triage specialist

Southwest Community Health Center

<div>Description:<p></p><p><b><br>
SUMMARY:</b> The Nurse Triage Specialist plays a vital role in ensuring accessible, equitable healthcare for patients in a community health setting. Responsibilities include assessing patient symptoms over the phone or via electronic communication, providing timely clinical advice, and directing patients to appropriate levels of care using evidence-based protocols. The Nurse Triage Specialist helps bridge healthcare gaps for vulnerable and underserved populations, promoting preventative care and reducing unnecessary emergency room visits.
</p><p><b>SPECIFIC DUTIES AND RESPONSIBILITIES</b>: All duties are subject to accommodation in accordance with the Americans with Disabilities Act (ADA).</p><ul><li>
Provide telephone and electronic triage to patients of all ages
</li><li>Assess urgency of patient symptoms using standardized triage protocols and clinical judgment.</li><li>
Educate patients on self-care, medication use, chronic disease management, and when to seek in-person care.</li><li>
Coordinate same-day or next-day appointments for patient needs in collaboration with scheduling staff and clinical teams.</li><li>
Recognize and escalate emergency crises, including connecting patients with urgent in-clinic, telehealth, or emergency services.</li><li>
Serve as a resource for community health navigation, including referrals to social services, behavioral health, or public health programs.</li><li>
Maintain accurate documentation of all patient interactions in the Electronic Health Record (EHR).</li><li>
Monitor patient messages, prescription refills, and overdue results within the EHR system and respond promptly.</li><li>
Participate in quality improvement activities aimed at improving access, patient experience, and clinical outcomes.</li><li>
Collaborate with healthcare providers, specialists, and other team members to coordinate patient care.</li><li>
May require flexible hours, including evenings or weekends based on patient needs.</li><li>
In-person clinical support and/or outreach participation.</li></ul>
Requirements:<p></p><p><b><br>
Qualifications</b>:
</p><ul><li>Experienced and able to function effectively and professionally within an outpatient setting providing services to a special and diverse population group.</li><li>
Strong clinical judgement and excellent communication skills.</li><li>
Familiarity with underserved populations and commitment to health equity.</li><li>
Ability to work independently and make sound decisions under pressure.</li><li>
Proficiency with electronic health records, EPIC preferred.</li><li>
Excellent organizational skills and the ability to work under pressure.</li><li>
CPR / BLS Certified</li></ul><p><b>
Education and/or Experience</b>:
</p><ul><li>Graduate of an accredited nursing program
</li><li>CT Licensed Practical Nurse (LPN) license required, Registered Nurse (RN) preferred</li><li>
Minimum 2 years of clinical nursing experience; community health, primary care, or emergency nursing preferred</li></ul><p><b>
Physical Requirements and Work Environment</b>: The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the manual dexterity sufficient to operate phones, computers, and other office equipment. The position requires the physical ability to kneel, bend and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials. This person must have the ability to travel as required to work with staff.</p></div>

