UnitedHealth Group

LVN Utilization Management Compliance

UnitedHealth Group

El Segundo, CA, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

At UnitedHealth Group, we are looking for an LVN Utilization Management Compliance professional who is committed to helping us improve the quality of care for our members. This is an excellent opportunity for a passionate and experienced healthcare professional to make a positive impact.The ideal candidate will possess strong clinical and communication skills, along with the ability to interpret and comply with applicable policies, laws, and regulations. They should also have an in-depth understanding of healthcare reimbursement and utilization management. The LVN Utilization Management Compliance professional will be responsible for promoting quality performance and compliance with utilization management standards.The successful applicant must possess a valid LVN license and have at least three years of experience in a healthcare setting. Knowledge of medical terminology, coding and insurance benefits is essential. A Bachelor’s degree in Nursing or a related field is preferred.The successful candidate will be a reliable and motivated self-starter who is comfortable working in a fast-paced environment. They should have a professional demeanor and excellent organizational, problem-solving, and interpersonal skills. Above all, the LVN Utilization Management Compliance professional must have a commitment to delivering quality care and services.

Where is this job?
This job is located at El Segundo, CA, USA
Job Qualifications
  • Ability To Work Independently

  • Excellent Written And Verbal Communication Skills

  • Current Lvn License

  • Knowledge Of Medicare

  • Medicaid And Other Health Insurance Plans

  • Knowledge Of Clinical Guidelines

  • Demonstrated Ability To Manage Multiple Tasks

  • Knowledge Of Cpt

  • Icd- And Hcpcs Coding And Good Knowledge Of Medical Terminology.

Required Skills
  • Documentation

  • Data Entry

  • Communication

  • Auditing

  • Coding

  • Analytics

  • Technical

  • Organization

  • Coordination

  • Problem-Solving

  • Interpretation

  • Investigations

  • Review

  • Appeals

  • Medicare/Medicaid

Soft Skills
  • Communication

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Organization

  • Critical thinking

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a LVN Utilization Management Compliance in El Segundo, CA 90245, USA is $50,000 - $90,000 per year. This range can vary depending on the experience of the individual, the size of the employer, and the job duties of the position.

Additional Information
UnitedHealth Group is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMay 15th, 2023
Apply BeforeJune 9th, 2026
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About UnitedHealth Group

UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.

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