Title: Mental Health Clinical Wellbeing Specialist - Remote Location: Minnetonka United States Job Description: Requisition number: 2363636 Job category: Behavioral Overtime status: Non-exempt Travel: No 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Wellbeing Specialist role is a part of a clinical team focused on behavioral health and emotional wellbeing navigation and support. The team is responsible for care and case management, which includes authorizations and coordination and assurance of appropriate levels of care to members, along with in the moment solution focused consultations and crisis support. The Clinical Wellbeing Specialist provides one-to-one engagement support with members using clinical expertise to conduct a thorough telephonic assessment of risk to self or others, clinical screening for substance abuse and medical co-morbidities for members. Solution Focused Consultation, Motivational Interviewing, and Short-Term problem resolution are the clinical modalities used to develop an individualized action plan, guiding members to appropriate benefits and resources provided by employer, community and other cross-carrier vendors. The role will provide case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. The team is empowered to achieve the best possible outcome for the consumer by understanding where the consumer is at with their needs and ensuring the member receives the right care at the right time. The role includes telephonic, digital chat, and/or digital messaging for member interaction. Clinical specialists also coordinate and facilitate the response to high-risk situations through consultation with licensed staff. Work volume comes from both an inbound and outbound queue, both on demand and self-managed. Clinical Wellbeing Specialists are trained on the foundations of coaching and expected to fulfill their job duties by applying this skillset as a means of experience design. Clinical Wellbeing Specialists are expected to support goal articulation and activate the appropriate benefit or resource available to each unique member. This includes various clinical resources both within the team, as well as through broad partnerships in the organization. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Engage individually with members to clinically and holistically assess the reason for call and presenting needs including issues impacting the individual's personal wellbeing, emotional and physical health, and personal safety - Genuine passion for improving a member's behavioral health experience, supporting adults, youth, and families - "Provides services for adults, youth and families via inbound and outbound phone queues, inbound chats, and additional communications" - Anticipates member needs and proactively identifies solutions - Conduct thorough assessment of risk of harm to self, or others; assist with safety planning and coordinating services with emergency personnel and hospital staff through consultation with other licensed staff in order to access appropriate level of care and ongoing support - Coordinate follow-up care and services to individuals and organizations, as appropriate - Develop next steps and identify meaningful goals and resources utilizing Solution Focused Consultation model - Provide appropriate type of service based on member's presentation, clinical history and needs and accurately differentiate between EWS and BH services - Formulate short term problem resolution plan of action and provide Full Benefit Exploration reviewing the appropriate tools and resources to support the plan, offer and refer clients to additional benefits, and authorize additional services including behavioral health, and/or contracted - EWS and behavioral health network providers - Formulate accurate description of member's clinical presentation in their individual clinical records and maintaining appropriate records, case notes, forms and reports as well as database entries - Provide training in coaching skills foundations and successfully employs techniques in engagements with a focus on member goal articulation and achievement - Fosters a service-oriented environment and participates in human centered experience development - Identifies solutions to non-standard requests and problems - Solves moderately complex problems and/or conducts moderately complex analyses - Works with minimal guidance; seeks guidance on only the most complex tasks - Translates concepts in practice - Provides explanations and information to others on difficult issues - Coaches, provides feedback and guides others, acting as a resource for others with less experience - Participate in staff meetings, case consultations, and training opportunities - Consult as required with other licensed staff and supervisors 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: - Licensed Mental Health Clinician with a Master's degree in psychology, social work, counseling or marriage, or family counseling, or related mental health discipline - Active, unrestricted independent clinical license - Ability to work any of our 8.5-hour shift schedules during our normal business hours of Monday-Friday 6:45am - 7:15pm CST. It may be necessary, given the business need, to work occasional overtime - Designated workspace and access to secure high-speed internet via cable/DSL in home Preferred Qualifications: - 2+ years of child and family experience - Experience supporting members in an inbound call center - Proven solid written, verbal and interpersonal skills. Able to use various computer applications and move through computer screens while talking with members - Proven ability to build rapport, assess and address risk, and develop goals with members in a telephonic and/or online - Proven ability to work with a culturally and geographically diverse population - Proven ability to address a variety of problems and issues as presented by members - Proven ability to work flexibly and creatively with other professional team members 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. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group 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. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Title: Clinical Service Desk Helpdesk Associate (remote) Location: Bowling Green United States Job Description: NTT DATA Services strives to hire exceptional, innovative, and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. NTT DATA is currently seeking a Clinical Service Desk Helpdesk Associate to join our team in Bowling Green, KY (remote). All candidates are required to be shift flexible. Night, weekend, and/or holiday work will be required. Schedule can be changed as per client and business requirements or training needs. Additionally, overtime may be required depending on business requirements. NTT DATA Services is committed to improving patient outcomes by creating efficiencies across the healthcare ecosystem. A recognized leader in the healthcare space, the company delivers targeted segment solutions including patient engagement, predictive analytics, healthcare cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management and policy administration, in addition to core managed infrastructure, application and business process services. Clients include more than 1,800 hospitals, 2,200 long-term