Call Center RN – Adult Primary Care

Optum NY, (formerly Optum Tri-State NY) is seeking a RN to join our team. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

 
At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

 
Standard Shift: Monday – Thursday 8:30am/5:00pm, Friday – 8:30am – 5:00pm, Rotating Saturdays and Sundays 

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

 
Primary Responsibilities:

• Exception to meet KPI 50 calls + a day
• Assess patient’s health status and recommend care based on clinical judgment and protocols
• Identify potential care and/or provider gaps
• Coach patients on treatment alternatives 
• Coordinate services and referrals to health programs and community services
• Assesses and triage immediate health concerns
• Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification
• 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 applicable
• Provide care and services to assigned caseload in an efficient, organized manner. Maintain flexibility in assignments and scheduling

 

Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. The regional alignment combines resources and services across the care continuum – from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we’re making health care work better for everyone.

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:

• Current, unrestricted RN licensure in New York 
• 2+ years of clinical experience
• Knowledge of how to navigate Clear Triage
• Proven track record of excellent Clinical record documentation
• Technology knowledge to include desktop/laptop computer proficiency; use of analytical software, Microsoft Office, Outlook (internet and email). Attend in-services on applicable

 

Preferred Qualifications:

• Bachelor’s degree in nursing (BSN) 
• 1+ years of Triage phone experience/remote 
• Basic knowledge of theories, practices and procedures in a function or skill
• Knowledge of how to navigate Clear Triage 
• Proven ability to perform routine or structured work
• Proven ability to respond to routine or standard requests
• Proven ability to use existing procedures and facts to solve routine problems or conduct routine analyses
• Proven ability to depend on others for instruction, guidance, or direction
• Proven exceptional communication skills (written and verbal)

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

 
The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

 
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.