Required Qualifications:

• High school graduate, GED or equivalent
• Current, nationally recognized Medical Assistant certification or registration or the ability to obtain the designation within 180 days of employment
• Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) or the ability to obtain within 30 days
• Proven Phlebotomy skills
• Bilingual (English/Spanish) language proficiency

Preferred Qualifications:

• 1+ years of experience as a Medical Assistant or related experience in a medical setting
• ICD-9/10 and CPT coding experience
• Microsoft experience

Clinic Triage Nurse Saint Cloud Optum 17th Street

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.  

Under the direction of the Provider, the Clinic Nurse provides direct patient care in accordance with Company protocols, established standards of nursing practice, and the FL Nurse Practice Act.  Promptly screens patients with signs or symptoms of illness.  Works with the clinical team for appropriate treatment, plan of care and disposition.  Ensures patient monitoring and follow up.  The Clinic Nurse reports to the Center Administrator.

Primary Responsibilities:

• Contributes to and supports the corporation’s quality initiatives by planning, communicating and encouraging team and individual. Maintains a strong focus on quality and continuous improvement within job scope
• Maintains an active nursing appointment schedule for assisting the Provider in the monitoring of members’ health care needs. Assists the Care Manager and Provider in the follow-up management of post-hospitalized or post-emergency room visits
• Comprehensively screens patients for care opportunities and collaborates with treating physician to develop care plans that meet patients’ needs and result in appropriate quality care
• Provides condition specific patient education and anticipatory guidance, as well as care coordination, under the guidance of the Provider
• Provides health teaching
• Provides direct nursing care, comfort measures, emotional support to patients
• Performs selected IV therapy and administers prescribed treatment per Provider order
• Maintains clinical documentation within the medical records assuring compliance within all guidelines. Documents all interventions, responses, and outcomes

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.

Required Qualifications:

• High school graduate, GED or equivalent
• Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) or the ability to obtain within 90 days of employment
• For LPNs:
  • Certificate in Practical Nursing
  • Valid Florida LPN license
  • IV certification or the ability to obtain within 90 days of employment
• For RNs:
  • Associates or Bachelor’s degree in Science
  • Valid Florida RN license

Preferred Qualifications:

• 2+ years of experience in Med-Surg, ER, ICU, Acute Care
• Experience with electronic health records (EHR)
• Experience in MS Office
• Ability to read, write and speak the Spanish language fluently

Patient Access Supervisor – Greenbrae, CA

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is responsible for assisting the Patient Access Leadership in managing daily operations within the assigned client Facility or within the Patient Access Operations. Supplements staff training, coaching and support; issue identification, assessment, and resolution; and technical support within the assigned work environment to achieve desired outcomes and compliance with Optum and client policies / procedures and standards. Provides input in hiring / firing decisions, as well as performance appraisals. May perform quality reviews and analysis to support internal controls, monitor employee performance and assist in staff development, retention, and selection. Serves as relief support and a “super user” for new programs, processes, and technologies. Works on – call schedule, as required.

This position is full time, Monday – Friday. Employees are required to have flexibility to work our normal business hours of 8:00 AM – 5:00 PM. It may be necessary, given the business need, to work with rotating weekends for on call duties. Our office is located at 250 Bon Air Rd, Greenbrae, CA, 94904.

We offer 4 weeks of paid on-the-job training. The hours of training will be aligned with your schedule during normal business hours.

Primary Responsibilities:

