Imagine360 is seeking a Triage Supervisor to join the team! The Supervisor, Triage is responsible for leading a team of clinicians who guide members throughout their healthcare experience by providing tailored support and clinical expertise, in order to elevate the member experience. The team of nurses acts as advocates for our members to help them utilize their health plan to the fullest potential. By educating members on resources and services available to them within their medical benefit plan, your support plays a key role in the member's journey navigating through the complexity and cost of healthcare. The Supervisor leads a team of clinicians who perform symptom triages as well as various health assessments to prevent gaps in care. The Supervisor may also interact with members directly and be a hands-on clinician managing the triage process

Position Location:100% Remote

Responsibilities include but are not limited to:

Responsible for managing the team responsible for delivering the clinical triage process and ensuring the member experience is seamless and the members' benefits are utilized to the fullest potential.
Responsible for all supervisory duties which could include but not limited to: 1:1 coaching, creating and maintaining team policies and procedures, training of team members, coordinating and support of daily triage activities, maintaining metrics and team statistics as needed, managing staffing schedules, review/approval of team PTO requests, conducting performance reviews, and involvement in hiring and onboarding processes.
Lead projects and employee discussions that promote process improvements in the delivery of services within the department.
Coordinate and attend meetings throughout the week to maintain project performance.
Perform monthly call and chart audits for the triage clinicians.
Support member issue and resolution processes as needed.
Hands on clinician in the triage process which could include but not limited to: perform real-time symptom triage and appropriate disposition and educational care instructions, using clinical knowledge to provide educational resources to members regarding their medical diagnosis, identify appropriate member referrals to Medical Management programs, resolve gaps in care for members.
Collaborate with internal and external stakeholders to ensure a best-in-class service delivery.
Adhere to established internal Medical Management policies and procedures, regulations regarding Department of Labor, HIPAA, PHI, and ERISA.
Complete and follow HIPAA training/PHI guidelines.
Other duties as assigned.

Areas of Responsibility: Scope of Practice

In addition to performing standard duties, the Registered Nurse is involved in clinical decision making and patient education. The scope of practice for nursing work includes, but is not limited to:

Assessment and evaluation of the acquired clinical data to assess the appropriateness of treatment plan based upon Imagine360 clinical guidelines.
Coordination of treatment plans, interventions, and outcome measurement.

Provide patient education and educational resources.
Rationale for the effects of medication and treatments.
Accurately report:

Client response
Contact with other health care team members
Evidence-based sources for care plan recommendations
Respect the client's right to privacy by protecting confidential information.
Promote and participate in education and counseling to a participant based on health needs.
Clarify any treatment that is believed to be inaccurate, non-efficacious, or contraindicated by consulting with appropriate practitioners.

Required Education:

A nursing degree from an accredited college, university, or school of nursing.
Active and unrestricted Registered Nurse License in eNLC compact state.

Required Experience:

1+ years' experience in a clinical environment such as in a Hospital, Physician's Office, or similar.

Preferred Experience:

Experience managing a team of clinicians and motivating employees to produce quality clinical results preferred.
Experience managing a remote team of employees preferred.
Experience in a telephonic clinical role preferred.

Skills and Abilities:

Excellent communication skills with a personable and approachable demeanor and a passion for serving others.
Ability to motivate and encourage others to deliver superior customer service and quality clinical experiences.
Team player who builds effective working relationships and able to handle multiple tasks & assignments.
Proficient in typing and Office Software (Word, Excel, PowerPoint) and other programs such as Outlook, Internet Explorer, Database software, and standard office equipment.
Ability to work independently in a home office environment.
Ability to read and interpret documents such as HIPAA compliance, safety rules, operating and maintenance instructions, and policy & procedure manuals.
Ability to draft professional communications and articulate complex ideas clearly in writing. Ability to write routine reports and correspondence.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply concepts of basic mathematics and accounting principles.

Licenses or Certifications:

Maintain active Registered Nurse license and CEU's as required by the State Board of Nursing.
Must be willing to obtain and maintain additional license as required to perform the job functions of the organization.

What can Imagine360 offer you?

Multiple Health plan options
Company paid employee premiums for disability and life insurance
Parental Leave Policy
20 days PTO to start / 10 Paid Holidays
Tuition reimbursement
401k Company contribution
Company paid Short & Long term Disability plus Life Insurance
Professional development initiatives / continuous learning opportunities
Opportunities to participate in and support the company's diversity and inclusion initiatives

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**