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Registered Nurse, RN
Carenet Health. Provide telephonic clinical assessments, health education, and utilization management services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in telephonic clinical assessments, health education, and utilization management while adhering to nursing standards and quality management guidelines. Proficient in triage assessments and capable of building rapport with members to influence behavior and improve health outcomes.
Highest-signal resume keywords
Current RN LicensureClinical Assessment SkillsTriage Assessment ExperienceBilingual SkillsQuality Management Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical AssessmentTriage AssessmentUtilization ManagementPatient Care Needs AssessmentHealth EducationComputer-Based AlgorithmsNursing ProcessCare RecommendationsPerformance Metrics ComplianceMulti-State RN License
Soft Skills
Comprehensive Communication SkillsProblem-SolvingBuilding RapportTimelinessEscalation of Issues
Tools & Technologies
Computer ProgramsTelephonic Systems
Certifications & Qualifications
RN Licensure in Compact StateHome Office Certification Requirements
Industry Keywords
Health EducationUtilization Management ServicesQuality Management GuidelinesHealth Benefit PlansInsurance IndustryHome HealthHospice CareAcute-Area Experience
About the role
Key responsibilities & impact- Provide telephonic clinical assessments, health education, and utilization management services
- Perform triage assessments using computer-based algorithms, protocols, and guidelines
- Use the nursing process to assess patient care needs, risks, safety issues, educational opportunities, and healthcare referrals
- Process calls based on Quality Management guidelines
- Demonstrate compliance with product-specific performance metrics
- Apply nursing standards, company policies, and shared principles during clinical assessments and health education
- Assess, disposition, make care recommendations, and provide education and health information
- Attend required training and complete intra-training testing
- Work 4 weekend shifts per month, either every Saturday or every other weekend
- Work evening shifts, including at least two weekend days every two weeks
- Maintain regular, reliable attendance and timeliness
- Identify improvement opportunities and recommend workable solutions
- Escalate issues appropriately and promptly
- Build rapport with members and influence member behavior
- Perform other duties as assigned
Requirements
What you’ll need- Current, unrestricted RN licensure in a compact state which is your state of residence
- Must reside in a compact state and maintain a compact multistate license
- Current home state RN license in good standing
- Minimum of an associate degree from a two-year college or technical school or Diploma Nursing Program; BSN preferred
- Minimum 3 years of Registered Nurse clinical experience
- Ability to become licensed in additional states as required
- Must currently reside and have a Multi-State (compact) unrestricted RN license in AL, AR, CO, FL, GA, IA, ID, IN, KS, KY, LA, ME, MS, MO, MT, NE, NM, NC, ND, NH, OK, SC, SD, TN, TX, VA, WI, or WY
- Ability to run multiple computer programs at the same time
- Ability to determine when to escalate issues appropriately and in a timely manner
- Comprehensive communication (listening, reflection, and clarification) skills
- RN must attend training 100% of hours and must pass intra-training testing components
- Training attendance required; 100% attendance during the 2–4 week training period
- ER, adult and pediatric care, Medical/Surgical, Home Health and Hospice, or other acute-area experience preferred
- Telephone triage experience and understanding of health benefit plans and the insurance industry helpful but not required
- Bilingual skills are a plus
- Home office must meet certain certification requirements for work-from-home positions
Benefits
Comp & perks- Health, dental, and vision insurance
- A 401(k) plan with company match
- Paid time off (PTO) and holidays
- Flexible spending accounts (FSAs)
- Employee wellness programs
- Career development opportunities
- CEU subscription provided at hire
- Differential pay may be earned for certain shifts
- Virtual, interactive classroom training
- Work-from-home option