Clinical Quality LPN - Remote in Mountain or Pacific Time Zones

Lensa; Eden Prairie (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is looking for a Clinical Quality LPN to assist members through outbound and inbound calls. This role includes evaluating health status, providing resources, and documenting interactions accurately. Candidates must possess an LVN/LPN license and have a minimum of 3 years of clinical experience, with flexibility to work in various time zones. Join a dynamic team focused on improving health outcomes and providing quality care.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 3+ years of clinical experience as a LVN or LPN.
• Experience in the health industry and/or complex organization required.
• Intermediate proficiency with MS applications needed.

Responsibilities

• Conduct a high volume of outbound calls to assist members.
• Evaluate current health status and discuss non-compliance.
• Document member's record with accurate information.

Skills

Communication

Multitasking

Adaptability

Education

Current unrestrictied LVN/LPN license

Tools

MS Excel

Word

PowerPoint

SharePoint

Job description

Clinical Quality LPN - Remote in Mountain or Pacific Time Zones

Clinical Quality LPN - Remote in Mountain or Pacific Time Zones

3 days ago Be among the first 25 applicants

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Lensa partners with DirectEmployers to promote this job for UnitedHealth Group.

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to star t Caring. Connecting. Growing together.

The Patient Navigator will be responsible for conducting outbound calls and answer inbound calls, off-season survey follow-up, provide patients with community resources, close gaps on HOS, etc. for all markets as needed. The Patient Navigator will support a variety of strategic activities, based on Member Experience data and performance metrics throughout the OptumCare enterprise. This individual will maintain the highest standards to ensure the members have the best healthcare experience by facilitating the process every step of the way, and will complete daily activities reports.

Schedule : Monday - Friday (No weekends, no holidays). Must be flexible to work hours in different times zones as needed for a nationwide account.

If you are located in CST, MT, PST time zones, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

• Conduct a high volume of outbound calls to assist members, evaluate current health status, discuss non-compliance to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed
• Answer inbound calls from members and assists them with their inquiries
• Identifies patients with the missing measures and works to close the measures through education/counseling, appointment setting, and other means as appropriate
• Follows system scripting and validates member demographic information
• Documents the provider or member's record with accurate information obtained on the call
• Maintains education/knowledge base of HEDIS/STARs standards and guidelines
• Uphold UHG Cultural Values
• Ability to multitask and performs all other related duties as assigned
  
  

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.

Required Qualifications

• Current, unrestricted LVN/LPN license
• 3+ years of clinical experience as a LVN or LPN
• 3+ years of experience in the health industry and/or in a large complex matrixed organization
• Demonstrated intermediate level of proficiency with MS Excel, Word, and PowerPoint– Project scope documents, project presentations, etc.
• Demonstrated intermediate level of proficiency with SharePoint
  
  

Preferred Qualifications

• Experience in a call center
• HEDIS/STAR experience or participation with similar regulatory reporting
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matterwhere or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may comedown early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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