Call Center Nurse RN - Per Diem

UnitedHealth Group • Waukesha, WI

287d • $28 - $56 • Remote

About The Position

Opportunities with ProHealth Care, part of the Optum family of businesses. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact and discover the meaning behind Caring. Connecting. Growing together. The Call Center Nurse RN serves as a clinical contact for patients and consumers of healthcare with medical questions or seeking medical advice via telephone or other communication methods. As a critical member of the high performing Patient Access team, the telephone triage nurse provides clinical assessment to facilitate next steps in the patient's care. They are vital to improving patient care outcomes using a variety of methods including telephone triage, appointment scheduling, referrals for clinical symptoms to care team setting, and population health outreach responsibilities. The nurse accepts incoming patient calls and assists each patient appropriately, based on their individual care needs. This role continuously provides world class customer service in a high-volume call setting.

Requirements

• Associate's degree (or higher) in Nursing
• Unrestricted Compact State RN licensure or Wisconsin RN License
• 1+ years of nursing experience in a primary care clinic environment OR 3+ years of nursing experience in hospital, home care, or community
• 1+ years of recent experience working in an EMR (electronic medical record), preferably EPIC
• Intermediate level of proficiency with Microsoft Office programs, including Word, Excel, PowerPoint
• Designated workspace and access to install secure high-speed internet via cable or DSL in home
• Ability to train Monday - Thursday - 7 AM - 5 PM CST for 6-8 weeks

Nice To Haves

• Bachelor's Degree in Nursing
• 1+ years of telephone remote triage experience

Responsibilities

• Supports system initiatives for population health management and the care delivery of specific patient populations through telephone triage, chart review and outreach to patients in need of care
• Provides clinical assessment and review of documentation for outreach to existing or ProHealth attributed patients to schedule care that is deemed clinically appropriate
• Offers call center RN triage or Assessment & Referral Triage when patient communicates symptoms, using evidence-based protocols for Nurse Triage
• Handles emergent calls based on information provided by caller and department protocol
• Responsible for facilitating professional verbal and written communication
• Makes patient care decisions based on the urgency of the patient needs using safe and effective telephone advice, care management and directions for the appropriate level of care required
• Directs patient to most appropriate level of care facility (i.e. office visit vs. urgent care vs. emergency room)
• Responsible for a high level of proficiency in handling critical calls ensuring a positive care outcome and patient experience
• Accurately schedules provider, nurse, lab, resource, service line, and education/support groups using schedule templates as needed
• Matches patient needs to available appointments, while following department, service line and provider specific protocols, schedule templates and patient preferences
• Makes decisions about joint visits based on patient risk and triage disposition
• Provides support to patients by answering clinical questions and resolving urgent and non-urgent clinical questions while scheduling appointments
• Assists with analyzing customer problems in order to ensure the best outcomes and the highest patient satisfaction
• Provides follow-up with customers as necessary in order to provide closure and an outstanding customer experience
• Serves as the first point of contact for patients calling with medical questions or seeking medical advice and ensures their calls are being answered in a friendly, personal, professional and timely manner
• Provides patients and consumers with evidence-based information about any questions or concerns they might have in regards to their health care experience
• Accurately connects patients to other services as needed/anticipated (social services, financial/billing services, clinical services, etc.)
• Provides concise documentation in the electronic medical record (EMR) and any other communication methods and routes to appropriate care team members
• Possesses and demonstrates sound clinical, organizational and communication skills
• Utilizes critical thinking and decision-making skills to recognize and align patient reported symptoms with established protocols and assign acuity levels to ensure a high quality, safe and timely disposition of each patient interaction
• Evaluates the patient or patient designee's understanding of instructions using teach-back methodology and conveys related information to the appropriate care teams via EMR documentation, telephone or other modern means of communication
• Demonstrates ability to effectively use all systems including but not limited to the EMR (Electronic Medical Record), Transportation Services, Microsoft Outlook, organization's intranet (iNet), Virtual and Telephonic Interpretive Services, Credit Card Banking system
• All other duties as assigned

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Associate degree