The quality of care we provide our patients doesn't change no matter how it is delivered. Joining UnitedHealthcare as a Call Center Registered Nurse can be your opportunity to offer a higher level of care to our members. While your work will take place over the phone, you'll have a direct impact on the lives of our members, recommending an appropriate level of clinical care and connecting them with the resources they need to make informed health decisions. You'll act as a compass for our members, guiding them through a complex medical environment as you identify appropriate providers and services, act as a health coach and provide referrals in order to optimize health outcomes. This is an exciting time to join a truly inspired organization. Take this opportunity and begin doing your life's best work.(sm) What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. ***All shifts begin at 2:30pm EST and are either evenings or overnights. Shifts include working one weekend day and 2 holidays per year. This is a work from home position after training has been completed, contingent on meeting all standard quality and performance criteria*** Primary Responsibilities: Assesses patient's current health status and recommends appropriate level of care based on clinical judgment and protocols Adheres to ethical, legal / regulatory and accreditation standards Assesses consumer's understanding of their condition and identifies potential care and/or provider gaps Provides health education and coaches consumers on treatment alternatives to assist them in best decision making Assesses readiness to change, offering opportunities for intervention that will assist consumers in reaching their health care goals Uses coaching techniques, activation and motivational skills to empower the member to take action and participate in the shared decision making process Supports consumers in selection of best physician and facility to maximize access, quality, and to manage heath care cost Empowers consumers with skills to enhance their interaction with their provider Coordinates services and referrals to health programs and community services Assesses and triages immediate health concerns Manages utilization through education Collaboratively plans care with member
Required Qualifications:Current, unrestricted RN licensure in the state of Georgia 3+ years of applicable clinical experience Ability to navigate a Windows based environment and create, edit, save and send documents utilizing Microsoft Word. Ability to navigate Outlook and conduct Internet searches Ability to understand readiness for change and ability to move members along the continuum of change Ability to work independently toward established priorities, metrics and goals Able to work varied shifts including weekends (Saturday or Sunday, sometimes both) Preferred Qualifications:Bachelor's degree in Nursing (BSN) Bilingual Spanish Speaking Call Center experience a plus Coaching, motivational interviewing and/or decision support experience Previous experience in a telephonic role is highly preferredCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: Telecommute, Telecommuter, telecommuting, Remote, WFH, RN, Call Center RN, Telephonic Nurse, Registered Nurse, Customer Service, Nurse Advocate, Georgia, Atlanta, GA
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.