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UnitedHealth Group Supervisor Clinical Admin Registered Nurse - Telecommute in Overland Park, Kansas

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Opportunities with Optum Serve Health Services. For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.

The RN Supervisor of the Clinical Resource Team will assist the manager and supervisor with the daily operations of the department to include oversight of the Clinical Resource Team, Special Appeals Unit, and Clinical Administrative Coordinators. This includes department metrics, quality assurance as it relates to department functions, and ensuring that service level agreements are met. This position is responsible for providing clinical expertise in support of the team.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Assists the manager and supervisor with oversight, coaching and performance development of all supervisory staff

  • Participates in the interviewing, hiring and training of the Clinical Review and Appeal RNs, Special Appeals Unit (patient navigator), and Clinical Administrative Coordinators

  • Coordinates work activities of RNs and admin staff and ensure deadlines are met

  • Tracks and monitors department productivity and metrics

  • Develops plans to meet short-term objectives

  • Identifies and resolves clinical and operational problems using defined processes, expertise and judgement

  • Assists with and develops process improvements within the department

  • Communicates and collaborates cross-functionally with department and program leaders

  • Monitors department policy and procedure adherence

  • Monitors clinical guidance to ensure we are meeting contractual requirements

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

Required Qualifications:

  • Active, unrestricted RN license in your state of residence

  • Bachelor’s Degree in Nursing/actively pursuing BSN, Business, Healthcare Administration, or related discipline

  • 1+ years of supervisory, or team lead experience

  • 3 years of clinical review and appeals experience

  • Proficient with Microsoft Office

  • Experience problem solving in a fast-paced environment, multitasking, and meeting tight deadlines

  • Experience performing detailed work with high degree of accuracy

Preferred Qualifications:

  • Knowledge of analyzing and reporting statistical data

  • Possess excellent verbal and written communication skills

  • Analytical thinking skill

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with OptumRx . We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $64,800 to $116,000. The salary range for Connecticut / Nevada residents is $71,400 to $127,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

For more information on our Internal Job Posting Policy, click here. (https://hub.uhg.com/policies/human-capital/hiring-employment/Internal-Job-Posting/208)

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: Supervisor Clinical Admin Registered Nurse, Telecommute, Telecommuter, WFH, WAH, RN, Nurse