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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Nurse

Country:

United Kingdom

Approximate Salary:

Not Specified

Position Type:

Full Time

Triage Nurse (Primary Care) - Ealing, UK

UHG - EALING LONDON, Great Britain, United Kingdom

Posted: 09/2/2018

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

 

This role is responsible for providing clinical review and triage of referrals within the RS services across Optum, utilizing approved medical protocols per policy, and recommending an appropriate level of clinical care based on clinical judgment and protocols. To act as an expert clinical resource for the RS teams supporting the Lead Nurse and Head of Operations in clinical training, complaint resolution and quality improvement.

  • Uses pertinent data and facts to identify and solve a range of problems within area of expertise
  • Investigates non-standard requests and problems, with some assistance from others
  • Works exclusively within a specific knowledge area
  • Prioritizes and organizes own work to meet deadlines
  • Provides explanations and information to others on topics within area of expertise

Primary Responsibilities:

Clinical:

  • Clinically triage referrals in line with agreed specialties ensuring that they meet the referral criteria for onward booking

  • Analyzes and investigates

  • Provides explanations and interpretations within area of expertise

  • Where a referral does not meet the criteria or there is clinical information missing the referral should be returned to the referrer with clear advice and guidance as to the reasons - this will then go through to a GP to provide secondary triage and either confirm or disagree with the original triage decision

  • Where a referral does meet the criteria provide the referrer with advice and feedback on their referral if appropriate

  • To keep clinical quality at the forefront of all decision making within the RFS

  • Triage all referrals within productivity timelines

  • Provide high quality and comprehensive feedback to referrers on the quality of their referrals

  • Utilise best practice guidance for all referrals processed within the RFS

  • Through the triage process highlight any concerns around quality of referrals from specific GPs or practices

  • Liaise with GP Triager colleagues on difficult or challenging referrals

  • To utilise the RFS systems accurately and fully for the purposes of comprehensive data collection

  • Support the development of clinical protocols and guidelines for the RFS services

  • Quality audit clinical triage and work with colleagues to demonstrate the value of clinical triage

  • Provide coaching and support on clinical terminology and referral pathways to RFS team

Leadership:

  • Provide the admin teams with clinical expertise, knowledge and support

  • Participate and support the GP and consultant Triage meetings

  • Contribute to the development of improved ways of working within the RS

  • Maintain a high level of confidentiality in all aspects of work including participant records and conversations

  •  Maintain accurate information systems of records and activities

  • Adhere to organisational policies and procedures including clinical governance and patient confidentiality

Communication:

  • Communicate professionally and effectively with participants and all other stakeholders, providing accurate, relevant information as required

  • Communicate across language and cultural barriers within groups in partnership with the available agencies

  • Provide excellent customer service

  • Manage all calls in a customer focused and professional manner

Professional & Educational Development:

  • Provide a high standard of care at all times in accordance with the Code of Professional Conduct (NMC 2015) and any other company policy or procedural requirements

  • Develop a Personal Development Plan that both fulfills the requirements of the post and allows for personal and professional development

  • Undertake refresher training to maintain clinical triage skills

  • Participate in any mandatory training for the role and undertake any additional necessary training to undertake the role competently and efficiently

  • Engage in clinical supervision and self-evaluation using this as a method to improve care and practice

  • Ensure patient confidentiality at all times in accordance with the Code of Professional Conduct (NMC 2015) and other service and corporate requirements

  • Positively engage in the Maximising Accountability and Performance (MAP) process

The role whilst based within the RFS at West London there will be travel to Contract locations and opportunity to work remotely on occasions.


Required Qualifications:

  • Registered General Nurse - current NMC registration
  • Demonstrable experience of working as an autonomous Nurse Practitioner within a triaging environment
  • Experience in providing first contact / triage services
  • Experience of providing Long Term Conditions management
  • Intermediate IT competence, including use of MS Office
  • Good understanding of the current Primary Care agenda
  • Understanding of service user confidentiality

Preferred Qualifications:

  • Degree Level Nurse Practitioner
  • Masters Level Degree
  • Extended and Supplementary Prescribing
  • Teaching and Assessing - C&G 7303 or equivalent
  • Good knowledge of the work of General Practice

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, 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. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

 

 

Job Keywords: Triage Nurse, Primary Care, Nurse, Nursing, NMC, Ealing, UK, United Kingdom

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