Part-Time Call Center Nurse RN

UnitedHealth Group • Pewaukee, WI

122d • $28 - $50 • Remote

About The Position

Explore opportunities with Optum, in strategic partnership with ProHealth Care. 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 as an Optum Team Member supporting Pro Health Care and discover the meaning behind Caring. Connecting. Growing together. The Call Center Triage Nurse RN position is in a Managed Services organization (does not reside on Client/Practice Sites). The RN telephonically assists and guides patients towards self-management and behavior modifications that result in improved patient outcome. The RN is the primary point of contact, coordination 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.

Requirements

• Associates Degree (or higher) in Nursing
• Active RN License in the state of Wisconsin or Compact State License (NLC)
• 3+ years of experience in a clinical, managed healthcare or healthcare setting
• Ability to work the specified shift schedule
• Access to a designated workspace and access to install secure high-speed Internet via cable / DSL in home

Nice To Haves

• Experience with EMR systems, preferred with Epic
• Previous experience working in a remote telephonic role supporting various clinical needs
• Previous experience in clinical triage in either ED, Urgent Care, or ICU setting
• Telephonic triage experience
• Experience in handling multiple software applications
• Intermediate level of knowledge of Microsoft Applications and computer experience
• Very good knowledge of healthcare, government and insurance industry trends
• Excellent understanding of health-service related processes relevant to assigned role and responsibilities
• Strong analytical and interpersonal skills and ability to interact with senior level clients and high level of computer literacy

Responsibilities

• Telephonic nurse triage services
• Provide education to patients, deploying best practices and standard workflow in their daily activities
• Understand how their interactions with patients affect customer satisfaction, and make recommendations to improve processes
• Follow established protocols, criteria, and contract guidelines
• Coordinate 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

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

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