Opportunities at WellMed , part of the Optum family of businesses.
We believe all patients are entitled to the highest level of medical care.
Here, you will join a team who shares your passion for helping people achieve better health.
With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind
Caring.
Connecting.
Growing together.
The WellMed Quality Clinical Programs team supports WellMed Medical Management by delivering patient-centered, clinically collaborative telephonic outreach to help people live healthier lives.
Our team focuses on the design, execution, and delivery of telephonic and digital engagement strategies designed to close STARs measure gaps in care, e.g.
medication adherence, care for older adults, medication reconciliation post discharge, A1c, etc.
Our interdisciplinary service delivery team is comprised of Registered Nurses, Licensed Vocational Nurses, and Social Workers.The Registered Nurse will report into the Manager of Clinical Programs.
The Registered Nurse will perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual pain and functional assessments.
In addition, the RN will outreach telephonically for Transition of Care following hospital discharge to complete reviews as well as assist with appointment scheduling.
The RN will be required to meet or exceed established productivity and quality metrics and work a flexible schedule to support the hours of operation of the businessYou'll enjoy the flexibility to work remotely
• from anywhere within the U.S.
as you take on some tough challenges.Primary Responsibilities:
Strictly adheres to department's metrics and established advanced protocols and to handle incoming contacts including, but not limited to, prescription refill requests, lab results, x-ray results, medical inquiries, patient education and referral requestsPrimarily to make outbound calls but occasionally help manage the inbound call queue from patients, patient representatives, providers and other medical staff, while strictly adhering to established protocols and scriptingReview patient chart (in EMR) to ensure core measures are being addressed and met per protocol and takes appropriate action when they are not, i.e., schedule servicesComplete patient assessments for Transition of Care Medication Reconciliation Post Discharge, Care for Older Adults Pain and Function AssessmentsEducate patients on health conditions and necessity of route screening but assisting with appointment scheduling (A1c, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Eye Exam, etc.)Communicate with providers and offices to obtain needed evidence of completed lab work, screenings and care providedReview available medical records for core measures to submit for closure of HEDIS/STARS measuresAssist patients with identification of and connectivity to community and program resources to assist with non-medical needs, (Pharmacy assistance programs, meals on wheels, LIS)Document thoroughly all calls and actions taken within core systemsMon-Fri 8am-6pm Central and Required Rotating - Saturdays 8am-5:
30pm Central.
• Hours of OperationsPerforms all other related duties as assignedYou'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:
Active, unrestricted Registered Nurse license in4+ years of RN experience, including experience in a managed care setting2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role.2+ years of call center experience2+ years of experience with data analysis and/or quality chart reviews.
Must be able to review paper and electronic medical records and chartsProven solid knowledge of the Medicare HEDIS/Stars measuresDemonstrated ability to interact with medical staff, peers, and internal company staff at all levelsAbility to manage multiple complex, concurrent projectsProven excellent written and verbal communication and relationship building skillsDemonstrated solid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of actionExperienced using Microsoft office applications, including databases, word-processing, outlook, and excel spreadsheets.
Must be proficient in ExcelProven excellent customer service skills and communication skills
Preferred Qualifications:
Undergraduate degree or post graduate degreeBilling and CPT coding experienceClinical data abstraction experienceAdaptable to changeGood business acumen, especially as it relates to MedicareBilingual/Vietnamese
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only:
The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $70,200 to $137,800 annually.
Pay is based on several factors including but not limited to education, work experience, certifications, etc.
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 matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
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.
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.
•
United States - OK - OK - Oklahoma City
May 9, 2024
Aya Healthcare has an immediate opening for the following position: • RRT in Oklahoma City, OK. • We'll work with you to build the healthcare career of your dreams. • Whether you want a job close to home or across the country, we've got you. • Job Details: • Pay: • $1488.68/week - $1718.85/week...
United States - OK - OK - Claremore
May 9, 2024
Overview • Calling all April, May, and July 2024 New Grad RNs! Please apply to this position for interest in any unit at Hillcrest Claremore! Unit interest and shift availability will be discussed in detail with a recruiter * • Please apply to this position if you are interested in: • Emergency...
