Senior Clinical Administrative RN Liaison - Remote - NY
We offer excellent compensation, benefits within 30 days that include PTO, paid holidays, annual bonus potential, annual reviews, tuition reimbursement, along with opportunities for continued career progression!
Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.
The RN Liaison, in partnership with the Medical Management team and Physician Leadership, will serve as a clinical problem solver to ensure our patients receive care that is safe, high quality, patient-centered, and cost efficient. This includes collaborating with acute and post-acute network facilities, vendors, and Optum partners on complex patient care coordination.
Primary Responsibilities: ?? Clinical Liaison: Clinical problem solver with facilities, providers, resolution of issues concerning members, benefit interpretation, program definition and clarification ?? Clinical Operations Analysis: Monitors and analyzes medical management activities; provides analytical support to clinical programs; may perform clinical assessments and clinical audits ?? Clinical Program Management: Development, implementation and/or on-going management and administration of a clinical program(s). Provides strategic oversight and support, measurement standards and revisions as needed for delivery of programs focused on quality, affordability and outcomes ?? Communicates with members of the Care Team as appropriate to coordinate the identified Member and physician's needs ?? Identifies solutions to non-standard requests and problems ?? Provides explanations and information to others on difficult issues
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: ?? Nursing Degree ?? Current and unrestricted NY RN License ?? 2+ years of experience as a nurse case manager ?? 2+ years of experience managing complex disease cases ?? Commutable distance to the Poughkeepsie area for meetings/training
Preferred Qualifications: ?? Bachelor's degree or higher ?? Certified Case Manager ?? 5+ years of experience as a nurse case manager ?? 5+ years of experience managing complex disease cases
New York Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Diversity creates a healthier atmosphere: OptumCare is an 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 is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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