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Optum Philippines is hiring for: Phil Registered Nurse – DRG – Quezon City, NCR
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
Undergraduate degree or equivalent experience.
Basic knowledge of theories, practices and procedures in a function or skill
Ability to perform routine or structured work
Ability to respond to routine or standard requests
Ability to use existing procedures and facts to solve routine problems or conduct routine analyses
Ability to depend on others for instruction, guidance or direction
Optum, Inc. is an American pharmacy benefit manager and health care provider. It is a subsidiary of UnitedHealth Group since 2011. UHG formed Optum by merging its existing pharmacy and care delivery services into the single Optum brand, comprising three main businesses: OptumHealth, OptumInsight and OptumRx.
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