[Hiring] Registered Nurse @Carenet Health

Role Description

The Care Advisor is a licensed Registered Nurse reporting to the Clinical Services team. They provide quality driven telephonic clinical assessments, health education, and utilization management services to a diverse population of callers/patients/members. A Care Advisor provides triage assessments to individuals or defined patient populations using telecommunications, in accordance with computer-based algorithms, protocols, and guidelines. The Care Advisor uses critical thinking, essential multitasking skills and effective communication. They use their clinical knowledge to assess, disposition, make recommendations for care, provide education and health information.

Essential Duties and Responsibilities

• Using the Nursing Process, provides nursing assessments within the standards outlined in the state Nurse Practice Act.
• Provides assessments to individuals or defined patient populations using telecommunications in accordance with computer-based algorithms, protocols, and guidelines.
• Using the defined process, adheres to nursing standards, company policies and shared principles when providing clinical assessments and health education.
• Uses the nursing process to identify patient care needs, risk and safety issues, educational opportunities, and appropriate health care referrals.
• Processes calls based on Quality Management guidelines.
• Demonstrates compliance with all product’s specific performance metrics.
• Regular, reliable attendance and timeliness.
• Must work 4 weekend shifts per month - either in every Saturday schedule or every other weekend.
• Other duties as assigned.

Qualifications

• Current, unrestricted, RN licensure in a compact state which is your state of residence.
• Must reside in a compact state and maintain a compact multistate license.
• Current home state RN license in good standing.
• Minimum of an associate degree from a two-year college or technical school or Diploma Nursing Program; BSN preferred.
• CEU subscription provided at hire - use with Carenet Health email - RNs required to maintain mandatory number of credits per year to maintain all assigned license.
• RN must attend training 100% of hours and must pass intra-training testing components.

Requirements

• Minimum 3 years of Registered Nurse clinical experience.
• Experience in ER, adult and pediatric care, Medical/Surgical, Home Health and Hospice or other acute areas preferred.
• Telephone triage experience and understanding of health benefit plans and the insurance industry are helpful, but not required.
• Bilingual skills are a plus.

Functional/Technical Knowledge, Skills and Abilities Required

• Ability to apply clinical knowledge to effectively meet clinical business standards.
• Fully competent in product delivery and business requirements.
• Ability to run multiple computer programs at the same time.
• Identify opportunities for improvement and recommend workable solutions.
• Exercises judgement within defined practices and procedures to determine appropriate action.
• Ability to determine when to escalate issues appropriately and in a timely manner.
• Builds rapport with members and effectively influences member behavior.
• Comprehensive communication (listening, reflection, and clarification) skills.
• Manages time effectively.
• Must currently reside and have a Multi-State (compact) unrestricted RN license in one of the specified states.
• Ability to become licensed in additional states as required.

Benefits

• Health, dental, and vision insurance.
• A 401(k) plan with company match.
• Paid time off (PTO) and holidays.
• Flexible spending accounts (FSAs).
• Employee wellness programs.
• Career development opportunities.

Additional Information

• Full-time positions available (36-40 hours per week).
• Your schedule will be evenings and will include at least two weekend days every two weeks.
• Differential pay may be earned for certain shifts.
• Training is 2-4 weeks, with the first two weeks during daytime hours. 100% Attendance is required.
• Training is done in a virtual, interactive classroom setting.
• For work-from-home positions, your home office must meet certain certification requirements that would be explained to you during the interview process.