Triage Nurse I – CareBridge

Job Description

About the Job: Triage Nurse I – CareBridge (Virtual)

This virtual role with Carebridge Health, a member of the Elevance Health family of companies, offers full-time remote work with maximum flexibility and autonomy, promoting productivity and work-life integration. Essential in-person training sessions may be required when indicated for onboarding and skill development.

Important Note on Location: Per company policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Licensing Requirements

Seeking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states: AZ, FL, IA, IN, KS, MA, NM, OH, TN, TX, NJ, HI or VA.

About Carebridge Health

Carebridge Health, within Carelon business, exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community-based services.

Work Shift

• Shift: 9am – 7pm (Central Standard Time)
• Schedule: Eight (8) 10-hour work shifts in a two-week period, including Saturday and Sunday every other weekend.

Role Summary: Triage Nurse I – CareBridge

The Triage Nurse I – CareBridge is responsible for determining the appropriate Care Management program for members referred through internal and external sources and various data sources and reports. Utilizing department guidelines, the nurse completes the triage process and applies established criteria to assign members to the appropriate care management component. This role deals with less complex cases and is suited for individuals with limited or no previous Triage care experience.

Primary Duties May Include But Are Not Limited To:

• Utilizes the nursing process to meet an individual’s health needs, leveraging plan benefits and community resources.
• Educates members about contracted physicians, facilities, and healthcare providers.
• Learns to develop favorable working partnerships and collaborative relationships with members, physicians, healthcare service providers, and internal and external customers to help improve health outcomes for members.
• Works in collaboration with medical management and care management associates to identify issues, problems, and resource needs and assign to appropriate care management program.
• Facilitates selecting appropriate candidates for referral to CM and/or DM.
• Partners with social work as appropriate.
• Identifies and refers cases or issues to QI, SIU, Subrogation, Underwriting, or other departments as appropriate.
• Documents appropriate clinical information, decisions, and determinations in a timely, accurate, and concise manner.
• Develops a working knowledge of member benefits, contracts, medical policy, professional standards of practice, and current health care practices.

Position Requirements:

• Requires AS in nursing and minimum of 2 years of acute care clinical experience; or any combination of education and experience which would provide an equivalent background.
• Current unrestricted RN license in the applicable state(s) required.

Preferred Qualifications, Skills, And Experiences:

• 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 a concise summary following department standards strongly preferred.
• Basic knowledge of the medical management and care management process and role preferred.

Salary Information

For candidates working in person or virtually in the below location(s), the salary range for this specific position is $65,600 to $113,160.

Locations: Cleveland, OH; Columbus, OH; Massachusetts; New Jersey, Hawaii

In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are: Elevance Health

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 25 company with a longstanding history in the healthcare industry, Elevance Health is looking for leaders at all levels of the organization who are passionate about making an impact on members and the communities served.

How We Work: Culture and Total Rewards

At Elevance Health, we are creating a culture designed to advance our strategy and lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture, powering our business outcomes and driving shared success for consumers, associates, communities, and business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Hybrid Workforce Strategy & Vaccination Policy

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Equal Employment Opportunity

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.