Optum WA, is seeking a RN Call Assist to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position in this function is under general supervision the Staff RN/Consulting Nurse is responsible for providing telephone triage assessment to Primary Care patients by using state of the art telecommunications, information technology and approved protocols; to clients ensuring the efficient use of medical and nursing, facilities and equipment and to provide excellent customer service. Schedule: Week 1: Sun Off, Mon Off, Tues Off, Wed 1:30pm-9:30pm, Thurs 1:30pm-9:30pm, Fri 1:30pm-9:30pm, Sat 8am-8pm = 32 hours Week 2: Sun 8am-8pm, Mon Off, Tues Off, Wed 1:30pm-9:30pm, Thurs 1:30pm-9:30pm, Fri 1:30pm-9:30pm, Sat Off = 32 hours If you are located in the PST time zone, you’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Position Highlights & Primary Responsibilities: - 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 - Be 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 - Be 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 - Speaks with a pleasant, professional phone voice and provides superior customer service to internal and external customers - Ensures performance standards are met and accepts constructive feedback 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: - Unrestricted WA State or Compact RN license - 3+ years of experience in a clinical setting (Med/Surg, critical care, ER, etc.), disease management, home health, discharge planning, utilization review, patient education and telephonic nursing - Reside in PST time zone and ability to work PST work schedule to include: Week 1: Sun Off, Mon Off, Tues Off, Wed 1:30pm-9:30pm, Thurs 1:30pm-9:30pm, Fri 1:30pm-9:30pm, Sat 8am-8pm = 32 hours, Week 2: Sun 8am-8pm, Mon Off, Tues Off, Wed 1:30pm-9:30pm, Thurs 1:30pm-9:30pm, Fri 1:30pm-9:30pm, Sat Off = 32 hours Preferred Qualifications: - Bachelor of Science in Nursing - American Academy of Ambulatory Care Nursing (AAACN) - 1+ years of Call Center Nursing experience - Case Management experience *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Our healthcare system is the leading cause of personal bankruptcy in the U.S. Every year, over 50 million Americans suffer adverse financial consequences as a result of seeking care, from lower credit scores to garnished wages. The challenge is only getting worse, as high deductible health plans are the fastest growing plan design in the U.S. Cedar’s mission is to leverage data science, smart product design and personalization to make healthcare more affordable and accessible. Today, healthcare providers still engage with its consumers in a “one-size-fits-all” approach; and Cedar is excited to leverage consumer best practices to deliver a superior experience. The Role The Part-Time Patient Advocate position serves as the liaison between the patient and healthcare provider supporting our patients through the following channels: live chat, phone, and email communications. In addition, patient advocates act as account managers to holistically manage the medical billing process and anticipate potential billing issues. We believe that all patients deserve to have a pleasant and efficient healthcare billing experience. This is a part-time role, expected to work approximately 20 hours per week - 10 AM - 2 PM ET M-F. We expect this engagement will last 3-5 months, with the opportunity to extend. Responsibilities - Manage on average 60-80 incoming and outgoing patient calls daily regarding medical bills - Utilize the Cedar platform to handle all patient questions via inbound chats, phone calls and perform appropriate outbound call campaign - Run and follow through on escalations to the healthcare provider - Lead the payment posting process and follow up on defaulted payments - Appropriately follow up with insurance and other third parties - Meet assigned team and individual metrics related to satisfaction and collections performance Qualifications - 2-3 years of customer service experience via phone or call center - 1-2 years of medical billing, insurance or related healthcare experience - Ability to work part-time; approximately 20 hours weekly - Experience navigating electronic medical record systems (preferably Athena (Centricity Business), eClinicalWorks, Medik, CareVoyant, Nextgen, and Epic) - Proficiency in Google Suite - Ability to toggle between multiple systems and efficient typing skills - Excellent verbal and written communication skills - Self motivated individual with exceptional attention to detail - Ability to show empathy and passion for outstanding customer service - Excellent problem solving and critical thinking skills - Open to ambiguity and ever changing environment - We’re looking for someone willing to be flexible with their schedule from time to time This is a fully remote position, and as a result will require access to a nice private space. Compensation Range: - Hourly Rate Range in CA, NY, NJ, CT: $22.64 - Hourly Rate Range NOT in CA, NY, NJ, CT: $19.47 #LI-REMOTE What do we offer to the ideal candidate? - A chance to improve the U.S. healthcare system at a high-growth