Registered Nurse (RN) - General Ambulatory Services, Remote, Evenings

Dartmouth-Hitchcock Concord•Lebanon, NH

36d•Remote

About The Position

Remote Registered Nurse (RN) - Nurse Triage Position Summary The RN - Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on, responsible for assessing patient symptoms, determining the appropriate level of care, providing education, and ensuring timely communication with providers. The ideal candidate has strong triage, Med-Surg, and Primary Care experience, is proficient with Epic EMR, and thrives in an independent remote environment. Key Responsibilities Perform telephone triage using established protocols and sound nursing judgment. Assess symptoms, prioritize patient needs, and determine appropriate care or follow-up. Provide patient education, guidance, and reassurance as appropriate. Accurately document all patient encounters in Epic EMR in real time. Escalate urgent or emergent situations per clinic and organizational policies. Communicate effectively with on-call providers, clinic teams, and patients to ensure continuity of care. Contribute to a culture of safety, quality, and patient satisfaction within the triage team. The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned.

Requirements

Active, unrestricted RN license (multi-state compact required).
Minimum 2-3 years of clinical experience with a strong background in triage, Med-Surg, and/or Primary Care.
Proficiency in Epic EMR and remote communication systems.
Excellent assessment, critical thinking, and decision-making skills.
Strong communication, documentation, and time management abilities.
Self-motivated and comfortable working independently in a remote environment.
Graduate from an accredited Nursing Program required.
Licensed Registered Nurse with NH eligibility
Basic Life Support (BLS) Certificate required upon hire.

Nice To Haves

Associates degree required; BSN preferred
Previous experience in remote triage, nurse advice lines, or outpatient/clinic settings.
Bachelor of Science Degree in Nursing (BSN) preferred.

Responsibilities

Perform telephone triage using established protocols and sound nursing judgment.
Assess symptoms, prioritize patient needs, and determine appropriate care or follow-up.
Provide patient education, guidance, and reassurance as appropriate.
Accurately document all patient encounters in Epic EMR in real time.
Escalate urgent or emergent situations per clinic and organizational policies.
Communicate effectively with on-call providers, clinic teams, and patients to ensure continuity of care.
Contribute to a culture of safety, quality, and patient satisfaction within the triage team.
Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.
Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.
Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination.
Actively seeks feedback and acts to improve performance.
Engages in the governance of practice.
Manages interpersonal relationships for self and with others.
Mentors colleagues for the advancement of nursing practice and the profession.
Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures.
Prioritizes and organizes time to optimize patient outcomes.
Actively seeks out the most current evidence and standards and applies and translates to daily practice.
Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.
Communicates effectively in a variety of formats in all areas of practice.
Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
Performs other duties as required or assigned.