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.
As a Call Center Nurse, you will be responsible for conducting telephonic assessments with obstetric patients for nausea, vomiting, hypertension, and diabetes, and providing care coordination. You will work in a call center environment that includes both inbound and outbound calls.
This position requires working two weekend days in a 4-week schedule and three holidays per year. The hours are 11 AM – 8 PM Eastern (10 AM – 7 PM Central / 9 AM – 6 PM Mountain / 8 AM – 5 PM Pacific).
If you are located in a compact state, you will have the flexibility to work remotely* as you take on some tough challenges. Residency in a compact state is required.
Primary Responsibilities:
Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner
Uphold the Optum core values in the conduct of work
Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations
Assess patients prior to initiation of home care service for appropriateness of services prescribed
Provide services according to Optum policy and the prescriber’s plan of treatment
Individualize patient assessments based on care/services being provided and patient need
Ensure interventions respect and encourage the patient’s ability to make choices
Respect each patient’s rights and conduct business in an ethical manner
Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient/family involvement in the continuum of care or service
Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification
Coordinate care with the patient services centers, pharmacists, dietitians, and other healthcare professionals to promote the continuum of care or service
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 applicabl
Provide care and services to assigned caseload in an efficient, organized manner. Maintain flexibility in assignments and scheduling
Modify the plan of care, as appropriate, based on re-assessment, change in prescriber orders, the patient’s need for further care or services, and the achievement of identified goals within scope of practice and certification
Complete clinical record documentation per Optum policy in a timely, complete, and accurate manner
Provide service-related clinical support to key physicians/hospitals through personal contacts and in-services, as directed
Participate in holiday and weekend duties as scheduled
Ensure senior management decisions and directives are carried out
Additional 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:
Active, unrestricted compact (multistate) nursing license (RN) in state of residence
Active, unrestricted California nursing license (RN) _OR_ the ability to obtain licensure in California
1+ years of obstetrical experience
Demonstrated ability to resolve patient/family conflicts and grievances
Demonstrated ability to work with individuals with disabilities
Demonstrated technical skills that include desktop/laptop computer proficiency, use of analytical software, Microsoft Office Suite including Outlook and Teams, Adobe, and Internet
Demonstrated excellent written and verbal communication skills
Reside in a compact state
Access to secure, high-speed internet and a dedicated workspace at home
Preferred Qualifications:
BSN
Certified Diabetic Care and Education Specialist (CDCES)
3+ years of obstetrical experience
Experience working with diabetic patients
