Job Description
As our Triage Nurse, you will be responsible for conducting a focused assessment and prioritizing a patient’s clinical condition to provide immediate care if the patient requires it.
Core Responsibilities include:
- Assess injury severity, the extent of disability, treatment plans, functional abilities, and physical job requirements.
- Utilize sound clinical judgment, careful listening, and critical thinking and assessment skills.
- Assign files appropriately to an Injury Coordinator or a TCM, based on the injured worker’s needs.
- Assist with tracking high-risk, high cost and complex patients by assessing the injured/disabled individual’s needs.
- Post case facts in Rising’s system, as well as the client’s claims system when appropriate.
- Assist non-clinical staff by reviewing files and recommending an action plan.
- Provide care direction and/or assist the injured worker in finding a provider when appropriate.
- Establish collaborative relationships and work as an intermediary between clients, patients, employers, providers, and attorneys.
- Adhere to quality standards along with state and national standards and guidelines
- Locate and document appropriate evidence-based and return-to-work guidelines (e.g., ODG).
- Promote quality, cost-effective care throughout the health continuum to ensure the injured/disabled individual can return to an optimal level of work and functioning.
- Advise the supervisor of any potential problems as they become evident.
- Maintain in-depth knowledge of all company products and services as well as customer issues and needs through ongoing training and self-directed research.
- Continuous professional development about issues and trends in case management.
- Provide input for policies/procedures, as requested.
- Adhere to departmental case management standards and guidelines, as well as Company policies, procedures, and reporting requirements.
- Perform other administrative or corporate duties upon request
Reports to:
Rising Ultimate Nurse Case Manager
- Active appropriate professional nurse license (RN or LPN) in the state of residence
- Minimum of 1-year clinical nursing experience required
- Prior remote/telephonic work experience preferred
- Being bilingual in Spanish is a plus
- Prior triage experience preferred
- Experience with Workers’ Compensation, short-term or long-term disability, or liability claims preferred
- Bill review experience with Workers’ Compensation, Auto, and/or Health Insurance carriers a plus
- Flexibility in working both autonomously and on a team
- Maintain confidentiality of all information, policies, and procedures
- Demonstrate sensitivity to culturally diverse people and situations
- Well-developed time-management, organization, and prioritization skills
- Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
- Excellent oral and written communication skills, over the phone and interpersonal
- Ability to gather data, compile information and, prepare summary documentation
- Strong interpersonal and customer service skills
- Experience in a fast-paced, multi-faceted environment
- Demonstrated persistence and attention to detail
- Working knowledge of internet research/navigation, Microsoft Word, Excel, and Outlook
- Ability to remain calm during stressful situations
- Customer-service oriented
Working Conditions:
Remaining in a seated position
Entering text or data into a computer
Visual Acuity
Talking
Hearing
Repetitive arm, hand, and finger motion
Working remotely some or all of the time
Health insurance (6 different plans to choose from)
Dental
Vision
Paid time off (PTO) or Flexible Time Off (FTO)
401(k)
Basic Life Insurance and Long-Term Disability Insurance (paid by the company)
Voluntary Life Insurance and Short-Term Disability Insurance
Flexible Spending Accounts (FSA)
Employee Assistance Program (EAP)
Rise Well Wellness Program
Professional Development Reimbursement Program (PDRP)
You will be part of our new Elevate program designed to recognize and reward employees for their hard work
