Clinical Triage RN - Home Health & Hospice
Presbyterian Healthcare Services
Albuquerque NM 87106 US
Overview:
Type of Opportunity: Per Required Need (.001 FTE)
Exempt: No
Work Schedule: Varied Days and Nights
Schedule may include working after hours, weekends and nights
Fully remote position :
Note candidates must be local, living in New Mexico only
We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.
How you grow, learn and thrive matters here.
Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
Shift differentials for nights and weekends
Differentials for higher education, certifications and various lead roles
Malpractice liability insurance
Summary:
Performs clinical triage review of inbound member and patient calls to the Home Health, Hospice, Palliative Care, Medical & GYN Oncology Customer Service/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.
Qualifications:
Education:
*Associates degree required, Bachelors preferred.
Experience:
*3 years of experience in clinical setting, emergency, urgent care, or managed care experience.
*Experience in Nurse Advise Triage, Hospice, Home Healthcare, 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 or compact state (multistate) RN license
Benefits:
Learn more about our employee benefits.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
#RN123
Maximum Offer for this position is up to: USD $41.39/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
Type of Opportunity: Per Required Need (.001 FTE)
Exempt: No
Work Schedule: Varied Days and Nights
Schedule may include working after hours, weekends and nights
Fully remote position :
Note candidates must be local, living in New Mexico only
We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.
How you grow, learn and thrive matters here.
Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
Shift differentials for nights and weekends
Differentials for higher education, certifications and various lead roles
Malpractice liability insurance
Summary:
Performs clinical triage review of inbound member and patient calls to the Home Health, Hospice, Palliative Care, Medical & GYN Oncology Customer Service/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.
Qualifications:
Education:
*Associates degree required, Bachelors preferred.
Experience:
*3 years of experience in clinical setting, emergency, urgent care, or managed care experience.
*Experience in Nurse Advise Triage, Hospice, Home Healthcare, 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 or compact state (multistate) RN license
Benefits:
Learn more about our employee benefits.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
#RN123
Maximum Offer for this position is up to: USD $41.39/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.