Triage Nurse - Remote

Rising Medical Solutions•Chicago, IL

13h•Remote

About The Position

As our Triage Nurse, you will be responsible for conducting a focused assessment and prioritizing a patient’s clinical condition to provide immediate care if the patient requires it.

Requirements

Active appropriate professional nurse license (RN or LPN) in the state of residence
Minimum of 1-year clinical nursing experience required
Flexibility in working both autonomously and on a team
Maintain confidentiality of all information, policies, and procedures
Demonstrate sensitivity to culturally diverse people and situations
Well-developed time-management, organization, and prioritization skills
Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
Excellent oral and written communication skills, over the phone and interpersonal
Ability to gather data, compile information and, prepare summary documentation
Strong interpersonal and customer service skills
Experience in a fast-paced, multi-faceted environment
Demonstrated persistence and attention to detail
Working knowledge of internet research/navigation, Microsoft Word, Excel, and Outlook
Ability to remain calm during stressful situations
Customer-service oriented

Nice To Haves

Prior remote/telephonic work experience preferred
Being bilingual in Spanish is a plus
Prior triage experience preferred
Experience with Workers’ Compensation, short-term or long-term disability, or liability claims preferred
Bill review experience with Workers’ Compensation, Auto, and/or Health Insurance carriers a plus

Responsibilities

Assess injury severity, the extent of disability, treatment plans, functional abilities, and physical job requirements.
Utilize sound clinical judgment, careful listening, and critical thinking and assessment skills.
Assign files appropriately to an Injury Coordinator or a TCM, based on the injured worker’s needs.
Assist with tracking high-risk, high cost and complex patients by assessing the injured/disabled individual’s needs.
Post case facts in Rising’s system, as well as the client’s claims system when appropriate.
Assist non-clinical staff by reviewing files and recommending an action plan.
Provide care direction and/or assist the injured worker in finding a provider when appropriate.
Establish collaborative relationships and work as an intermediary between clients, patients, employers, providers, and attorneys.
Adhere to quality standards along with state and national standards and guidelines
Locate and document appropriate evidence-based and return-to-work guidelines (e.g., ODG).
Promote quality, cost-effective care throughout the health continuum to ensure the injured/disabled individual can return to an optimal level of work and functioning.
Advise the supervisor of any potential problems as they become evident.
Maintain in-depth knowledge of all company products and services as well as customer issues and needs through ongoing training and self-directed research.
Continuous professional development about issues and trends in case management.
Provide input for policies/procedures, as requested.
Adhere to departmental case management standards and guidelines, as well as Company policies, procedures, and reporting requirements.
Perform other administrative or corporate duties upon request