RN Senior Clinical Quality Consultant Compact Lics Telecommute

1 month ago


San Antonio, Texas, United States UnitedHealth Group Inc Full time
Senior Clinical Quality Consultant RN Compact Lics Telecommute

At UnitedHealth Group, we believe everyone deserves the opportunity to live their healthiest life. As a Senior Clinical Quality Consultant RN Compact Lics Telecommute, you will play a critical role in helping us achieve this mission.

Job Summary

We are seeking a highly skilled and experienced Registered Nurse to join our team as a Senior Clinical Quality Consultant RN Compact Lics Telecommute. In this role, you will be responsible for delivering patient-centered, clinically collaborative telephonic outreach to help people live healthier lives. You will work closely with our interdisciplinary service delivery team to design, execute, and deliver telephonic and digital engagement strategies to close STARs measure gaps in care.

Key Responsibilities
  • Perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual pain and functional assessments.
  • Outreach telephonically for Transition of Care following hospital discharge to complete reviews and assist with appointment scheduling.
  • Meet or exceed established productivity and quality metrics.
  • Work a flexible schedule to support the hours of operation of the business.
Requirements
  • Active, unrestricted Registered Nurse license.
  • 4+ years of RN experience, including experience in a managed care setting.
  • 2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role.
  • 2+ years of call center experience.
  • 2+ years of experience with data analysis and/or quality chart reviews.
Preferred Qualifications
  • Undergraduate degree or postgraduate degree.
  • Billing and CPT coding experience.
  • Clinical data abstraction experience.
What We Offer

As a Senior Clinical Quality Consultant RN Compact Lics Telecommute, you will enjoy a competitive salary and benefits package, including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. You will also have the opportunity to work in a dynamic and supportive environment that values diversity and inclusion.

We are 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.


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