UM Coordinator - Remote in Idaho

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.  

The Utilization Management Coordinator will make sure our health services are administered efficiently and effectively. You’ll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. 

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

If you are located in Idaho, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities: 

• Determine the appropriateness of inpatient services following evaluation of medical guidelines and benefit determination
• Identify solutions to non-standard requests and problems
• Translate concepts into practice 
• Act as a resource for others; provide explanations and information on difficult issues

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: 

• Current, unrestricted RN license in the State of Idaho 
• 3 years of Medicaid and LTSS experience
• Intermediate skills with MS office including Word, Excel, PowerPoint and Outlook with proficient ability to navigate in a Windows environment
• Willing to work weekends and holidays, on rotation
• Designated workspace and access to high-speed internet in home
• Resident of Idaho 

Preferred Qualifications:  

• Certified Case Manager (CCM)
• Utilization Management Experience
• Case Management Experience 
• Background in managed care
• Bilingual - Spanish/English or other language specific to market and region 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

 At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.    

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.      

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

Salary : $59,500 - $116,600