Clinical Letter Review LPN - Optum West Remote

Other Jobs To Apply

No other job posts for this day.

For those who want to invent the future of health care, here\'s your opportunity. We\'re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.



This position is full-time (40 hours/week). Employees are required to have flexibility to work any shift schedules during normal business hours in Pacific or Mountain time zone, to include weekend coverage.\'



You\'ll enjoy the flexibility to work remotely,* as you take on some tough challenges.



Primary Responsibilities:



  • Understand and follow standardized processes for managing add or change requests and implementing requests in the letter generation system

  • Create and review denial letters to determine compliance with contractual and regulatory requirements of the
    State and Federal programs, while reviewing for efficiencies and effectiveness of procedures

  • Performs internal Quality Control reviews on processes and activities regarding letter writing

  • Identify and correct letter deficiencies

  • Work independently or in a team environment

  • Demonstrate high attention to detail, exceptional documentation abilities, and organizational skills

  • Collaborate with our business partners, Letter Owners, and other Letter Maintenance Administrators (LMA\'s) regarding letter template design and development

  • Develop new templates and / or change templates for approved letter requests

  • Promote tested letter templates to production

  • Analyze inventory and identify opportunities to streamline, decommission, combine, etc.

  • Summarize results / recommendations and present findings to supervisor

  • Other duties as assigned by supervisor which fall into the scope of practice



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:



  • LPN nurse (current and unrestricted) compact state license, able to obtain endorsement licensures for other states as needed

  • 1+ years of direct clinical patient care experience

  • Knowledge of medical terminology

  • Proven basic computer skills

  • Proven comfortable working with medical directors

  • Proven solid interpersonal, oral, and written communication skills

  • Proven excellent written skills - grammar and punctuation

  • Proven to be detail oriented



Preferred Qualifications



  • 3+ years of direct clinical patient care experience

  • 1+ years of experience with medical management activities in a managed care environment

  • Knowledge of managed care principles



*All employees working remotely will be required to adhere to UnitedHealth Group\'s Telecommuter Policy



The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you\'ll find a far-reaching choice of benefits and incentives.



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 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.




Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.



UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#J-18808-Ljbffr Salary: USD 41000 - 80000 per year Experience: 3 years required
Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

Other Jobs To Apply

Remote Product Review Writer (Work from Anywhere) (Creative)

Customer Service Representative Remote | Full Time Or Part Time | No Experience Required

Executive Assistant to the CEO | Bookyourdata

Remote Amazon Reseller

Sr. TLE Auto Appraiser - Virtual

Southwest Airlines is hiring: SEO Consultant in Dallas

Associate Media Analyst (Part-Time, Weekend, Remote)

Disney Cruise Line is hiring: Remote On-Air Sports Graphics Coordinator in Hartf

Sales Representative (Remote) - Now Hiring

Engineering Manager, Agents

Weekend Job / Part-time Job - Online Tutor in Türkiye

[Remote-Position] Data Entry Clerk- Part Time - Remote

People Operations & Community Specialist

Administrative Assistant / Data Entry Clerk (Remote) - Typing

[Work From Home] (UPS Remote) – Data Entry Ope...

Remote Live Chat Support Specialist

Part-Time Copy Editor, West Coast

Weekend/Evening Remote Licensed Talk Therapist - Fee For Service

Starock Group - Remote Property Manager Assistant

Virtual Assistant (Part-Time / Work From Home)

Customer Service Representative Remote | Full Time Or Part Time | No Experience Required

Technical Writer (Remote | $90–$140/hr)

Remote Support Operations Night Role - No Calls, Messaging Only

Sr. TLE Auto Appraiser - Virtual

Executive Assistant to the CEO | Bookyourdata

New Releases Feature Writer | MovieWeb

Customer Service Representative Remote | Full Time Or Part Time | No Experience Required

Sr. TLE Auto Appraiser - Virtual

Remote Product Review Writer (Work from Anywhere) (Creative)

Google Search Quality Rater – No Experience, 100% Remote Usa

Executive Assistant to the CEO | Bookyourdata

Basic Data Entry Clerk Wanted - Typing / Work From Home 25 Words Per Minute Input

USA JOB Disney Careers, Remote Jobs For Disney Job ID- 753

Virtual Data Entry Assistant (100% Remote)

Teen Humor Content Evaluator - Remote Freelance Contractor

Google Search Quality Rater – No Experience, 100% Remote Usa

Part-Time Weekend Remote Customer Service Representative

Executive Assistant to the CEO | Bookyourdata

Senior Closing Specialist – Evening & Weekend Remote Position

Social Media Moderator at Virtual Vocations Inc United States

High-Priority Caregiving Weekend Shifts Available: Join a Top-Voted Team in Gallatin & Hendersonville!

-Entry-Level Remote Role With No Experience Required | Apply Today

Executive Assistant - Remote - Must have EA Exp

Janitor - Now Hiring

Assistant Manager Branch Office - Skibo Road Fayetteville

Remote Data Entry Associate — Flexible Evening/Part-Time

Amazon Customer Service Representative (Remote)

Remote Product Tester - Flexible Studies

iOS Engineer -Remote

Senior National Account Ops Leader — Remote