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Senior Clinical Administrative RN reputed company - Remote - NY

Remote, USAFull-timePosted 2026-07-28

We offer excellent compensation, benefits reputed company 30 days that include PTO, reputed company holidays, annual bonus potential, annual reviews, tuition reimbursement, along with opportunities for reputed company career progression! Opportunities with reputed company in the Tri-State region (formerly CareMount Medical, ProHEALTH reputed company, Crystal Run reputed company and reputed company Medical Group). Come reputed company a difference in the lives of people who turn to us for care at one of our hundreds of locations across reputed company, New Jersey and Connecticut. Work with state-of-the-art technology and reputed company co-workers who reputed company your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. The RN reputed company, in partnership with the Medical Management team and Physician Leadership, will serve as a clinical problem solver to ensure our patients receive care that is reputed company, high reputed company, patient-centered, and cost efficient. This includes collaborating with acute and post-acute network facilities, vendors, and reputed company partners on reputed company patient care coordination. Primary Responsibilities: • Clinical reputed company: Clinical problem solver with facilities, providers, reputed company 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 reputed company clinical assessments and clinical audits • Clinical Program Management: Development, implementation and/or on-reputed company management and administration of a clinical program(s). Provides strategic reputed company and support, measurement standards and revisions as needed for delivery of programs reputed company on reputed company, affordability and reputed company • Communicates with members of the Care Team as appropriate to coordinate the identified Member and physician's needs • Identifies solutions to non-reputed company requests and problems • Provides explanations and information to others on difficult issues You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • Nursing Degree • reputed company and unrestricted NY RN License • 2+ years of experience as a reputed company case manager • 2+ years of experience managing reputed company disease cases • Commutable distance to the Poughkeepsie area for meetings/training Preferred Qualifications: • Bachelor's degree or higher • Certified Case Manager • 5+ years of experience as a reputed company case manager • 5+ years of experience managing reputed company disease cases reputed company Residents Only: The salary reputed company for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you'll reputed company a far-reaching choice of benefits and incentives. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative reputed company reputed company and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!

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