Call Center Nurse RN - UnitedHealth Group

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals, and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: 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. 

This call center is open 24 hours a day, 7 days a week. Scheduled will based on need. Most be open to possible working nights, weekends, and some holidays. You will work with management on your scheduled.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 

Primary 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

• Apply their expertise across the various areas of responsibility, understand how their interactions with patients affect customer satisfaction and can make recommendations to improve processes

• Apply established protocols, criteria, and contract guidelines

• 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

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:

• Associate's Degree (or higher)

• California RN License 

• Colorado RN License OR a Compact License

• 3+ years of relevant work experience, in a clinical, managed healthcare or healthcare setting

• Ability to work nights, weekends, and holidays 

Preferred Qualifications:

• 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

• Proven and solid interpersonal skills, and high level of computer literacy 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $27.07 to $53.08. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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