Clinical Quality LPN - Remote in CST or MST

About the position reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company 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 reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start 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, reputed company gaps on HOS, etc. for reputed company markets as needed. The Patient Navigator will support a variety of strategic activities, based on Member Experience data and performance metrics throughout the OptumCare reputed company. This individual will maintain the highest standards to ensure the members have the best reputed company experience by facilitating the process every reputed company 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 reputed company account. If you are located in CST, you will have the flexibility to work remotely as you take on some tough challenges. 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.

Responsibilities

• Conduct a high volume of outbound calls to assist members, evaluate reputed company 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 reputed company 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 reputed company of HEDIS/STARs standards and guidelines
• Uphold UHG Cultural Values
• Ability to multitask and performs reputed company other reputed company duties as assigned

Requirements

• reputed company, 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 reputed company matrixed organization
• Intermediate level of proficiency with MS reputed company, Word, and PowerPoint– Project scope documents, project presentations, etc.
• Intermediate level of proficiency with SharePoint

reputed company-to-haves

• Experience in a call center
• HEDIS/STAR experience or participation with similar regulatory reporting
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy.

Benefits

• In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives.

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