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Call Center Nurse RN

Remote, USA Full-time Posted 2025-11-24
About the position 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. The Health Services RN position is in a Managed Services organization (does not reside on Client/Practice site). The RN telephonically assists and guides patients toward self-management and behavior modifications that result in improved patient outcomes. The RN 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. Our ideal candidate is an experienced nurse, able to perform tasks independently and once trained, without significant guidance. Schedule will be based on need. Most be open to possibility of working nights, weekends, and some holidays. You will work with management on your schedule. Monday to Friday 7:00am to 7:00pm EST time zone schedule. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Responsibilities • Provides Nursing support for health service providers via phone in areas including but not necessarily limited to: 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 can make recommendations to improve processes • Coordination of 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 Requirements • Associate's degree (or higher) • Active unrestricted RN license in the state of residence • RN license in the state of Colorado or a Compact State License • 3+ years of related experience in a clinical, managed healthcare, or healthcare setting Nice-to-haves • 2+ years of clinical triage in either an ED, Urgent care, or ICU setting • Excellent understanding of health-service related processes relevant to assigned role and responsibilities • Ability to work nights, weekends, and holidays Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job Apply To this Job

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