$7,500 Sign on Bonus for External Candidates

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

Position in this function is responsible for ensuring the continuity of care in the outpatient setting utilizing the appropriate resources and patient quality outcomes. Facilitates continuum of patients' care, with a command-center “virtual hospital” hybrid team, utilizing advanced nursing knowledge, experience, and skills.

If you live near Everett, WA you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities: 

• Provide care to patients remotely through video conferencing, phone calls and other forms of communication
• Navigating patients and families across the continuum of hospital at home care
• Providing protocol driven assessment, care coordination and interventions as appropriate informed by, an external vendor
• Facilitating admissions to hospital at home care, identify and escalate potential health concerns to appropriate healthcare/brick and mortar Providers promptly
• Documenting patient-care activities in the patient’s electronic medical record
• Make outbound calls and receive inbound calls to assess members’ current health status
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
• Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels

Job Scope And Guidelines:

• Flex position between Call Us First, a 24-hour dedicated line serving Medicare patient population and Optum Acute Care at Home, providing virtual hospital level care (while patients stay home)
• Utilizes clinical expertise and approved protocols to provide health advice to consumers with clinical questions and makes referrals for health services as appropriate via telephone
• Able to document calls in applicable system in a timely manner and exhibits a willingness to master new work routines and methods
• Documents all inquiries according to department standards for legal/statistical purposes
• Excellent written and verbal communication skills
• Able to problem solve issues independently as well as work with teams collaboratively situations require assessment, decision-making within the framework of established protocols, excellent listening and communication skills, knowledge of computers, critical thinking skills and the nursing process
• Serves as a key resource on complex and/or critical issues
• Comfort in an ambiguous environment
• Provides explanations and information to others on the most complex issues

Functional Competencies:

• Complete assessments and utilize nursing process to deliver hospital level care in a virtual setting
• Utilizes clinical expertise and approved protocols to provide health advice to consumers with clinical questions as appropriate via telephone
• Leverage technology including on-line resources (e.g., Internet sites, internal websites) or other approved decision support tools to research information, understand/define information provided and document information
• Consult with others (e.g., interdisciplinary team members) to review clinical assessment and obtain input as necessary
• Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care)
• Consult with patient and family/caregiver to create a shared care plan
• Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals
• Utilize resources to enhance professional practice and development based on learning gaps or new information
• Adaptability and flexibility in response to changing workloads and priorities
• Time management and organizational skills: effectively managing multiple patients, appointments, and tasks remotely
• Solid emotional intelligence and resilience are essential to navigate emotionally challenging situations and deal with ambiguity

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. 

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