MSW Utilization Review - Remote in Missouri
Company: UnitedHealth Group
Location: Dittmer
Posted on: March 15, 2023
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Job Description:
$5000 Sign On Bonus For External Candidates
If you are located within the state of Missouri, you will have the
flexibility to telecommute* (work from home) as you take on some
tough challenges.
In 2021, Optum and SSM Health announced a new strategic
collaboration to create a sustainable, affordable, quality system
of care that is easy to access and keeps people healthy. Through
knowledge sharing, best-in-class tools and technology, and enhanced
clinical and operational performance, together Optum and SSM Health
will focus on transforming health care for all. Whether you work
with us in providing direct patient care, serving a meal, or
helping patients in countless other ways, you will be playing a
role in transforming health care through compassion and healing.
Bring your unique talents to a team that will empower you to do
your best as you take on a rewarding role that leads to your life's
best work.SM
This position is full-time. Employees are required to work our
normal business hours of 8:00 AM - 4:30 PM CST.
*All Telecommuters will be required to adhere to UnitedHealth
Group's Telecommuter Policy.
Primary Responsibilities:
--- Under general supervision and following established policies
and procedures, the UR Social Worker utilizes clinical knowledge
and expertise to interpret medical criteria, medical policy and
benefit information. Provide accurate and timely Utilization
Management functions while continuously looking for ways to improve
our processes.
--- Timely and accurate determination and notification of
authorization, and appeals requests.
--- Reviews pre-service, concurrent, and retro authorizations cases
according to established medical guidelines
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:
--- Master's Degree (or higher) in Social Work
--- 3+ years of behavioral health experience
--- Licensed within the state of Missouri
--- Ability to work any shift between the hours of 8:00 AM - 4:30
PM CST
Preferred Qualifications:
--- LCSW (Licensed Social Worker)
Telecommuting Requirements:
--- Reside within the state of Missouri
--- Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy
--- Ability to keep all company sensitive documents secure (if
applicable)
--- Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet service
Careers with OptumInsight. Information and technology have amazing
power to transform the Healthcare industry and improve people's
lives. This is where it's happening. This is where you'll help
solve the problems that have never been solved. We're freeing
information so it can be used safely and securely wherever it's
needed. We're creating the very best ideas that can most easily be
put into action to help our clients improve the quality of care and
lower costs for millions. This is where the best and the brightest
work together to make positive change a reality. This is the place
to do your life's best work.SM
**PLEASE NOTE** The sign on bonus is only available to external
candidates. Candidates who are currently working for a UnitedHealth
Group, UnitedHealthcare or related entity in a full time, part
time, or per diem basis ("Internal Candidates") are not eligible to
receive a sign on bonus.
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.
#RPO #YELLOW
Keywords: UnitedHealth Group, Columbia , MSW Utilization Review - Remote in Missouri, Other , Dittmer, Missouri
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