Triage Nurse - Remote

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.

Core Responsibilities include:

• 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

Reports to:

Rising Ultimate Nurse Case Manager

Requirements

• Active appropriate professional nurse license (RN or LPN) in the state of residence
• Minimum of 1-year clinical nursing experience required
• 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
• 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

Working Conditions:

• Remaining in a seated position
• Entering text or data into a computer
• Visual Acuity
• Talking
• Hearing
• Repetitive arm, hand, and finger motion
• Working remotely some or all of the time

Benefits

• Health insurance (6 different plans to choose from)
• Dental
• Vision
• Paid time off (PTO) or Flexible Time Off (FTO)
• 401(k)
• Basic Life Insurance and Long-Term Disability Insurance (paid by the company)
• Voluntary Life Insurance and Short-Term Disability Insurance
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)
• Rise Well Wellness Program
• Professional Development Reimbursement Program (PDRP)
• You will be part of our new Elevate program designed to recognize and reward employees for their hard work