Job Description

Overview:

Presbyterian is seeking a Nurse Advice Line Clinical Triage Nurse to assess and triage inbound member and patient calls to the PHP Nurse Advice Line . This role ensures that services provided align with clinically appropriate guidelines and triage protocols.

 

Key Responsibilities:

• Utilize clinical expertise to evaluate and document patient needs, ensuring accurate coordination of care.

• Conduct clinical triage for all levels of medical acuity, assisting callers in navigating the appropriate healthcare options.

• Validate and interpret medical information using evidence-based criteria.

• Consult with PHP medical directors on non-emergent cases when protocols require clarification.

• Guide patients to the right venues of care, including primary care, urgent or emergent care, Advanced Life Support (ALS) services , or public health organizations like Poison Control Centers or Public Health Departments .

• Adapt to varied shifts and occasional on-call assignments to support patient care needs.

 

• Full Time - Exempt: No
• Job is based at Rev Hugh Cooper Admin Center
• Work hours:Days
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Ideal Candidate:

Two years nursing supervisor experience. Experience in primary care, emergency care, or urgent care

Qualifications:

• Associates degree in nursing AND 5 years of nursing experience required or Bachelors degree in nursing.
• New Mexico Board of Nursing RN License required.
• Organizational and Analytical skills: Experienced analytical skills as applicable to interpret medical records. Experience with detailed research, coordination, and organizational skills; demonstrated critical thinking skills as evidenced by experience, education, and/or the pre-hire interview process.

Responsibilities:

• Receives, triages, verifies, and processes requests for clinical triage and medical advice from health plan members and their representatives. Callers may have varying degrees of acuity in presentation and symptoms presented.
• Uses clinical protocols to assess advice to callers, and documents discussion and information relayed.
• May work with stakeholders and primary and specialty providers across the state to identify most appropriate direction of care based on call. Uses critical thinking to gauge risks, determine acuity of caller s situation and make evidence based decisions on information and advice provided.
• Legally documents all calls and information discussed. Records and refers all pertinent information accordingly.
• May collaborate with other resources such as behavioral health clinicians or crisis staff to best direct callers.
• Advises manager of trends in calls and potential quality of care and legal issues.
• Communicates effectively with providers, PHP medical directors, PCSC staff, and other applicable PHS departments to deliver sound and appropriate advice.
• Must adhere to protocols and processes for compliance of call processing, documentation, transfer and follow up.
• Meets departmental and/or regulatory turnaround times for clinical triage and internal Service Level Agreements. (SLA) while maintaining productivity and quality standards.
• Performs other functions as required.

Benefits:

About Presbyterian Healthcare Services

Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

 

The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities—like challenges, webinars, and screenings—with opportunities to earn gift cards and other incentives.

 

As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships.

Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.

 

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Maximum Offer for this position is up to: USD $42.63/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

Job Tags

Full time, Local area,

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