Clinical Review Nurse, RN - Ask about our Work-at-Home program!

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.



We are seeking a detail-oriented RN to review urgent and emergent appeals cases in this fast-paced role. As the Clinical Review Nurse, you would address each case by researching and assessing risk while working closely with additional internal departments. We offer an ideal office setting, regular schedule (no nights or weekends!), and a strong team environment. If you are ready to take your healthcare career in a new direction, we encourage you to apply today.



Primary responsibilities include:


Reviewing appeals cases


Addressing urgent and emergent cases


Mitigating risk by researching issues


Collaborating with internal departments


Meeting turn-around times


Job Requirements:

An RN with a current, unrestricted license in the state of CA is required for this position. Clinical experience in an acute care or outpatient setting is essential. Prior utilization review and/or case management experience is highly preferred. Computer skills are a big plus. An Associate's or Bachelor's degree is required.



UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.



If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!



Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.