Call Center Nurse: OptumInsight

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Call Center Nurse:
Optum Insight (2384142)

Call Center Nurse:
Optum Insight - 2384142

Optum Insightis improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deepexpertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management,quality and revenue growth. Ready to help us deliver results that improve lives?

Join us to start
Caring. Connecting. Growing together.

The Health Services Nurse is a member of the Nurse Triage Services team. This position is responsible for providing comprehensive clinical services to our customers located throughout the U.S. and may require multiple licenses to practice across various States. Services provided to our customers include but are not limited to the following Telephonic services:
Transitions of Care, Medication Adherence and Reconciliation, Management of Gaps in care, and other care extension services. The Health Services Nurse assists and guides patients toward self-management and behavior modifications that result in improved patient outcomes.

The Health Services Nurse is the primary point of contact, coordinating 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.

The Health Services Nurse is an experienced nurse, able to perform tasks independently and once trained, without significant guidance. This person can provide education to patients, deploying best practices and standard workflow in their daily activities with the ability to apply their expertise across the various areas of responsibility, understanding how their interactions with patients affect customer satisfaction and can make recommendations to improve processes.

HOURS:

Monday
- Friday 10:30am-7pm EST

If you are located in Chesapeake, VA, you will have the flexibility to work remotely
* as you take on some tough challenges.

• Works on assignments that are semi-complex in nature where ability to recognize deviation from accepted practice is required
• Normally receives general instructions on routine work, detailed instructions on new assignments.
• May provide guidance to less experienced colleagues
• Health Services position in a Managed Services organization (does not reside on Client/Practice site)
• Provides Nursing support for health service providers in areas including but not necessarily limited to:
  Authorization/Utilization Review;
  Case Mgt;
  Quality Improvement processes, nurse triage services.

You’llbe 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 asprovidedevelopment for other roles you may be interested in.

• An associate nursing degree or equivalent clinical experience
• Current, unrestricted license issued by a state or jurisdiction within the United States to practice nursing
• Must have an active Virginia RN License
• 3+ years’ experience in an Acute or Managed Care setting
• Experience with Electronic Medical Records system(s)
• Demonstrated ability to meet deadlines with little to no supervision
• Proven ability to work independently and meet productivity expectations daily
• Demonstrated solid analytical and interpersonal skills
• Demonstrate…