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RN Call Center Obstetrics – Remote from a MST or PST Compact State
2371409 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 to start Caring. Connecting. Growing together. As a Call Center Nurse, you will be responsible for conducting telephonic assessments with obstetric patients for nausea, vomiting, hypertension, and diabetes, and providing care coordination. You will work in a call center environment that includes both inbound and outbound calls. This position requires working two weekend days in a 4-week schedule and three holidays per year. The hours are | 10 AM - 7 PM CST | 9 AM - 6 PM MST | 8 AM - 5 PM PST -or- 11:30am - 8:00pm EST, 5 days per week/8 hours per day Primary Responsibilities:
- Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner
- Uphold the Optum core values in the conduct of work
- Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations
- Assess patients prior to initiation of home care service for appropriateness of services prescribed
- Provide services according to Optum policy and the prescriber's plan of treatment
- Individualize patient assessments based on care/services being provided and patient need
- Ensure interventions respect and encourage the patient's ability to make choices
- Respect each patient's rights and conduct business in an ethical manner
- Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient/family involvement in the continuum of care or service
- Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification
- Coordinate care with the patient services centers, pharmacists, dietitians, and other healthcare professionals to promote the continuum of care or service
- 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
- Modify the plan of care, as appropriate, based on re-assessment, change in prescriber orders, the patient's need for further care or services, and the achievement of identified goals within scope of practice and certification
- Complete clinical record documentation per Optum policy in a timely, complete, and accurate manner
- Provide service-related clinical support to key physicians/hospitals through personal contacts and in-services, as directed
- Participate in holiday and weekend duties as scheduled
- Ensure senior management decisions and directives are carried out
- Additional duties as assigned
- Active, Unrestricted Compact State RN License within Residential State
- 3+ years of obstetrical experience
- Computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment (Word, Outlook, Excel, and Internet)
- Designated and Distraction Free workplace at home with DSL high speed Internet
- BSN
- 5+ years of obstetrical experience
