Clinical Delegation Manager
3 days ago
Insight Global Healthcare is seeking an experienced Utilization Management Delegation and Compliance LVN to join their team in southern California. This remote position offers a unique opportunity for a skilled professional to work closely with the Manager of Delegation Oversight, managing delegation oversight and regulatory audits.
Key Responsibilities:
- The ideal candidate will leverage knowledge of clinical services regulatory and delegation requirements to represent Optum Clinical Services appropriately while managing delegation oversight audits.
- This role requires effective collaboration between Health Plan delegated entities and Clinical Services Operational teams (Utilization Management and Case Management).
- The successful candidate will serve as a liaison between Delegation Oversight and cross-functional areas/departments across the organization.
- Maintaining confidentiality and adhering to HIPAA standards when handling Optum patients' protected health information is essential.
Requirements:
- A minimum of 3+ years of experience working as an LVN/LPN in a clinical setting.
- 2+ years of care management, utilization review, or discharge planning experience are required.
- A valid current LVN/LPN license in the State of Residence is necessary.
- A graduation from an accredited Licensed Vocational/Practical Nurse program is mandatory.
Estimated Salary: $85,000 - $110,000 per year based on location and experience.
In this role, you will have the opportunity to work with a dynamic team, utilize your skills and expertise, and contribute to the success of Insight Global Healthcare.
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