POSITION DESCRIPTION For you, quality counts. For Optum, part of the UnitedHealth Group family of businesses, delivering quality care starts with processes and documentation standards that are the best in our industry. As a Clinical Quality Patient Safety Lead RN, you'll be a force for positive change, guiding the development of comprehensive care plans that will help others live healthier lives. Join us and help guide our efforts to improve the patient experience. This position works under the direction of the CQM Manager. The individual in this role will be the team lead for investigating behavioral health potential quality issues and conducting chart reviews. Participates on quality and team committees. The team lead ensures integration of government/contract requirements and URAC / NCQA standards in all work products. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. PRIMARY RESPONSIBILITIES:

• Oversight of patient safety processes related to quality issue activities by Behavioral Health Specialists
• Triage quality case assignments to Behavioral Health Specialists
• Communicates and coordinates key aspects of quality of care concern processes with CQM staff, internal and external customers
• Collaborates with and supports patient safety specialists in formulating written communications
• Works predominately in Microsoft Office products (Word, Excel, Power Point), Visio, and quality databases to track and trend quality issues
• Compiles trending data and prepares quality reports for presentation at CQM Committees
• Manages a personal workload of cases
• Develops and conducts oversight of confidential peer review cases and other quality improvement activities
• Conducts staff audits, runs reports and completes analysis within agreed upon deadlines
• Collaborates with Medical Directors on quality issues as needed.
• Leads and participates in quality improvement teams
• Utilizes change management to drive results
• Researches and shares best practices standards with the team
• Develops creative solutions and drives process improvements in a team environment
• Maintains confidentiality and non-discoverability of all activities
• Performs all other duties as assigned

REQUIRED QUALIFICATIONS:

• LCSW or RN with current, active license without restriction in required state(s)
• 3+ years of behavioral health (inpatient / outpatient / partial hospitalization program / residential treatment center) experience
• 1+ years of clinical quality management experience or equivalent
• Prior medical record chart abstraction and peer review experience
• Ability to investigate, analyze, synthesize, and formulate conclusions for multiple sources of complex data
• Strong computer skills with emphasis on Microsoft Office software (Windows, Word, and Excel) and databases
• Ability to organize quality data in appropriate reporting formats

PREFERRED QUALIFICATIONS:

• BSN
• CPHQ
• Excellent written and verbal communication skills
• Ability to work in a fast paced dynamic environment; Adaptable and flexible
• General knowledge of Medicare, VA, TRICARE, or other government health care program
• Experience within a managed care organization
• Detail oriented, highly organized, and manages time effectively

CAREERS WITH OPTUM. Here's the idea. We built an entire organization around one giant objective; make health care 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) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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. Job Keywords: VA, CCN, Clinical Quality, Patient Safety, Safety, Specialist, Behavioral Heath, Health Care, Healthcare, Telecommute, Work from Home, Remote Job Details

• CONTEST NUMBER 842390
• JOB TITLE VA CCN Clinical Quality Patient Safety Specialist - Behavioral Health - Telecommute
• JOB FAMILY Nursing
• BUSINESS SEGMENT OptumCare

Job Location Information

• MN United States North America

Additional Job Detail Information

• EMPLOYEE STATUS Regular
• SCHEDULE Full-time
• JOB LEVEL Individual Contributor
• SHIFT Day Job
• TRAVEL No
• TELECOMMUTER POSITION Yes
• OVERTIME STATUS Exempt

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.