Call Center RN, Atlanta, Future Telecommuting

There is possible potential for future telecommuting with this position! The chosen incumbents must be in their role for a minimum of 6 months to 1 year and in excellent standings within the organization and team before telecommuting is considered an option.

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.SM
 

Talk about meaningful work.  Talk about an important role. Let's talk about your next career move. UnitedHealth Group is offering an innovative new standard for health advocacy. Advocate4Me is a simplified service providing support for a family's end to-end Health and Benefit needs through a single point of contact. Advocate4Me connects consumers to a trusted advocate who helps them get the most out of their benefits and obtain the best care. Due to expansion of this innovative program, we are seeking Registered Nurses who share our passion for helping people live healthier lives to join our team.  It's an inspiring role and it can inspire your career.  For those who want to reinvent the future of healthcare, here's your opportunity.  Find out more about these opportunities to do your life's best work.SM   

The role of the Nurse Navigator/Call Center Nurse is to build trusted relationships with members across their health care lifecycle as an RN (with current licensure) that identifies and coordinates appropriate levels of care.  This is done by assisting in plan selection and enrollment, educating members about management of their health and well-being, helping members to maximize health plan benefits and personal health care dollars and owning customer service inquiries through to resolution.  This role provides health education, coaching and treatment decision support for members. Includes providing information on available services and transferring members as appropriate to specialists staff.    

This role is heavily customer service oriented, time is roughly split to 50% Clinical Support and 50% Benefits and Claims Support.     

Our mission is to help people live their lives to the fullest. Our values are Integrity, Compassion, Relationships, Innovation, and Performance.   

        Work Monday - Friday in an office environment!   

Enjoy holidays and weekends off!   

Must be able to work any of the following shifts (Central Time):   

6:50AM - 3:20PM; 8:00AM - 4:30PM; 9:00AM - 5:30PM; 9:30AM - 6:00PM; 10:30AM - 7:00PM; 11:30AM - 8:00PM; 1:30PM - 10:00PM

Major Responsibilities

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  Assist members with selecting the best benefit plan options available to them through the enrollment process, including enrollment in specialized care programs



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  Resolve member service inquiries related to:





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  Medical benefits, eligibility and claims



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  Financial spending accounts



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  Pharmacy benefits, eligibility and claims



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  Correspondence requests



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  Educate members about the fundamentals of consumer-driven health care including:





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  Managing health and well being



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  Maximizing the value of their health plan benefits



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  Choosing a quality care provider



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  Premium provider education and steerage



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  Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member



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  Help members navigate myuhc.com and other UnitedHealth Group websites



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  Intervene with care providers on behalf of the member



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  Research complex issues across multiple databases and work with support resources to resolve member issues



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  Assist members with provider appointment scheduling



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  Provide education and status on previously submitted pre-authorizations or pre-determination requests



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  Delivers clinical support to members across a wide array of health topics and conditions  



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  Educates and supports members through assisting them in healthcare decision making  



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  Proactively assesses and interprets member needs, gaps in care, and additional health opportunities  



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  Accurately documents member interaction and appropriately follow all processes and procedures



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  Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility



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  Maximizes use of community services, support programs, and resources available to member

Requirements:    

• Graduate of an Accredited RN Program.


• Valid, unrestricted RN License in GA.
  


• 1+ year of Service Industry experience working directly with customers/patients.


• Proficient in multi-tasking and navigating multiple computer programs simultaneously while talking on the phone.


• Training schedule: you must be able to attend 15.5 week training class (training hours are 8:00am - 4:30pm Monday - Friday), starting your first day of employment.


• You must be available to work any of these shifts (all in Central Time):




• 6:50 AM- 3:20 PM CST


• 8:00 AM- 4:30 PM CST


• 9:00 AM- 5:30 PM CST


• 9:30 AM- 6:00 PM CST


• 10:30 AM- 7:00 PM CST


• 11:30 PM- 8:00 PM CST


• 1:30 PM- 10:00 PM CST

Assets:   

• 2+ years of experience as an RN is preferred (Hospital, Clinical, Call Center, Physician's Office).


• Bachelor's Degree (or higher) is preferred.


• Call Center experience is strongly desired.


• Bilingual fluency with English and Spanish is desired.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job keywords: RN, Registered Nurse, Atlanta, Georgia, GA, Call Center, Bilingual, Spanish