department/Unit: Clinical Coordination Schedule: Full Time, Day shift Residency: Must reside in Texas What You'll Do Conduct comprehensive clinical reviews of appealed H6516 and H2060 assessment determinations. Evaluate medical records, assessment documentation, service plans, and supporting clinical evidence related to appeals. Identify discrepancies, omissions, or inaccuracies that may have impacted initial assessment outcomes. Provide independent clinical judgment regarding medical necessity and functional support needs. Prepare detailed appeal findings, clinical rationale, and assessment outcomes in a clear and professional manner. Collaborate with team members throughout the appeal process. Maintain accurate, timely, and auditable documentation within designated clinical and appeals systems. Work from home Monday - Friday (days) with some flexibility in hours. Requirements Education: Current unrestricted Texas RN license required. Experience: 2+ years of experience working in Medicaid. 2+ years of experience conducting, reviewing, or auditing H6516 and/or H2060 Personal Assistance Services assessments. Licenses & Certifications: Current unrestricted Texas RN license required. Benefits Comprehensive benefits package. Incentive and recognition programs. Equity stock purchase and 401k contribution. About UnitedHealth Group UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on simplifying the healthcare experience and creating healthier communities while addressing health disparities and improving health outcomes. #J-18808-Ljbffr UnitedHealth Group
Vacancy posted 6 hours ago
Similar jobs that could be interesting for youBased on the HSS Clinical Coordinator RN - Telecommute in Texas in Austin, TX vacancy
$29 - $52 per hour
...Connecting. Growing together. If you reside in Texas, you will have the flexibility to work... ...: Conduct comprehensive clinical reviews of appealed H6516 and H2060 assessment... ...Qualifications: ~ Current unrestricted Texas RN license ~2+ years of experience working...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaWork from homeMonday to Friday$29 - $52 per hour
...area, you will have the flexibility to telecommute as you take on some tough challenges.... ...-related information to ensure quality coordinated care and services are provided expeditiously... ...: ~ Current unrestricted Texas RN license ~2+ years of experience in a...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$29 - $52 per hour
...with financial, psychosocial, community, and state resources Coordinate care across the continuum and serve as a key point of contact... ...in. Required Qualifications: ~ Current unrestricted Texas RN license ~2+ years of experience in a community health or healthcare...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$29 - $52 per hour
...with financial, psychosocial, community, and state resources Coordinate care across the continuum and serve as a key point of contact... ...in. Required Qualifications: ~ Current unrestricted Texas RN license ~2+ years of experience in a community health or healthcare...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$29 - $52 per hour
...stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members... ...in. Required Qualifications: ~ Current unrestricted Texas RN license ~2+ years of experience in a community health or...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- UnitedHealth Group in Texas is seeking a Registered Nurse with community health experience for a remote role covering Travis and surrounding... ...person-centered care, connect members to resources, and coordinate care across the continuum as a primary point of contact. The...Remote work
$29 - $52 per hour
About This Role The Field Based HSS Clinical Coordinator RN position at UnitedHealth Group involves assessing, planning, and implementing person-centered... ...outcomes Requirements Education: Current unrestricted Texas RN license required Experience: 2+ years of experience in a...Full timeDay shift$29 - $52 per hour
About This Role The Field Based HSS Clinical Coordinator RN role at UnitedHealth Group involves assessing, planning, and implementing individualized... ...areas. Requirements Education Current unrestricted Texas RN license required Experience 2+ years of experience in a...Full timeDay shift- UnitedHealth Group is seeking a Clinical Coordinator RN for a Telecommute role in Texas. You will conduct comprehensive clinical reviews of appeals, evaluate medical records, and provide independent clinical judgment on medical necessity and functional needs. The role emphasizes...Remote jobWeekday work
$29 - $52 per hour
...to start Caring. Connecting. Growing together. The RN Field Clinical Care Coordinator, you will be an essential element of an Integrated... ...surrounding areas , you will have the flexibility to work telecommute* as you take on some tough challenges. This is a...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaFlexible hoursUHC
Braintree, MA1 day ago- ...n Join our team as a day shift, full-time, General Surgery Clinical Coordinator RN for OR in Tyler, TX. \n \n Why Join Us? \n \n Thrive... ...nursing and licensed as a Registered Nurse in the State of Texas \n ~\n BLS certification must be obtained within 14 days...Full timeDay shift
UT Health East Texas
Tyler, TX5 days ago - The Field Based HSS Clinical Coordinator RN role at UnitedHealth Group involves assessing, planning, and implementing individualized care strategies... ...and surrounding regions. Candidates must hold a current Texas RN license, have 2+ years in community health, and possess...Full timeDay shift
$53.19 - $82.58 per hour
