RN Call Center Nurse – CA Remote

Optum CA is seeking a RN Call Center Nurse to join our team in Torrance, CA. 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.

Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

Position in this function is responsible for providing moderately complex telephonic nursing assessment, evaluation, and advice to patients through established and approved telehealth protocols with physician oversight.

If you are located within a commutable distance to Torrance, CA, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

• Consistently exhibits behavior and communication skills demonstrating Optum’s commitment to superior customer service, including quality, care, and concern with every internal and external customer
• Performs comprehensive telephonic patient assessment, evaluation, and advice while meeting production standards
• Follows established clinical protocols/guidelines and provides appropriate patient instructions
• Directs patient to appropriate levels of care based on assessment within Optum’s guidelines
• Documents authorizations for vendors and/or outside services as appropriate
• Instructs patients on procedural preparations
• Documents and maintains records of telephonic interactions
• Completes medical documentation of telephonic assessment and disposition in Telehealth Record
• Notifies pharmacies of new prescriptions and authorizations of refills as ordered by the clinician or via pharmacy protocols
• Translates oral information into concise and accurate written documentation using standard medical guidelines and abbreviations
• Manages own work queues
• Recognizes financial, medical, and legal risks based on data collected during customer interactions and follows appropriate procedures
• Expedites emergency calls as needed
• Accesses Language Line for non-English patients as needed

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:

• Graduation from an accredited school of nursing
• Active, unrestricted Registered Nurse license through the State of California
• Basic Life Support for Healthcare Providers (AHA) 
• ESI (Emergency Severity Index) Certification within 30 days of hire

Preferred Qualifications:

• BSN
• ACLS and PALS certification 
• 2+ years of experience working as a Registered Nurse
• ER/critical care/Pediatrics/Med/Surg

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.