• Knows, understands, incorporates, and demonstrates the Optum and client Mission, Vision, and Values in behaviors, practices, and decisions.
• Provides operational guidance and support to assigned staff under the direction of the Patient Access Manager, disseminates policy / procedure updates, and supports coverage of other departmental divisions, as required.
• Serves as technical advisor and resource to staff and the Manager.
• Responsible for the development of associate work schedules and assignments to ensure cost effective staffing providing optimal workflow needs that meets performance requirements.
• Performs job – specific accountabilities of relief staff or other job functions as assigned by the Manager, or as required to meet expectations.
• Thorough knowledge of all aspects of Patient Access services and skills to successfully fill-in any position and / or work at multiple sites within a Facility / Clinic or within multiple Facilities / Clinics, fully meeting performance expectations and standards.
• Works varying hours and / or on – call schedule, as required.
• In coordination with the Manager may participate in the redesign of Patient Access processes and systems to improve service, data integrity, and staff productivity / quality to achieve departmental goals and process outcomes.
• Develops effective decision – making, communications, and interpersonal relations to ensure a positive image of Optum and the client, and to ensure customer satisfaction, supporting and portraying strong customer service philosophies in all encounters:
• Provides timely and professional follow – up to customer complaints and issues
• Ensures problem resolution and corrective action for long – term solution, coordinating such effort across intra and inter – departmental channels
• Provides function – specific training, including staff orientation / onboarding and continuing education, in coordination with the Optum Training and Quality Assurance Program.
• Cross – trains and supports the functions of all centralized patient access functions.
• Maintains work site in full operational order:
  • Orders supplies and other materials in compliance with budgetary constraints
  • Maintains a neat, orderly work environment that denotes professionalism and efficiency
  • Develops job aides to assist the staff in performing work assignments
• Responsible for the following activities:
  • Selection of employees based on potential contributions, departmental culture / needs, and personnel policies.
  • Recommends allocation of resources based on scope of goals and priorities
  • Reviews employees’ work regularly, discusses problem areas, and maintains periodic documentation, as needed.
  • Makes recommendations regarding personnel actions and follows – up, as warranted.
  • Mentors and coaches associate to ensure positive outcomes
  • Completes the work schedule, ensuring adequate and appropriate coverage and performance.
  • Serves as on – call scheduling contact and assists with coordination of staff to meet the need.
  • Manages to the department budget, minimizing Overtime, when possible.
  • Provides and documents employee disciplinary / corrective actions, up to and including verbal warning, referring all actions and activities to the Manager for follow – up
  • Provides input documentation to employee’s performance during orientation and annual reviews
  • Maintains fiscal accountability for assigned area of responsibility by identifying new operational, capital and program needs, monitoring staffing allocation in alignment with customer service goals, and by meeting budget parameters
  • Analyzes and displays data in meaningful formats; develops and communicates policies / procedures and other business documentation; conducts special studies and prepares management reports, including key performance Indicators as they relate to the division (waiting / service times, staff productivity, accuracy, patient satisfaction, customer feedback, incident reporting, etc.).
  • Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Optum’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
  • Other duties as needed and assigned by the Manager.

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.

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 2+ years of experience with working in a hospital Patient Registration Department, physician office setting, healthcare insurance company, revenue cycle vendor, and / OR other revenue cycle role
• 1+ years of supervisor / management OR team lead experience in healthcare
• Working knowledge of medical terminology
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)
• Ability to work full time onsite at 250 Bon Air Rd, Greenbrae, CA, 94904
• Ability to work any shift between the hours of 8:00 AM – 5:00 PM from Monday – Friday including the flexibility to work with rotating weekends for on call duties

Preferred Qualifications:

• Certified Healthcare Access Associate (CHAA) from the National Association of Healthcare Access Management (NAHAM)
• Current knowledge of Patient Access processes and systems, regulatory and 3rd party payer issues and requirements
• Basic knowledge of ICD – 9 (10) and CPT terminology
• Knowledge of Patient Access technologies
• Operational knowledge of Federal and State regulations pertaining to patient admissions, as well as standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC)

Soft Skills:

• Must be able to independently set and organize own work priorities for self and for the assigned team, and successfully adapt to new priorities as part of a changing environment.
• Must be able to multi-task and work concurrently on a variety of tasks / projects in an environment that may be stressful with individuals having diverse personalities and work styles.
• Strong communication skills (verbal and written) in dealing with trainees, associates, and internal / external customers.
• Effective critical thinking, problem solving, and decision – making skills.
• Strong quantitative and analytical abilities to process and display data.
• Ability to handle heavy workloads and short deadlines in a positive manner.
• Adapts quickly to changing conditions, assimilating new processes into job functions, and taking ownership.
• Demonstrated knowledge of process improvement techniques are essential to success, as is the ability to be a self – starter and work independently to move projects successfully forward.
• Ability to work with a variety of individuals in executive, managerial, and staff level positions
• Must be comfortable operating in a collaborative, shared leadership environment that encourages change engagement and participation, and open dialogue.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum and our client organization(s).