Remote Clinical Quality LVN or LPN Call Center

Optum

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Requisition Number: 2225029
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. 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. 

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.

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

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

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:

  • 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)
  • Experience working in a medical care setting as a medical assistant or patient care coordinator
  • Call center nursing role experience
  • Bilingual language proficiency (English/Spanish)

Soft Skills:

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

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for this role is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.