Call Center Nurse Consultant

Position Summary

Career Interest : The Call Center Nurse Consultant is responsible for being a clinical resource over the phone to people calling from the health care system or community who have questions while seeking care, including by not limited to, nurse triage, prescription refills, and closing gaps in care. The nurse is expected to utilize nursing process in accordance with the nursing scope of practice. The nurse assists in navigating community individuals who call through appropriate channels to offer exceptional service. The nurse performs a detailed evaluation to determine appropriate level of care for patient symptoms. Individual is responsible for managing daily work-queues, taking patient telephone calls, and identifying opportunities for improvement in the call center processes.

Responsibilities and Essential Job Functions

• Execute Phone Triage responsibilities : performs a systematic, comprehensive interview of the caller / patient to determine the urgency of the patient’s problem. Accurately documents data for all calls including, but not limited to, patient demographic information, chief complaint, recommendations for home treatment, and referrals to primary care provider, alternative health care provider or emergency services. Performs and documents follow-up calls with patients as necessary to help ensure positive outcomes
• Act as liaison between patient and providers. Answer all patient inquiries for assigned providers regarding health issues. Serve as advocate for patient for both internal and external referrals. Make referrals to the appropriate level of care within an appropriate period
• Elicits questions, concerns, and information from patient to assess symptoms. As needed, identify appropriate protocol and develop a treatment plan.
• Coordinate medical care as required, schedule patient follow-up internal and external appointments as instructed by Providers, and as needed. Schedule same day appointments with the patient’s primary provider or alternative health care provider as necessary
• Provides professional advice, education and options based on assessment, established guidelines and clinical judgement. When appropriate advise patient to seek medical care at the emergency room
• When appropriate assist callers with referrals, and assist with scheduled clinical appointments
• Evaluate patient’s ability to understand the plan of care and perform health education as needed
• Document all calls, responses and referrals. Release of information (ROI) will be needed prior to exchanging any patient / client information with family or associates
• Perform follow up calls to evaluate effectiveness of care, or additional need for care
• Maintain accurate and necessary patient documentation in accordance with all regulatory bodies
• Apply human relation skills and customer service skills in providing patient care and in establishing good rapport
• Provide counseling, home treatment advice, and crisis intervention according to established protocols and standards of care
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

Preferred Education and Experience

Required Licensure and Certification

Staff hired prior to 2 / 1 / 2024 are required to obtain a multistate state RN license from the state in which they live at the time of their next RN license renewal by 3 / 31 / 2026.

Preferred Licensure and Certification

Knowledge Requirements

Time Type : Full time

Job Requisition ID : R-38775