company! Our leading healthcare financial platform is scaling rapidly, helping millions of patients per year - Unless stated otherwise, most roles have flexibility to work from home or in the office, depending on what works best for you - For exempt employees: Unlimited PTO for vacation, sick and mental health days–we encourage everyone to take at least 20 days of vacation per year to ensure dedicated time to spend with loved ones, explore, rest and recharge - 16 weeks paid parental leave with health benefits for all parents, plus flexible re-entry schedules for returning to work - Diversity initiatives that encourage Cedarians to bring their whole selves to work, including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies), Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians) - Competitive pay, equity (for qualifying roles), and health benefits, including fertility & adoption assistance, that start on the first of the month following your start date (or on your start date if your start date coincides with the first of the month) - Cedar matches 100% of your 401(k) contributions, up to 3% of your annual compensation - Access to hands-on mentorship, employee and management coaching, and a team discretionary budget for learning and development resources to help you grow both professionally and personally About us Cedar was co-founded by Florian Otto and Arel Lidow in 2016 after a negative medical billing experience inspired them to help improve our healthcare system. With a commitment to solving billing and patient experience issues, Cedar has become a leading healthcare technology company fueled by remarkable growth. "Over the past several years, we've raised more than $350 million in funding & have the active support of Thrive and Andreessen Horowitz (a16z). As of November 2024, Cedar is engaging with 26 million patients annually and is on target to process $3.5 billion in patient payments annually. Cedar partners with more than 55 leading healthcare providers and payers including Highmark Inc., Allegheny Health Network, Novant Health, Allina Health and Providence.

Role Description This is a remote position; however, employment is limited to residents of certain U.S. states due to legal, tax, and regulatory requirements. At this time, we cannot offer employment to individuals residing in: - California - Colorado - Hawaii - Massachusetts - New Jersey - New York - Oregon - Pennsylvania - Washington - U.S. territories Eligibility is based on an applicant’s primary residence at the time of hire. Benefits - 401k retirement plan (no company match for per diem status) - Employee assistance program - Employee discounts Company Description ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including: - Acute and ambulatory care - A dental plan - Academic business lines ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus .

Role Description Handles incoming calls from customers, healthcare providers, and pharmacies regarding prescription-related inquiries, providing accurate and timely assistance. - Verifies and validates prescription information, including dosage, medication names, and patient details, adhering to company protocols to ensure accuracy. - Documents customer concerns, complaints, or issues related to prescriptions, demonstrating empathy and professionalism to resolve problems effectively. - Provides guidance and support to customers regarding prescription refills, medication adherence, potential drug interactions, and general medication information. - Operates computer systems and software applications to access and update customer records, prescription data, and relevant information during customer interactions. - Communicates regularly with healthcare professionals, insurance providers, and pharmacies to facilitate the verification, authorization, and processing of prescriptions. - Escalates complex or urgent issues to appropriate teams, such as pharmacists or supervisors, for further assistance and resolution. - Monitors, tracks, and analyzes call center performance metrics, including call handling time, customer satisfaction, and quality standards to gather actionable insight for continuous improvement opportunities. - Stays updated on industry regulations, medication trends, and new pharmaceutical products, continuously improving knowledge and expertise to provide accurate and up-to-date information to customers. Qualifications - Working knowledge of problem solving and decision-making skills. - For regulatory purposes, must be a resident and Licensed Pharmacy Technician in one of the following states: Alaska, Arizona, Florida, Idaho, Illinois, Maine, Massachusetts, New Hampshire, New Mexico, North Carolina, Ohio, Rhode Island, Tennessee, Texas or Vermont. - Candidate must obtain Rhode Island Pharmacy Technician license (application and fee) upon hire. Preferred Qualifications - Certified Patient Care Technician (CPCT) preferred. - Licensed Pharmacy Technician in Rhode Island or Massachusetts. Education - Verifiable high school diploma or equivalent required. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.