What are the responsibilities and job description for the Triage Nurse - RN - Must live within 1hr of Ridgeland Mississippi 39157 position at CareSource?
Job Summary :
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 :
Competencies, Knowledge and Skills :
Licensure and Certification :
Working Conditions :
Compensation Range :
55,350.00 - $88,560.00 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
Competencies :
TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource's national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi.
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.
Salary : $55,350 - $88,560
