Remote Utilization Review Rn Jobs in Richmond, VA

Explore opportunities with Southside Regional Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Referral and Admission Coordinator, you will be responsible for managing the referral process for assigned agencies. The Referral and Admission Coordinator works closely with other members of the team to ensure adequate coordination and transition for patients with an order for home health services. The Referral and Admission Coordinator is responsible for processing all incoming referrals through e-portals and other methods and may have additional duties assigned. This role is primarily a remote position.

Primary Responsibilities:

• Manage incoming referrals through e-portals and other referral sources for assigned home health agencies
• Gather demographic and clinical information from clients, physician offices, and referral sources to complete referrals
• Communicate patient and referral information with staff, referral partners, physicians, facilities, patients, and families
• Provide general information about agency services and triage incoming calls and messages from referral sources and partners
• Serve as a liaison between clinical staff, referral partners, and business development teams to support a seamless experience
• Maintain accurate and timely documentation in the electronic medical record system, including tracking non-admitted patients
• Comply with state and federal referral and intake requirements; licensed LPNs, LVNs, or RNs may perform additional clinical duties as needed
• 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:

• Graduate of an accredited LPN, LVN or RN school. License, Registration, and / or Certification in the state of practice
• 1 years of healthcare experience
• Sales support or customer service experience
• Solid communication skills and the ability to work both with a team and independently
• Computer experience including knowledge of Microsoft Office
• Proven excellent critical thinking and problem-solving skills

Preferred Qualification:  

• Bachelor's degree

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 hourly pay for this role will range from $14.00 to $26.20 per hour 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.