Job Summary:
**Must live within 1 hour of Downtown Dayton Office**
The Triage Nurse is responsible for using decision support software to perform telephonic clinical triage and health information service for CareSource managed health plans and external clients.
Essential Functions:
- Utilize assessment skills and the nursing process for care of healthy, as well as acutely or chronically ill or injured clients, including pediatric, adult, maternity, and geriatric members
- Function as patient advocate by facilitating accessibility to healthcare and provide collaborative service for other CareSource departments
- Educate members to assist them in making informed decisions regarding personal healthcare
- 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
- Identify and refer appropriate members for Case Management
- Provide information about benefits, services and programs that allows members to maximize healthcare resources
- Assess caller's needs and assists with issues related to member's care
- Manage telephone interactions with compassion and respect for cultural, educational and psychosocial differences of individuals
- 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 self-managed team: daily operations, quality audits, preceptor/training resource, etc.
- Maintains and contributes to a collaborative professional and ethical work environment.
- Perform any other job duties as requested
Education and Experience:
- RN license required
- Bachelor’s Degree in Nursing preferred
- Minimum of three (3) years of progressive clinical experience is required
- Triage, Emergency Nursing or Critical Care experience is preferred
- Behavioral Health experience is preferred
- Telephone Triage in a call center setting preferred
Competencies, Knowledge and Skills:
- Beginning level computer skills
- Clinical assessment skills
- Communication skills
- Ability to work independently and within a team environment
- Attention to Detail
- Critical listening and thinking skills
- Proper grammar usage
- Proper phone etiquette
- Decision making/problem solving skills
- Customer service oriented
- Broad base of clinical knowledge
- Teaching skills
- Ability to remain calm under pressure and in life threatening situations
- Ability to multitask-simultaneously thinks, talks and types
- Understand and support philosophy of HMO and managed healthcare programs
Licensure and Certification:
- Current, unrestricted RN licensure in state of practice is required
- Ability to be licensed in multiple states in a timely fashion
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$60,300.00 - $96,500.00
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. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Hourly
Organization Level Competencies
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 inclusive environment that welcomes and supports individuals of all backgrounds.