PHRN Hiring for OPI

UnitedHealth Group; Makati; On-site; Confidential; Full time

Job summary

UnitedHealth Group is seeking Registered Nurses (RN) to provide clinical expertise across various functions. You will work in areas including Clinical Interface, Operations Analysis, Training, and Program Management, playing a crucial role in improving health outcomes.

The ideal candidate will possess knowledge in routine clinical processes and have strong problem-solving abilities. UnitedHealth Group values diversity and inclusion, striving to address health disparities.

Qualifications

• Basic knowledge of theories, practices, and procedures in a clinical role.
• Proven ability to perform routine or structured work.
• Ability to respond to routine requests and solve standard problems.

Responsibilities

• Provide clinical expertise as a Clinical Interface/Liaison.
• Monitor and analyze medical management activities.
• Plan and evaluate clinical training.

Skills

Clinical problem solving

Analytical support

Clinical training coordination

Clinical writing

Program management

Job description

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.

Primary Responsibilities

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)
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications

• Basic knowledge of theories, practices and procedures in a function or skill
• Proven ability to perform routine or structured work
• Proven ability to respond to routine or standard requests
• Proven ability to use existing procedures and facts to solve routine problems or conduct routine analyses
• Proven ability to depend on others for instruction, guidance or direction

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.