Sr Clinical Administration RN, Work at Home Opportunity within

*Great Telecommuter Opportunity- within state of Kansas*

8:00 am - 4:30 pm Mon - Fri- No Weekends

Selected candidate must reside in the state of Kansas
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Responsibilities of this position include:

Provides clinical expertise in the following areas; clinical appeals and grievances (analyzing reviewing and evaluating appeals and grievances)

Acts as a Clinical interface Liason (clinical problem solver with facilities, providers, carriers, resolution of issues concerning members, benefits, program definition and clarification)

UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, we are removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

 Requirements
Requirements include:
An unrestricted and active RN license for the state of KansasMust reside in the state of Kansas. This can be a telecommuter opportunity!.

Familar with medical necessity programs and Milliman Care Guidelines.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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Country: USA, State: Kansas, City: Overland Park, Company: UnitedHealth Group.