Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.(sm)

The RN (Per Diem), Client Engagement and Training Operations within the Risk Quality and Provider Enablement division of OptumInsight, provides clinical expertise to abstraction teams for HEDIS® Supplemental and Chart Chase. They will be responsible for clinical abstraction and overread, quality audits, individual quality monitoring, participating in training and support for abstractors, over readers and training team. Positions in this function require various clinical licensure and certification based on role and grade level.

Schedule: Hours and Days will vary

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

• Apply NCQA Technical Specification knowledge when abstracting/overreading Medical Record data
• Demonstrate and continually apply independent clinical critical thinking skills
• Participate in Project audits
• Participate in hands on Clinical trainings
• Experience working in a matrix environment
• Ensure Quality Assurance (QA) standards are met at the measure level
• When quality issues are identified, work hand in hand with the Clinical Training team to close the gap and ensure that quality assurance levels return to expected levels of acceptability
• Commitment to work 0-40 hours January through May as needed
• Understands and accepting of per diem hours May through December (may not work during these months)

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications: 

• Associate's Degree (or higher)
• Licensed Clinical Professional such as RN, RRT, LP etc.
• 1 year of experience in a health care delivery organization, such as a managed care organization
• Beginner level of proficiency with Microsoft applications such as Excel, Word, etc.
• Ability to work 20-40 hours a week as a per diem employee January through May
• Ability to work overtime January through May

Preferred Qualifications:

• Knowledgeable of current trends in NCQA requirements in managed health care
• Knowledgeable of NCQA, Stars, HEDIS, HOS and CAHPS requirements
• Knowledgeable in ICD-9-CM, CPT, DRG, LOINC, HCPCS, TOB, POS, NDC coding

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges. 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, Washington or New York City residents is $27.07 to $53.08. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. 

Diversity creates a healthier atmosphere: UnitedHealth Group is 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. 

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. 

#RPO, #GREEN