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Clinical Nurse Specialist
3 weeks ago
Optum is a global healthcare organization that delivers care and improves health outcomes through technology. We are seeking a skilled Nurse to join our team as a Clinical Nurse Specialist in our Utilization Management department.
">About the Role- This position requires a RN licensure with 1+ years of clinical experience, including hospital experience.
- The ideal candidate will possess strong communication and problem-solving skills, as well as the ability to work independently and collaboratively as part of a team.
- Perform initial and concurrent reviews of inpatient cases, applying medical guidelines and benefit determination criteria.
- Collaborate with UnitedHealthcare Medical Directors on utilization management activities.
- Develop and implement effective care plans to improve patient outcomes.
We offer a comprehensive benefits package and opportunities for professional growth and development.