Clinical Team Lead, RN - Leadership role with a great schedule

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.With AARP, Ovations Insurance Solutions provides Medicare supplement and hospital indemnity insurance through the AARP Health Care Options program. The company is part of Ovations, a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Americans ages 50 and older. Leadership opportunity.Great M-F daytime schedule.Hard-working, supportive team.Stop your job search here.   We are currently seeking an RN with a background dealing with health insurance to become our newest Clinical Team Lead in our Fort Washington, PA or Wauwatosa, WI office. This promising role offers the opportunity to gain a broad knowledge of healthcare operations, make a direct impact on the improvement of processes and experience a unique blend of clinical and business-related responsibilities. If you are ready to explore your full potential with a well-respected Fortune 50 company where innovation and career growth are encouraged, we invite you to apply today.  The Clinical Team Lead RN will work with a team of clinical and non-clinical staff focusing on auditing, appeals and training initiatives. Additional key responsibilities include: Identifying process improvement opportunities Working with the underwriting team to research and develop guidelines Training new and existing staff members Developing system changes and aiding team communication Conducting audits of medical records reviews Acting as the first level of contact for appealsThe requirements for this role are as follows: A current, unrestricted RN license in your state of residence Substantial clinical experience Medical review experience/utilization review experience A managed care background/exposure to health insurance Additional assets include: Experience supervising/managing others A background making presentations Experience working with training materials Knowledge of Medicare regulations/skilled nursing Experience working with claims Knowledge of underwriting A background analyzing data and making recommendations for process changes A Bachelor’s degree in NursingUnitedHealth Group offers a full range of comprehensive benefits to full-time and part-time employees, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. Keywords: rn, registered nurse, nursing, nursing jobs, clinical team lead, manager, nurse management, nurse manager, medicare, underwriting, utilization review, ur, medical review