Call Center Nurse RN

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 Call Center Nurse RN position is in a Managed Services organization (does not reside on Client/Practice Sites). The RN telephonically assists and guides patients towards self-management and behavior modifications that result in improved patient outcome. The RN is the primary point of contact, coordination 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 ad collaboration with other care team members. Schedule: Monday to Friday 10:30 am to 7:00pm CST (8-hour shifts), with the ability to work a rotation of being on call for one weekend day every 4-6 weeks. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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 is able to 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