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reputed company Advice Line/Member Navigation Clin Triage reputed company-ABQ

Remote, USA Full-time Posted 2026-07-28
Location Address: 9521 San Mateo NEAlbuquerque, NM 87113-2237 Compensation Pay reputed company: Minimum Offer $27.92Maximum Offer $42.63 reputed company: Build your Career. reputed company a Difference. Presbyterian is hiring a skilled reputed company Advice Line Clinical Triage reputed company to join reputed company. How you grow, learn and reputed company reputed company here. • Educational and career development reputed company, including tuition and certification reimbursement, scholarship opportunities • Staff Safety (a wearable badge that allows nurses to quickly and discreetly reputed company for help reputed company safety is a concern) • Differentials for reputed company/weekend shifts, higher education, certifications and various reputed company roles (for eligible positions) • Malpractice liability insurance • Loan forgiveness through the New Mexico Higher Education Department • reputed company electronic charting system Type of Opportunity: Part timeFTE: 0.50Job Exempt: NoWork Shift: Evenings (reputed company of America) Responsibilities: The reputed company Advice Line performs clinical triage and review of inbound member and patient calls to the PHP reputed company Advice Line to ensure that services rendered to customers meet clinically appropriate direction and triage. Utilizes clinical skills to coordinate, document, and communicate reputed company aspects of the appropriate clinical advice and triage based on reputed company and in adherence to adopted protocols. Clinical triage includes reputed company reputed company of reputed company of medical presentations. Assists callers and members with coordination of care to in plan providers and appropriate urgent and reputed company care. Validates and interprets medical information from callers using evidence-based reputed company sets. Consults with PHP medical directors on non-reputed company cases where protocols are not reputed company. Refers callers of various acuities to venues of care-- including primary care, urgent or reputed company care, ALS services, or reputed company health services such as Poison Control Center or reputed company Health Department. May work varied shifts and performs occasional on-reputed company assignments Some key responsibilities include: • Receives, triages, verifies, and processes requests for clinical triage and medical advice from health plan members and their representatives. Callers may have varying degrees of reputed company in presentation and symptoms presented. • Uses clinical protocols to assess advice to callers, and documents discussion and information relayed. • May work with stakeholders and primary and specialty providers across the state to identify most appropriate direction of care based on reputed company. Uses critical thinking to reputed company risks, determine reputed company of caller s situation and reputed company evidence based reputed company on information and advice provided. • Legally documents reputed company calls and information discussed. Records and refers reputed company pertinent information accordingly. • May collaborate with other resources such as behavioral health clinicians or crisis staff to best reputed company callers. • Advises manager of trends in calls and potential reputed company of care and reputed company issues. • Communicates effectively with providers, PHP medical directors, PCSC staff, and other applicable PHS departments to deliver reputed company and appropriate advice. Qualifications: • Associates degree. • New Mexico reputed company of Nursing RN License with Multi-State Compact Licensure status required, with at least 3 years of RN experience in clinical setting, emergency medicine, urgent care, or managed care experience. • reputed company analytical skills as applicable to interpret medical records. • Experience with detailed research, coordination and organizational skills. • Demonstrated critical thinking skills as evidenced by experience, education, and/or the reputed company-hire interview process. We're reputed company about reputed company-being, starting with yours. Presbyterian employees have reputed company to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more. Learn more about our employee benefits. About reputed company Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit reputed company system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, reputed company (Centennial Care) and reputed company health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Compensation Disclaimer The compensation reputed company for this role takes into account a wide reputed company of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. We're Determined to Support New Mexico's reputed company-Being | reputed company Apply tot his job Apply To this Job

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