Senior Clinical Administrative Coordinator RN – Remote in MST

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. There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn’t for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come.

Hours/schedule
:
Monday – Friday, from 8:00 am – 5:00 pm MST, with occasional Saturday coverage.

Remote work
:
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

The Clinical Administrative Consultant RN (CAC, Clinical Coordinator) 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 assess new patient referrals for appropriateness of home or AIS treatment; 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; and execute all tasks with a focus on patient‑specific needs.

• Receives, evaluates, accepts and executes the initial patient intake process to assure that patient verification, assessment, teaching and the ongoing scheduling of nursing services occur in a timely manner.
• Reviews patient chart for admission criteria, assessing patient’s needs will be met, therapy is appropriate and environment is safe.
• Assures timely communication with other company personnel, and outside providers, especially physicians and other agencies, to assure the quality and continuity of patient care.
• Ability to establish and maintain positive clinical rapport with all patients and their families, representing Optum Infusion Pharmacy, including working directly with patients and their families, maintain contact as per company policy and protocol and clinically monitor all patients providing direct infusion therapy services.
• Communicates coordination of care with alternate providers (AIS, hospice) and documents communication.
• Collaborative relationships involving agencies delivering services on behalf of or in conjunction with Optum Infusion Pharmacy, including nursing agencies in a contracted relationship, patient, families, significant caregivers, and 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.
• Maintain current nursing licensure in all states in which patients are serviced, as required by the respective State Boards of Nursing and/or Department of Health.
• Assist in securing and maintaining licensure and accreditations warranted by Optum Infusion Pharmacy, including required Home Health Licensure, JCAHO, and any other licensure or credentialing as necessary.
• Compliance and adherence to State and Federal regulations and laws, JCAHO, HIPAA, CPR, and infusion pharmacy and nursing licensure accepted standards of practice.
• Participates in staff meetings with nursing and pharmacy.
• Maintain all mandatory education required upon hire and annually per policy.
• May be required to represent the company in clinical interactions as requested.
• May provide education regarding Optum Infusion Pharmacy services, for both internal and external customers.
• Function as clinical educator, and resource.
• Represents self in a professional and ethical manner at all times, while representing Optum Infusion Pharmacy, complying with all applicable company…