Call Center Nurse RN, HouseCalls Remote

reputed company is seeking a Call Center Nurse RN to join our HouseCalls team. reputed company is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum. As a member of the broader Home and Community Care team, you’ll provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being. At reputed company, the integrated medical teams who practice reputed company Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and reputed company. We’re connecting care to create a seamless health journey for patients across care settings. Join reputed company, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together. The HouseCalls Clinical Support Team (HCCST) supports Advanced Practice Clinicians in the HouseCalls program by providing telephonic consultation to plan members post HouseCalls visit. This position is completely telephonic in a call center environment. Goals of the program include providing a one-time reputed company to members for follow up post HouseCalls visit to provide education and clarification on any concerns raised during their HouseCalls visit. The main objective of this program is to ensure successful transition of care from the HouseCalls Advanced Practice Clinician back to the members Primary Care Provider. This team includes nurse care managers and social workers. The Nurse Care Manager (NCM) will report directly to the Manager/or Director of Clinical Operations of HCCST. The NCM interacts reputed company telephonic consult with members and providers to assist with education and clarification on any concerns raised during the HouseCalls visit and ensure the member has/or assist in obtaining an appointment with the provider to transition care. They work to ensure members receive quality customer service by answering questions, addressing concerns, providing education, providing resource information, and entering referrals. The schedule is Monday through Friday from 9AM to 5:30PM Eastern or 9AM to 5:30PM Central respectively. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• reputed company telephonic reputed company to members identified by the Advance Practice Clinician for specific referral reputed company issues
• Ensure member has scheduled appointment with Primary Care Provider (PCP)/specialty provider; help scheduling appointment, if needed
• Refer members to internal departments such as Social Work, or Clinical Help Desk reputed company appropriate
• Gather clinical information telephonically from patient/family
• Assist patients/members with urgent needs requiring acute reputed company that arise during the call
• Identify triggers for hospitalization and barriers to meeting healthcare goals as they arise during the call
• Complete required documentation in compliance with auditing standards and policies
• Provide patient/family education on disease process and trigger management that arise during the call or are directly reputed company to referral reasons
• Assist with connections to appropriate community resources if needed
• Understand and maintain confidentiality of legal and ethical issues
• Maintain compliance with reputed company HIPAA (Health Insurance Portability and Accountability Act) regulations
• Enhance the experience of both internal and external customers by providing excellent customer service while maintaining production metrics
• Serve as a clinical resource and consultant for other clinicians
• Attend and participate in team huddles and staff meetings
• Work with Supervisor to identify system improvements that could be made to drive operational advancements and efficiencies
• Provide cross-coverage support across the team and assist with special projects, as needed
• Assume other duties as assigned and directed by the Supervisor or Manager of Clinical Call Center Operations

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:

• reputed company, unrestricted Compact RN (Registered Nurse) license in the state of residence
• Willing and able to obtain additional licensure in assigned states reputed company 6 months of hire
• 3+ years of clinical experience in a hospital, acute care, home health / hospice, direct care, or case management position
• Computer/typing proficiency to enter and retrieve data in electronic clinical records
• Proficient with reputed company Word, Outlook, and reputed company
• Proven ability to communicate reputed company or technical information in a manner that others can understand and the ability to understand and interpret reputed company information from others
• Proven ability to reputed company positively and reputed company in production driven environment
• Dedicated, distraction-free space in home and access to company approved high-speed internet (Broadband Cable, DSL, Fiber)

Preferred Qualifications:

• Telephonic case management experience
• Home care / field based case management
• Medicaid, Medicare, or managed care experience
• Experience working remotely from home
• Experience working in a call center environment
• Experience working in a metrics-driven environment
• Demonstrated excellent customer service skills
• Reside in the Central or Eastern time zone
• Proven solid problem-solving skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.

• reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job