Nurse Consultant, Virtual Care Specialist

3 weeks ago


San Antonio, Texas, United States UnitedHealth Group Inc Full time
Job Title: Nurse Consultant, Virtual Care

We are seeking a highly skilled and experienced Nurse Consultant to join our Virtual Care team at UnitedHealth Group Inc. As a key member of our team, you will play a critical role in delivering high-quality patient care and improving health outcomes through telehealth services.

Job Summary:

The Nurse Consultant will be responsible for providing clinical expertise and guidance to patients, caregivers, and healthcare providers through telephonic and digital engagement strategies. You will work closely with our interdisciplinary service delivery team to design, execute, and deliver patient-centered care plans that address health disparities and improve health outcomes.

Key Responsibilities:
  • Provide telephonic and digital clinical consults to patients and caregivers to assess their health needs and develop personalized care plans.
  • Collaborate with healthcare providers and other stakeholders to ensure seamless care coordination and transitions.
  • Develop and implement telehealth strategies to improve patient engagement, health literacy, and health outcomes.
  • Conduct data analysis and quality chart reviews to identify areas for improvement and develop evidence-based solutions.
  • Work closely with our Quality Improvement team to develop and implement quality metrics and benchmarks.
Requirements:
  • 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.
  • Proven solid knowledge of the Medicare HEDIS/Stars measures.
  • Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels.
  • Ability to manage multiple complex, concurrent projects.
  • Proven excellent written and verbal communication and relationship building skills.
Preferred Qualifications:
  • Undergraduate degree or postgraduate degree.
  • Billing and CPT coding experience.
  • Clinical data abstraction experience.
  • Good business acumen, especially as it relates to Medicare.
  • Bilingual/Vietnamese.
What We Offer:

At UnitedHealth Group, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. 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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