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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. Make a Global Impact Through Virtual Care As an SCA Call Center Registered Nurse (RN), you will play a vital role in delivering high-quality, evidence-based clinical support to military members and families (Beneficiaries) worldwide. Leveraging advanced clinical decision support tools and technology, you will provide symptom assessment, health education, and triage services through phone, chat, and video channels. In this highly rewarding role, you will empower Beneficiaries to make informed healthcare decisions, access the right level of care at the right time, and navigate complex healthcare needs with confidence and compassion. Your clinical expertise will directly contribute to improved health outcomes, patient safety, and exceptional service experiences. This position is ideal for clinically skilled nurses who enjoy critical thinking, fast-paced decision-making, meaningful patient interactions, and the flexibility of delivering care in a virtual environment. Your shift will be spent interacting with incoming Beneficiary contacts via phone, chat and video. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. The available schedules will be day shifts, with start times ranging from 5:00 a.m. to 9:30 a.m. Shifts will be a mix of 8 and 10 hour shifts, with all positions being full-time at 40 hours a week. Each schedule will also include a weekend requirement, working either Saturday or Sunday, along with varying weekdays. a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } Primary Responsibilities: • Clinical Excellence • Perform comprehensive symptom assessment and triage for Beneficiaries of all ages using evidence-based clinical protocols and nursing judgment • Evaluate a broad spectrum of health concerns and determine the appropriate level of care based on established guidelines and clinical expertise • Deliver individualized health education and self-care recommendations that promote informed healthcare decisions • Recognize and appropriately escalate urgent and emergent clinical situations to ensure patient safety • Patient Assessment and Care Delivery • Provide safe, high-quality clinical services within scope of practice and in accordance with organizational policies, procedures, and clinical protocols • Conduct thorough assessments, including collection and analysis of relevant health history and presenting symptoms • Utilize critical thinking skills to identify patient needs, risks, and appropriate care recommendations • Deliver exceptional patient-centered care while maintaining efficiency and accuracy in a high-volume virtual environment • Accurately document all patient interactions, assessments, recommendations, and outcomes in accordance with regulatory and organizational standards • Quality, Compliance, and Communication • Communicate clearly, professionally, and compassionately to ensure Beneficiaries understand care recommendations and next steps • Maintain compliance with quality standards, clinical guidelines, and performance expectations • Collaborate effectively with internal teams to support continuity of care and positive patient outcomes • Demonstrate accountability for quality metrics, documentation standards, patient satisfaction, and service excellence • Support a culture of continuous learning, patient advocacy, and clinical excellence • Teamwork, Leadership, and Collaboration • Partner with leaders and teammates to achieve operational, quality, and service goals • Serve as a positive contributor to team culture through collaboration, professionalism, and shared accountability • Assist with onboarding, training, mentoring, and precepting new team members as assigned • Participate actively in team meetings, educational opportunities, quality initiatives, and process improvement activities • Embrace change and support organizational initiatives that enhance patient care and operational performance 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.
Optum Home & Community Care is part of UnitedHealth Group and provides telephonic case management services to help members navigate the health care system and access support services. As an RN Case Manager, you would assess members' health status, identify gaps in treatment plans, establish care goals, coordinate with multidisciplinary teams including mental health clinicians, provide patient education and coaching, make referrals to community resources, and facilitate transitions between care settings—primarily through phone calls in a high-volume customer service environment.
