Nurse Reviewer, Telephonic

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.

Are you looking for an opportunity to expand your career while utilizing your direct-care knowledge? We are seeking an RN with clinical experience in a variety of settings to perform case reviews, ensuring the best care for our valued patients. We offer an ideal schedule, strong, supportive team and opportunities for advancement.



Primary responsibilities include:


Determining appropriate hospitalization practices


Using clinical guidelines to authorize payment


Reviewing benefits and contacting insurance companies and related vendors


Adhering to clinical methodologies, policies and procedures


Job Requirements:

The chosen candidate must be an RN with a current, unrestricted license in the state of NY, CT or NJ. Substantial and varied clinical experience is essential, along with discharge planning experience. Excellent communication skills are key. Certified Case Managers are encouraged to apply. An Associate's or Bachelor's degree is required.



UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.



If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!



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