Telehealth Triage, RN Id-2259
ABOUT THE ROLE:
Under the general supervision of the Clinical Lead, the Telehealth Triage (RN) performs clinical triage, condition support, care planning, clinical education, and care coordination functions in supporting Rightway members with navigating, accessing, and best managing their care needs. The Telehealth Triage (RN) also serves as a trusted advisor for appropriately directing care to high-quality providers with the objective of improving clinical outcomes while also reducing healthcare costs e.g. minimizing ED or other unnecessary care visits while increasing utilization of more appropriate care settings, such as primary care doctors.
WHAT YOU'LL DO:
- Clinical triage to assess the severity of the patient’s health concerns using evidence-based protocols and algorithms in directing care to the right healthcare resource in a timely manner without compromising quality or safety
- Clinical navigation support to include but not limited to: condition education, care options, and planning, care compliance, medication adherence, shared decision support, and care coordination
- Appropriately leverages input and direction from the Rightway provider to determine the best clinical options for those more complex patient health care needs.
- Accurately documents symptoms/complaints, nursing assessment, the guidance provided, and member/caller response.
- Acts in the best interest of the member by being a health advocate and supporter in the member’s healthcare journey.
- Proactive outreach engagement of high-risk, rising risk, and gap in care members and assists them in making the necessary lifestyle and behavior changes.
- Coordinates the completion of screening services in high-risk patients by providing care management and adherence follow-up and care coordination support.
- Member’s trusted healthcare advisor, member experience and retention focus e.g. longitudinal care education, guidance, and support
- Develops effective collaboration and working relationships across the Navigation team and organization.
- Maintains a patient-centric, customer-driven professional attitude.
- Stay within the RN scope of practice by strictly following the protocols set by Clear Triage unless directed to do otherwise by a provider on the clinical team, then documenting appropriately when a change does occur.
WHO YOU ARE:
- RN, ADN or BSN degree
- Holds an active RN license in compact state
- 5+ years of clinical experience required, preferably in family medicine
- Triage nursing experience desired
- Care management / chronic condition support experience desired
