usrn leadership - sme, sup, ManagerUnitedHealth Group

Job Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)
Positions in this function require various nurse licensure and certification based on role and grade level. Licensure includes RN or LPN/LVN, depending on grade level, with current unrestricted licensure in applicable state. LPN/LVN roles work under the direct supervision of an RN or MD. Function is responsible for performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. .Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.
Primary Responsibilities:
Reviews the work of others
Develops innovative approaches
Sought out as expert
Serves as a leader/ mentor
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
Active USRN Licensed
Ability to anticipate customer needs and proactively develops solutions to meet them
Ability to serve as a key resource on complex and/or critical issues
Ability to solve complex problems and develops innovative solutions
Ability to perform complex conceptual analyses
Ability to review work performed by others and provides recommendations for improvement
Ability to forecast and plan resource requirements
Ability to authorize deviations from standards
Ability to lead functional or segment teams or projects
Ability to provide explanations and information to others on the most complex issues
Ability to motivate and inspire other team members