Staff Nurse Ii - Advice Rn
CurrentResponsible for medical triage of members using established protocols, note taking via online ANS (Advice Note System) and providing specified diagnostic results to members. Responsible to collaborate with on-site physicians, on-call physicians, HCT, pharmacists, and/or Nurse Practitioner as necessary to facilitate member care.Essential Functions:• Receives and processes telephone calls from Health Plan members requiring medical advice or general information by: Assesses the patient's problem utilizing established protocols and interaction with provider on-site or on-call; makes appropriate recommendations to include advice, appointments per protocol, or direction from physician; appropriately documents calls received with adherence to inter-regional documentation; acts as an extension of the health care team to meet member needs.• Assists members in empathetic, efficient manner to determine best course of action to resolve issue. • Meets regional standards set by call center management to achieve optimal member satisfactionsuch as phone access and service standards. Be receptive to constructive feedback by supervisors and/or QI to better serve members.• Contributes to the development of protocols, procedures, patient education, and training, as assigned. Participates in peer review, quality assurance, and other committees' functions.• Demonstrates ability to make quick decisions, based on sound base of critical thinking skills/guidelines by protocols.• Demonstrate ability to interact with a variety of levels of staff to provide good customer service to internal customers.• Performs other related duties as directed.