Preservice Review Nurse

Responsibilities

• Comply with all terms and conditions of the employment contract and company policies
• Adhere to company procedures and directives regarding work location, team assignments, and work shifts
• Support health optimization and care delivery through clinical expertise in preservice review

Requirements

• Bachelor's degree in nursing
• Active USRN (mainland only) license
• Active PHRN license
• 1+ years of hospital experience or 2+ years of UM Nurse (USRN) experience

Preferred Qualifications

• Prior Authorization experience
• Utilization Review or Utilization Management experience
• Knowledge of ICD-10 and CPT coding
• Experience with InterQual or Milliman criteria
• Telephonic or telecommute experience

Benefits

• Life resources and support to focus on what matters most
• Emotional tools and resources to manage stress and build resilience
• Physical health plans and coverage to support wellness
• Financial benefits including retirement planning

About the Company

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. We connect people with the care, pharmacy benefits, data, and resources they need to feel their best.