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Telephonic Nurse Advocate, RN - Richardson, TX

UnitedHealth Group


Location:
Richardson, TX
Date:
12/15/2017
2017-12-152018-01-14
Job Code:
736197
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Job Details

736197 Telephonic Nurse Advocate RN Richardson TX

Telephonic Nurse Advocate, RN - Richardson, TX (736197)

Position Description

Here’s an opportunity that’s truly different and immensely rewarding. We’re always looking for flexible, innovative approaches for delivering quality care. This role as a Call Center Registered Nurse with UnitedHealth Group is a perfect example. You’ll have a direct impact on the lives of our members, recommending the right level of clinical care and connecting them with the resources they need to make informed decisions.  Sound inspiring? today. 


The role of the Nurse Advocate is to build trusted relationships with members across their health care lifecycle as an RN (with current licensure), beginning with benefits and claims concerns and providing treatment education as appropriate. This is done by assisting in Benefit Plan selection and enrollment, explaining claims processing, and educating members about management of their health and well-being, and owning administrative customer service inquiries through to resolution.


This role is heavily customer service oriented, time is roughly split to 30% Clinical Support and 70% Administrative Benefits and Claims Support and resolution.

***This is a 100% office-based position.***

 

Primary Responsibilities:

  • Provides white-glove level service, removing burdens and providing end-to-end resolution for members. This includes, but is not limited to: Clinical, Financial, Decision Support, Behavioral Support, Claims inquiries, and more
  • Answer up to 50 to 70 incoming calls per day from members of our health / dental / vision / pharmacy plans
  • Resolves escalated complex and repeat calls from members and works directly with business partners (complex claim reconsiderations, notifications, appeal considerations)
  • Monitor and provide proactive support to members with more chronic member issues
  • Work with partners including medical, clinical, financial, behavioral and Rx to resolve issues
  • Answer questions, assist with resolution
  • Write/ Communicate Process changes
  • Provide coaching as needed
  • Work with supervisors on enhancing performance
The challenge here lies in your ability to quickly assess a variety of cases over the phone and recommend the best way forward. The pace is fast, and you’ll need strong computer and communication skills to succeed.

Required Qualifications:

  • Graduate of an Accredited RN Program
  • Valid, unrestricted RN License
  • Proficient in multi-tasking and navigating multiple computer programs simultaneously while talking on the phone
  • Training schedule: you must be able to attend 16 week training class (training hours are 8:00am-4:30pm Monday –Friday), starting your first day of employment
  • Additional state licenses will be required upon beginning the role
  • After completing training, you must be available to work a shift between the hours of 7am -10pm Central Standard Time, Monday through Friday

Preferred Qualifications:

  • 2+ years of experience as an RN (Hospital, Clinical, Call Center, Physician’s Office)
  • Bachelor's Degree (or higher)
  • Call Center experience
  • Bilingual fluency with English and Spanish
Be part of a health care team where technology, people and action combine to make great things happen every day. Join us and start doing your life’s best work.(sm)

 


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

 

 

Job Keywords:  Call Center Nurse, Nurse Advocate, RN, Registered Nurse, Call Center, Bilingual, Richardson, TX, Texas

Job Details

  • Contest Number736197
  • Job TitleTelephonic Nurse Advocate, RN - Richardson, TX
  • Job FamilyNursing
  • Business SegmentOptum Operations

Job Location Information

  • Richardson, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftVariable
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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