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Clinical Quality Nurse

2 months ago

Great Neck, United States Optum Full time

$5,000 Sign-on Bonus for External Candidates

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Opportunities with Optum Medical Care 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.


We are seeking an experienced Clinical Quality Nurse to join Optum PHNY Delivery (LCD) to assist in supporting the Clinic, Safety and Quality team, requiring up to 50% local travel. Ideal candidates will have experience in a practice setting, as well as have compliance experience (preferably in healthcare operations compliance). Must have a full understanding of how a provider or clinic operates, in-depth knowledge of federal clinic health and safety standards (e.g., Joint Commission, AAAHC), audit experience and be comfortable supporting practice personnel and operations.


In this position you will be responsible for supporting all aspects of the practice, health and safety program.


Primary Responsibilities:

  • Interface with Local Care Delivery Organizations, Managers and clinic staff to conduct practice assessments and manage action plans through to complete resolution
  • Oversee remediation and corrective action plans, resulting from internal assessments, audits, investigations, compliance reviews and self-identified issues
  • Deliver targeted training, education and communications
  • Provide subject matter expertise and tools to support compliance with applicable federal and state practice health and safety standards, with particular focus on clinical standards, compliance and regulatory requirements
  • Objective, collaborative and professional approach
  • Plans, directs and evaluates sites assessments
  • Work alongside and offer assistance to registered nurses (RN), medical assistants (MAs) and licensed practical nurses (LPNs)
  • Explains process of site assessments to employees to gain cooperation, understanding, and reduce apprehension
  • Assists promptly with the implementation of remediation plans as needed
  • Maintains the standards of accurate and complete recording and reporting
  • Prepares and plans equipment needs prior to site assessments
  • Participates in in-service training for personnel
  • Supports, promotes and enforces infection control practices and standards
  • Participates in quality improvement activities
  • Communicates effectively with others

Compensation/Benefits Highlights:

  • Competitive base pay and bonus rewards incentives
  • Generous PTO package and eight holidays per year
  • Matching 401k
  • UnitedHealth Group offers medical, dental, prescription and vision health plans
  • Life Insurance and Accidental Death & Dismemberment (AD&D) Coverage
  • Spouse or Domestic Partner Life Insurance and AD&D
  • Short and Long Term Disability Coverage
  • Employee Stock Purchase Plan
  • Employee Discounts
  • Paid Parental Leave
  • Tuition Reimbursement
  • and more...

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:

  • Registered nurse licensed to practice in the State of New York and in good standing
  • 2+ years clinical nursing experience
  • Experience with Microsoft Office applications
  • Valid driver's license
  • Ability to travel within region when practices are open and seeing patients

Preferred Qualifications:

  • Experience in a regulatory and/or compliance operations
  • Knowledge of ambulatory clinical settings
  • Infection prevention experience
  • Federal Audit experience (e.g., Joint Commission, AAAASF standards)
  • Experience with TJC, AAAASF standards
  • Knowledge of NYSDOH regulations
  • Knowledge of HLD or sterilization process
  • Experience with staff education

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.


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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.