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Health Plans for Partnered Members

Comprehensive Health Plan Solutions For Members

Triage
Telephone Nurse Triage

Connecting Members to Self-Care Information, Support and Appropriate In-Network Care

A nurse advice line is the first point of access to help health plan members find the most appropriate in-network care or get the information and support that they need for self- care. AccessNurse provides a warm, welcoming point of access for health plan members. Our Nurse Advice Line features for Health Plan members include:

  • 24/7 Nurse Advice Line for symptom assessment or health information
  • Health information written at low literacy levels – emailed to members
  • Members are referred to the most appropriate level of in-network care
  • Provide street-by-street directions to in-network providers
  • 63% of callers who would have gone to the ED are referred to a lower level of care
  • Identify and enroll members into plan-specific DM programs
  • Meaningful reports on member health provide actionable data and demonstrate ROI
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Answering Services

AccessNurse offers our Health Plan clients a premier physician and practice answering service, providing seamless, 24/7 access for clinical and non-clinical calls.

FEATURES OF OUR ANSWERING SERVICES INCLUDE:

  • 24/7/365 availability
  • 24/7/365 RN supervision
  • Trained by RN Director of Education
  • Must be deemed competent on our customer service program, TeamCARE and OB/GYN care program, TeamOB
  • Clinical QI program oversight with monthly scorecards
  • Emergency backup for unscheduled closures
  • High volume overflow
  • Translation services
  • Service branded to your practice
  • Customized scripting
  • Customized directives and protocols
  • Error-free paging system
  • EMR interface, if requested
  • Electronic messaging
  • All calls recorded
  • Robust reporting
  • URAC Accreditation

From 'Expert Hire' to 'Client Advisor'

Based on our experience with the largest healthcare systems and IPAs in the country, we understand the unique needs for medical call center services at all levels.

In this rapidly changing market, we know that the two most important investments we can make to accomplish our mission are to:

  • Recruit and train exceptional people
  • Utilize the innovative technology needed to gather, communicate and track relevant critical caller data in support of your goals

As providers navigate and adapt to healthcare changes, it is vital to partner with a call center who offers a results-based program that actively supports your long- and short-term goals.

AccessNurse is the cost-effective leader in:

  • Reducing inappropriate or unnecessary utilization of healthcare resources
  • Exceptional quality
  • Increasing patient satisfaction
  • Physician acquisition and retention through our after-hours support 
  • Creating comprehensive medical call center solutions

Our goal is to create long-term, value based partnerships with each of our clients. As a true partner, we share ideas and information based on your organization’s needs. The payoff? Invaluable, collaborative partner.

Testimonials

I have rounded with all my physicians for their yearly reviews, and I want to pass along that universally all of them have found great value and improvements in their on-call time thanks to AccessNurse. You are a high-quality service, and we appreciate your team.

Large Healthcare System

AccessNurse Client

AccessNurse's Client Services Department and entire team are so responsive.The providers love the service and continually give positive feedback. The service is everything that we were told it would be!

Jenny Walker

AccessNurse Client - Hackensack

I have rounded with all my physicians for their yearly reviews and I want to pass along that universally all of them have found great value and improvements in their on call time thanks to AccessNurse. They are a high quality service and we appreciate their team.

Lisa Carpenter

Large Healthcare Organization

"I wanted to share my really excellent experience with one of the triage nurses over this last weekend while I was on call. When she called me, she had obviously spent a lot of time talking with, supporting, and triaging the patient in question. She also expedited the care by calling the pharmacy to ensure that the prescriptions were received and ready to be dispensed to the patient. Throughout it all she had a calm and professional demeanor. I really appreciated working with her."

Large Healthcare Organization

AccessNurse Client

In internal meetings, we have received very positive feedback about AccessNurse's after hours answering service. The general overall consensus is that the RN’s are doing well with triaging and providing advice to the patients. Thank you for helping to improve the quality of our providers call while on labor and delivery!"

Baltimore North & Columbia

AccessNurse Client