Advice Nurse Job in Fairfax, Virginia Us
Responsible for medical triage of members using established protocols, note taking via online ANS (Advice Note System) providing specified diagnostic results to members. Responsible to collaborate w/ on-site physicians, on-call physicians, HCT, pharmacists, /or Nurse Practitioner as necessary to facilitate member care.
Essential Functions:
- Receives processes telephone calls from Health Plan members requiring medical advice or general information by:
- Assesses the patient's problem utilizing established protocols interaction w/ provider on-site or on-call.
- Makes appropriate recommendations to include advice, appointments per protocol, or direction from physician.
- Appropriately documents calls received w/ 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 satisfaction such as phone access service standards. Be receptive to constructive feedback by supervisors /or QI to better serve members.
- Contributes to the development of protocols, procedures, patient education, training, as assigned. Participates in peer review, quality assurance, other committees' functions.
- Demonstrates ability to make quick decisions, based on sound base of critical thinking skills/guidelines by protocols.
- Demonstrate ability to interact w/ a variety of levels of staff to provide good customer service to internal customers.
- Performs other related duties as directed.
Qualifications:
Basic Qualifications:
- 1 full year of current experience as a RN in a clinical setting w/ relevancy required.
- High school diploma or equivalent required.
- Current RN license in appropriate jurisdiction assigned to include alternative site as dictated by unit needs required.
- Pass basic windows test at interview.
- Pass basic typing test required.
- Pass a standard medication test a standard medical advice test/Performance Based Developmental Systems (PBDS) test required.
- Proficiency in the use of applicable computer software required.
- Ability to type 30 WPM required.
- Must have effective interpersonal communications skills.
Preferred Qualifications:
- Bilingual ability preferred.
- BSN preferred.