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Job Information

UnitedHealth Group Clinical Audit RN - San Juan, Puerto Rico in San Juan, Puerto Rico

Training classes start soon - apply today! Energize your career with one of Healthcare's fastest growing companies.

You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 7 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

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.

The objective of the Clinical Quality Analyst (RN - Chart Auditor) is to review our clinician's documentation and call out any inconsistencies or areas for improvement. They are responsible for determining the accuracy and compliance of the chart created by Sanvello providers. They must be able to exercise judgement / decision making based on Sanvello care standard to identify defects/violations as well as opportunities for improvement and best practices.

Primary Responsibilities:

  • Review chart from behavioral health therapy sessions for correctness and completeness in the documentation of and notifies appropriate personnel regarding any necessary corrections

  • Participate in auditor calibration meeting to increase audit competence level

  • Perform other duties assigned

*ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION*

This position is full-time (40 hours/week) Sunday- Saturday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (8:00am to 5:00pm Eastern Time). It may be necessary, given the business need, to work occasional overtime and holidays.

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

  • Valid, active and unrestricted Puerto Rico RN license

  • 3+ years of clinical experience

  • 1+ years of experience in clinical audit

  • Professional writing and verbal communication skills with customers and/or other behavioral health providers

  • Electronic Medical Record Experience

  • Proficiency with the Microsoft Office Suite (Word, PowerPoint, Excel - create/edit/save documents, and Outlook- email and calendar management)

  • Availability to work 40 hours/week Monday- Friday during our business hours of 8:00am to 5:00pm Eastern Time. It may be necessary, given the business need, to work occasional overtime and holidays.

  • Professional proficiency in English (verbal, written)

  • You will be asked to perform this role in an office setting or other company location

  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications

  • Bachelor's degree in nursing

  • Clinical experience in behavioral health

Helping create positive customer experiences for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.(sm)

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So, when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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.

Job Keywords: Chart Auditor, Registered Nurse, Optum, San Juan, Puerto Rico

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