$28.94–$51.83/hr
SSBV Clinical Claim Review RN
UnitedHealth Group · Centralia, WA
Job description
Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Let's face it, no industry is moving faster than health care. And no organization is better positioned to lead health care forward than UnitedHealthcare, part of the UnitedHealth Group family of businesses. As a SSBV Clinical Claims Review RN, you can put your skills and talents to work. This is a multifaceted role that is highly rewarding. It feels great to have autonomy, though there's also a lot of responsibility that comes with it. In this role, you'll be accountable for making decisions that directly impact on our members. And at the same time, you'll be challenged by a demanding case load in a rapidly changing, production-driven environment. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • 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 What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: • 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.) 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: • Associate's degree • Current and unrestricted RN license in the state of residency • 5+ years of clinical documentation experience • 3+ years of experience as an RN, including inpatient/acute setting • Intermediate level of proficiency in Microsoft Office (to include Microsoft Excel and One Note) • Intermediate level of proficiency in writing • Designated home office workspace with access to install secure high-speed internet via cable/DSL Preferred Qualifications: • Undergraduate or higher degree • A background in utilization review for an insurance company or experience in case management • Familiarity with InterQual and/or MCG Care Guidelines • Critical thinking skills *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN
More jobs in Centralia, WA
$85k–$110k/yr
$85 - $110K /Yr! Hiring CDL-A Truck Drivers - Quick Apply!
Hiring Drivers Now · Centralia, WA
Now Hiring CDL-A Truck Drivers! Apply today and within 24 hours you'll receive multiple job offers. Earn $.60 - $.80+ CPM and up per year based on position. Simply select the driving job that offers you what is most important. Higher pay, increased benefits or more home-time: You choose. Avg. Company Driver Job Offers Salary: $85,000-$110,000+ Avg. Owner Operator Job Offers Salary: $200,000-$325,000+ Apply now to receive your job offers!
Comprador de DoorDash – conductor de entregas
DoorDash · Centralia, WA
Por qué convertirte en comprador con DoorDash?.Convierte tus habilidades de compra en ingresos adicionales.Ya sea que ayudes a alguien a abastecerse de comestibles o entregues una orden de último momento de una tienda de conveniencia, como comprador desbloqueas más oportunidades de ganancias con
Licensed Psychiatric Mental Health Nurse Practitioner
Headway · Centralia, WA
" Licensed Psychiatric Nurse Practitioner Wage: Up to $206.36/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden. It's all on one free-to-use platform, no commitment required. About the role This position is for licensed psychiatric nurse practitioners looking to start or grow their private practice. Headway provides the tools, resources, and support to help you navigate insurance, streamline operations, and let you focus on what matters most - your patients. About you • You're a fully licensed psychiatric nurse practitioner with your DEA or CDS number, ANCC or AANP board certification, a valid NPI number and malpractice insurance. • You're looking to start or expand your private practice while maintaining control over your schedule, client load, and work environment. Why partner with Headway? As an independent provider with Headway, you'll gain access to: • Hassle-free insurance credentialing: Get credentialed for free in multiple states within as little as 30 days. • Increased earnings: Secure competitive rates with top insurance plans through our nationwide network. • Predictable bi-weekly payments: Receive reliable payouts directly from Headway. • Built-in EHR tools: Access real-time scheduling, secure client messaging, documentation templates, assessments, and more. • Compliance & audit support: Stay up-to-date with insurance requirements and industry regulations. • Free continuing education: Earn CEUs and expand your expertise through Headway Academy. How Headway supports your patients • Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. • Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Important Notes • This is a 1099 independent contractor role. You'll have full autonomy over your practice, including setting your hours and managing your caseload. • At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation's largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We'll take care of the rest.
Call Center Representative
CommonSpirit Health · Centralia, WA
Job Summary and Responsibilities This position has the option to work remote after a 4-week minimum onsite training at the Edmonds Call Center in Edmonds, WA. The Call Center hours are Monday - Saturday 7:00am - 6:00pm and candidates must be available during these hours. • Represents VMMC during initial phone contact by providing patients with appointments, information and other operation support services. • Provides a high level of customer service in a manner consistent with VMMC's mission, goals and service standards. • Answers incoming requests and assists patients based on their needs. Schedules, cancels and reschedules patient appointments by assessing caller's specific needs through probing questions while maintaining patient confidentiality and simultaneously providing each caller with extraordinary and efficient customer service. • Communicates efficiently and effectively with the clinical care team, written or verbally, on behalf of the patient. "We deliver inspired people to do meaningful work." Job Requirements • 6 months of office and/or call center, customer service or healthcare experience • Familiarity with medical terminology and proficient in Microsoft Office products • Previous call center or health care or customer service experience preferred • Proven excellent customer service, communication, verbal and written skills with an emphasis on organization and attention to detail • Ability to problem solve and multi-task; keep confidences; knowledge of scheduling parameters, insurance concepts and patient registration software • Knowledge of VMMC system and providers is necessary to efficiently schedule appointments and answer questions • Ability to meet and exceed service components of this position; knowledge of how to handle calls that are emergent in nature • Proven computer skills (accessing and navigation of websites with the ability to copy and paste information and basic keyboarding) • Demonstrated basic telephone skills (transfer, conference, placing a patient on hold) • Excel in a team based environment with a positive attitude; comfortable with ambiguity and the ability to be flexible We are an equal opportunity/affirmative action employer. Where You'll Work Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you're busy impacting the healthcare industry, we'll take care of you with benefits that include: • Health/dental/vision • FSA and HSA spending accounts • 2 retirement plans • Paid vacation and sick time • Adoption assistance • Wellness program Just as Virginia Mason is dedicated to improving the lives of our patients and our community, we are equally dedicated to your professional and personal success. With a wide range of perks that includes a comprehensive compensation and benefits package, and the opportunity to live in one of the most livable cities in the nation, you will find that an opportunity with Team Medicine is one worth taking.