Nurse Triage Specialist

Mercor

<div>
 <strong>
  About The Job
  <br/>
  <br/>
 </strong>
 <strong>
  Mercor
 </strong>
 connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include
 <strong>
  Benchmark
 </strong>
 ,
 <strong>
  General Catalyst
 </strong>
 ,
 <strong>
  Peter Thiel
 </strong>
 ,
 <strong>
  Adam D'Angelo
 </strong>
 ,
 <strong>
  Larry Summers
 </strong>
 , and
 <strong>
  Jack Dorsey
 </strong>
 .
 <br/>
 <br/>
 <strong>
  Position:
 </strong>
 Claims Operations Expert
 <br/>
 <br/>
 <strong>
  Type:
 </strong>
 <strong>
  Contract
  <br/>
  <br/>
 </strong>
 <strong>
  Compensation:
 </strong>
 <strong>
  $55&ndash;$80/hour
  <br/>
  <br/>
 </strong>
 <strong>
  Location:
 </strong>
 <strong>
  Remote
  <br/>
  <br/>
 </strong>
 <strong>
  Role Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Develop long-horizon claims tasks with deterministic rubrics to evaluate agent performance against verifiable ground truth.
  </li>
  <li>
   Build scenarios in FNOL and triage, Adjudication, and Specialized handling to ensure tasks have checkable answers.
  </li>
  <li>
   Evaluate FNOL and triage processes, including intake against required-field checklists and coverage analysis with documented determinations.
  </li>
  <li>
   Review adjudication tasks such as reserve setting against guidelines and adjuster notes with required elements.
  </li>
  <li>
   Collaborate on specialized handling scenarios like subrogation screening and SIU fraud referrals using rule-based criteria.
  </li>
  <li>
   Work independently and asynchronously to meet deadlines while improving AI model performance.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  Must-Have
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   3+ years as a claims adjuster, claims operations specialist, or claims supervisor in P&amp;C, workers comp, or specialty lines.
  </li>
  <li>
   Expertise in specific claim types, coverage analysis, reserving practice, subrogation, SIU or fraud investigation, or claims systems like Guidewire ClaimCenter or Duck Creek.
  </li>
  <li>
   Comfortable with claims artifacts: FNOLs, coverage opinions, reserve memos, adjuster notes, settlement, and denial letters.
  </li>
  <li>
   Clear written communication; ability to articulate reasoning step by step and encode it into deterministic rubrics.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Adjuster licensure in at least one US state.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Compensation &amp; Legal
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Hourly contractor
  </li>
  <li>
   Strong contributors promoted based on task quality and throughput.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Application Process (Takes 20&ndash;30 mins to complete)
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Upload resume
  </li>
  <li>
   AI interview based on your resume
  </li>
  <li>
   Submit form
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Resources &amp; Support
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  </li>
  <li>
   For any help or support, reach out to: support@mercor.com
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <em>
  PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
 </em>
</div>


