LVN, Care Manager (CDU) - Costa Mesa, CA
Optum

Job Info

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Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

What You'll Do (aka Description):

It is time to take your career to the next level. As a Licensed Vocational Nurse, Care Manager at Optum, you will be responsible for ensuring the integrity of the adverse determination processes and accuracy of clinical decision making, as it relates to the application of criteria and application of defined levels of hierarchy and composition of compliant denial notices.

What's required?

• 1 or 2 years of post-high school education or a degree from a two-year college.

• Graduation from an accredited Licensed Vocational Nurse program.

• Current California LVN license.

• 1 year of experience as a UM nurse reviewer.

• Score at least 98% or higher on the CDU nurse competency testing.

• You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations.

• Employees are required to screen for symptoms using a UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

It'd be even better if (#Preferred):

• 3-5 years of managed care utilization management experience.

• 1 year of experience performing essential functions of a CDU nurse.

• Basic Life Support for Healthcare Providers (AHA)- (100% online certification is not acceptable).

If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you'll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM)

Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are 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. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

This job has expired.