Job Description

Description

 

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing  your life's best work.(sm)


Primary Responsibilities:

  • Clinical Interface/Liaison (Clinical problem solver with facilities, providers, carriers; resolution of issues concerning members, benefit interpretation, program definition and clarification)
  • Clinical Operations Analysis (Monitor and analyze medical management activities; provide analytical support to clinical programs; may perform clinical assessments and clinical audits)
  • Clinical Training (Plan, coordinate, deliver and evaluate clinical training)
  • Clinical Writing (Write nursing tools and reference information to support the design of clinical products and services)
  • Clinical Program Management (Develop, implement and/or on-going management and administration of a clinical program(s)
  • Provide strategic oversight and support, measurement standards and revisions as needed for delivery of programs focused on quality, affordability and outcomes)
  • Work on simple tasks using established procedures
  • Depend on others for guidance

Qualifications

 

Required Qualifications:

  • Active PH Nursing License
  • Ability to research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues 


Preferred Qualification:

  • Hospital experience


Careers with Optum.  Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do  your life's best work.(sm)


Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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.


Optum is a drug-free workplace. © 2020 Optum Global Solutions (Philippines) Inc. All rights reserved.


Job Keywords: Philippine Registered Nurse, Nurse, PHRN, PH RN, PH Registered Nurse, Registered Nurse, RN,  Alabang, Muntinlupa City, NCR, National Capital Region

Job Field

  Nursing

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