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This position is responsible for providing training and education to Optum Clinical Services staff and collaborates with the Manager, Delegation Oversight Clinical Education and Operations in the development and provision of regulatory compliance-based Utilization Management and Care Management training programs. The collaborative effort includes but is not limited to participation in the development of case management and utilization management core curriculum and strategies for ongoing competency review and documentation to ensure that all Clinical Services staff meet the needs of Optum patients.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Consistently exhibits behavior and communication skills that demonstrate Optum commitment to superior customer service, including quality, care and concern with each internal and external customer
- In collaboration with the Manager of Clinical Compliance and Education, develops policy to insure regulatory compliance and clinical operations, educational programs for all staff positions within the Clinical Services Department including development of curriculums and training modules, program goals and objectives, competency levels, schedules and testing program
- Assures that materials comply with accreditation standards for continuing education
- Conducts evaluation of educational programs. Develops monthly, quarterly, and annual trainings
- Collaborates with the Care Management Department managers and staff to ensure high quality education resources
- In collaboration with the Manager of Delegation Oversight Clinical Education, administers testing program consistent with required schedules and in conjunction with the managers and supervisors of each area. Documents competency levels and training completion for each employee and communicates with the employee’s supervisor regarding training status and outcomes
- Participates in the documentation effort of department workflow processes to ensure clarity and appropriate training with respect to specific tasks and job requirements
- Works closely and interacts with Manager, Utilization and Case Management teams
- Makes recommendations for clinical staff orientation requirements
- Facilitates training programs
- Performs skill and training needs assessment
- Provides procedural and service training to new hires and existing staff
- Serves as a resource for our clients
- Participates in meetings and committees as requested
- Uses, protects, and discloses our patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Participates in educational programs to enhance care management (utilization management and case management) compliance knowledge
- Performs additional duties as assigned
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
- Graduation from an accredited school of Nursing
- Current RN or LVN/LPN license un-encumbered
- 2+ years of Managed Care work experience; case management or utilization management or compliance
- Proficient in Microsoft applications such as Word, Excel, PowerPoint, and Outlook
Preferred Qualifications
- Experience managing and delivering new and/or continuing education programs that include conceptual applications as well as ‘hands-on’ for both clinical and non-clinical staff
- Demonstrated ability to transfer knowledge to staff with diverse cultural backgrounds, educational experience and learning styles
- Proven excellent written and verbal communication and presentation skills
- Demonstrated ability to interface with all levels of management
- Demonstrated effective organizational, multi-tasking and follow-up skills
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The hourly range for this role is $19.47 to $38.08 per hour. 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
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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