Virtual Health Consultant Nurse
4 weeks ago
At UnitedHealth Group, we are committed to helping people live healthier lives and making the health system work better for everyone. As a Telehealth Clinical Quality Consultant, you will play a critical role in delivering patient-centered, clinically collaborative telephonic outreach to help people live healthier lives.
The Telehealth Quality Clinical Programs team supports WellMed Medical Management by designing, executing, and delivering telephonic and digital engagement strategies to close STARs measure gaps in care. Our interdisciplinary service delivery team is comprised of Registered Nurses, Licensed Vocational Nurses, and Social Workers.
As a Telehealth Clinical Quality Consultant, you will perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual pain and functional assessments. You will also outreach telephonically for Transition of Care following hospital discharge to complete reviews and assist with appointment scheduling.
You will be required to meet or exceed established productivity and quality metrics and work a flexible schedule to support the hours of operation of the business. You will also be responsible for handling incoming contacts, including prescription refill requests, lab results, x-ray results, medical inquiries, patient education, and referral requests.
The ideal candidate will have 4+ years of RN experience, including experience in a managed care setting. You will also have experience in HEDIS/Star programs, preferably in a clinical quality consultant role. Additionally, you will have experience with data analysis and/or quality chart reviews, as well as the ability to review paper and electronic medical records and charts.
We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. At UnitedHealth Group, we are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
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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