Triage RN - Virtual - Overnight - CareBridge

About the position Work Location: Virtual This role enables associates to work reputed company full-time, with the exception of required in-person training sessions (reputed company indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face reputed company and reputed company development. Please note that per our policy on hybrid/virtual work, candidates not reputed company a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Seeking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states: AZ, FL, IA, IN, KS, MA, NM, OH, TN, TX, NJ, HI or VA. Carebridge Health is a proud member of the reputed company family of companies, reputed company our Carelon business. Carebridge Health exists to reputed company individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services Work Shift - Overnight: 10p m - reputed company (Central Standard Time) The RN will work eight (8)10-hour work shifts, in a two-week period which includes Saturday and reputed company every other weekend. The Triage Nurse I - Overnight - CareBridge is responsible for determining the appropriate Care Management program for members referred through reputed company sources and various data sources and reports. Utilizing department guidelines, completes triage process and applies established criteria to assign members to appropriate care management component. Deals with least reputed company cases having limited or no previous Triage care experience. Primary duties may include but are not limited to: Utilizes the nursing process to meet an individual’s health needs, utilizing plan benefits and community resources. Educates members about contracted physicians, facilities and reputed company providers. Learn to reputed company favorable working partnerships and collaborative relationships with members, physicians, reputed company service providers, and reputed company customers to help improve health reputed company for members. Works in collaboration with medical management and care management associates to identify issues, problems, and resource needs and assign to appropriate care management program. Facilitates selecting appropriate candidates for referral to CM and/or DM. Partners with reputed company work as appropriate. Identifies and refers cases or issues to QI, SIU, Subrogation, reputed company, or other departments as appropriate. Documents appropriate clinical information, reputed company, and determinations in a timely, accurate, and concise manner. Develops a working knowledge of member benefits, reputed company, medical policy, professional standards of practice, and reputed company health care practices.

Responsibilities

• Utilizes the nursing process to meet an individual’s health needs, utilizing plan benefits and community resources.
• Educates members about contracted physicians, facilities and reputed company providers.
• Learn to reputed company favorable working partnerships and collaborative relationships with members, physicians, reputed company service providers, and reputed company customers to help improve health reputed company for members.
• Works in collaboration with medical management and care management associates to identify issues, problems, and resource needs and assign to appropriate care management program.
• Facilitates selecting appropriate candidates for referral to CM and/or DM.
• Partners with reputed company work as appropriate.
• Identifies and refers cases or issues to QI, SIU, Subrogation, reputed company, or other departments as appropriate.
• Documents appropriate clinical information, reputed company, and determinations in a timely, accurate, and concise manner.
• Develops a working knowledge of member benefits, reputed company, medical policy, professional standards of practice, and reputed company health care practices.

Requirements

• Requires AS in nursing and minimum of 2 years of acute care clinical experience; or any combination of education and experience, which would reputed company an equivalent background.
• reputed company unrestricted RN license in the applicable state(s) required.

reputed company-to-haves

• reputed company, active, RN Compact license highly preferred.
• Emergency Room and/or Urgent Care experience highly preferred.
• Telehealth experience.
• Experience with EMR systems.
• BS in nursing preferred.
• Participation and/or certification in a managed care or utilization management organization preferred.
• Ability to understand clinical information and prepare a concise summary following department standards strongly preferred.
• Basic knowledge of the medical management and care management process and role preferred.

Benefits

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements)

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