Clinical Call Center RN - Pediatrics

UnitedHealth Group • Poughkeepsie, NY

355d • $28 - $56

About The Position

Optum NY, (formerly Optum Tri-State NY) is seeking a Pediatrics Triage to join our team. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Requirements

• Current, unrestricted RN licensure (include state specific license)
• 2+ years of clinical experience
• Proven track record of excellent Clinical record documentation
• Technology knowledge to include desktop/laptop computer proficiency; use of analytical software, Microsoft Office, Outlook (internet and email). Attend in-services on applicable

Nice To Haves

• Bachelor's degree in nursing (BSN)
• 1+ years Triage phone experience/remote
• Basic knowledge of theories, practices and procedures in a function or skill
• Knowledge of how to navigate Clear Triage
• Proven to perform routine or structured work
• Proven to respond to routine or standard requests
• Proven to use existing procedures and facts to solve routine problems or conduct routine analyses
• Proven to depend on others for instruction, guidance, or direction
• Proven exceptional communication skills (written and verbal)
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Responsibilities

• Exception to meet KPI 50 calls + a day
• Assess patient's health status and recommend care based on clinical judgment and protocols
• Identify potential care and/or provider gaps
• Coach patients on treatment alternatives
• Coordinate services and referrals to health programs and community services
• Assesses and triage immediate health concerns
• Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification
• Accurately communicate (written/verbal) patient status information to prescribing physician and case manager in timely manner and provide necessary clinical information to Optum pharmacists and other healthcare professionals as applicable
• Provide care and services to assigned caseload in an efficient, organized manner. Maintain flexibility in assignments and scheduling

Benefits

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

What This Job Offers

• Job Type: Full-time
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees