Opportunities with New West Physicians.Bring your passion for health care to New West Physicians in Colorado, a team committed to providing excellent service to every patient... every time. We're not only one of the largest physician groups in Colorado with 21 offices throughout the Denver Metro area - we're also part of Optum, a nationwide family of nearly 45,000 dedicated physicians working together to help people live their healthiest lives. That means we're backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone.For four consecutive years,New West Physiciansachieved Elite status - the highest ranking - in the America's Physician Groups Standards of Excellence Survey. In addition, New West Physicians was selected as one of the 2017 Million Hearts Hypertension Control Champions by the Centers for Disease Control and Prevention, and was the 2015 recipient of AMGA's National Acclaim Award recognizing high performing medical groups bringing the American health care system closer to the ideal delivery model: one that's safe, effective, patient-centered, timely, efficient, and equitable. It's all possible because of our highly qualified, board-certified family practice and internal medicine physicians, hospitalists, cardiologists, gastroenterologists, psychiatrists, endocrinologists, neurologists, physician assistants, nurse practitioners and more. If this sounds like the place for you, it's time to take a closer look at New West Physicians and discover a path toyourlife's best work.(sm)
TheRN Clinical Review Nursepractices within the scope of the Colorado Nurse Practice Act and in partnership with New West physicians to provide clinically efficient outpatient utilization management. The RN utilizes managed care principles and sound nursing judgment in the coordination, development, implementation and evaluation of interdisciplinary plans of care. Reviews and applies hierarchy of criteria to all outpatient referral and preauthorization requests from the PCPs and specialists that require a medical necessity determination. All cases in which the RN is not able to make a determination on the medical appropriateness of a procedure, service or treatment being requested, the RN will prepare and present the case to the Medical Director for a decision.
Primary Responsibilities:
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:
Preferred Qualifications:
Proof of immunity to vaccine-preventable diseases is an employment requirement.
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OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both its owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine provided by the medical practices of any of their physicians.
Colorado Residents Only: The salary range for Colorado residents is $53,300 to $95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.
Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.