Nurse Advice Line Clinical Triage Nurse

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.

Why Join Us

• Per Required Need - Exempt: No
• Job is based at Rev Hugh Cooper Admin Center
• Remote work from home: this job is intended to be conducting in the state of New Mexico.
• Work hours: Varied Days and Hours
• 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:

If you are passionate about delivering high-quality care through advanced technology and expert clinical judgment, this opportunity may be a great fit for you.

Education & Credentials:

• Minimum Requirement: Associate degree (Bachelor's degree preferred).

• Licensure: New Mexico Board of Nursing RN License with Multi-State Compact Licensure status required.

• Experience: At least three years of RN experience in a clinical setting, emergency medicine, urgent care, or managed care.

Key Skills:

• Organizational & Analytical Abilities: Strong analytical skills for interpreting medical records.

• Research & Coordination Expertise: Proven experience in conducting detailed research and managing complex coordination tasks.

• Critical Thinking: Demonstrated ability to think critically, as evidenced by experience, education, and the pre-hire interview process.

• Triage and process medical advice requests from health plan members.

• Use clinical protocols to assess, advise, and document interactions.

• Coordinate care with stakeholders and providers statewide.

• Apply critical thinking to assess risk and determine appropriate direction of care.

• Maintain legal documentation of calls and referrals.

• Collaborate with behavioral health clinicians or crisis staff when needed.

• Identify trends and potential quality-of-care concerns.

• Communicate effectively with internal teams and medical directors.

• Ensure compliance with call processing, documentation, and follow-up protocols.

• Meet turnaround times and maintain productivity and quality standards.

• Perform additional duties as required.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

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