SSBV Clinical Claim Review RN

About This Role

The SSBV Clinical Claim Review RN at United Health Group is responsible for performing administrative reviews of short stay inpatient hospital claims while ensuring compliance with various requirements. This role is ideal for experienced RNs looking for a challenging position that allows for autonomy and impacts member care.

• Pay: $28.94 - $51.83 per hour
• Location: Plymouth, MN
• Schedule: Full Time, Day shift
• Residency: Must reside in the U.S. for telecommuting

• Perform administrative reviews of short stay inpatient hospital claims in accordance with Federal, State and client specific requirements
• Responsible for documentation of all determinations
• Maintain accurate use of screening criteria

• Education: Associate's degree required
• Experience: 5+ years of clinical documentation experience; 3+ years of experience as an RN, including inpatient/acute setting
• Licenses &
  
  Certifications:
  
  Current and unrestricted RN license in the state of residency required;
  Designated home office workspace with access to install secure high-speed internet via cable/DSL

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)