Hybrid Primary Care Triage Registered Nurse (RN) - Massachusetts ONLY - R12921

Job Summary

The Care Delivery Triage RN is responsible for performing telephonic clinical triage and providing health information service and care coordination as a key part of the primary care team, and acts as the primary liaison with Care Partnership and external care team members when communicating clinical and care management needs.

Essential Functions

• 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.
• Captures 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.
• Coordinates referrals, specialty visits, testing, social services, and skilled services.
• Communicates and follows up with skilled services on new/routine orders and chronic disease management.
• Aids 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.
• Aids in logistical planning for vaccination efforts or other clinical initiatives.
• Aids 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.
• Performs any other job related duties as requested.

Education And Experience

• 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.

Competencies, Knowledge And 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.

Licenses And Certifications

• Current, unrestricted RN licensure in Massachusetts required.
• To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position.

Compensation Range

$62,700.00 - $100,400.00

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.

Compensation Type

Salary

Competencies

• Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business