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

CareSource Management Services•Boston, MA

14h•Hybrid

About The Position

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. This role acts as the primary liaison with Care Partnership and external care team members when communicating clinical and care management needs.

Requirements

Associates degree in nursing required
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
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
Current, unrestricted RN licensure in Massachusetts required
Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.

Nice To Haves

Bachelor's degree in nursing preferred

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.