MSW Utilization Review - Remote in Missouri

Company: UnitedHealth Group
Location: Dittmer
Posted on: March 15, 2023

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