RN Clinical Program Consultant - Remote

UnitedHealth Group•La Crosse, WI

14h•$91,700 - $163,700•Remote

About The Position

Logistics Health Incorporated (LHI), part of the Optum family, is seeking an RN Clinical Program Consultant to simplify complex workforce health programs. This role focuses on guiding, supporting, and overseeing clinical quality at onsite locations, fostering clinical relationships, enhancing engagement, and supporting partnerships between business operations, training staff, and medical directors. The objective is to enhance the delivery of safe patient care through excellent clinical program consultants and compliance with regulatory requirements. This position may support various aspects of the Medical & Clinical Operations job family. The consultant will drive excellence in clinical quality and patient safety by applying knowledge of clinical screenings/testing, vaccine administration operations, and clinical exams. They will evaluate sites with a focus on infection prevention/control, specimen collection, and vaccine administration, providing expert consultation and problem-solving. The role offers real-time guidance to site teams, identifies and mitigates risks, and addresses deficiencies in documentation, specimen collection, and vaccine/medication administration. They will provide correction and guidance through collaborative relationships with site leaders, enhancing their leadership and management skills. The consultant will recognize and resolve situations impacting operational efficiency or safety, escalating when necessary. Effective communication and collaboration with cross-functional teams are essential for improving program operations. The role involves conducting surveillance of clinical quality and patient safety, submitting accurate survey forms, and performing clinical audits to review healthcare and service delivery documentation. Experience in developing and revising surveillance and audit instruments is needed. Familiarity with and enforcement of legal/regulatory requirements such as HIPAA, OSHA, ADA, and CLIA is required. This role often impacts a large business unit or multiple markets/sites, involves reviewing the work of others, developing innovative approaches, being sought out as an expert, and serving as a leader/mentor. The position offers the flexibility to work remotely from anywhere within the U.S.

Requirements

Current, unrestricted Registered Nurse or related healthcare license
Current BLS certification
Review and Implement Medical and Clinical Protocols for Staff Oversight and Development
Incorporate appropriate resources (regulatory, scope of practice, accreditation, clinical) to provide recommendations for clinical processes and review and inform development of clinical policies and procedures
Provide site staff and appropriate operational leaders w/ clinical/safety guidance and provide clinically related information to address issues/problems and requests for information (e.g., policy/procedure, locate relevant resources, answers questions)
Maintain and use knowledge of regulatory, scope of practice, and evidence-based and best practice for clinical care delivery
Help deliver operational or technical training as needed/requested
Plan/Implement/Manage Medical and Clinical Ops Programs
Developing policies, procedures, and guidelines for medical and clinical operations programs
Reviewing policies/Standard Operating Procedures for approval/change management
Assist with evaluating regulatory requirement changes and determining steps needed to implement in programs
Identifying and implementing business development opportunities to support growth of medical and clinical operations programs
Monitoring/navigating technology and software applications used in the delivery of medical and clinical operations programs
Evaluating/monitoring /service delivery systems used for site care/services delivery
Supporting resolution of member or employee complaints or issues as necessary
Ensure Compliance of Medical and Clinical Ops Programs and Services
Providing input for content to support compliance/clinical/medical reports
Enforcing scope of practice at event sites
Enforcing site clinical operations against contractual requirements
Monitoring and internal auditing against relevant guidelines and standards
Supporting process improvement activities to address areas of non-compliance or ensure procedures are followed
Providing clinical input for use by growth and medical solutions teams
Support development of data collection and measurement of outcomes
Drive implementation of best practices and standards
Help plan for and support management of Medical and Clinical Operations to Ensure Financial Viability
Review data and reports that evaluate quality of services and identify opportunities for performance improvement
Identify and suggest opportunities to improve site clinical operations efficiencies
Comply with Applicable Laws, Regulations and Policies
Demonstrate Integrity
Require Integrity and Ethical Behavior from Others
Identify and Exceed Customer (internal or external) Expectations
Maximize Customer Growth and Retention
Optimize the Customer Experience
Foster Teamwork and Collaboration
Learn and Develop Self
Leverage Diversity and Inclusion
Communicate with Impact
Influence and Negotiate
Listen Actively
Present Effectively
Demonstrate Emotional Resilience
Contribute to and Implement Innovative Solutions
Manage Change
Apply Financial Knowledge
Communicate Clear Direction
Drive Operational Clinical Excellence
Manage Execution
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Candidates are required to pass a drug test before beginning employment.

Responsibilities

Assists in the development of processes for a function that spans a business unit or multiple sites
Serves as a key resource on complex and/or critical issues
Identifies problems and assist with developing innovative solutions
Supports and may lead functional or segment teams or projects
Provides explanations and information to others for surveillance, audit or clinical process issues
Enforce professional scope of practice requirements at operational sites
Provides input for development of clinical policy and Standard Operating Procedures
Cultivates and implements solutions that adhere to regulatory requirements, professional and clinical standards of care, evidence-based clinical practice and drive strategic business growth
Collaborate with Potential Quality Incident (PQI) investigators, OSHA/ADA auditors, Onsite Medical Assistants, Medical Assistant Training team, and Care delivery team
Participate in Clinical Document Oversight Team document reviews
Conducting vaccine inventory utilization management reviews
Conducting start of day/end of day worksheet reviews
Conducting proactive risk assessments
Conducting medical record/exam reviews
Conducting documentation reviews
Assisting in OSHA/ADA surveys as needed
Responsible for oversight and management of facility monthly, annual checklists as well as temperature logs
All other duties as assigned