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Nursing Jobs in North Las Vegas, NV

Clinical Appeals RN - Commercial LOB - Remote

apartment UnitedHealthcare location_onLas Vegas, NV

$28.27 - $50.48 / HOUR

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. This role will require the ability to work a on Saturday either in a traditional 5 day work week schedule or working 4-10 hour shifts Primary Responsibilities Conducts reviews of member and provider appeals Analyzes claim adjustment and claim history Reviews history of previous reviews Reviews denied services in conjunction with policies and procedures, benefit plans, federal and state regulations, and clinical criteria to and renders approval when appropriate Extrapolates and summarizes medical information for review by Medical Director, as needed Balances the need to produce high quality work with meeting timeframes and production goals 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 Active, unrestricted RN license in state of residence 5+ years of clinical experience as an RN including in an acute, inpatient hospital setting Experience applying benefits and criteria to clinical review Utilization Management, pre-authorization, concurrent review or appeals experience Solid computer skills including proficiency in Microsoft Office Word, Outlook, and Internet applications Ability to access multiple computer platforms Access to install secure high-speed internet (minimum speed 5 download mps & 1 upload mps) via cable/DSL in home (wireless / cell phone provider, satellite, microwave, etc. does NOT meet this requirement) Designated quiet workspace in your home (separated from non-workspace areas) and able to be secured to maintain Protected Health Information (PHI) and/or Protected Information (PI) Ability to work a on Saturday either in a traditional 5 day work week schedule or working 4-10 hour shifts Preferred Qualifications Bachelor of Science in Nursing Medical Coding experience/knowledge Experience using Interqual Experience with the following systems: UNET, iCUE/HSR, ATS, ETS or Cirrus Experience analyzing medical records, benefit plans, medical policies and other various criteria Demonstrated ability to work independently with solid self-discipline and time management skills Demonstrated excellent communication, interpersonal, problem-solving, and analytical skills All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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 $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.

CNA

Med-Surg

Per Diem

UNIT COORD CNA MED SURG (PER DIEM VARIED)

apartment Spring Valley Hospital Medical Center location_onLas Vegas, NV

Responsibilities Spring Valley Hospital is a member of The Valley Health System , a network of six acute care hospitals that provide care for patients throughout Southern Nevada and nearby communities. Located in southwest Las Vegas, the 366-bed hospital offers emergency care, advanced cardiovascular and neurological surgeries and procedures, surgical services, women’s health, comprehensive maternity services, and a level III neonatal intensive care unit. Spring Valley Hospital is accredited by The Joint Commission (“TJC”) and has achieved TJC Advanced Certifications in Primary Heart Attack, Thrombectomy-Capable Stroke, and Hip and Knee Total Joint Replacement. Spring Valley Hospital has garnered recognition by US News & World Report for its outstanding achievements in several specialty programs, such as Heart Failure, Heart Attack, Kidney Failure, COPD, and Stroke. Additionally, the Advanced Wound Care and Hyperbaric Center is a distinguished Center of Excellence and President’s Circle award winning clinic, providing the highest quality in care and patient satisfaction. The hospital received the prestigious “ Best Place to Have a Baby Gold Award, ” highlighting its exceptional maternity services, which includes a dedicated entrance open 24/7 to the Birthplace Center. ER at Blue Diamond , an Extension of Spring Valley Medical Center, is a freestanding emergency department providing 24/7 emergency care to infants, children and adults. ER at Blue Diamond has achieved TJC Advanced Certifications in Acute Stroke Ready and Acute Heart Attack Ready. www.springvalleyhospital.com The Valley Health System (“VHS”) is an integrated system of care in Las Vegas and Southern Nevada comprised of acute care hospitals, physician practices and a variety of outpatient services. We focus on clearly defined goals designed to bring about exemplary patient care. Since 1979, we have been providing care to the more than two million people living in Southern Nevada and its surrounding communities. VHS is committed to training the next generation of healthcare providers including physicians, nurses, therapists and others in the allied health support services. The talent and dedication of the over 9,000 employees of VHS is what makes the company unique. VHS is owned and operated by a subsidiary of Universal Health Services, Inc. (“UHS”). Benefit Highlights: A rewarding and engaging work environment Competitive compensation & generous paid time off Tuition Reimbursement Employee Referral Bonus Career and growth opportunities within VHS and its 300+ UHS Subsidiaries Excellent Medical, Dental, Vision and Prescription Drug Plans along with a variety of voluntary benefits 401(k) with company match and discounted Stock Plan More Information is available on our Benefits Guest website: benefits.uhsguest.com Job Description: Responsible for assisting the planning, organizing, implementing and evaluating the activities occurring in the nursing unit by performing clerical and receptionist duties, and performing patient care/service activities/procedures as outlined by the state Qualifications Qualifications: Education: High school diploma or equivalent. Completion of an approved CNA program and certification. Experience: Technical Skills: Basic PC knowledge and medical terminology. License/Certification: Current CNA license in the State of Nevada. Current BLS Certification required. Other: Must demonstrate the knowledge and skills necessary to provide care/service to the age of the patients served on the assigned unit/department. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.