Jobs · Healthcare

RN Tele-Health Triage - Kelsey-Seybold Clinic - Remote

Optum · Pearland, TX · 2 wk ago
Healthcare$29–$52/hrFull-time

About the role

The RN Tele-Health Triage is a registered nurse who provides call center support for patients, physicians, and healthcare organizations. Responsibilities include assessing patients, following triage guidelines, escalating high acuity cases, facilitating referrals, and supporting benefit verification.

Responsibilities

  • Assess patients and follow triage guidelines
  • Escalate high acuity cases to appropriate providers
  • Facilitate referrals to primary care providers, specialists, and community resources
  • Support benefit verification and prior authorizations
  • Document in EPIC for accurate record keeping
  • Own and modify triage and authorization workflows
  • Provide education on triage and authorization processes
  • Adapt to changes in policy and procedures

Requirements

  • Associate of Science in Nursing
  • RN license from Texas
  • 5+ years of progressive clinical RN experience
  • 2+ years of experience with capitated payment arrangements
  • 1+ years of experience with insurance authorizations
  • Experience with EMRs and medical records
  • Familiarity with CPT, ICD, and HCPCS codes
  • Basic PC skills including Windows Operating System
  • Typing skills of 30 WPM
  • Excellent communication skills
  • Ability to multi-task and prioritize responsibilities
  • Travel throughout Houston area for facilities and patient homes

Qualifications

  • Bachelor of Science in Nursing preferred
  • Certified Coder preferred
  • Experience in ambulatory/primary care setting preferred
  • EPIC EMR experience preferred

Skills

  • Strong communication skills
  • Ability to handle multiple tasks
  • Flexibility to adapt to changes

Benefits

Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (subject to eligibility).

Pay

Hourly pay range: $29 - $52 per hour based on full-time employment. Compliance with minimum wage laws applies.

Schedule

Work remotely from anywhere within the U.S.

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