Triage Nurse- Compact State License RN
Caresource
Job Summary:
The Triage Nurse is responsible for using decision support software to perform telephonic clinical triage and health information service for CareSource managed health plans and external clients.
Essential Functions:
- Utilize assessment skills and evidence-based triage guidelines for triage of healthy, as well as acutely or chronically ill or injured members, including pediatric, adult, maternity, and geriatric members
- Utilize provided training, skills and evidence-based triage guidelines to assess and assist members experiencing behavioral health challenges and crises.
- Function as patient advocate by facilitating accessibility to healthcare and provide linkage to other CareSource departments
- Educate members to assist them in making informed decisions regarding personal healthcare
- Assess health status and direct members to the most appropriate level of care
- Utilize critical reasoning in clinical decision-making
- Inform callers of preventative healthcare measures due
- Identify and refer appropriate members for Care Management
- Provide information about benefits, services and programs that allows members to maximize healthcare resources, as needed
- Manage telephone interactions with compassion and respect for cultural, educational and psychosocial differences of individuals
- Utilize multiple computer applications to document all information in an accurate manner
- Practice in compliance with AAACN, URAC and NCQA standards and regulatory requirements
- Keep abreast of trends in healthcare delivery and managed care
- Participate in departmental activities such as quality audits, preceptorship/training as needed
- Maintains and contributes to a collaborative professional and ethical work environment.
- Perform any other job duties as requested
Education and Experience:
- RN license required
- Bachelor’s Degree in Nursing preferred
- Minimum of three (3) years progressive clinical experience as an RN is required
- Triage, Emergency Nursing, Critical Care, or acute care experience is preferred; Experience within the past 3 years is strongly preferred
- Behavioral Health experience is preferred
- Telephone Triage in a call center setting preferred
Competencies, Knowledge and Skills:
- Strong computer skills
- Strong clinical assessment skills
- Strong communication skills
- Ability to work independently and within a team environment
- Attention to Detail
- Critical listening and thinking skills
- Decision making/problem solving skills
- Proper phone etiquette
- Customer service oriented
- Broad base of clinical knowledge
- Teaching skills
- Ability to remain calm under pressure and in member life threatening situations
- Ability to apply multiple communicative skills while utilizing available tools and resources simultaneously
- Exemplify CareSource’s Mission in our behavior and member interactions
Licensure and Certification:
- Current, unrestricted RN licensure in state of practice is required; multi-state licensure is preferred
- Ability to obtain licensure by endorsement in non-compact states when applicable
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$61,500.00 - $98,400.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
HourlyOrganization Level Competencies
Create an Inclusive Environment
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business