Job Description

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   Role: Telephone Triage Nurse
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   Overview:
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  The Telephone Triage Nurse is responsible for providing safe and effective telephone assessments, patient care instructions, and directions to the appropriate level of care (emergent, urgent, medical/non-urgent and self-care). The basic job responsibilities would include (not limited to):
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  Performing intake of phone calls from injured employees.
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   Completing telephonic health assessments and rendering appropriate health care advice with clinical decision-making using their clinical expertise in accordance with est. protocols, national guidelines to prioritize, effectively assess, to refer patients to the appropriate level of care based on medical needs.
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   Entering injured worker data into a claims application.
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   Conducting follow-up phone calls to injured employees for health reassessments (when indicated).
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   Maintaining accurate records for all incoming calls, including interventions and follow-up instructions.
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   Actively participating in internal triage quality assessments, workflow enhancements, and procedure updates.
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   Maintaining telephonic nurse triage assessment and advice standards in accordance with established protocols, policies, and procedures.
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   Referral of patients as appropriately identified to the correct medical facilities or providers leveraging network channeling tools as applicable.
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   Required Qualifications:
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   Bachelor's degree in nursing (BSN) and a minimum of 2 years acute clinical experience or similar position required.
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   Philippines Registered Nurse
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   Experience in Nurse Triage functions an added advantage.
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   Written and verbal fluency in English
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   Candidate should be willing to work in US operation hours.
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   Desired:
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   Experience in Worker's Compensation or Utilization Review (especially URAC guidelines) added advantage.
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   2+ years related experience (preferred, e.g., telephone triage, urgent care, emergency department, triage, occupational health experience, orthopedics) with recent telephone or telehealth experience.
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   Ability to work in a fast-paced environment with heavy telephone triage intake.
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   Ability to work collaboratively with the team.
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   Strong critical thinking and customer service skills.
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   Great telephonic communication skills in English
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   Understanding of Schmitt Thompson protocols
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   Extensive knowledge of anatomy, physiology, and nursing care standards
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   Analytical skills to assess patient condition.
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   Effective oral communication skills to interview patients and explain next steps as well as to pass information on to other members of the care team.
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   Decision-making skills to quickly assign a rating.
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   Thorough understanding of infection control and health and safety standards
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   Familiarity with electronic medical records (EMR), word processing and email software programs
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   Work Traits:
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   Demonstrates adequate knowledge of clinical care with emphasis on use of criteria, guidelines, and national standards of practice.
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   Demonstrates good written and oral communications, organizational and leadership skills.
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   Computer literate.
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   Demonstrates good time management skills.
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   Self-starter.
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