Triage Nurse assessing members for Care Management programs at Elevance Health. Bilingual Spanish candidates preferred, role involves virtual care and member education.
Responsibilities
Determine appropriate Care Management program for members referred through internal and external sources
Complete triage process and apply established criteria for care management components
Utilize nursing process to meet health needs using benefits and community resources
Educate members about contracted physicians, facilities, and healthcare providers
Develop partnerships with members, physicians, and healthcare service providers for improved health outcomes
Collaborate with medical and care management associates to identify issues and resource needs
Document clinical information and determinations in a timely manner
Requirements
Requires AS in nursing
Minimum of 2 years of acute care clinical experience
Current, valid, active and unrestricted RN license in applicable state(s)
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