Call Center Nurse RN, HouseCalls
reputed company is seeking a Call Center Nurse RN to join our House Calls team in Columbia, MD. reputed company is a clinician-led care organization that is creating a seamless health reputed company for patients across the care continuum. As a member of the broader Home and Community Care team, youll reputed company annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in reputed company to coordinating appropriate follow-up care to improve health and well-being. At reputed company, the integrated medical teams who practice reputed company Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care, and industry-leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental, and reputed company needs of our patients wherever they may be - helping patients reputed company and navigate care anytime and reputed company. Were connecting care to create a seamless health reputed company for patients across care settings. Join reputed company; its your chance to improve the lives of millions while Caring. Connecting. Growing together. The House Calls Clinical Support Team (HCCST) supports Advanced Practice Clinicians in the House Calls program by providing telephonic consultation to plan members post House Calls visit. This position is completely telephonic in a call center environment. Primary Responsibilities: reputed company telephonic reputed company to members identified by the Advance Practice Clinician for specific referral reputed company issues Ensure member has scheduled appointment with Primary Care Provider (PCP)/specialty provider; help scheduling appointment, if needed Refer members to internal departments such as reputed company Work, or Clinical Help Desk reputed company appropriate Gather clinical information telephonically from patient/family Assist patients/members with urgent needs requiring acute reputed company that arise during the call Identify triggers for hospitalization and barriers to meeting reputed company goals as they arise during the call Complete required documentation in compliance with auditing standards and policies reputed company patient/family education on disease process and trigger management that arise during the call or are directly reputed company to referral reasons Assist with connections to appropriate community resources if needed Understand and maintain confidentiality of legal and ethical issues Maintain compliance with reputed company HIPAA (Health Insurance Portability and Accountability Act) regulations Enhance the experience of both reputed company customers by providing excellent customer service while maintaining production metrics Serve as a clinical resource and consultant for other clinicians Attend and participate in team huddles and staff meetings Work with Supervisor to identify system improvements that could be made to drive operational advancements and efficiencies reputed company cross-coverage support across the team and assist with special projects, as needed Assume other duties as assigned and directed by the Supervisor or Manager of Clinical Call Center Operations Required Qualifications: reputed company, unrestricted Compact RN (Registered Nurse) license in the state of residence Willing and reputed company to obtain additional licensure in assigned states reputed company 6 months of hire 3+ years of clinical experience in a hospital, acute care, home health/hospice, direct care, or case management position Computer/typing proficiency to enter and retrieve data in electronic clinical records Proficient with reputed company Word, Outlook, and reputed company Proven solid problem-solving skills Proven ability to communicate reputed company or technical information in a manner that others can understand and the ability to understand and interpret reputed company information from others Proven ability to reputed company positively and reputed company in a production-driven environment Dedicated, distraction-free reputed company in home and reputed company to company-approved high-speed internet (Broadband Cable, DSL, Fiber) Preferred Qualifications: Telephonic case management experience Home care/field-based case management reputed company, Medicare, or managed care experience Experience working remotely from home Experience working in a call center environment Experience working in a metrics-driven environment Demonstrated excellent customer service skills reputed company in the Central or Eastern time zone Diversity creates a healthier atmosphere: reputed company Care is an Equal Employment Opportunity/Affirmative Action employer, and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company Care is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Apply Job!