VA CCN Dental Clinical Quality Patient Safety Specialist

UnitedHealth Group
Published
June 16, 2022
Location
Houston, TX
Category
Job Type

Description

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

This position works under the direction of the Manager of Dental Operations. The individual in this role will focus on investigating dental potential quality issues, patient safety events, and sentinel/serious reportable events and utilization issues by conducting retrospective chart and focused reviews.  Participate on quality committees.

Location is in Lacrosse, WI or Telecommuting will be considered based on UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

  • Identifies and reviews medical surgical potential quality issues (PQIs), patient safety issues, sentinel events (SEs) and serious reportable events (SREs)  by applying best practice standards of care and clinical experience
  • Conducts timely reviews of electronic medical records to meet Optum standards.
  • Investigations include research, analysis, and preparation of written and verbal case summaries with recommendations for further actions as necessary
  • Conducts detailed root cause analysis (RCA) for sentinel events (SEs) and serious reportable events (SREs)
  • Ability to organize and maintain current investigation information about cases through documentation in quality of care and quality of service databases
  • Communicate in writing to health care providers, track timelines, and perform follow-up as appropriate
  • Develops peer review cases and other quality improvement activities identified by deviations from accepted standards of care and monitors corrective action plans to completion
  • Assists with quality studies and focused reviews by abstracting medical records for specified criteria
  • Participates on quality committees and presents cases to peer review quality management committee
  • Collaborate with Medical Directors on complex care identified in PQIs / SEs / SREs as needed
  • Read, interpret, and document standards/requirements and/or technical specifications
  • Work with stakeholders for review/approval of results
  • Actively participate in meetings
  • Train others on relevant policies, rules, and regulations
  • Serve as a resource providing explanation and expertise
  • Maintains confidentiality of all activities
  • Performs other duties as assigned 

What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: 

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays 
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account 
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 
  • 401(k) Savings Plan, Employee Stock Purchase Plan 
  • Education Reimbursement  
  • Employee Discounts 
  • Employee Assistance Program 
  • Employee Referral Bonus Program 
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) 
  • More information can be downloaded at: http://uhg.hr/uhgbenefits 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications: 

  • Associate degree or 2 years of clinical dental experience
  • Dental Hygiene Degree or Dental Assisting Diploma
  • 3+ years of clinical dental experience
  • Experience in the area of investigate, analyze, synthesize, and formulate conclusions
  • Experience organizing quality data in appropriate reporting format
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. 

Preferred Qualifications:                

  • Bachelor’s Degree in the health care field
  • Applicable military experience
  • Excellent interpersonal, communication, and writing skills
  • Strong computer skills with emphasis on Microsoft Office software
  • Ability to work in a fast-paced, dynamic environment
  • General knowledge of Medicare, VA, TRICARE, or other government health care programs
  • Prior quality experience within a managed care company
  • Detail oriented and highly organized with effective time management skills
  • Ability to work in a rapidly changing environment; Being adaptable and flexible

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $26.15 to $46.63. The salary range for Connecticut / Nevada residents is $28.85 to $51.30. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: #RPO, Hiring immediately, La Crosse, WI, work at home, work from home, WAH, WFH, remote, Dental Clinical Quality Patient Safety Specialist, Medicare, VA, TRICARE

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