I'm going to be doing the initial phone interview for a Bilingual Spanish Senior Clinical Admin RN at UnitedHealth this coming week.
I'm having a hard time figuring out exactly what "category" the position falls under. Per the "talent aquisition specialist" I spoke with via LinkedIn the person in this role will be doing medical record reviews, appeal reviews of approval / denial letters to determine compliance with contractual and regulatory requirements of State Medicaid programs. The documents are in Spanish, so this is why we have the Spanish requirement.
Can any of you speak to your experience in this role, or a similar role - good or bad? Is this considered a straight up medical record review position, or could it also fall under utilization management? I'm new to this field and not up to speed on the terminology.