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[Hiring] Virtual Triage Nurse I - CareBridge - Bilingual Spanish @Elevance Health
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
This role involves working as a Virtual Triage Nurse I for CareBridge, requiring bilingual Spanish-speaking candidates licensed in specific states.
- 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.
Qualifications
- 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.
Requirements
- 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.
Benefits
- Comprehensive benefits package including medical, dental, and vision.
- Paid Time Off and paid holidays.
- Incentive bonus programs.
- 401(k) with company match.
- Stock purchase plan.
- Life insurance and wellness programs.
- Financial education resources.
