Triage RN

Adaptive Home Health / Fira HealthRichardson, TX
Remote

About The Position

The PRN After-Hours Triage RN provides remote clinical triage, problem-solving, and urgent patient support outside of normal business hours. This role ensures timely clinical decision-making, appropriate escalation, and continuity of care for home health patients requiring after-hours intervention. The RN serves as the first-line clinical resource for patients, caregivers, field clinicians, and facility partners, utilizing strong assessment skills and sound clinical judgment. This position is 100% remote telephonic triage only with no in-home visit requirements.

Requirements

  • Active RN license.
  • 1–2 years recent clinical experience (home health, ER, urgent care, med-surg, or ICU preferred).
  • Strong triage and telephonic assessment skills.
  • EMR proficiency (HCHB preferred).
  • Reliable internet and ability to work independently.
  • Clinical assessment & critical thinking
  • Strong verbal communication
  • Calm under pressure
  • Detail-oriented documentation
  • Independent decision-making

Nice To Haves

  • Prior home health on-call/triage experience.
  • Knowledge of Medicare and home health regulations.

Responsibilities

  • Respond promptly to after-hours patient calls and urgent clinical needs.
  • Conduct telephonic assessments to determine urgency and needed interventions.
  • Provide clinical guidance for symptoms, medications, wound issues, pain, and condition changes.
  • Document all triage calls thoroughly in the EMR.
  • Determine need for in-person visits and coordinate with on-call RN/CM.
  • Escalate emergencies to 911 or urgent care resources when needed.
  • Notify Clinical Manager or on-call leadership for escalations.
  • Communicate recommendations and follow-up needs to branch leaders and field teams.
  • Collaborate with weekend/evening leadership for continuity of care.
  • Review orders, labs, and concerns arising after hours and act per policy.
  • Ensure timely physician communication for urgent situations.
  • Complete documentation within required timeframes.
  • Follow HIPAA and home health regulatory standards.
  • Provide calm, compassionate, patient-centered communication.
  • Demonstrate strong problem-solving and clinical leadership.
  • Represent the agency professionally.
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