? [Urgent Search] Clinic Certified Surgical Technologist - $28-50 per hour
Company: Optum
Location: Cerritos
Posted on: October 29, 2025
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Job Description:
Optum is seeking a Clinic Certified Surgical Technologist for a
job in Cerritos, California. Job Description & Requirements -
Specialty: Certified Surgical Technologist - Discipline: Allied
Health Professional - Duration: Ongoing - Employment Type: Staff 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 equitable. Ready to make
a difference? Join us to start Caring. Connecting. Growing
together. If you are located within Eastern Standard time zone, you
will have the flexibility to work remotely* as you take on some
tough challenges. The work schedule is generally Monday-Friday, 8-5
EST or 8-5 CST. Primary Responsibilities: - Perform initial
assessment review of appeals, medical records, and CMS/State
Policies to determine if care/services provided meets coverage and
billable criteria to be paid - Identify if additional information
is required to process an appeal - Ability to adapt to changes that
require cross training on appeal types as they are identified -
Ability to work independently - Utilize Clinical nursing judgment
assessment and critical thinking skills, guided by regulatory
policy, to make decision on administrative nurse level cases -
Ability to navigate multiple computer programs, moving from one
system to another, while managing multiple tasks and priorities
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: - Current, valid, and unrestricted RN licensure in
your state of residence - 2 years of clinical experience in an
acute care or an outpatient setting - 1 years of direct experience
within one (or more) of the following areas: - Utilization Review -
Medicaid and/or Medicare appeals experience - LOC assessment
planning and Discharge SNF Planning including understanding of
Denial Notice and NOMNC - Proven experience/understanding of
billable services and claims in a managed care environment - Solid
Microsoft Office (Word, Excel & Outlook) Basic computer skills -
Access to high-speed internet - Ability to work 8-5 within EST
(Eastern standard time zone) Preferred Qualifications: - 5 years of
Medical Appeal experience working with Medicare and Medicaid -
Solid coding experience or Certified Coder (CPC) *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. 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. Optum Job ID 2317234. Posted job
title: Clinical Appeals RN - Remote in EST or CST Time Zone About
Optum 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. Here, you will find a
culture guided by inclusion, talented peers, comprehensive benefits
and career development opportunities. Come make an impact on the
communities we serve as you help us advance health optimization on
a global scale. Join us to start Caring. Connecting. Growing
together. The benefits listed below are provided as a general
overview. They are not intended to represent the full scope of
programs available, nor do they guarantee coverage for all
employees Benefits - Holiday Pay - Continuing Education - 401k
retirement plan - Sick pay - Wellness and fitness programs -
Employee assistance programs - Medical benefits - Dental benefits -
Vision benefits - Life insurance
Keywords: Optum, Cerritos , ? [Urgent Search] Clinic Certified Surgical Technologist - $28-50 per hour, Healthcare , Cerritos, California