RN Case Manager

Description 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 weekdays 8am until 5pm and reside within the state of VA.*** If you are located in Virginia, you will have the flexibility to work remotely as you take on some tough challenges. Primary 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 Required Qualifications Unrestricted, active RN license 3+ years of RN experience in an acute setting Utilization management, prior authorization, and case management experience Managed care experience Ability to create, edit, save and send documents utilizing Microsoft Word. Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches Reside within Virginia Preferred Qualifications HCBS authorization experience Working knowledge of ICUE and CAT Launchpad *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Compensation and Benefits Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. #J-18808-Ljbffr