At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans.By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system. LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on-location services, patient-specific in-clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.(sm) We are currently seeking an RN, Clinical Review based in La Crosse, WI. This individual will be responsible for evaluating and providing a clear, comprehensive and concise review of VA Disability Exams. In addition, they will evaluate and determine if medical documentation meets contractual requirements for compensation and benefit rating purposes. Primary Responsibilities:Evaluate and process medical information to determine outcomes for disability examsEnsure documentation on Disability Benefits Questionnaires meet customer requirementsCreate clear, comprehensive, and concise retrieval letters to external practitioners as neededComplete department tasks to process medical documentationPrepare documents for internal medical team reviewRemain up to date with contract requirements Please Note: In order to be considered for this position, you must be able to obtain an SF86 Position of Trust which is only available to U.S. Citizens. Our Facilities Security Officer will initiate this process post-offer acceptance. Failure to obtain this will result in termination from this role.
Required Qualifications:Graduate of an accredited Associate's Degree in Nursing (ADN) or Bachelor's Degree in Nursing (BSN) program Current license or able to obtain RN licensure in the state of Wisconsin or a compact stateProficient computer skills in Microsoft Office and database experienceMust possess excellent verbal and written communication skillsEffective interpersonal, communication and problem solving skillsKnowledge of standard concepts, practices, and procedures within the fieldAnalytical thinking and team work skillsAbility to perform detailed work with a high degree of accuracyUnited States Citizenship Ability to obtain favorable adjudication following submission of Defense Health Agency eQuip Form SF86 Preferred Qualifications:1 year clinical experience, preferably in a medical/surgical environmentVA and/or military experience a plusFamiliarity with government forms and documentationUnderstanding of regulatory standards and their application to various medical examinations and documentsNational Career Readiness Certificate UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. 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. Keywords: Registered Nurse, RN, Clinical, Military, Veteran, Medical, Wisconsin
Internal Number: 755212
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.