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NURSE CASE MANAGER - Bilingual

Company: IRISE Spine & Joint
Location: Boca Raton
Posted on: February 21, 2021

Job Description:

Why join our iRISE team?iRISE Spine & Joint is a place for compassionate and committed individuals to exercise and develop their passion for providing excellent health care services. Our vision is to be the preferred comprehensive treatment provider for the injured across the U.S. Why should you join our winning team of employees across the state of Florida and Tennessee? Because, we provide:

  • A team that invests the time and resources to foster your growth as a health care professional.
  • An environment that encourages health care research for more efficient patient care.
  • The opportunity for you to work with the latest technology and treatments.
  • The advantage of being a part of a nation-wide family of professionals with shared interests who work together to reach a common goal of better health for people in Florida.At iRise, we are passionate about healthcare and compassionate about helping people restore their quality of life. If you share the same drive to help people find relief from chronic pain, push the limits of healthcare technology and create a patient-centric environment where our patients can thrive, then we want you to join our team. As a multi-modality spine and joint practice, we use advanced technology to help our patients feel better and get back to the physical activities most important to them. Our goal is not just to heal our patients, but to empower each patient with the resources they need to maintain their quality of life even after treatment. We're here to change the game by creating a space where our patients feel fully empowered and in control of their healthcare experience, and where they have the guidance of the best spine and joint specialists to help them on their road to recovery. iRise employs over 30 providers within 18 clinics to work together to deliver the most advanced integrated care in Florida and Tennessee. In recent years, our team of more than 200 employees has experienced exponential growth, and we have an exciting 2020 growth plan. If you are chosen to join our team, you can enjoy the following benefits of being an iRise team member:
  • Competitive salary
  • Attractive vacation and PTO benefits
  • 401K
  • Medical benefits
  • Cutting-edge training
  • A company culture that encourages and empowers employees to continually growDo you think you have what it takes to join the iRise team? Check out our current opportunity for a Nurse Case Manager in our Call Center location, and send in your application. We look forward to hearing from you soon!OVERVIEW: Provide clinical care management and triage, via telephone, essential to the assessment, promotion, maintenance and restoration of patient's health and wellness using our telephone communication access protocol, clinical advice algorithm, and clinical judgment. Answer calls and questions from care coaches and medical assistants and provide the ability to triage high acuity patients. Answer incoming calls from our patients to provide outstanding customer service in support of our mission, goals and values. ESSENTIAL DUTIES AND RESPONSIBILITIES: -- Answer incoming calls by welcoming patients with a professional, upbeat, friendly attitude. -- Follow prepared scripts based on call type. -- Register new patients by gathering pertinent information and entering into EHR system. -- Verify coverage and information. -- Set patient appointments upon request and identify future visits. -- Document accurately and efficiently within the EHR. -- Obtain brief summary of patients concerns and/or complaints over the phone. -- Properly obtain and confirm patients/caller information abiding to HIPAA law. -- Collect all necessary and pertinent clinical information over the phone to facilitate the timely and accurate physician follow up via phone. -- Complete prescription refills for authorization by provider. -- Provide prescription information to pharmacies using our internal resources. -- Complete any necessary referrals requested by telephone contact for provider approval. -- Provide medical guidance as per guidelines. -- Triage patients as per guidelines. -- Document all clinical conversations including but not limited to triaging & refills properly using telephone encounters. -- Document any medical advice given over the phone using telephone encounters. -- Schedule appointments using clinical prioritizing protocols and scheduling protocols. -- Communicate with offices when necessary. -- Meet established standards within all performance criteria. -- Attend any necessary training/meetings to be up to date on protocol changes and available training. -- Other duties may include, but not limited to, outbound calls, copying, faxing, etc. SUPERVISORY RESPONSIBILITIES:
This job has no supervisory responsibilities.
KNOWLEDGE:
Medical technologies Nursing skills Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations. SKILLS: -- Must have strong verbal communication skills, bilingual (Spanish or Creole) strongly preferred.
Strong interpersonal and public relations skills Solid communication skills, written and oral, and ability to provide information Attentive to detail, quality focused and planning skills Dependable Accuracy and accountability ABILITIES: -- Ability to create a safe and effective environment -- Well organized. -- Able to correctly operate all related medical equipment. EDUCATION, EXPERIENCE, and TRAINING: -- Graduate of an accredited Nursing program. -- License by the State of Florida as a Registered Nurse (RN), or a Licensed Practical Nurse (LPN). -- Minimum requirement of 1-2 years of Nursing experience. Working knowledge of applicable nursing tenants, preferably in a personal injury or comparable industry, is required. Minimum of 1-2 years healthcare experience; experience in medical triage, orthopedics, and/or interventional pain management preferred. CERTIFICATES, LICENSES, REGISTRATIONS: -- Current licensure in the State of Florida as as a Registered Nurse (RN), or a Licensed Practical Nurse (LPN). PI129760641

Keywords: IRISE Spine & Joint, Boca Raton , NURSE CASE MANAGER - Bilingual, Executive , Boca Raton, Florida

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