Performs clinical triage review of inbound member and patient calls to the Home HEALTH, HOSPICE, PALLIATIVE, Med & GYN ONC CSC Nurse Advice Line to ensure that services rendered to customers meet clinically appropriate direction and triage. Utilizes clinical skills to coordinate, document, and communicate all aspects of the appropriate clinical advice and triage based on criteria and in adherence to adopted guidelines and protocols.
Clinical triage includes all levels of acuity of medical presentations. Assists callers and members with coordination of care to in plan providers, appropriate urgent and emergent care and Home Health, Hospice, Palliative, Med & GYN ONC services. Validates and interprets medical information from callers using evidence-based criteria sets.
Consults with Medical Directors on non-emergent cases where protocols are not clear. Refers callers of various acuities to venues of care--including primary care, urgent or emergent care, ALS services, or public health services such as Poison Control Center or Public Health Department. May work varied shifts and performs occasional on-call assignments.
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Type of Opportunity: Per Required Need FTE: 0.001000 Varied Days and Hours
Text 505.388.0350 or schedule directly with me by clicking here!
*Associates degree required, Bachelors preferred.
*New Mexico Board of Nursing RN License with Multi-State Compact Licensure status required, with at least 3 years of experience in clinical setting, emergency, urgent care, or managed care experience.
*Experience in Nurse Advice,Triage, Hospice, Home Health Care, Oncology and or Infusion centers preferred.
* Organizational and Analytical Skills: Experienced analytical skills as applicable to interpret medical records. Experience with detailed research, coordination and organizational skills. Demonstrated critical thinking skills as evidenced by experience, education, and/or the pre-hire interview process.
Education:
* Associate Degree
Credentials:
* Registered Nurse-NM
Benefits:
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