Supervisor Clinical Claim Review Telecommuter Role at Charleston

Job Description

For those who want to invent the future of health care, heres your opportunity. Were going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your lifes best work.The Supervisor of Clinical Claim Review will beresponsible for the following: Responsible for day to day activities and workflow of team and assignments- Responsible for tracking of productive and non-productive time for individual team members and also at the team level. Identify opportunities to increase utilization within team- Responsible for all performance management (both ongoing coaching & disciplinary action) for all team members. Also responsible for completing monthly scorecards and providing staff real time feedback in addition to completion of annual reviews- Regular participation in meetings and projects both internally within MCR and also with other departments Hold regular team meetings with agenda items and team participation Responsible for escalating appropriate issues to management - Active participation in SOP & Training planning and implementation Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unitCandidates must live within a commutable distance to a UHG office. UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.Together, were removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Job Requirements

Basic Qualifications:Minimum 3 years supervisory experienceMinimum 2 years in clinical claim reviewAssociates Degree or higher in nursingActive, Licensed Registered NursePreferred Asset Qualifications:Bachelors Degree or higher in NursingCertified Case ManagerDiversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: South Carolina, City: Charleston, Company: UnitedHealth Group.