Nurse Advice Line-Clinical Triage Nurse

Presbyterian is seeking a Nurse Advice Line - Clinical Triage.

The Nurse Advice Line performs clinical triage and review of inbound member and patient calls to the PHP Nurse Advice Line to ensure that services rendered to customers meet clinically appropriate direction and triage. Utilizes clinical skills to coordinate, document, and communicate all aspects of the appropriate clinical advice and triage based on criteria and in adherence to adopted protocols. Clinical triage includes all levels of acuity of medical presentations. Assists callers and members with coordination of care to in plan providers and appropriate urgent and emergent care. Validates and interprets medical information from callers using evidence-based criteria sets. Consults with PHP medical directors on non-emergent cases where protocols are not clear. Refers callers of various acuities to venues of care-- including primary care, urgent or emergent care, ALS services, or public health services such as Poison Control Center or Public Health Department. May work varied shifts and performs occasional on-call assignments

This is a Part Time (.45 to .89) position - Exempt: No
• Job is based Rev Hugh Cooper Admin Center
• Work hours: Evenings

Ideal Candidate:

Two years nursing supervisor experience. Experience in primary care, emergency care, or urgent care

• Associates degree.
• New Mexico Board of Nursing RN License with Multi-State Compact Licensure status required, with at least 3 years of RN experience in clinical setting, emergency medicine, urgent care, or managed care experience.
• Experienced analytical skills as applicable to interpret medical records.
• Experience with detailed research, coordination and organizational skills.
• Demonstrated critical thinking skills as evidenced by experience, education, and/or the pre-hire interview process.

• Receives, triages, verifies, and processes requests for clinical triage and medical advice from health plan members and their representatives. Callers may have varying degrees of acuity in presentation and symptoms presented.
• Uses clinical protocols to assess advice to callers, and documents discussion and information relayed.
• May work with stakeholders and primary and specialty providers across the state to identify most appropriate direction of care based on call. Uses critical thinking to gauge risks, determine acuity of caller s situation and make evidence based decisions on information and advice provided.
• Legally documents all calls and information discussed. Records and refers all pertinent information accordingly.
• May collaborate with other resources such as behavioral health clinicians or crisis staff to best direct callers.
• Advises manager of trends in calls and potential quality of care and legal issues.
• Communicates effectively with providers, PHP medical directors, PCSC staff, and other applicable PHS departments to deliver sound and appropriate advice.
• Must adhere to protocols and processes for compliance of call processing, documentation, transfer and follow up.
• Meets departmental and/or regulatory turnaround times for clinical triage and internal Service Level Agreements. (SLA) while maintaining productivity and quality standards.
• Performs other functions as required.

About Presbyterian Healthcare Services

Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities-like challenges, webinars, and screenings-with opportunities to earn gift cards and other incentives.

As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships.

Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.