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  • 1 week ago

jobs description

Title: Licensed Vocational Nurse/Licensed Practical Nurse

Location: Remote but must live within 50 miles of Irvine, CA...

Duration: 6+ month contact, can extend, can convert

Schedule: 8AM-5PM

Required Skills & Experience:
• Graduation from an accredited Licensed Vocational/Practical Nurse program
• Current LVN/LPN license in State of Residence
• 3+ years of clinical experience working as an LVN/LPN
• 2+ years of care management, utilization review (prior authorization) or discharge planning experience

Nice to Have Skills & Experience:
• Experience in an HMO or experience in a Managed Care setting
• A base knowledge of requirements for Medicare, Medi-Cal and Commercial lines of business

Job Description:

Insight Global is looking for a Delegation Oversight Nurse for one of their largest healthcare clients located in southern California. This position is 100% remote but they must sit 50 miles from Irvine to pick up equipment.

Primary Responsibilities:
• In collaboration with the Manager of Delegation Compliance Clinical Services, manages delegation oversight and regulatory audits.
• Leverages knowledge of clinical services regulatory and delegation requirements to represent Optum Clinical Services appropriately while managing delegation oversight audits
• Serves as a liaison between Health Plan delegated entities and Clinical Services Operational teams (Utilization Management and Case Management)
• Serves as a liaison between Delegation Compliance and cross-functional areas/departments across the organization
• Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Exact compensation may vary based on several factors, including skills, experience, and education.

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law
Irvine CA United States


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