Claims Adjuster | Upto $80/hr Part-time

Eventus WholeHealth

<div><div><b>Clinician Support Specialist</b></div><br>
<div></div>
<div></div>
<div><b>Position Summary:</b></div>
<div>Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and private residences through a network of healthcare providers including Physicians, Nurse Practitioners, Physician Assistants, Psychologists, Licensed Clinical Social Worker, Clinical and Administrative Support Staff.</div>
<div></div>
<div>The Clinician Support Specialist is responsible for enhancing the performance of the clinical care team through supporting and facilitating clinical services with their assigned providers. The Clinician Support Specialist is required to work in the field with the assigned provider as directed by Lead Clinician Support Specialist or Manager/Supervisor. You may be asked to travel to facilities up to 60 miles from your home.</div>
<div></div>
<div><div>Hours: Mon-Fri - 8-hour dayshift</div>
<div>Fuel Card to assist with commutes</div>
</div>
<div></div><div><b>Provider Support</b></div>
<ul><li>Ensure that the clinical provider in the assigned building is able to focus on taking care of their patients for the day</li>
<li>Ensure that each patient is seen as medically necessary per clinical protocol.</li>
<li>Serve as a &ldquo;buffer&rdquo; between provider and families/staff to facilitate proper patient management.</li>
<li>Document appropriate encounter and time for CCM and BHI services</li>
<li>If scheduling is assigned: Scheduling rosters should be updated daily to ensure accuracy and schedules sent timely.</li>
<li>Assist with any day-of changes to the scheduled visits due to acute needs, hospitalizations, admissions, or discharges</li>
<li>Prepare clinical documentation for assigned providers each day</li>
<li>Complete basic opening of encounter note as per discipline protocol</li>
<li>Perform medication reconciliation on all scheduled patients each encounter</li>
<li>Enter appropriate facility chart data on all scheduled patients each day into patient encounter notes and assign to provider</li>
<li>Enter lab and other diagnostic study results into patient encounter and assign to provider as per guidelines</li>
<li>Assist with collection and sorting of all clinical paperwork needed for clinician review and ensure completion each day</li>
<li>Host telehealth sessions for providers as assigned by manager/supervisor, both routine and acute visits</li>
</ul>
<div></div><div><b>Facility Support</b></div>
<ul><li>When scheduling is an expectation for your role:
<ul><li>Share patient schedules with key facility staff as needed.</li>
</ul></li><li>Assist with any triage needs as directed by assigned provider (whether they are in or out of the building that day)</li>
<li>Assist with triage documentation as needed.</li>
<li>Ensure that all needed paperwork is routed for the facility to Eventus providers, office, or families.
</li><li>Assist with consents for any services needed.</li>
<li>Attend stand up meetings to report any needed information from the facility to Eventus providers and vice versa if allowed by facility.</li>
<li>Assist with discharge planning of clinical services as needed.</li>
<li>Ensuring check in and out each day with facility staff regarding patients seen, status, etc.</li>
</ul>
<div></div><div><b>Patient Support</b></div>
<ul><li>Maintain patient confidentiality at all times.</li>
<li>Document appropriate encounter and time for CCM and BHI services</li>
<li>Check all forms of communication several times daily to ensure patient needs are met.</li>
<li>Inform patient and family of recent visits, new orders and defer to provider when needed</li>
<li>Communicate transitions of care to CCM team to enhance patient care and education.</li>
</ul><div><b>Additional Duties and Responsibilities</b></div>
<div><ul><li>Clinician Support Specialists are expected to be knowledgeable and adhere to Eventus WholeHealth standards, policies and procedures and outlined in employee handbook including HIPAA rules and regulations.</li>
<li>Clinician Support Specialists should adhere to the Eventus WholeHealth dress code policy i.e. clean, wrinkle-free, matching scrubs with appropriate, closed-toed footwear and name badge.</li>
<li>When duties are completed ahead of scheduled workday, report to your Lead Clinician Support Specialist for any additional assignments.</li>
<li>Clinician Support Specialists should seek further training if uncertain how to proceed with any assignment.</li>
</ul>
</div><div></div><div><b>Qualifications/Education:</b></div>
<div>High School Diploma or equivalency</div>
<div>Must have a valid driver's license and reliable transportation</div>
<div>Expected to travel up to 1 hour from home address</div>
<div>Certified Clinician Support Specialist degree a plus</div>
<div>Typing speed of 45wpm or greater</div>
<div>Medical Scribing experience preferred</div><br>
<div></div>
<div></div>
<div><b>WHAT WE OFFER</b></div>
<div>Our full-time positions offer provide:</div>
<div>A chance to be part of a growing and emerging culture</div>
<div>Fuel card to assist with commutes</div>
<div>Paid time off benefits</div>
<div>Holidays</div>
<div>Health benefits (medical, dental vision)</div>
<div>Short &amp; Long-term disability options</div>
<div>Employer Contribution to 401k Retirement</div>
<div><br>
<b>About Eventus WholeHealth:</b><br>
Eventus WholeHealth was founded in 2014 to provide physician-led healthcare services for residents and patients of skilled nursing and assisted living facilities. With our highly trained team of physicians, psychiatrists, nurse practitioners, physician assistants, psychotherapists, podiatrists, optometrists, audiologists, and support staff, our comprehensive, evidence-based model provides collaborative interdisciplinary care with the seamless and vital integration of a wide range of specialties. Our differentiated approach not only empowers the facilities to reach their own goals and objectives but also ensures better patient outcomes. For more information, please visit www.eventuswholehealth.com.</div></div>

