Office Nurse Bilingual Preferred Optum Parrish

UnitedHealth Group

Full-Time
Closes on Friday, May 31, 2024

Job Description

Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Represents the Company in a professional manner, following all Company policies and procedures Uses, protects, and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Responsible for timely, efficient, and accurate triage response and documentation according to Nursing Standards & Company protocol Under direction and supervision of a physician, administer prescribed medications and immunizations, administers, monitors, and manages intravenous infusions Provides clinical treatment and other patient services within the ambulatory care setting   Ability to take vital signs, perform approved clinical tasks including but not limited to:  Evaluating patient needs, performing triage related to presenting clinical needs, administering prescribed medications, assisting physician with examinations and treatments, preparing, and applying dressings and performing wound care; instructing patient in health measures and self-care, changing Foley catheters, and flushing ports Maintains accurate, legible clinical documentation within the medical records assuring compliance within all guidelines.  Maintain all documentation required by the clinic (i.e., triage logs, OSHA required logs, telephone messages, etc.) Participates in health promotion activities Assists the PCP in the monitoring and planning of care for members of the Complex Care Program, High Risk Program and/or Disease Management Programs Maintains an active nursing appointment schedule for assisting the PCP in the monitoring of members’ healthcare needs which may include but are not limited to B/P checks, wound care needs, nebulizer treatments, and health care education Monitors inpatient, outpatient, and SNF patients and initiate patient care arrangements Reports findings to PCP, Medical Director, and Administrator Reinforces patient education regarding preventive care, dietary restrictions, medications, and other therapeutic regimes. Coordinate home health and DME requests and provide recommendations to PCP   Provides oversight in patient care evaluation, coordinate the collaboration of the Primary Care Provider and Consultants, and make suggestions to improve plans to meet patient needs Assists with the monitoring of utilization management and make recommendations regarding effectiveness of health care resources, trending, and intervention   Assists in the assessment of clinic operations and make recommendations as necessary Ensures compliance with CMS and AHCA guidelines and covered service guidelines   Assists with the contestation of Part A and Part B /claims as needed   Consistently applies guidelines to the medical record review process Evaluates and recommends health delivery network changes with the PCP, Medical Director, and Center Administrator Participates in QI projects.  Attends Case Management Meetings  Participates in patient satisfaction program as required and follow up on all inpatient/outpatient discharges  Acts as the clinical resource for the non-licensed office personnel.  Acts as the clinical leader in regards to the triage process within the front desk area, group visits, and other programs as requested Performs other duties as assigned Must have consistent, punctual, and reliable attendance Ability to travel as necessary based on business need Ability to work overtime based on business need

Full-Time sympOne_36a3a3af5ed78aae7d4ca8978fcf012f UnitedHealth Group
Office Nurse Bilingual Preferred Optum Parrish - 127846