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Umr Insurance Jobs in Colorado (NOW HIRING)

Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation Preferred Qualifications: * 1+ years of clinical experience * Current CPR certification ...

Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation Preferred Qualifications: * 1+ years of RN experience * Current CPR certification or ability to ...

Registered Nurse (Longmont)

Longmont, CO · On-site

$39.45 - $59.15/hr

Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation Preferred Qualifications: * 1+ years of RN experience * Current CPR certification or ability to ...

Showing results 41-56

Umr Insurance information

What are the key skills and qualifications needed to thrive as a UMR Insurance specialist?

To thrive as a UMR Insurance Specialist, you need a solid understanding of health insurance policies, claims processing, and regulatory compliance, typically supported by experience in medical billing or insurance administration. Familiarity with claims management software, HIPAA regulations, and customer relationship management (CRM) systems is essential. Strong attention to detail, problem-solving abilities, and effective communication skills help specialists stand out in handling complex cases and client interactions. These skills ensure accurate claims processing, regulatory adherence, and high-quality customer service, which are critical for maintaining client trust and operational efficiency.

What is the difference between Umr Insurance vs Health Insurance Underwriter?

AspectUmr InsuranceHealth Insurance Underwriter
CredentialsTypically requires insurance licensing and knowledge of health policiesRequires insurance licensing, risk assessment skills, and health policy knowledge
Work EnvironmentOffice setting, insurance company or third-party administratorOffice environment, insurance companies, or underwriting firms
Industry UsageUsed in health insurance plans, including government and private sectorsCommonly employed in health insurance companies for evaluating policy risks
Job FocusClaims processing, customer service, policy managementRisk assessment, policy pricing, and underwriting decisions

Umr Insurance professionals focus on claims and policy management within health insurance, while Health Insurance Underwriters specialize in evaluating risks and setting policy terms. Both roles require similar credentials and work in related environments, but their core responsibilities differ in claims handling versus risk assessment.

What are the most common challenges faced by UMR Insurance specialists when assisting members with claims and benefits inquiries?

UMR Insurance specialists frequently encounter challenges such as navigating complex benefit plans, explaining coverage details to members with varying levels of insurance knowledge, and resolving claim discrepancies. Balancing high call volumes while maintaining accuracy and empathy can also be demanding. Specialists often need to collaborate closely with claims adjusters, healthcare providers, and internal teams to ensure timely and accurate resolution of member issues. Strong communication skills and attention to detail are key to overcoming these challenges and providing excellent customer service.

What is UMR Insurance?

UMR is a third-party administrator (TPA) that works with employers to manage their self-funded health insurance plans. Instead of being an insurance company itself, UMR processes medical claims, handles customer service, and manages benefits on behalf of employers who fund their own health plans. UMR is a part of UnitedHealthcare, which is one of the largest healthcare companies in the United States. Members with UMR coverage typically receive benefits determined by their employer’s plan, and UMR helps ensure those benefits are administered correctly.
Infographic showing various Umr Insurance job openings in Colorado as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Patient Care Manager-RN (At Home Healthcare-Denver) | , | Group

UMR

Denver, CO • On-site

$98K - $147K/yr

Other

Retirement

Posted 27 days ago


Job description

Patient Care Manager

Explore opportunities with At Home Healthcare, 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 Patient Care Manager, you are responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations. Primary Responsibilities:

  • Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
  • Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits.
  • Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals.
  • Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance to physician orders.
  • Manages and documents phone calls from physicians, clinicians, patients, referral sources, and communicates patient updates/new orders to clinicians.
  • Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate.
  • Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client.

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:

  • Current RN licensure in state of practice
  • Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation

Preferred Qualifications:

  • Home Care experience
  • Current CPR certification or ability to complete within 90 days of hire

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 $98,648 to $147,972 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.


UMR logo

About UMR

Sourced by ZipRecruiter

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Wausau, WI, US