REMOTE - Triage Nurse - RN - Must be MultiState Licensed - Evening and Every Other Weekend - FT - R8991

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for 30+ years and we continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be member-first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to more than 2 million members through plan offerings including Marketplace, Medicare products and Medicaid. With our team of 4,500+ employees located across the country, we continue to clear a path to better life for our members. Visit the "Life"​ section to see how we are living our mission in the states we serve.

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.

Utilize assessment skills and evidence-based triage guidelines for triage of healthy, as well as acutely or chronically ill or injured members, including pediatric, adult, maternity, and geriatric members Utilize provided training, skills and evidence-based triage guidelines to assess and assist members experiencing behavioral health challenges and crises. Function as patient advocate by facilitating accessibility to healthcare and provide linkage to 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 due Identify and refer appropriate members for Care Management Provide information about benefits, services and programs that allows members to maximize healthcare resources, as needed 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 departmental activities such as quality audits, preceptorship/training as needed Maintains and contributes to a collaborative professional and ethical work environment. Perform any other job duties as requested