Bilingual Call Center – Remote Jobs

Job Type: Bilingual Call Center from home
Location: Arizona work from home
Company: Optum 

Position Description:

Here is a chance that will be both incredibly gratifying and absolutely unique. We’re constantly exploring for adaptable, cutting-edge methods of providing high-quality care. A prime example is this position as a Registered Nurse in a Call Center for UnitedHealth Group. By advising on the appropriate degree of clinical treatment and providing our members with the information they require to make wise decisions, you will directly affect their lives. Sound motivating? Use this day.

As you take on some difficult problems, you’ll appreciate the freedom to work remotely * from any location in the United States.

Principal obligations:

• Talks with members one-on-one and does telephone screening and assessment to determine the most approximate level of care that will help members overcome obstacles and address socioeconomic determinants of care gaps.
• Examine the clinical requirements for the various programs offered by Optum, our client, and their external vendors.
• Choosing the best program to offer and getting permission for programs like CM, Chronic, MSK, BH, Palliative, and Maternity
• Also involves helping the member coordinate their care (for members who do not satisfy program requirements or decline); helps them with things like finding the right services, using the client wellness portal, etc.
• (Teach the member about recommendations for immediate care and prevention measures)
• fully remote
• most calls are placed using a dialer
• Every call is analyzed for quality.
• Our nurses are logged into the phone system and use soft phones.
• Our company principles of Integrity, Compassion, Relationships, Innovation, and Performance are ingrained in everything we do.
• In a setting that will test you, provide you clear guidance on what it takes to succeed in your function, and provide development for other roles you might be interested in, you will be rewarded and recognized for your success.

Required credentials:

• RN license that is valid and unrestricted in California
• two or more years of practical nursing experience
• Experience using a dialer system for outbound calls with contact center nurses, telephone triage, and/or case management for 1+ years
• Must be prepared to rotate weekends and nighttime shifts as follows:
• 10:30 a.m. to 7 p.m. (PST) or 11 a.m. to 7:30 p.m., and every third month on average.

Preferred credentials:

• Certification in Case Management and a license for CCM Compact Nursing
• Excellent telephone skills with the capacity to evaluate, discuss, and offer solutions based on member need. Exhibit excellent nursing process skills and the ability to prioritize symptoms presented by the member.
• dual-language Spanish
• Excellent communication skills in writing. The documentation reflects a clear picture of the member’s condition and requirements and is accurate, timely, and pertinent.