United States - OK - OK - Edmond
May 9, 2024
OneStaff Medical is seeking a travel nurse RN Endoscopy for a travel nursing job in Edmond, Oklahoma. • & Requirements • Specialty: • Endoscopy • Discipline: • RN • Start Date: • ASAP • Duration: • 13 weeks • 40 hours per week • Shift: • 10 hours, flexible • Employment Type: • Travel • Endoscopy...
United States - OK - OK - Bradley
May 9, 2024
Description • Summary: • The Emergency Department RN has the responsibility and accountability for assessing patient/family health problems and resources, taking a leadership role in the planning, implementation, and evaluation of the nursing plan of care provided by the nursing team. Providing...
United States - OK - OK - Oklahoma City
May 9, 2024
Job.com Healthcare is seeking a Perioperative Registered Nurse for 13 weeks for immediate opening in Oklahoma City , OK. • Looking for candidates with 1 year Perioperative experience. • Fortus Healthcare Resources and QCI Healthcare are now stronger together as Job.com Healthcare. • Job.com...
United States - OK - OK - Lawton
May 9, 2024
SHIFT DETAILS • ============= • Hours per Day: 12 • Hours per Week: 36 • Shift: Night • Location: Lawton, OK 73505 • ROLE DETAILS • ============= • Role Type: RN Medsurg Ortho • Specialty Type: Nursing • Unit Notes: • 24 bed Medsurg unit with ortho specialty. • 1:5 ratio. nights • Trauma Level:...
United States - OK - OK - Chickasha
May 9, 2024
Description • Summary: • The Emergency Department RN has the responsibility and accountability for assessing patient/family health problems and resources, taking a leadership role in the planning, implementation, and evaluation of the nursing plan of care provided by the nursing team. Providing...
United States - OK - OK - Tulsa
May 9, 2024
Epic Travel Staffing is hiring a • Travel RN - Medical Surgical 5 East • Shift : Nights / 7p-7a (12x3) 36 hours per week • Length: • 13 weeks • Minimum of 4 weekend shifts in a 4-week period • Requirements • : • OK License • 2 years experience required in a hospital setting • Must have experience...
United States - OK - OK - Woodward
May 9, 2024
INTEGRIS Health is seeking a Registered Nurse (RN) Outpatient Surgery for a nursing job in Woodward, Oklahoma. & Requirements • Specialty: • Outpatient Surgery • Discipline: • RN • Duration: • Ongoing • Employment Type: • Staff INTEGRIS Health, Oklahomas largest not-for-profit health system has a...
United States - OK - OK - Elk City
May 9, 2024
MedPro Healthcare Staffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Elk City, Oklahoma. & Requirements • Specialty: ED - Emergency Department • Discipline: RN • Start Date: 05/20/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights •...
United States - OK - OK - Midwest City
May 9, 2024
TeamHealth has an excellent, full-time opportunity for a physician assistant (PA) or nurse practitioner (NP) to join our emergency department team at Midwest Regional Medical Center in Midwest City, Oklahoma. • We ask that you have a minimum of 2 years of emergency medicine (EM) experience to apply....
United States - OK - OK - Oklahoma City
May 9, 2024
• As a recognized authority and leading contributor within their practice, this senior-level consulting position provides consistent high quality and innovative solution leadership to a project team. Owns the solution design and implementation aspects of engagement(s) ensuring high quality,...
United States - OK - OK - Ponca City
May 9, 2024
INTEGRIS Health is seeking a Registered Nurse (RN) Med Surg for a nursing job in Ponca City, Oklahoma. & Requirements • Specialty: • Med Surg • Discipline: • RN • Duration: • Ongoing • Employment Type: • Staff INTEGRIS Health Ponca City, Oklahomas largest not-for-profit health system has a great...
United States - OK - OK - Bixby
May 9, 2024
We are hiring for a Registered Nurse. • At Assured Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy themeaningful connections that come from it: for the whole patient, their families,each other, and the communities we serve, it truly is all about...
