Optum NY -Senior Clinical Administrative RN Liaison Remote - UnitedHealth Group : Job Details

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 physicians 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 M...RN, Clinical, Administrative, Clinic, Liaison, Remote, Healthcare