Sr Clinical Admin Nurse RN

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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We are seeking a Sr. Clinical Admin RN that will serve as the in-state designee for the organization's Home Health license while also providing day-to-day clinical coordination and agency management support. The individual will work closely with the Director of Nursing and Agency Management Team to oversee contracted home health agencies, coordinate patient care activities, monitor treatment plans, and ensure regulatory compliance. Schedule for this position will be Monday-Friday, 8am-5pm, this position will be on-site at our office in Draper UT. Possibility to go hybrid or remote in future. Job Function Description Positions in this function include RN roles (with current unrestricted licensure in Utah) responsible for providing clinical expertise in any of the following areas: Clinical Interface/Agency Liaison (clinical problem solver with nursing agencies, providers, carriers; resolution of issues concerning members, benefit interpretation, program definition and clarification) Clinical Operations Analysis (monitors and analyzes nursing agency activities; provides analytical support to clinical programs and billing team; may perform clinical assessments and clinical audits) Clinical Training (planning, coordinating, delivering and evaluating clinical training to nursing agency partners) Clinical Writing (writing nursing tools and reference information to support the design of clinical products and services as well as plan of treatment) Clinical Agency Management (provides strategic oversight and support, measurement standards and revisions as needed for delivery of programs focused on quality, affordability and outcomes) General Job Profile Generally work is self-directed and not prescribed to achieve overall team goals Works with less structured, more complex issues Serves as a resource to others, collaborates with clinical colleagues and provides guidance to non-clinical staff Job Scope and Guidelines Assesses and interprets customer needs and requirements Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analyses Works with minimal guidance; seeks guidance on only the most complex tasks Translates concepts into practice Provides explanations and information to others on difficult issues Coaches, provides feedback, and guides others Acts as a resource for others with less experience Primary Responsibilities: Educate nursing agencies regarding guidelines for providing quality and efficient care, expected best practices per Optum standards Screen or respond to nursing agency requests (e.g., clinical concerns, training requests, questions regarding rules/guidelines, visit duration expectations) Provide feedback/information to internal or external customers (e.g., trends, feedback on prevention of errors, communication of findings) Educates others around new or existing regulatory requirements Find answers to basic questions and determine what other information could provide a more complete understanding of the situation Leverage technology including on-line resources (e.g., Internet sites, internal websites) or other internal systems (e.g., claims/invoices processing system, care management document systems) to research information, understand/define information provided (e.g., help members identify services, identify health plan coverage, navigate websites), and document