Clinical Triage RN

Now hiring a Clinical Triage RN

 

Type of Opportunity: Per Required Need (.001 FTE)
Exempt: No
Work Schedule: Varied Days and Nights

Schedule may include working after hours, weekends and nights

 

Fully remote position :

Note candidates must be local, living in New Mexico only

 

We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.

How you grow, learn and thrive matters here.

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Shift differentials for nights and weekends
• Differentials for higher education, certifications and various lead roles
• Malpractice liability insurance

Performs clinical triage review of inbound member and patient calls to the Home Health, Hospice, Palliative Care, Medical & GYN Oncology Customer Service/Nurse Advice Line to ensure that services rendered to customers meet clinically appropriate direction and triage. Utilizes clinical skills to coordinate, document, and communicate all aspects of the appropriate clinical advice and triage based on criteria and in adherence to adopted guidelines and protocols.

Clinical triage includes all levels of acuity of medical presentations. Assists callers and members with coordination of care to in plan providers, appropriate urgent and emergent care and Home Health, Hospice, Palliative, Med & GYN ONC services. Validates and interprets medical information from callers using evidence-based criteria sets.
Consults with Medical Directors on non-emergent cases where protocols are not clear. Refers callers of various acuities to venues of care--including primary care, urgent or emergent care, ALS services, or public health services such as Poison Control Center or Public Health Department. May work varied shifts and performs occasional on-call assignments.

 

Ideal Candidate: Bachelors Degree.  Experience in Home Health, Hospice

 

Education:
*Associates degree required, Bachelors preferred.
Experience:

*3 years of experience in clinical setting, emergency, urgent care, or managed care experience.
*Experience in Nurse Advise Triage, Hospice, Home Healthcare, Oncology and or Infusion centers preferred.

Organizational and Analytical Skills: Experienced analytical skills as applicable to interpret medical records. Experience with detailed research, coordination and organizational skills. Demonstrated critical thinking skills as evidenced by experience, education, and/or the pre-hire interview process.

 

Education:
* Associate Degree

 

Credentials:
* Registered Nurse-NM or compact state (multistate) RN license 

• Receives triages, verifies, and processes requests for clinical triage and medical advice from health plan members and their representatives. Callers may have varying degrees of acuity in presentation and symptoms presented.
• May Work with stakeholders, primary and specialty providers across the state to; identify most appropriate direction of care based on call. Uses critical thinking to gauge risks, determine acuity of caller s situations and make evidence-based decisions on information and advice provided.
• Legally documents all calls and information discussed. Records and refers all pertinent information accordingly.
• May collaborate with other resources such as behavioral health clinicians, or crisis staff to best direct callers.
• Advises manager of trends in calls and potential quality of care and legal issues.
• Communicates effectively with providers, medical directors, and other applicable PHS departments to deliver sound and appropriate advice.
• Must adhere to protocols, guidelines and processes for compliance of call processing, documentation transfer and follow up.
• Meets departmental and/or regulatory turnaround times for clinical triage and internal Service Level Agreements (SLA) while maintain productivity and quality standards.
• Assists in orientation and training of new staff or students and serve as a resource person and professional role model.
• Performs other functions as required.
  
  

We offer more than the standard benefits!

Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!

Learn more about our employee benefits:

https://www.phs.org/careers/why-work-with-us/benefits

Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.

Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.

About Presbyterian Healthcare Services

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

About Our Regional Delivery System

Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico

New Mexico continues to grow steadily in population and features a low cost-of living.

Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.

New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

USD $41.39/Hr.

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.