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Job Summary:
Nights - every other weekend, every other holiday*
Shift differential*
Essential Functions:
Utilize assessment skills and evidence-based triage guidelines for triage of healthy, as well as acutely or chronically ill or injured members, including pediatric, adult, maternity, and geriatric members
Utilize provided training, skills and evidence-based triage guidelines to assess and assist members experiencing behavioral health challenges and crises.
Function as patient advocate by facilitating accessibility to healthcare and provide linkage to other CareSource departments
Educate patients about their health conditions, treatment options, and preventive care measures.
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 due
Identify and refer appropriate members for Care Management
Provide information about benefits, services and programs that allows members to maximize healthcare resources, as needed
Manage telephone interactions with compassion and respect for cultural, educational and psychosocial differences of individuals
Manage crisis situations effectively, providing appropriate resources and referrals to callers in distress.
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 departmental activities such as quality audits, preceptorship/training as needed
Maintains and contributes to a collaborative professional and ethical work environment.
Provide support during times of emergent or critical staffing needs
Performs any other job related duties as requested.
Education and Experience:
Associates degree in Nursing required
Bachelor's degree in Nursing preferred
Three (3) years progressive clinical experience as an RN required
Triage, Emergency Nursing, Critical Care, or acute care experience within the past 3 years is strongly preferred
Behavioral Health experience preferred
Telephone Triage in a call center setting preferred
Competencies, Knowledge and Skills:
Strong computer skills
Strong clinical assessment skills
Strong communication skills
Ability to work independently and within a team environment
Attention to Detail
Critical listening and thinking skills
Decision making/problem solving skills
Proper phone etiquette
Customer service oriented
Broad base of clinical knowledge
Teaching skills
Ability to remain calm under pressure and in member life threatening situations
Ability to apply multiple communicative skills while utilizing available tools and resources simultaneously
Exemplify CareSource ’s Mission in our behavior and member interactions
Licensure and Certification:
Current, unrestricted RN licensure in state of practice required
Multi-state RN licensure preferred
Ability to obtain licensure by endorsement in non-compact states when applicable
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Travel is not typically required
Compensation Range:
$62,700.00 - $100,400.00 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. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. 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
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
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 environment of belonging that welcomes and supports individuals of all backgrounds.
