Join UnitedHealthcare as a Community Health Nurse and help create healthier communities while working remotely from Arizona. You'll conduct clinical reviews, collaborate with health providers, and ensure quality care for Medicaid and Medicare patients, all while enjoying a comprehensive benefits package.
Key Responsibilities
Perform clinical documentation review of inpatient and outpatient care
Interface with external customers, facilities, and providers
Conduct oversight reviews of contractors
Collaborate with Medical Directors and staff in other departments
Manage multiple tasks and changing priorities
Occasional on-site provider visits for Quality of Care concerns
Required Qualifications
Active, unrestricted RN license in Arizona
5+ years of experience as a Registered Nurse
1+ years of hospital experience as a Registered Nurse
Long-term care nursing experience
Experience evaluating and auditing medical records
Intermediate skills in Microsoft Office, Word, and Excel
Resident of Arizona
Willingness to travel 25% within Arizona
Quality Management experience in a healthcare setting
Knowledge of Medicare/Medicaid regulations
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution