Office Nurse

Employer
Optum
Location
Clearwater, FL
Posted
Apr 08, 2021
Closes
Apr 09, 2021
Ref
2103747148
Profession
Nurse
Specialty
Medical Management

Preparing for a Career Break

*OVERVIEW OF POSITION:*
The Office Nurse is responsible to the Center Administrator and assists, under the direction of the physician, in the provision of direct patient care in accordance with Company policies and procedures and established standards of nursing practice. This role reflects subject matter expertise in two key areas; clinic nursing and care management.
*ESSENTIAL FUNCTIONS:*

* 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.

* Ability to obtain CPR certification within 90 days of employment (Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross).

* LPNs: Ability to obtain IV Certification within 90 days of employment.

* 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.

*EDUCATION:*

* High school graduate, GED or equivalent.

* Graduation from an accredited school of Nursing.

* Must possess a current and valid LPN or RN Florida state license.

* LPNs: IV Certification required.

* RNs: Associates or Bachelor's degree in Science required.

* Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross).

*EXPERIENCE:*

* Healthcare industry experience within managed care and/or medical group operations environment.

* Five years of acute care clinical experience preferred.

* Strong working knowledge of triage nursing principles, theories and practices.

* Telephone triage experience a plus, with strong patient assessment skills.

* Experience with electronic health records (EHR) is preferred.

*KNOWLEDGE, SKILLS, ABILITIES:*

* Ability to provide on-site clinical treatment within scope of practice.

* Ability to perform accurate telephonic triages, accurately record findings with follow-up.

* Knowledge and ability to document using accepted medical documentation standards.

* Knowledge of medical equipment and maintenance.

* Ability to communicate effectively with patients and all levels of personnel/customers in a professional, courteous and effective manner using excellent customer service skills.

* Ability to be a clinical resource for non-licensed office staff.

* Computer literate with legible handwriting.

* Ability to prioritize and multi- task in a high paced environment with good organizational skills.

* Display initiative, accountability and resourcefulness.

* Ability to set and achieve goals.

* Knowledge of HIPAA regulations.

* Ability to complete a color blindness test.

* Ability to read, speak, write, and understand the English language fluently.

COVID-19 Symptom Screening / Precautions
If you need to enter a work site for any reason, you will be required to screen for symptoms, using the Protect Well mobile app, Interactive Voice Response, ( i.e. entering your symptoms via phone system) or another approved Optum Florida approved symptom screener. When in a Optum Florida building employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders.
*Employees in Clinical Settings*
COVID-19 Work Location Requirement: You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role.
*Careers with Optum.* Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. Optum brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you'll find incredible ideas in one incredible company and a singular opportunity to do *your life's best work.(SM)*
Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.