Clinical Claim Review Nurse - RN Required - Onalaska, WI

Job Details:

Title:
Location:
WI-Onalaska UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. When you work with UnitedHealthcare, what you do matters. It's that simple.and it's that challenging. In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Positions in this function include RN (with current licensure) and LPN/LVN roles responsible for application of medical and reimbursement policies within claim adjudication process. * Generally work is self-directed and not prescribed. * Works with less structured, more complex issues. * Serves as a resource to others. * Assesses and interprets customer needs and requirements. * Identifies solutions to non-standard requests and problems. * Solves moderately complex problems and/or conducts moderately complex analyses. * Works with minimal guidance; seeks guidance on only the most complex tasks. * Translates concepts into practice. * Provides explanations and information to others on difficult issues. * Coaches, provides feedback, and guides others. * Acts as a resource for others with less experience. Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. * RN Licensure in the State of WI Required. Must be unrestricted and valid. * Undergraduate degree or equivalent experience required. Bachelor's degree preferred * Coding experience highly preferred. 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.