Job Title

Advice/Appointment RN- San Diego, CA

Duties & Responsibilities

• Receives and processes telephone calls from Health Plan members requiring medical advice or general information by: Assesses the patient' s problem utilizing established protocols and interaction with provider on-site or on-call. Makes appropriate recommendations to include advice, appointments per protocol, or direction from physician. Appropriately documents calls received with adherence to inter-regional documentation. Acts as an extension of the health care team to meet member needs.
• Assists members in empathetic, efficient manner to determine best course of action to resolve issue.
• Meets regional standards set by call center management to achieve optimal member satisfaction such as phone access and service standards. Be receptive to constructive feedback by supervisors and/or QI to better serve members.
• Contributes to the development of protocols, procedures, patient education, and training, as assigned. Participates in peer review, quality assurance, and other committees' functions.
• Demonstrates ability to make quick decisions, based on sound base of critical thinking skills/guidelines by protocols.
• Demonstrate ability to interact with a variety of levels of staff to provide good customer service to internal customers.
• Performs other related duties as directed.

Requirements

• 2 years+ experience within the last 3 years in ambulatory care, acute care, or a continuing care environment
• Knowledge of personal computer and operating systems, software and mainframe systems
• Ability to take and pass a call center simulation skills assessment
• Active, non-restricted California RN license required

Other Details

• This is a 6 month contract position with benefits
• 8 hour, evening shift (2p-1030a)

AllStaff Solutions is an equal employment opportunities (EEO) employer and terms of employment are without regard to race, color, religion, sex, national origin, age, disability or genetics. AllStaff Solutions complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment.