UnitedHealth Group

Senior Clinical Quality RN - Remote


Pay$70200.00 - $137800.00 / year
LocationEden Prairie/Minnesota
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 2203956
      Employer Industry: Healthcare Services

      Why Consider this Job Opportunity:
      - Salary up to $137,800 per year
      - Opportunity for career advancement and growth within the organization
      - Work remotely from anywhere within the U.S.
      - Comprehensive benefits package, including equity stock purchase and 401k contribution
      - Chance to make an impact on health equity on a global scale
      - Supportive and inclusive work culture

      What to Expect (Job Responsibilities):
      - Review medical records and supporting documentation in correlation with charges billed
      - Identify incomplete/inconsistent medical records and report to pertinent departments
      - Interact with leadership, department managers, and regional facility staff members regarding client standards, compliance, and reimbursement issues
      - Respond to customer inquiries and analyze revenue cycle questions and issues
      - Create and deliver charge-related educational materials and findings

      What is Required (Qualifications):
      - Current unrestricted nursing license (i.e., RN, LPN, LVN)
      - 3+ years of work experience in a healthcare environment dealing with charge audits
      - 1+ year of experience in nursing care
      - Experience with Cerner or Epic EHR and Microsoft Office products
      - Strong communication skills, both written and verbal

      How to Stand Out (Preferred Qualifications):
      - Medical Coding Certificate
      - Revenue Integrity experience
      - Understanding of payor specific guidelines and hospital revenue cycle roles and functions
      - Proven abilities in problem management, process analysis, and root cause analysis

      #HealthcareServices #CareerOpportunity #RemoteWork #CompetitivePay #EquityInclusion

      At Talentify, we prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.