Clinical Administration Nurse Consultant RN - Harlingen, TX - Clinical

Company: UnitedHealth Group Inc
Location: Harlingen
Posted on: March 20, 2023

Job Description:

Clinical Administration Nurse Consultant RN - Harlingen, TXDo you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

Positions in this function include RN roles (with current unrestricted licensure in applicable state) responsible for providing clinical expertise in any of the following areas:

* Clinical Interface/Liaison (clinical problem solver with facilities, providers, carriers; 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 Training (planning, coordinating, delivering and evaluating clinical training)
* Clinical Writing (writing nursing tools and reference information to support the design of clinical products and services)
* 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.)
* Reviews the work of others
* Develops innovative approaches
* Sought out as expert
* Serves as a leader/ mentor

Primary Responsibilities:

* Implements staff development and clinical staff competency programs incorporating appropriate adult learning principles
* Work in conjunction with Education, Training, and Development team leadership to ensure all new initiatives, policies and procedures, guidelines, or other necessary updates are incorporated into orientation/training programs
* Identify innovative training strategies for learners, including distance learners


* Leverages creativity and utilizes a wide variety of methods to present education and training programs
* Works in conjunction with Education, Training, and Development leadership team to determine best instructional approach such as instructor-led, print, or computer and internet modalities
* Train and/or identify effective facilitators to orient and train staff during education and training programs


* Evaluates staff development education and training programs
* Evaluate the results of post-program surveys and processes to obtain participant feedback
* Work in conjunction with Education, Training, and Development leadership team to create nursing/clinical competency tools and self-management support competency tools
* Conduct competency skill evaluations at least yearly to ensure ongoing monitoring of skills and performance


* Provides job role training to learners for specific behavior and skill development utilizing effective feedback and motivational support techniques
* Collaborate with learner's manager and the with Education, Training, and Development leadership team to identify and provide training needs for staff
* Provide learner specific feedback and recommendations to learner's manager


* Follows plan for professional development and actively seeks out opportunities to increase expertise in nursing education and adult training programs
* Conducts training and education programs for other departments, providers, clinic staff, other partners, and vendors regarding programs as requirements dictate
* Provides excellent customer service, monitors quality service and customer service delivery by nursing staff
* Serves on corporate committees, task forces, and/or work groups
* Performs all other related duties as assigned

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:

* Registered Nurse Healthcare Administration, Education or a related field (2+ years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree)
* Current Registered Nurse (RN) license in the state of Texas (for Texas positions) or Florida (for Florida positions)
* 2+ years of experience in either outpatient case management and/or utilization management or clinical setting, hospital, or physician office practice
* Proficiency with Microsoft Office applications
* Ability to travel up to 50% locally in the Rio Grande Valley area and 25% of the time on rare occassions to Corpus Christi, Laredo and Victoria, TX
* Travel is reimbursed and/ or accommodated
* Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

* Experience within a health plan setting
* Experience with an electronic medical record
* Training experience
* Knowledge of the following required: managed care, disease management and complex care case management, basic principles and practices of clinical nursing, adult learning principals
* Problem-solving and decision-making skills

Physical & Mental Requirements:

* Ability to lift up to 50 pounds
* Ability to push or pull heavy objects using up to 25 pounds of force
* Ability to sit for extended periods of time
* Ability to stand for extended periods of time
* Ability to use fine motor skills to operate office equipment and/or machinery
* Ability to properly drive and operate a company vehicle
* Ability to receive and comprehend instructions verbally and/or in writing
* Ability to use logical reasoning for simple and complex problem solving

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

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