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RN Call Center Nurse – CA Remote
2382576 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
- Graduation from an accredited school of nursing
- Active, unrestricted Registered Nurse license through the State of California
- Residence in southern California
- Basic Life Support for Healthcare Providers (AHA)
- ESI (Emergency Severity Index) Certification within 30 days of hire
- BSN
- ACLS and PALS certification
- 2+ years of experience working as a Registered Nurse
- ER/critical care/Pediatrics/Med/Surg