care facilities, 225 acute care facilities, 43,000 clinicians, 1,000 physician practices and 50 insurance providers in support of 65 million policy holders. Responsibilities - This position will be a part of our Provider Clinical Service Desk, as an agent primarily handling inbound customer calls. This is a call center environment in which we support our customers 24x7x365. - All candidates will have to be shift flexible. Shift work is required including nights, weekends, and/or holidays. Account specific training is conducted during day shift hours, regardless of assigned shift. - Respond to incoming service desk calls from healthcare customers regarding the clinical aspects of various clinical applications such as Epic, Cerner, McKesson and Meditech. Incidents may include, but are notlimited to workflow issues, application errors, user access, andfunctionality. - Track and document the appropriate comments and close or escalate the incident tickets and related issues in a timely manner. - Responsible for driving resolution of incidents on a 24/7 desk. - Read text on computer screens for the duration of the shift. - Remain at designated workspace and in the phone queue for an 8 to10-hour period with scheduled breaks. - Ensure a quiet, private workspace with high speed, wired internet. - Travel up to 10% of the time, if required. - Lift up to 25 lbs. if needed for equipment setup. - Have a working cell phone for manager communication and Two-Factor Authentication. Qualifications: - Minimum of 4 years of service desk / helpdesk experience or equivalent combination of education and technical troubleshooting experience (i.e., 2 years of work experience and 2 years of technical education). - Minimum of 1 year of technical troubleshooting experience with healthcare systems & customer service. #INDHCLSMC #INDFSINS About NTT DATA Services NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure, and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Role Description The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions. The position is grounded in data analytics skills in order to work collaboratively with providers, members, and internal departments across the organization to conduct ongoing processes that identify opportunities for quality, service, and clinical improvement. Manages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). Also supports the organization’s quality improvement philosophy and promotes the use of quality improvement (QI) tools in decision-making. Work Arrangement: Remote - This position is fully remote; however, the associate must be located in New Hampshire (NH). Travel as needed in the NH. Responsibilities - Provide key data analysis and critical thinking for the development and assessment of quality improvement project interventions. - Develop reports and analyses, and present findings to the Quality Committee for input and direction. - Support HEDIS and Clinical Practice Guidelines. - Support accreditation activities and clinical quality performance improvement initiatives. - Perform ad-hoc analyses of underperforming processes by collaborating with Subject Matter Experts (SME) and internal stakeholders to define current processes and recommend improvements. - Remove barriers to ensure the successful completion of strategic quality projects. - Conduct analyses and provide summary reports to senior management. - Act as a primary liaison to internal departments requiring collaboration and coordination. - Support the development of new and existing staff by identifying learning and training opportunities. - Serve as a mentor to new hires, ensuring consistency in information and training. Qualifications - Associate’s Degree or equivalent work experience required. - Registered Nurse (RN) required. - 5 years of experience in clinical or service quality improvement required. - 5 years of experience in managed care required. - Unrestricted Registered Nurse license in the plan’s state or any state in which the individual works. - Experience working within a managed care plan organization. - Intermediate or expert level user of Microsoft Excel/SAS. - Experience managing National Committee of Quality Assurance (NCQA) accreditation surveys preferred. - Knowledge and understanding of quality improvement functions within a Managed Care Organization (MCO) preferred. - Prior experience with project facilitation and/or project management preferred. Skills & Abilities - Proficient in Microsoft Excel or other data tools. - Excellent written and verbal communication skills. - Strong organizational, analytical, and interpersonal skills. - Ability to work effectively across all levels of the organization. - Ability to design, develop, and implement projects addressing financial, quality, and service improvements.

Role Description The Clinical Triage Specialist (CTS) (RN) - Access Center will compassionately deliver an exceptional patient experience and provide clinical support to CTS-MA team members by serving as a clinical resource. The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller’s symptoms will be assessed and triaged using approved nursing protocols and guidelines to assist in obtaining the appropriate level of care and/or self-care advice. - Answers telephones, prioritizes clinical triage calls, follows clinical protocols, and coordinates services, as needed. - Verifies patient demographic information and accurately enters the updated information into electronic health record. - Serves as an escalation point for clinical patient issues and other POD team members requiring clinical support, and provides clinical advice based on clinical protocols and procedures. - Manages and responds to escalated electronic patient messages whenever not answering inbound patient calls and uses clinical judgment to prioritize and accommodate patients. - Creates a positive patient experience at every encounter, attempting to independently resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role. - Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center. - Utilizes all resources and guidelines at his/her disposal to effectively assess, prioritize, advise, schedule appointments, or refer calls when necessary to the appropriate medical facility or personnel. - Accurately documents symptoms/complaints, nursing assessment, advice provided and patient/caller response. - Partners with other Access Center teams/PODs and respective practice clinical team on behalf of the patient to assist with clinical concerns, medication refills, or scheduling appointments. - Other duties as assigned. Qualifications - Graduate of an accredited nursing program. - Active Registered Nurse licensure in the state of Pennsylvania and New Jersey or other nursing compact state and other states as deemed necessary by state law. Requirements - Minimum 2 years recent clinical experience in a physician office, home health, critical care and/or emergency room is required. - Strong communication skills. - Focused on compliance. - Demonstrates continuous growth. - Quality-driven. - Service-oriented. - Excels at time management. - Strong problem-solving skills. - Ability to work from home in accordance with the Network Work from Home Policy if needed. Company Description St. Luke's University Health Network is an Equal Opportunity Employer.