Remote Call Center Nurse RN

Requisition Number: 2185942
Job Category: Nursing
Primary Location: Tampa, FL
(Remote considered)

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.   

The Health Services RN position is in a Managed Services organization (does not reside on Client/Practice site). The RN telephonically assists and guides patients toward self-management and behavior modifications that result in improved patient outcomes. The RN is the primary point of contact, coordinating with schedulers, pharmacists, providers of medical and behavioral health care and social services. Success is measured in terms of improved patient outcomes, prevention of patient adverse events and unnecessary inpatient readmissions, satisfied customers, meeting, or exceeding quality measures, producing consistent and high-quality work and collaboration with other care team members.  Our ideal candidate is an experienced nurse, able to perform tasks independently and once trained, without significant guidance.

This call center is open 24 hours a day, 7 days a week. Scheduled will based on need. Most be open to possible working nights, weekends, and some holidays. You will work with management on your scheduled.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Provides Nursing support for health service providers via phone in areas including but not necessarily limited to:
• Telephonic nurse triage services
• Provide education to patients, deploying best practices and standard workflow in their daily activities
• Apply their expertise across the various areas of responsibility, understand how their interactions with patients affect customer satisfaction and can make recommendations to improve processes
• Apply established protocols, criteria, and contract guidelines
• Coordination of the team approach to management of patient care
• Analyze, investigate, and resolve individual care quality, coordination of care, service and access issues
• Contact patients and providers regarding clinical needs for continuity of care

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’s Degree (or higher)
• California RN License and Colorado RN License OR a Compact License
• 3+ years of relevant work experience, in related clinical, managed healthcare or healthcare setting
• Ability to work nights, weekends, and holidays

Preferred Qualifications:

• 2+ years of clinical triage in either an ED, Urgent care, or ICU setting
• Excellent understanding of health-service related processes relevant to assigned role and responsibilities
• Proven and solid interpersonal skills, and high level of computer literacy

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $27.07 to $53.08. 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.