Registered Nurse, Night Shift PRN (Remote)

Upperline Health•Nashville, TN

13d•Remote

About The Position

Upperline Health is seeking a weekday Registered Nurse to support a team of clinicians in delivering complex plans of care in accordance with the patient’s health status and overall goals and values. This individual will be based in one of our Upperline markets and will be responsible for providing care navigation and patient support as well as coordination of post-discharge care management services. This role supports high-risk and recently discharged patients to ensure safe transitions across care settings, prevent avoidable readmissions, close care gaps, and improve quality outcomes under value-based care contracts. This will include a range of clinical and administrative tasks such as directly providing telephonic support to patients, families and working collaboratively with the team of Nurse Practitioners and ancillary staff. Ideal candidates will have experience working with an older adult patient population and telehealth triage experience. Most importantly, candidates must demonstrate compassion for patient needs, have great attention to detail and thrive in a collaborative environment.

Requirements

Active Compact RN licensure required
Minimum of 3 years clinical experience required , preferably in a centralized care management team environment
Must be able to help provide weekend and holiday coverage on a rotating basis
Patient, compassionate and professional demeanor required
Exceptional organizational skills and ability to multi-task
Self-starter with an entrepreneurial spirit and demonstrated problem solving skills
Strong writing, Word, Excel, and database management skills
Extremely strong work ethic
Experience working in a fast-growing, rapidly changing environment

Nice To Haves

A plus if you are licensed in CA, CT, or MI
Prior healthcare experience serving chronically ill patients preferred
Previous experience in ER, Critical Care or Home Health a plus
Previous experience with Athena EMR a plus
Ideal candidates will have experience working with an older adult patient population and telehealth triage experience.

Responsibilities

Telephonic care management with patients and their families, including triaging incoming calls and addressing and escalating urgent patient issues, as well as making proactive outgoing calls as requested by Upperline’s Providers.
Provide chronic care management and transitional care management outreach, assessment and intervention to assess, identify and close clinical and non-clinical gaps in patient care.
Appropriate triage and escalation of routine, urgent and emergent patient issues.
Clinical care coordination with other providers and specialists, including: Upperline clinic, telephonic, and home-based visit coordination
PCP or specialist office visit appointment coordination
Initiating clinical service orders on behalf of the patient
Initiating health plan authorization for Home Health, DME, Home Infusion and other critical services.
Verifying the timely delivery of these services.
Medication reconciliation and management to include the following, prescription updates and refill requests, identifying potential medication issues, answering patient questions on side effects and medication conflicts, and coordinating refills in coordination with Upperline Pharmacy team.
Various clinical and administrative tasks.
Potentially participation in weekly/monthly interdisciplinary team meetings and clinical huddles.
Other related duties as deemed necessary by Upperline Health