67 Caresource Data Jobs Hiring Near You

Job Summary:

*Nights - every other weekend, every other holiday*

*Shift differential*
Essential Functions:

• Utilize assessment skills and evidence-based triage guidelines for triage of healthy, as well as acutely or chronically ill or injured members, including pediatric, adult, maternity, and geriatric members
• Utilize provided training, skills and evidence-based triage guidelines to assess and assist members experiencing behavioral health challenges and crises.
• Function as patient advocate by facilitating accessibility to healthcare and provide linkage to other CareSource departments
• Educate patients about their health conditions, treatment options, and preventive care measures.
• Assess health status and direct members to the most appropriate level of care
• Utilize critical reasoning in clinical decision-making
• Inform callers of preventative healthcare measures due
• Identify and refer appropriate members for Care Management
• Provide information about benefits, services and programs that allows members to maximize healthcare resources, as needed
• Manage telephone interactions with compassion and respect for cultural, educational and psychosocial differences of individuals
• Manage crisis situations effectively, providing appropriate resources and referrals to callers in distress.
• Utilize multiple computer applications to document all information in an accurate manner
• Practice in compliance with AAACN, URAC and NCQA standards and regulatory requirements
• Keep abreast of trends in healthcare delivery and managed care
• Participate in departmental activities such as quality audits, preceptorship/training as needed
• Maintains and contributes to a collaborative professional and ethical work environment.
• Provide support during times of emergent or critical staffing needs
• Performs any other job related duties as requested.

Education and Experience:

• Associates degree in Nursing required
• Bachelor's degree in Nursing preferred
• Three (3) years progressive clinical experience as an RN required
• Triage, Emergency Nursing, Critical Care, or acute care experience within the past 3 years is strongly preferred
• Behavioral Health experience preferred
• Telephone Triage in a call center setting preferred

Competencies, Knowledge and Skills:

• Strong computer skills
• Strong clinical assessment skills
• Strong communication skills
• Ability to work independently and within a team environment
• Attention to Detail
• Critical listening and thinking skills
• Decision making/problem solving skills
• Proper phone etiquette
• Customer service oriented
• Broad base of clinical knowledge
• Teaching skills
• Ability to remain calm under pressure and in member life threatening situations
• Ability to apply multiple communicative skills while utilizing available tools and resources simultaneously
• Exemplify CareSource's Mission in our behavior and member interactions

Licensure and Certification:

• Current, unrestricted RN licensure in state of practice required
• Multi-state RN licensure preferred
• Ability to obtain licensure by endorsement in non-compact states when applicable

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Travel is not typically required

Compensation Range:

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business