Registered Nurse, Post-Acute Liaison New York Remote
About The Position
Optum NY is seeking a RN Post-Acute Liaison to join their team in Poughkeepsie, NY. Optum is a clinician-led care organization focused on improving healthcare for everyone. As a member of the Optum Care Delivery team, you will be an integral part of their vision to make healthcare better for everyone. At Optum, you will have the clinical resources, data, and support of a global organization to help patients live healthier lives. They believe you deserve an exceptional career and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, they have the power to make health care better for everyone. Join them and discover how rewarding medicine can be while Caring. Connecting. Growing together. The RN Post-Acute Liaison, in partnership with the Medical Management team and Physician Leadership, will serve as a clinical problem solver to ensure patients receive care that is safe, high quality, patient-centered, and cost efficient. This includes collaborating with post-acute network facilities, vendors, and Optum partners on complex patient care coordination. If you are located in Poughkeepsie, NY, you will have the flexibility to work remotely as you take on some tough challenges.
Requirements
- Bachelor's Degree or higher in Nursing
- Unrestricted current NY RN License
- 2+ years of experience as a nurse case manager
- 2+ years of experience managing complex disease cases
- Ability to travel within commutable distance of Poughkeepsie for internal and external on-site meetings 25%25 of the time
Nice To Haves
- Certified Case Manager
- 5+ years of experience as a nurse case manager
- 5+ years of experience managing complex disease cases
- Experience coordinating patient care in the post-acute setting
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
- Provider/Member Education: Educate Member and care team participants on community/health plan benefit services available
- Performs various duties as needed to successfully fulfill the function of the position in conjunction with Medical Management as needed
- Identifies solutions to non-standard requests and problems
- Solves moderately complex problems and/or conducts moderately complex analyses
- Works with minimal guidance; seeks guidance on only the most complex tasks; Translates concepts into practice
- Provides explanations and information to others on difficult issues
- Provides feedback, and guides others
- Acts as a resource for others with less experience
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