Clinician Support Specialist

<div><div><b>Clinician Support Specialist</b></div><br>
<div></div>
<div></div>
<div><b>Position Summary:</b></div>
<div>Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and private residences through a network of healthcare providers including Physicians, Nurse Practitioners, Physician Assistants, Psychologists, Licensed Clinical Social Worker, Clinical and Administrative Support Staff.</div>
<div></div>
<div>The Clinician Support Specialist is responsible for enhancing the performance of the clinical care team through supporting and facilitating clinical services with their assigned providers. The Clinician Support Specialist is required to work in the field with the assigned provider as directed by Lead Clinician Support Specialist or Manager/Supervisor. You may be asked to travel to facilities up to 60 miles from your home.</div>
<div></div>
<div><div>Hours: Mon-Fri - 8-hour dayshift</div>
<div>Fuel Card to assist with commutes</div>
</div>
<div></div><div><b>Provider Support</b></div>
<ul><li>Ensure that the clinical provider in the assigned building is able to focus on taking care of their patients for the day</li>
<li>Ensure that each patient is seen as medically necessary per clinical protocol.</li>
<li>Serve as a &ldquo;buffer&rdquo; between provider and families/staff to facilitate proper patient management.</li>
<li>Document appropriate encounter and time for CCM and BHI services</li>
<li>If scheduling is assigned: Scheduling rosters should be updated daily to ensure accuracy and schedules sent timely.</li>
<li>Assist with any day-of changes to the scheduled visits due to acute needs, hospitalizations, admissions, or discharges</li>
<li>Prepare clinical documentation for assigned providers each day</li>
<li>Complete basic opening of encounter note as per discipline protocol</li>
<li>Perform medication reconciliation on all scheduled patients each encounter</li>
<li>Enter appropriate facility chart data on all scheduled patients each day into patient encounter notes and assign to provider</li>
<li>Enter lab and other diagnostic study results into patient encounter and assign to provider as per guidelines</li>
<li>Assist with collection and sorting of all clinical paperwork needed for clinician review and ensure completion each day</li>
<li>Host telehealth sessions for providers as assigned by manager/supervisor, both routine and acute visits</li>
</ul>
<div></div><div><b>Facility Support</b></div>
<ul><li>When scheduling is an expectation for your role:
<ul><li>Share patient schedules with key facility staff as needed.</li>
</ul></li><li>Assist with any triage needs as directed by assigned provider (whether they are in or out of the building that day)</li>
<li>Assist with triage documentation as needed.</li>
<li>Ensure that all needed paperwork is routed for the facility to Eventus providers, office, or families.
</li><li>Assist with consents for any services needed.</li>
<li>Attend stand up meetings to report any needed information from the facility to Eventus providers and vice versa if allowed by facility.</li>
<li>Assist with discharge planning of clinical services as needed.</li>
<li>Ensuring check in and out each day with facility staff regarding patients seen, status, etc.</li>
</ul>
<div></div><div><b>Patient Support</b></div>
<ul><li>Maintain patient confidentiality at all times.</li>
<li>Document appropriate encounter and time for CCM and BHI services</li>
<li>Check all forms of communication several times daily to ensure patient needs are met.</li>
<li>Inform patient and family of recent visits, new orders and defer to provider when needed</li>
<li>Communicate transitions of care to CCM team to enhance patient care and education.</li>
</ul><div>Additional Duties and Responsibilities</div>
<div><ul><li>Clinician Support Specialists are expected to be knowledgeable and adhere to Eventus WholeHealth standards, policies and procedures and outlined in employee handbook including HIPAA rules and regulations.</li>
<li>Clinician Support Specialists should adhere to the Eventus WholeHealth dress code policy i.e. clean, wrinkle-free, matching scrubs with appropriate, closed-toed footwear and name badge.</li>
<li>When duties are completed ahead of scheduled workday, report to your Lead Clinician Support Specialist for any additional assignments.</li>
<li>Clinician Support Specialists should seek further training if uncertain how to proceed with any assignment.</li>
</ul>
</div><div></div><div><b>Qualifications/Education:</b></div>
<div>High School Diploma or equivalency</div>
<div>Must have a valid driver's license and reliable transportation</div>
<div>Expected to travel up to 1 hour from home address</div>
<div>Certified Clinician Support Specialist degree a plus</div>
<div>Typing speed of 45wpm or greater</div>
<div>Medical Scribing experience preferred</div><br>
<div></div>
<div></div>
<div><b>WHAT WE OFFER</b></div>
<div>Our full-time positions offer provide:</div>
<div>A chance to be part of a growing and emerging culture</div>
<div>Fuel card to assist with commutes</div>
<div>Paid time off benefits</div>
<div>Holidays</div>
<div>Health benefits (medical, dental vision)</div>
<div>Short &amp; Long-term disability options</div>
<div>Employer Contribution to 401k Retirement</div>
<div><br>
About Eventus WholeHealth:<br>
Eventus WholeHealth was founded in 2014 to provide physician-led healthcare services for residents and patients of skilled nursing and assisted living facilities. With our highly trained team of physicians, psychiatrists, nurse practitioners, physician assistants, psychotherapists, podiatrists, optometrists, audiologists, and support staff, our comprehensive, evidence-based model provides collaborative interdisciplinary care with the seamless and vital integration of a wide range of specialties. Our differentiated approach not only empowers the facilities to reach their own goals and objectives but also ensures better patient outcomes. For more information, please visit www.eventuswholehealth.com.</div></div>

