Role Description As an Authorizations Support Representative IV, you'll do more than process authorizations—you'll be a trusted advisor, trainer, and operational expert. This role offers the opportunity to lead cross-functional initiatives, support client implementations, mentor team members, solve complex challenges, and drive process improvements that directly impact organizational success. If you're passionate about continuous improvement, collaboration, and sharing your expertise with others, this is an opportunity to make a lasting impact. - Become a trusted expert who drives solutions, supports critical business operations, and serves as a key resource across the organization. - Share your expertise by training and mentoring team members, helping others succeed while shaping operational excellence. - Work from almost anywhere in the US with a 100% remote setup. - Standard Monday through Friday schedule typically 8 am – 5 pm CST, with opportunities to support client audits/escalations before or after normal business hours and/or on the weekend occasionally. - Provide training departmental employees on processes, systems, and applicable client information to ensure successful operations. - Inform Chief Dental Officer and/or designee of compliance results. Provide assistance and training to new and current dental consultants regarding system capabilities and requirements. Ensure consultants have all necessary resources (e.g. - clinical criteria documents, etc.) to complete the job. - Act as liaison for the team during implementation of new clients by attending cross functional meetings, understanding deliverables for department, communicating appropriately to team members, and ensuring completion of deliverables are timely and accurately. - Act as a subject matter expert on behalf of the team. Triaging requests, responding to questions and escalations from internal and external customers in a thorough and timely manner, resolving matters that may fall outside of the established workflows and serving as the main point of contact for live and desktop audits. - Assist manager and supervisor with projects related to staffing, time studies, process improvements and workflows. - Work collaboratively with manager and supervisor to identify staff quality trends that require additional training or documentation updates. - Utilize resources available to assess issues (set up, system, etc.) and locate appropriate resolution. - Update existing resources available to maintain current knowledge and understanding of dental plans coverage provided and departmental processes. - Regularly attend and participate in client and internal meetings as a representative of the team. - Review client reports and serve as the subject matter expert for accuracy. - Maintain accurate and detailed notes of work performed in the company system, as needed. - Work with the team to ensure process documents, resource tools and policies and procedures are accurate and up to date. Qualifications - High school diploma or equivalent. - 3 - 5 years of experience in a clinical dental role or other similar related experience. - Knowledge of dental procedures, terminology and codes. - Excellent organizational skills to ensure required deadlines are met. - Excellent problem solving skills to allow for the correct diagnosis of a problem along with potential solutions for resolution. - Basic computer skills. - Ability to work effectively with various personalities and work styles. - Good verbal and written communication skills. Requirements - Knowledge of Enterprise system. - Authorization processing experience. - Project coordination. Benefits The salary range is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Role Description As a Call Center Nurse, you will be responsible for conducting telephonic assessments with obstetric patients for nausea, vomiting, hypertension, and diabetes, and providing care coordination. You will work in a call center environment that includes both inbound and outbound calls. This position requires working two weekend days in a 4-week schedule and three holidays per year. The hours are: - 10 AM - 7 PM CST - 9 AM - 6 PM MST - 8 AM - 5 PM PST - 11:30 AM - 8:00 PM EST Primary Responsibilities: - Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner. - Uphold the Optum core values in the conduct of work. - Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations. - Assess patients prior to initiation of home care service for appropriateness of services prescribed. - Provide services according to Optum policy and the prescriber’s plan of treatment. - Individualize patient assessments based on care/services being provided and patient need. - Ensure interventions respect and encourage the patient’s ability to make choices. - Respect each patient’s rights and conduct business in an ethical manner. - Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient/family involvement in the continuum of care or service. - Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification. - Coordinate care with the patient services centers, pharmacists, dietitians, and other healthcare professionals to promote the continuum of care or service. - Accurately communicate (written/verbal) patient status information to prescribing physician and case manager in timely manner and provide necessary clinical information to Optum pharmacists and other healthcare professionals as applicable. - Provide care and services to assigned caseload in an efficient, organized manner. Maintain flexibility in assignments and scheduling. - Modify the plan of care, as appropriate, based on re-assessment, change in prescriber orders, the patient’s need for further care or services, and the achievement of identified goals within scope of practice and certification. - Complete clinical record documentation per Optum policy in a timely, complete, and accurate manner. - Provide service-related clinical support to key physicians/hospitals through personal contacts and in-services, as directed. - Participate in holiday and weekend duties as scheduled. - Ensure senior management decisions and directives are carried out. - Additional duties as assigned. Qualifications - Active, Unrestricted Compact State RN License within Residential State. - 3+ years of obstetrical experience. - Computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment (Word, Outlook, Excel, and Internet). - Designated and Distraction Free workplace at home with DSL high speed Internet. Requirements - BSN (Preferred). - 5+ years of obstetrical experience (Preferred). - All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - Hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment.

• Realizar llamadas a clientes y no clientes de Entel interesados en contratar servicios de Líneas Nuevas / Renovaciones / Portabilidad.

• Puesto: Asesores de Call Center • Área: crosseling,ventas etc. • Busca la que se adapta mejor a ti