On-Call Scheduling Nurse

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Respond to the designated on-call line during assigned coverage periods.

• Determine the Participant's identity, caller information, location, call reason, and urgency of the concern.

• Conduct focused nursing assessments based on symptoms, medical history, medications, recent services, functional status, cognition, caregiver support, and other pertinent details.

• Identify changes in condition, potential emergencies, falls, injuries, medication issues, behavioral or cognitive changes, and other risks that necessitate immediate action or escalation.

• Provide safe nursing guidance in accordance with the Registered Nurse scope of practice, approved protocols, the Participant's Plan of Care, and available provider orders.

• Utilize teach-back methods when appropriate to verify understanding.

• Direct callers to emergency services or initiate the appropriate emergency response process as needed.

• Coordinate subsequent steps, including monitoring, self-care guidance, provider consultations, pharmacy coordination, home-based services, center follow-up, urgent care, emergency department evaluation, or emergency medical services.

• Elevate concerns to providers, medical directors, clinical leaders, center teams, pharmacies, home care, transportation, behavioral health, or other designated resources.

• Communicate comprehensive clinical information using established handoff protocols.

• Inform responsible centers and clinical teams of calls that necessitate follow-up, intervention, reassessment, order execution, care plan review, or Participant outreach.

• Confirm urgent handoffs and re-escalate any unresolved high-risk issues.

• Support continuity of care across OSC centers and states by identifying the enrolled program, center, location, and responsible follow-up team.

• Document calls, assessments, interventions, consultations, escalations, dispositions, and follow-up directions in the designated electronic medical record or approved system.

• Complete necessary reports for incidents, adverse events, medication events, falls, hospitalizations, emergency department visits, and others.

• Ensure reliable handoffs following events and identify pending actions and follow-up responsibilities.

• Participate in case discussions, follow-up reviews, audits, quality improvement, and process enhancement initiatives.

• Adhere to OSC policies, on-call protocols, Nurse Practice Acts, professional standards, and emergency and escalation procedures.

• Maintain awareness of center contacts, provider coverage, pharmacies, emergency resources, home care, transportation pathways, and state-specific requirements.

• Complete orientation, state-specific training, annual competencies, emergency response education, privacy and security training, electronic medical record training, and continuing education.

• Identify trends and improvement opportunities related to after-hours calls, avoidable utilization, access barriers, adverse events, and handoff reliability.

• Report technology, telephone, system access, staffing, or workflow issues and follow downtime protocols.

• Maintain confidentiality and conduct calls in a private environment suitable for protected health information.

• Perform additional duties as assigned.

⛳️ Requirements

• Graduate of an accredited nursing school.

• Current, active, unrestricted Registered Nurse license in all states where the nurse is assigned coverage.

• Must secure and maintain all necessary state licenses before providing nursing services in those states.

• Minimum of one year of professional nursing experience is required.

• Current Basic Life Support/CPR certification is mandatory.

• Ability to fulfill applicable state licensure, background checks, exclusion screenings, competency, health clearance, and continuing education requirements.

• Capability to work assigned after-hours on-call shifts and remain available and responsive during the coverage period.

• Proficiency in accessing required electronic systems, clinical resources, and communication tools while on call.

• Excellent verbal communication skills via telephone and secure electronic methods.

• Ability to complete timely and precise clinical documentation.

• Capacity to maintain a private work environment suitable for protected health information.

• Capability to perform essential functions of the position with or without reasonable accommodation.

• Must be able to drive a motor vehicle when required by the assignment.

• Experience with frail older adults, geriatrics, PACE, home-based care, triage, emergency or urgent care, primary care, or care coordination is highly preferred.

• Calm, confident demeanor with the ability to make sound clinical decisions under pressure.

• Strong nursing judgment and prioritization abilities.

• Experience in telephone triage, clinical assessment, care coordination, and clinical documentation.

• Knowledge of frail older adults, chronic conditions, medications, functional decline, cognitive impairment, and caregiver needs.

• Comfort with electronic medical records, secure communication tools, telephone systems, and remote work technology.

• Ability to safeguard confidential Participant, program, and workforce information.

• Additional language skills are valued when relevant to Participant needs.

• Ability to sit, stand, bend, reach, walk, and move intermittently throughout the workday.

• Proficiency in using a computer for sustained documentation, electronic medical record navigation, and communication.

• Ability to utilize OSC-provided or approved equipment, including secure telephones, computers, multi-factor authentication, and communication applications.

• Willingness to travel and provide direct Participant care when required by the assignment.

🏝️ Benefits

• 9 Paid Holidays.

• PTO starting at 3 weeks + 1 day per year (accrued from date of hire for full-time employees).

• Medical, Dental, & Vision coverage.

• Complimentary Life and AD&D Insurance Plan.

• Health Savings and Flexible Spending Accounts.

• Short Term Disability Insurance.

• Group Voluntary Term Life Insurance for Employees, Spouses, and Dependents.

• Paid Parental Leave.

• Tuition Reimbursement and Paid Training Opportunities.

• Retirement Plan with company annual match.

• Mileage Reimbursement at the annual IRS rate as applicable.

• Training, mentorship, and career development programs.