Openkyber

<div><p><b>Oracle HCM Functional Configuration Specialist (ORC) 100% Remote Overview:</b></p>
<p>This position is 100% functional no development work. The specialist will work closely with Oracle, business partners, and internal teams to understand features, modules, and options, and determine what is possible through functional configuration.</p>
<p>You will focus heavily on:</p>
<ul><li>Configuration changes</li>
<li>Troubleshooting remaining post go-live issues</li>
<li>Enhancing and optimizing Oracle HCM Cloud modules</li>
<li>Supporting ongoing hypercare and continuous improvement</li>
</ul><p>Primary Modules Needed (Openings) ORC Recruiting &amp; Recruiting Boost ( Boost highly preferred )</p>
<p>(1) Must-Have Experience Candidates must have strong hands-on functional configuration experience in:</p>
<ul><li>Core Requirements Oracle HCM Core (Required)</li>
<li>Compensation (Required)</li>
<li>Redwood UX Journeys</li>
<li>Transaction Workflows</li>
<li>Understanding of workforce modeling</li>
<li>Ability to partner with the business to explain what is functionally possible</li>
<li>Strong background configuring Oracle Cloud not development or coding</li>
</ul><p>Role Expectations</p>
<ul><li>Perform functional configuration across Oracle HCM modules</li>
<li>Review and correct previously misconfigured components from the initial implementation</li>
<li>Triage and complete remaining Fast Formula issues</li>
<li>Partner with Oracle support and internal teams to resolve defects</li>
<li>Identify opportunities for optimization within existing processes</li>
<li>Engage cross-functionally with business stakeholders to define requirements</li>
<li>Ensure configuration follows Oracle best practices</li>
<li>Support post go-live enhancements and stabilization work</li>
</ul><p>Qualifications</p>
<ul><li>5+ years Oracle HCM Cloud functional configuration experience</li>
<li>Experience in large, complex enterprise environments</li>
<li>Ability to work independently and manage workload in a fast-paced environment</li>
<li>Strong communication skills for supporting both Oracle and business stakeholders</li>
<li>Must live in OH, PA, WV, MD, or NJ</li>
</ul><p><b>For applications and inquiries, contact:</b> hirings@openkyber.com</p></div>

Oracle SOX Controls Specialist

Search 4734+ Triage specialist jobs near you this May. New roles added regularly across leading industries. Apply today.

4734 triage specialist jobs Near Me

Nurse Triage Specialist

Claims Adjuster | Upto $80/hr Part-time

Clinician Support Specialist

Clinician Support Specialist

Clinician Support Specialist

Oracle SOX Controls Specialist

Clinician Support Specialist