[Hiring] Virtual Triage Nurse I - CareBridge - Bilingual Spanish @Elevance Health

🌍 Remote, USA 💹 Full-time 🕐 Posted Recently

Job Description

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Role Description

Work location is virtual full-time with required in-person training sessions.
Work shift is from 11am to 9pm (Central Standard Time).
The RN will work eight (8) 10-hour shifts in a two-week period, including every other weekend.
Responsible for determining appropriate Care Management programs for members.
Utilizes nursing process to meet individual health needs using plan benefits and community resources.
Educates members about contracted physicians, facilities, and healthcare providers.
Develops working partnerships with members, physicians, and healthcare service providers.
Collaborates with medical management and care management associates to identify issues and assign to appropriate care management programs.
Facilitates selecting appropriate candidates for referral to CM and/or DM.
Documents clinical information, decisions, and determinations accurately and timely.
Develops knowledge of member benefits, contracts, medical policy, and current healthcare practices.

AS in nursing and minimum of 2 years of acute care clinical experience, or equivalent background.
Current, valid, active, and unrestricted RN license in applicable state(s) required.
Bilingual Spanish language skills are required.

Current, 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 concise summaries preferred.
Basic knowledge of medical management and care management processes preferred.