Hybrid Primary Care Triage Registered Nurse (RN) - Massachusetts ONLY

Responsible for performing telephonic clinical triage and providing health information service and care coordination as a key part of the primary care team. Acts as the primary liaison with Care Partnership and external care team members when communicating clinical and care management needs.

Responsibilities

• Serves as primary telephonic contact person for clinical and care coordination needs, maintaining timely accurate documentation.
• Evaluates and assesses health care needs utilizing established triage protocols and documented workflows.
• Escalates issues to APC/physician based on triage protocol disposition, documented workflows, or nursing judgment.
• Coordinates and schedules appointments based on triage disposition or as requested by the care team.
• Provides telephonic education to patient and family regarding chronic disease management and follow-up preventive health maintenance.
• Serves as primary point of contact with Care Partnership in coordinating health plan activities and care management needs.
• Participates in the coordination of referrals, specialty visits, testing, social services, and skilled services.
• Communicates and follows up with skilled services on new/routine orders and chronic disease management.
• Assists administrative staff in identifying VNA vendors when needed.
• Performs telephonic follow-up of inpatient and ED care.
• Attends and participates in team meetings as directed.
• Utilizes nursing judgement and/or provider order in order to refer to internal and external auxiliary resources such as CCA clinical group CHW, Rehab, Nursing and APCs, home based lab services, instEd, pharmacies, etc.
• Takes a primary role in coordinating gap closure activities.
• Communicates lab results and other medical advice with direction from the APC or physician.
• Assists with logistical planning for vaccination efforts or other clinical initiatives.
• Assists the APC/physician with submitting lab orders and follow-up as delegated.
• May be cross-trained to provide backup support to other areas of nursing within practice, including but not limited to clinic-based care and field support.
• Perform any other job related duties as requested.

Requirements

• Associates degree in nursing required
• Bachelor's degree in nursing preferred
• Three (3) years of experience as Registered Nurse in a high touch clinical environment or home care required
• OR two (2) years of experience caring for patients/members with complex medical, behavioral health, and social needs required
• Current, unrestricted RN licensure in Massachusetts required
• Influenza vaccination required annually (October 1 – March 31) as a condition of continued employment

Skills

• Strong computer skills
• Strong clinical assessment skills
• Strong communication skills
• Ability to work independently and within a team environment
• Attention to Detail
• Critical listening and thinking skills
• Decision making/problem solving skills
• Proper phone etiquette
• Customer service oriented
• Broad base of clinical knowledge
• Teaching skills
• Ability to remain calm under pressure and in member life threatening situations
• Ability to apply multiple communicative skills while utilizing available tools and resources simultaneously
• Ability to effectively work with patients with various cognitive, physical, and behavioral abilities
• Ability to learn and utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time
• Up to 15% (occasional) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties

Pay

$62,700.00 - $100,400.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Benefits

We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.