Optum NJ - Sr Clin Admin Nurse RN

5,000 Sign on Bonus for External Candidates

Optum NJ, (formerly Optum Tri-State NJ) is seeking a Sr Clin Admin Nurse RN to join our team in Clifton, NJ. 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.

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.

Primary Responsibilities:

Positions in this function include RN roles (with current unrestricted licensure in the state of NJ) responsible for providing clinical expertise in 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; will 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. Review and update of clinical policies and procedures).
  
• 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.)
  

Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work better for everyone.

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:

• Current BLS certification
• Graduate of an accredited School of Nursing
• Registered nurse licensed to practice in New Jersey State (NJ) and in good standing
• 2+ plus recent or current acute care or primary care/ ambulatory setting experience
• Ability to travel and support clinical staff of multiple offices in South and Southwest New Jersey
• Driver's License and access to a reliable transportation

Preferred Qualifications:

• BSN degree or higher
• Experience with quality and risk management

In addition to cross coverage of other offices throughout NJ as needed. Coverage of interdepartmental clinical needs such as EOHS, Clinical Education, risk management and compliance.

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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