...Description The RN Coordinator position is responsible for team collaboration and care delivery... ...internally and externally. The RN Coord Clinic coordinates multiples aspects of the... ..., Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health...Minimum wageFull timeLocal areaShift work- UnitedHealth Group is seeking a Field Based HSS Clinical Coordinator RN in Texas. The role involves assessing, planning, and implementing person-centered strategies, connecting members with essential resources, and coordinating care across the continuum to improve health...Full timeDay shift
- ...Clinical Nurse Coordinator Ready for a role that supports your unique calling in patient care and fits... ...BSN preferred. ~ Current licensure in Texas as a Registered Nurse required. ~2... ...future." Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC Senior Vice President and Chief...Remote workHourly payTemporary workLocal areaFlexible hoursShift work
$56.2k - $101k
...to assess, plan, gather information, and coordinate medical and supporting services across the... ...of member status. Provide clinical support as needed to outreach coordinators... ...sponsored managed care program preferred RN - Registered Nurse - State Licensure and/...Remote workFull timePart timeWork at officeWork from homeFlexible hours$75k - $85k
Fundamental Administrative Services, LLC in Texas seeks an AIM Clinical Manager to oversee admissions intake management and coordinate with hospitals, physicians, and facilities to... ..., home-based role requires an LPN/LVN or RN or therapist with valid license, 2+ years in...Remote jobFull timeWork from home- ...general direction of the Associate Director, or designee, the Clinical Coordinator is responsible to develop, prioritize, and oversee staff... ...BA/BS in a related field or equivalent experience required OR RN licensed to practice in Massachusetts AND: ~5-10 years...Remote workWork experience placementWork at office
University of Massachusetts Medical School
Westborough, MA4 days ago $40 - $43 per hour
...being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and...Remote workTemporary work2 days per weekGenesis Healthcare Services
Pembroke, NC3 days ago$40 - $43 per hour
...being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and...Remote workTemporary workImmediate start2 days per weekGenesis Healthcare Services
Pembroke, NC15 hours ago- Job Summary Are you a RN looking to join our team of Healthcare Heroes? Through professional growth, quality improvement, and... ..., neighbors, and family members. To join Geisinger as a Clinical Team Coordinator RN and start leading healthcare change, please apply now! Job...Full timeTemporary workPart timeFlexible hoursWeekend work
$29 - $52 per hour
...responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination...Remote workHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementLocal areaRelocation package- ...management for longitudinal engagement, coordination for discharge planning,... ...under the direct supervision of an RN Manager or MD. Function is responsible for clinical operations and medical... ...primarily Medicare eligible seniors in Texas and Florida, through primary and...Remote workWork at office
$41.41 per hour
...Geisinger is proud to offer an Inpatient RN a hiring incentive up to $23,500 for eligible... .... Work is typically performed in a clinical environment. Accountable for satisfying... ...the job related to that position. Coordinates and supervises the delivery of nursing care...Full timeTemporary workPart timeFlexible hoursShift workNight shiftWeekend workAfternoon shift- Emblem Home Health in Phoenix, AZ is seeking an RN Clinical Intake Coordinator for a Friday-Monday shift, four 10-hour days. The role includes patient intake, referral coordination, and admissions, with Saturdays and Sundays eligible for remote work. You will verify insurance...Remote jobShift workWeekend work
- ...chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a... ...Qualifications The Clinical Informatics Coordinator (CIC) is responsible for the facilitation... .../Certifications: Current (per State) RN license Nurse required and Health...Temporary workFlexible hours
$90k - $100k
...calls from patients and staff regarding clinical questions. If additional information is needed... ..., and community agencies to ensure coordinated careAnalyzing clinical data and identifying... ...supervisorRequirementsActive California RN BSN License1-2 years of experience with Home...Remote work$69.72k - $104.58k
...: Variable Hours (United States of America) Facility: 1906 Belleview Ave SE - Roanoke Requisition Number: R162761 Clinical Coordinator RN - EM Follow Up - Roanoke (Open) How Youll Help Transform Healthcare: This position is working full time daytime hours and...Remote workFull timeWork experience placementMonday to FridayShift workCarilion Clinic
Roanoke, VA7 days ago- ...Join to apply for the Clinical Coordinator - LPN or RN role at Paradigm 2 days ago Be among the first 25 applicants Join to apply for the Clinical Coordinator - LPN or RN role at Paradigm Get AI-powered advice on this job and more exclusive features. Paradigm...Remote workFull timePart timeFor contractorsReliefLive inLocal areaMonday to FridayFlexible hoursWeekend work
Paradigm
Orlando, FL15 hours ago - MES Solutions is seeking a self-driven RN or LPN to join as Clinical Quality Assurance Coordinator, focusing on high-quality peer review reports. This remote role requires strong clinical knowledge, meticulous QA, and adherence to client specifications and regulatory standards...Remote jobMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to HSS Clinical Coordinator RN - Telecommute in Texas. Be the first to apply!
Related searches
- clinical nurse coordinator Austin, TX
- clinical pharmacy coordinator Austin, TX
- clinical trial coordinator Austin, TX
- medical scheduling coordinator Austin, TX
- clinical data coordinator remote Austin, TX
- medical coordinator Austin, TX
- clinical data coordinator Austin, TX
- public health registered nurse Austin, TX
- temporary rn Austin, TX
- cath-lab rn Austin, TX