[Hiring] Virtual Triage Nurse I - CareBridge - Bilingual Spanish @Elevance Health

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Role Description

This role involves working as a Virtual Triage Nurse I for CareBridge, requiring bilingual Spanish-speaking candidates licensed in specific states.

• Work location is virtual full-time with required in-person training sessions.
• Work shift is from 11am to 9pm (Central Standard Time).
• The RN will work eight (8) 10-hour shifts in a two-week period, including every other weekend.
• Responsible for determining appropriate Care Management programs for members.
• Utilizes nursing process to meet individual health needs using plan benefits and community resources.
• Educates members about contracted physicians, facilities, and healthcare providers.
• Develops working partnerships with members, physicians, and healthcare service providers.
• Collaborates with medical management and care management associates to identify issues and assign to appropriate care management programs.
• Facilitates selecting appropriate candidates for referral to CM and/or DM.
• Documents clinical information, decisions, and determinations accurately and timely.
• Develops knowledge of member benefits, contracts, medical policy, and current healthcare practices.

Qualifications

• AS in nursing and minimum of 2 years of acute care clinical experience, or equivalent background.
• Current, valid, active, and unrestricted RN license in applicable state(s) required.
• Bilingual Spanish language skills are required.

Requirements

• Current, active RN Compact license highly preferred.
• Emergency Room and/or Urgent Care experience highly preferred.
• Telehealth experience.
• 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 concise summaries preferred.
• Basic knowledge of medical management and care management processes preferred.

Benefits

• Comprehensive benefits package including medical, dental, and vision.
• Paid Time Off and paid holidays.
• Incentive bonus programs.
• 401(k) with company match.
• Stock purchase plan.
• Life insurance and wellness programs.
• Financial education resources.