Top 11 Utilization management nurse Jobs in Ashland, Mo

Health Engagement RN - Columbia, MO
UnitedHealthcare —Columbia, MO
- $72,800 - $130,000 a year
- Full-time
- Nursing
- Microsoft Excel
- Up to 50% travel
- Wellness program
Pharmacy Second Level Review Contractor
Wipro Limited —Jefferson City, MO
- $90 - $95 an hour
- Contract
- Nursing
- RN License
- Pass drug screening
- Disability insurance
- Health insurance
14d
LPN - Clinical Denials Specialist
University of Missouri Health Care —Columbia, MO
- $22.14 - $34.59 an hour
- Full-time
- Microsoft Excel
- Research
- Mid-level
- Paid holidays
- Health insurance
Home Health Clinical Manager
Centerwell —Columbia, MO
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Nurse Practitioner (NP) - In Person - Columbia/Jefferson City, Missouri
MTC Care —Jefferson City, MO
- From $135,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- Microsoft Outlook
Psychiatric Mental Health Nurse Practitioner (PMHNP) - In Person - Columbia/Jefferson City, Missouri
MTC Care —Columbia, MO
- From $145,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- Microsoft Outlook

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Health Engagement RN - Columbia, MO

UnitedHealthcare -
Columbia, MO

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Job Details

Full-time
$72,800 - $130,000 a year

Benefits

Wellness program

Qualifications

Microsoft Excel
RN License
Coaching
Word embeddings
Windows
Productivity software

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

This Onsite Health Engagement Nurse position is an exciting opportunity for an experienced nurse to work to promote engagement in clinical/disease management programs, helping to improve member healthcare decisions. The ideal candidate will have experience providing health education on an individual and group level, and will utilize analytic data to improve employee engagement, affordability and decision making, to deliver high impact results. The onsite nurse will help empower members to make better healthcare decisions and connect them with the appropriate resources. This position focuses on health education, behavior modification, health care consumerism with UHC and Optum products, and engagement in the wellness program offerings. This is a field based position.

Primary Responsibilities:

Educate members on health education and condition management (formal and informal), as well as plan specifics and member resources, in collaboration with OptumHealth
Referral of employees to available clinical programs including premium designated physicians
Create, manage and implement employer specific programs based on employer needs
Monitors and analyzes customer specific health analytic data and develops targeted data driven strategic plans and programs; provides support to clinical programs; may perform clinical assessments, non-invasive biometric screenings and associated health education and counseling
Clinical interface with facilities and providers for resolution of issues concerning members, benefit interpretation, program definition and clarification
Knowledge of community resources for referral and community outreach

This position requires up to 50% local travel to multiple locations between Columbia, St Louis, Kansas City and Rolla, MO. You will work the majority of the time at the Columbia, MO campus.

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:

Registered Nurse with active and unrestricted license for state of residence
3+ years of clinical experience in a hospital, acute care, home health / hospice, direct care or care management
Proficient in Microsoft Word, PowerPoint and Excel including the ability to navigate a Windows environment
Proven solid presentation skills with proven experience delivering group presentations and 1:1 coaching

Preferred Qualifications:

Bachelor's degree in Nursing
3+ years of experience in managed care with significant program management experience
Diabetes education experience
Case management experience and/ or Case Management Certification (CCM)
Community outreach experience
Proven familiarity in data analysis (utilization/program outcomes) and reporting
Proven comfortable with individual and group presentations up to 50-100
Proven wellness/disease management, program promotion, education and development experience

Soft Skills:

Excellent verbal communication skills
Self-starter; ability to work with senior leadership

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 salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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.

#UHCPJ

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utilization management nurse jobs in ashland, mo

Health Engagement RN - Columbia, MO

Pharmacy Second Level Review Contractor

LPN - Clinical Denials Specialist

Home Health Clinical Manager

Nurse Practitioner (NP) - In Person - Columbia/Jefferson City, Missouri

Psychiatric Mental Health Nurse Practitioner (PMHNP) - In Person - Columbia/Jefferson City, Missouri

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