Health Information Line Nurse – Remote
26003244 Position Summary The Health Information Line Nurse is a Registered Nurse responsible for providing telephonic and chat-based clinical triage and health guidance to plan participants. This role supports callers across the full spectrum of care needs from emergent situations to self-care guidance while promoting appropriate healthcare utilization and informed decision-making. The nurse utilizes evidence-based clinical guidelines and online resources to assess symptoms, provide clinical counsel, and direct members to the most appropriate providers or facilities. Additional responsibilities may include proactive patient outreach, benefits education, and health and wellness support. Key Responsibilities
- Provide telephonic and chat-based clinical triage for symptom-related inquiries, including emergent, urgent, and self-care outcomes
- Assess medical symptoms using established clinical protocols and decision-support tools
- Deliver accurate, relevant health and wellness education tailored to member needs
- Direct callers to appropriate healthcare providers, facilities, and services
- Educate members on available online tools and the Audio Health Resource Library to enhance access to healthcare and wellness information
- Maintain clear, concise, and accurate clinical documentation in accordance with standard operating procedures and medical/legal guidelines
- Identify and refer members to appropriate programs such as Case Management, Chronic Condition Management, and Health Advisor services
- Participate in proactive outreach initiatives to support population health and care management goals
- Operating hours are Monday through Friday, 8:00 a.m. to 9:00 p.m. with shifts scheduled based on operational needs (10 hour shifts)
- Mandatory participation in overnight, weekend, and holiday on-call coverage, including rotating on-call schedules, based on operational needs
- Active, unrestricted Registered Nurse (RN) license
- Minimum of three (3) years of clinical nursing experience
- Current knowledge of general medical conditions and surgical procedures
- Strong verbal and written communication skills
- Proficiency with computer systems and electronic documentation
- Ability to meet mandatory on-call scheduling requirements
- Bachelor of Science in Nursing (BSN)
- More than three (3) years of nursing experience
- Strong interpersonal and active listening skills with the ability to work collaboratively in a team environment
- Demonstrated adaptability in a dynamic healthcare environment
- Proven ability to prioritize, problem-solve, and make independent clinical decisions
- Strong customer service orientation with a patient-centered focus