[Hiring] Virtual Triage Nurse I - CareBridge - Bilingual Spanish @Elevance Health

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

This role involves working as a Virtual Triage Nurse I for CareBridge, requiring bilingual Spanish-speaking candidates licensed in specific states.
• Work location is virtual full-time with required in-person training sessions.
• Work shift is from 11am to 9pm (Central Standard Time).
• The RN will work eight (8) 10-hour shifts in a two-week period, including every other weekend.
• Responsible for determining appropriate Care Management programs for members.
• Utilizes nursing process to meet individual health needs using plan benefits and community resources.
• Educates members about contracted physicians, facilities, and healthcare providers.
• Develops working partnerships with members, physicians, and healthcare service providers.
• Collaborates with medical management and care management associates to identify issues and assign to appropriate care management programs.
• Facilitates selecting appropriate candidates for referral to CM and/or DM.
• Documents clinical information, decisions, and determinations accurately and timely.
• Develops knowledge of member benefits, contracts, medical policy, and current healthcare practices.

Qualifications
• AS in nursing and minimum of 2 years of acute care clinical experience, or equivalent background.
• Current, valid, active, and unrestricted RN license in applicable state(s) required.
• Bilingual Spanish language skills are required.

Requirements
• Current, active RN Compact license highly preferred.
• Emergency Room and/or Urgent Care experience highly preferred.
• Telehealth experience.
• Experience with EMR systems.
• BS in nursing preferred.
• Participation and/or certification in a managed care or utilization management organization preferred.
• Ability to understand clinical information and prepare concise summaries preferred.
• Basic knowledge of medical management and care management processes preferred.

Benefits
• Comprehensive benefits package including medical, dental, and vision.
• Paid Time Off and paid holidays.
• Incentive bonus programs.
• 401(k) with company match.
• Stock purchase plan.
• Life insurance and wellness programs.
• Financial education resources.

Apply Now

Apply Now
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Work‑From‑Home Part‑Time Customer Service Chat Representative – Live Text Support for arenaflex

Remote Full-time

Customer Service Representative - State Farm Agent Team Member

Remote Full-time

[Hiring] Procurement Specialist II @Aston Carter

Remote Full-time

Experienced Data Entry Clerk for Remote Work from Home Opportunity with blithequark - Typing 30+ Words Per Minute Required

Remote Full-time

Experienced Part-Time Data Entry Remote Associate - Accurate Database Management and Administrative Support at Blithequark

Remote Full-time

Southwest Airlines Part-Time Remote Customer Service Representative - Exceptional Travel Experience & Career Growth Opportunities

Remote Full-time

Director Infection Control

Remote Full-time

[Remote] Data Scientist-Graphical Neural Network

Remote Full-time

[Remote] Loan Accounting Representative

Remote Full-time

Part Time 2nd Shift Warehouse Material Handler

Remote Full-time
← Back to Home