Clinical Delegation Manager

3 days ago


Irvine, California, United States Insight Global Healthcare Full time
Job Description

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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