Senior Clinical Quality Consultant for Healthcare Excellence

1 week ago


Torrington, Connecticut, United States Optum Full time
Job Summary: We are seeking a highly skilled Registered Nurse to join our team as a Senior Clinical Quality Consultant. As a key member of our Quality Clinical Programs team, you will play a vital role in delivering patient-centered, clinically collaborative telephonic outreach to help people live healthier lives.

About Optum: Optum is a clinician-led care organization that is changing the way clinicians work and live. With a focus on preventative healthcare, we strive to make healthcare better for everyone. Our team of over 22,000 primary care physicians, hospitalists, specialists, and advanced practice clinicians provides care for more than 1 million older adults across Texas and Florida.

Your Role: In this challenging yet rewarding role, you will perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual pain and functional assessments. You will also be responsible for outreach telephonically for Transition of Care following hospital discharge to complete reviews, as well as assist with appointment scheduling. Your experience in HEDIS/Star programs, managed care settings, and call center environments will serve you well in this position.

Requirements: To be successful in this role, you must have an active, unrestricted Registered Nurse license, a compact license, and at least 4 years of RN experience, including experience in a managed care setting. You should also have 2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role, as well as 2+ years of call center experience. Strong data analysis and quality chart review skills are essential, along with proficiency in Microsoft Office applications, including databases, word-processing, outlook, and excel spreadsheets.

What We Offer: As a valued member of our team, you can expect a competitive salary range of $70,200 to $137,800 annually, based on your qualifications and experience. In addition to your salary, you will receive a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. We are an equal opportunity employer and welcome candidates from diverse backgrounds. Our office hours are Mon-Fri 8am-6pm Central, with required rotating Saturdays 8am-5pm Central.

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