Senior Clinical Admin Consultant RN - Remote from Central Time Zone Preferred

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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Consultant RN (CAC) is responsible for providing expertise as a clinical interface or liaison within the company to resolve and prevent issues concerning initiation and delivery of patient care. The CAC applies their field experience, expertise and clinical nursing assessment skills to: verify physician orders for therapy; determine administration method and patient supply requirements with the pharmacy team; determine nursing care needs and source for these services; coordinate care with subcontracted agencies, trouble shooting and resolving clinical issues, work in multiple applications at one time and execute all tasks with a focus on patient-specific needs. The Senior Clinical Admin Consultant RN also performs other duties as needed based on experience level, including but not limited to implementing Company processes, programs, and new hire training. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Provide expertise as an internal clinical resource to operations teams (including other clinicians and subcontracted agencies) for evaluation of patient needs and/or issue resolution, exercising considerable judgment, problem solving skills, and professional knowledge Maintain a comprehensive knowledge base of infusion therapies administered in the home, utilizing Company policies, procedures and protocols in addition to all available training resources to ensure understanding of each therapy before initiating/coordinating treatment Completes clinical review of patient referral records and or telephonic data collection, including: current and past medical history; vascular access device (VAD) information; physician orders for appropriateness; ICD-10 code review; and documentation of nursing orders for start of care Provides timely communication with other company personnel and outside providers, especially physicians and home health agencies, to assure the quality and continuity of patient care Establish and maintain positive clinical rapport with subcontracted agencies, patients and their families, working closely with them in the coordination of infusion therapy, education related to self-care and self-administration expectations, and clinical monitoring of patient response to therapy Establish and maintain collaborative relationships with outside agencies and organizations that deliver service on behalf of, or in conjunction with, the Company (e.g., subcontracted home health agencies, durable medical equipment providers, other healthcare team members) Utilizes Electronic Medical Record (EMR) and documentation systems to clearly communicate patient status during clinical review, coordination of care and ongoing support of patients Participate in completion and tracking of timely signed receipt of physician orders (Plan of Treatment and Supplemental Orders) Work with patient care coordinators to triage patient calls to assess needs/issues/complaints/concerns: responding with appropriate urgency; thoroughly evaluating all options for addressing patient needs; and completing all required documentation to reflect actions taken Support field nursing staff with communication and follow-up required to resolve patient issues/complaints that are reported to the Company Maintain current nursing licensure in all states in which patients are serviced, as required by the respective