Optum NY -Senior Clinical Admin RN- Remote

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Optum NY, (formerly Optum Tri-State NY) is seeking a Senior Clinical Administrative RN Liaison - Post Acute to join our team in Poughkeepsie, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. The RN Post-Acute Liaison, in partnership with the Medical Management team and Physician Leadership, will serve as a clinical problem solver to ensure our patients receive care that is safe, high quality, patient-centered, and cost efficient. This includes collaborating with post-acute network facilities, vendors, and Optum partners on complex patient care coordination. If you live 1 hour away from 6 NEPTUNE RD, Poughkeepsie, NY, you will have the flexibility to work remotely* as you take on some tough challenges.

Clinical Liaison: Clinical problem solver with facilities, providers, resolution of issues concerning members, benefit interpretation, program definition and clarification Clinical Operations Analysis: Monitors and analyzes medical management activities; provides analytical support to clinical programs; may perform clinical assessments and clinical audits Clinical Program Management: Development, implementation and/or on-going management and administration of a clinical program(s). Provides strategic oversight and support, measurement standards and revisions as needed for delivery of programs focused on quality, affordability and outcomes Communicates with members of the Care Team as appropriate to coordinate the identified Member and physician’s needs Provider/Member Education: Educate Member and care team participants on community/health plan benefit services available Performs various duties as needed to successfully fulfill the function of the position in conjunction with Medical Management as needed Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analyses Works with minimal guidance; seeks guidance on only the most complex tasks; Translates concepts into practice Provides explanations and information to others on difficult issues Provides feedback, and guides others Acts as a resource for others with less experience