Required Qualifications:

• 1-year recent (within the last 3 years) full-time equivalent experience
• Graduate of an accredited nursing program / Bachelors degree in nursing
• License, Certification, Registration
• Registered Nurse License (in the state where care is provided)
• Must have BLS, ACLS, and PALS
• Must be flexible
• Must be COVID-19 vaccinated and boosted

Job Descriptions:

Responsible for medical triage of members using established protocols, note taking via online ANS (Advice Note System) and providing specified diagnostic results to members. Responsible to collaborate with on-site physicians, on-call physicians, HCT, pharmacists, and/or Nurse Practitioner as necessary to facilitate member care.

Receives and processes telephone calls from Health Plan members requiring medical advice or general information by:

Assesses the patient's problem utilizing established protocols and interaction with provider on-site or on-call; makes appropriate recommendations to include advice, appointments per protocol, or direction from physician; appropriately

documents calls received with adherence to inter-regional documentation; acts as an extension of the health care team to meet member needs.

• Assists members in empathetic, efficient manner to determine best course of action to resolve issue.
• Meets regional standards set by call center management to achieve optimal member satisfaction such as phone access

and service standards. Be receptive to constructive feedback by supervisors and/or QI to better serve members.

• Contributes to the development of protocols, procedures, patient education, and training, as assigned. Participates in

peer review, quality assurance, and other committees' functions.

• Demonstrates ability to make quick decisions, based on sound base of critical thinking skills/guidelines by protocols.
• Demonstrate ability to interact with a variety of levels of staff to provide good customer service to internal customers.
• Performs other related duties as directed.

VA/MD Compact license

Weekly Pay

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