Triage Nurse I - Carebridge - Bilingual
Triage Nurse I - Carebridge - Bilingual
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Job Description
Anticipated End Date:
Position Title:
Triage Nurse I Carebridge BilingualJob Description:
Seeking bilingual Spanishspeaking candidates who have an active unrestricted RN Compact license or Multistate RN licenses in either of the following states: AZ FL IA IN KS MA NM OH PA TN TX or VA.
Location: Virtual This role enables associates to work virtually fulltime with the exception of required inperson training sessions (when indicated) providing maximum flexibility and autonomy. This approach promotes productivity supports worklife integration and ensures essential facetoface onboarding and skill development.
Work Shift: Eight (8)10hour work shifts 9am to 7 pm (Central Standard Time) in a twoweek period including Saturday and Sunday every other weekend.
Carebridge Health is a proud member of the Elevance Health family of companies within our Carelon business. Carebridge Health exists to enable individuals in home and communitybased settings to maximize their health independence and quality of life through homecare and community based services
The Triage Nurse I Carebridge Bilingual is responsible for determining the appropriate Care Management program for members referred through internal and external sources and various data sources and reports. Utilizing department guidelines completes triage process and applies established criteria to assign members to appropriate care management component. Deals with least complex cases having limited or no previous Triage care experience.
Primary duties may include but are not limited to:
- Utilizes the nursing process to meet an individuals health needs utilizing plan benefits and community resources.
- Educates members about contracted physicians facilities and healthcare providers.
- Learn to develop favorable working partnerships and collaborative relationships with members physicians healthcare service providers and internal and external customers to help improve health outcomes for members.
- Works in collaboration with medical management and care management associates to identify issues problems and resource needs and assign to appropriate care management program.
- Facilitates selecting appropriate candidates for referral to CM and/or DM.
- Partners with social work as appropriate.
- Identifies and refers cases or issues to QI SIU Subrogation Underwriting or other departments as appropriate.
- Documents appropriate clinical information decisions and determinations in a timely accurate and concise manner.
- Develops a working knowledge of member benefits contracts medical policy professional standards of practice and current health care practices.
Position requirements:
- Requires AS in nursing and minimum of 2 years of acute care clinical experience; or any combination of education and experience which would provide an equivalent background.
- Current unrestricted RN license in the applicable state(s) required.
Preferred qualifications skills and experiences:
- Current active RN Compact license highly preferred.
- Emergency Room and/or Urgent Care experience highly preferred.
- Telehealth experience.
- Bilingual Spanish is strongly preferred.
- Experience with EMR systems.
- BS in nursing preferred.
- Participation and/or certification in a managed care or utilization management organization preferred.
- Ability to understand clinical information and prepare a concise summary following department standards strongly preferred.
- Basic knowledge of the medical management and care management process and role preferred.
Job Level:
NonManagement ExemptWorkshift:
1st Shift (United States of America)Job Family:
MED > Licensed NursePlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.
We offer a range of marketcompetitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) match stock purchase plan life insurance wellness programs and financial education resources to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Employment Type
Full-Time
