Job Summary:

*Evening hours - 3pm-1:30am - every other weekend, every other holiday*

*Shift differential*

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 patients about their health conditions, treatment options, and preventive care measures.
• 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
• Manage crisis situations effectively, providing appropriate resources and referrals to callers in distress.
• 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.
• Provide support during times of emergent or critical staffing needs
• Performs any other job related duties as requested.

Education and Experience:

• Associates degree in Nursing required
• Bachelor's degree in Nursing preferred
• Three (3) years progressive clinical experience as an RN required
• Triage, Emergency Nursing, Critical Care, or acute care experience within the past 3 years is strongly preferred
• Behavioral Health experience 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 required
• Multi-state RN licensure 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
• Travel is not typically required

Compensation Range:

CareSource 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):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.