Comanche County Memorial Hospital
United States - OK - OK - Lawton
May 9, 2024
Ink Staffing is currently seeking compassionate Med-surg Adult for positions in Lawton, Oklahoma for a 36 Hrs.; 3 x 12 Night Shift, 19: • 00: • 00-07: • 00: • 00, 12.00-3 shift. The ideal candidate will possess a current Oklahoma license. This is a Registered Nurse position in Lawton. You must have...
United States - OK - OK - Tulsa
May 9, 2024
• InTulsa is partnering with Arrowhead Consulting to find candidates for this exciting role in Tulsa • • Location: Tulsa, OK. This is a hybrid position for those already in Tulsa, OK or willing to relocate to Tulsa, OK • • About Arrowhead Consulting: • Arrowhead Consulting is a Tulsa-based...
United States - OK - OK - Tulsa
May 9, 2024
DESCRIPTIONRN M/S Must have at least 2 years of recent experience in specialty applying for. • American Heart Association BLS Certification is required. • ACLS, PALS, TNCC, ENPC, NIHSS, etc. • may also be required for some units (Career Placement Specialist will specify). • PID: • ASC-27070JOB...
United States - OK - OK - Glenpool
May 9, 2024
We are hiring for a Registered Nurse. At Assured Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy themeaningful connections that come from it: for the whole patient, their families,each other, and the communities we serve, it truly is all about helping...
United States - OK - OK - Park Hill
May 9, 2024
$10,000 Sign on Bonus Full time, $5,000 sign on bonus Part Time • Hiring all positions Full time, New Grads, Nurse Extern, Part time, Pool, Weekend option • Registered Nurse Career Opportunity • Experience nursing as it was meant to be. • We're looking for Registered Nurses who are inspired by the...
United States - OK - OK - Norman
May 9, 2024
• • Healthcare system in one of Oklahoma's largest cities hiring an OB Hospitalist to provide ongoing coverage • Schedule: • 24 hour shifts • No offsite call • Orientation paid at normal rate • Practice Setting: • Adults, Outpatient and inpatient • Mid-high volume • NICU level 2-3 • General cases:...
United States - OK - OK - Oklahoma City
May 9, 2024
Vibra Travels is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in New Castle, Oklahoma. • Specialty: Long Term Acute Care • ~ Shift: 12 hours, days • ~ Employment Type: Travel VIBRA TRAVELS is looking for a CORPORATE TRAVEL REGISTERED NURSE to join our team. We look for...
United States - OK - OK - Tahlequah
May 9, 2024
Aequor Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Tahlequah, Oklahoma. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 06/03/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours • Employment Type: Travel *All positions require at least...
United States - OK - OK - Lawton
May 9, 2024
As an Echo Locum Tenens clinician, you have the freedom to choose what assignments you cover. You will receive competitive pay with related travel and lodging provided, malpractice insurance with tail coverage, and full-service support staff which includes credentialing, logistics, payroll, and...
United States - OK - OK - Broken Arrow
May 9, 2024
PACCAR Winch Inc PACCAR is a Fortune 200 company established in 1905. • PACCAR Inc is recognized as a global leader in the commercial vehicle, financial, and customer service fields with internationally recognized brands such as Kenworth, Peterbilt, and DAF trucks. • PACCAR is a global technology...
United States - OK - OK - Oklahoma City
May 9, 2024
Vibra Travels is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in New Castle, Oklahoma. • Specialty: Med Surg / Telemetry • ~ Shift: 12 hours, days • ~ Employment Type: Travel VIBRA TRAVELS is looking for a CORPORATE TRAVEL REGISTERED NURSE to join our team. We look for...
United States - OK - OK - Ardmore
May 9, 2024
Specialty: • RN-Emergency Department -Travel ER nurses work as part of a team with physicians, other nurses and healthcare professionals to provide care, monitor health conditions, plan long-term care needs, administer medicine, use medical equipment, perform minor medical operations, and advise...
United States - OK - OK - Cushing
May 9, 2024
Overview • You may be eligible for a sign-on bonus of up to $3000. • Join our team as a day shift, full-time, Family Medical Medical Assistant (MA) in Cushing, OK. • Fulfilling your purpose begins here: • People First, Always. Here's how we take care of our people: • Medical, vision, dental health...