Remote Clinical Quality LVN/LPN Call Center

Optum

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Requisition Number: 2205561
Job Category: Nursing
Primary Location: Eden Prairie, MN
(Remote considered)

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.SM

The Patient Navigator will be responsible for conducting outbound calls and answer inbound calls for LIS/MSP enrollment, off-season survey follow-up, disenrollment investigation, provide patients with community resources, close gaps on HOS, etc. for all markets as needed.  The Patient Navigator will support a variety of strategic activities, based on Member Experience data and performance metrics throughout the OptumCare enterprise. This individual will maintain the highest standards to ensure the members have the best healthcare experience by facilitating the process every step of the way, and will complete daily activities reports.

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

Schedule: Monday-Friday (No weekends, no holidays). Must be flexible to work hours in different times zones as needed for a nationwide account.

Primary Responsibilities: 

  • Serves as the clinical liaison with clinical performance and administrative staff as well as providing expertise solving member issues
  • Makes outbound calls to assess members’ current health status, as well as take inbound calls to resolve inquiries and assist members as needed. Warm transfer to other departments or services as needed
  • Assesses patient needs using established triage protocol, “concierge” style in order to coordinate appropriate level of assistance needed (pharmacy, referrals, etc.)
  • Assist with completion of patient satisfaction surveys
  • Manage multiple short and long-term projects
  • Uphold UHG Cultural Values
  • Performs all other related duties as assigned

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:

  • High School Diploma / GED (or higher)
  • Current, unrestricted LVN/LPN license
  • 3+ years of clinical experience as a LVN or LPN
  • 3+ years of experience in the health industry and/or in a large complex matrixed organization
  • Intermediate level of proficiency with MS Excel, Word, and PowerPoint– Project scope documents, project presentations, etc.
  • Intermediate level of proficiency with SharePoint

Preferred Qualifications:

  • Associate’s Degree (or higher)
  • Bilingual language proficiency (English/Spanish)
  • Additional years of experience working in a medical care setting as a medical assistant or patient care coordinator
  • Previous call center nursing role experience

Soft Skills:

  • Excellent verbal and written communication skills
  • Organized and detail oriented

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only:  The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, or Washington residents is $19.47 to $38.08 per hour. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

 

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.