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Utilization Management Trainer, USRN - Multiple Locations
Utilization Management Trainer, USRN - Multiple Locations-March 2024
Muntinlupa Manila
Mar 16, 2025
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
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About Utilization Management Trainer, USRN - Multiple Locations

  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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

  Positions in this function are primarily responsible for the effective delivery of day to day training programs across the organization specifically on the Clinical nursing delivery/work for utilization management and case management. The trainers keeps abreast of various training delivery techniques, relevant clinical knowledge of the US healthcare systems and it relevant protocols, business processes, products and systems.

  The trainer will also be exclusively covering clinical deliveries from clinical admin support to clinical day to day delivery required for a registered clinician. This condition will also have the trainer involve to not train outside of specialty of the business family which is clinical delivery. The trainer may also be involved in the design process of training and conceptualization of learning initiatives and solutions. The trainer in this position will cover mainly clinical skills training needs, clinical acumen enhancement and solutions with special focused on business entities serving Utilization Management and Case Management.

  Primary Responsibilities:

  Assessing learning needs of individuals and teams within clinical programs

  Developing learning goals, objectives, curriculum and measurements that promote desired performance outcomes

  Creating and delivering instructional content using adult learning principles and strategies with relevant business consideration

  Leveraging learning technologies and tools for presentation, collaboration and engagement

  Providing learning and instructional expertise to individuals and teams

  Facilitating and managing learning in web-based and/or face-to-face environments

  Reviewing evaluative data to make improvements and/or establish new initiatives and business improving solutions

  Maintaining updates to curriculum and assessments based on changes and relevant feedback feedback

  Establishing positive working relationships with all levels of staffand management

  Providing coaching, guidance and feedback to learners

  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

  Required Qualifications:

  At least a college degree holder (preferably Bachelor of Science in Nursing or other Allied Health courses)

  Active Philippine Registered Nurse license

  Active non-restricted mainland US Registered Nurse license

  At least 2 years of Utilization Management/clinical process experience related to Case Management Outreach and/or Utilization Management Review,

  Clinical Administration and General Clinical Customer Service

  Competent knowledge of medical terminologies and basic US healthcare processes

  Special consideration on the following delivery:

  Client focused call engagement and outreach

  Provider facing clinical admin work

  Medicare/Medicaid Exposure

  Previous training delivery preferably on a clinical process

  Special considerations on the following clinical are:

  Skilled nursing facility

  Home Health Care

  Long Term Acute care

  Maternity Nursing

  Cancer and Oncologic Nursing

  Medical and Surgical Background

  General UM and CM capability

  Preferred Qualifications:

  Solid Clinical acumen and awareness of the US healthcare system

  Self-directed worker with a solution-based mindset

  Solid listening, verbal, and written communication skills

  Superior interpersonal/customer service skills with Solid phone presence

  Solid organizational skills and multitasking abilities

  Technical aptitude and proficiency with good analytical and decision making skills

  High aptitude for systems, procedures, process control and development as well as project management

  Collaborative and Team Oriented

  Workable capability in project management and delivery

  Solid stakeholder management

  Knowledge in ADDIE and relevant training delivery techniques both for instructor led face to face or virtual training

  Workable capability on digital content creation and use of MS Office 365 apps and tools

  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

  Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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.

  Optum is a drug-free workplace. © 2024 Optum Global Solutions (Philippines) Inc. All rights reserved.

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