Preservice Review RN - Remote

Preservice Review RN – Remote in HI

Optum, a global organization delivering care through technology, invites a qualified RN to join our team in Hawaii. You will review clinical documentation, perform research, and make determinations that directly improve health outcomes for our members.

• Assess and interpret customer needs and requirements.
• Identify solutions to non‑standard requests and problems.
• Conduct moderately complex analyses and solve problems independently.
• Translate concepts into practice and provide clear explanations to others.
• Coach and guide colleagues with less experience.
• Serve as a resource for team members on difficult issues.
• Align work with legal, regulatory, and quality standards.
• Maintain productivity and quality goals while meeting deadlines.

• Conduct non‑clinical research to support determinations.
• Review existing clinical documentation for accuracy and completeness.
• Carry out clinical research to support determinations.
• Make final determinations using evidence‑based guidelines.
• Achieve and maintain established productivity and quality metrics.
• Drive effective clinical decisions within a business environment.

• Valid RN license and residency in Hawaii.
• Minimum 3 years of RN experience in an acute setting.
• Advanced computer proficiency (Microsoft Word, Outlook, Internet).
• Availability on Saturdays.

• 3+ years in utilization management as an RN.
• Remote work experience following United Health Group’s Telecommuter Policy.

The hourly rate for this role ranges from $28.94 to $51.63 per hour, based on local labor markets, education, work experience, and certifications. We provide a comprehensive benefits package, incentive and recognition programs, equity stock purchase options, and 401(k) contribution. All benefits are subject to eligibility requirements.

United Health Group is an Equal Employment Opportunity/Affirmative Action employer. 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.

United Health Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.

At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe each person deserves the opportunity to reach their healthiest life and are committed to addressing health disparities.