Registered Nurse – Triage and Transition

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

📋 Description

• Deliver extensive, time-sensitive services to patients and their families across various healthcare environments and among clinicians.

• Ensure seamless continuity of care during transitions between different healthcare settings.

• Prevent health complications, link patients to necessary resources, and direct them to the appropriate level of care.

• Evaluate, plan, implement, and assess patient care utilizing clinical expertise, technology, and evidence-based practices via telephone or digital communication.

• Identify patients needing proactive interventions through screening criteria, medical record evaluations, payer models, risk scores, or referrals.

• Assess medical, functional, and social conditions to create tailored care plans, recommendations, or referrals.

• Coordinate both internal and external services focusing on social determinants of health and community care.

• Review outcomes and adjust care plans or interventions as necessary.

• Conduct remote nursing assessments and apply evidence-based protocols to inform care recommendations.

• Encourage self-management and behavior change via health coaching, navigation, coordination, and education.

• Provide education to healthcare team members, patients, caregivers, and families regarding care processes, conditions, and self-management strategies.

• Collaborate with physicians and multidisciplinary healthcare teams to ensure timely and high-quality care.

• Participate in rounds or case conferences and consult with social work, nutrition, pharmacy, rehabilitation, and behavioral health resources.

• Establish partnerships with hospital care management, post-acute providers, and other care managers.

• Engage in system and regional process-improvement initiatives.

• Conduct root-cause analyses of extended post-acute stays, inappropriate utilization, and readmissions.

• Monitor key data elements and metrics while staying updated on industry, regulatory, technology, and market trends.

• Advocate for Intermountain Health’s mission, vision, and values.

⛳️ Requirements

• Valid Registered Nurse (RN) license in the state of practice.

• Bachelor of Science in Nursing (BSN) from an accredited institution; degree verification required.

• RNs hired or promoted into this position must earn their BSN within four (4) years from the date of hire or promotion.

• Proven clinical nursing experience in chronic disease management.

• Familiarity with chronic disease terminology and processes.

• Understanding of disease management, including treatment, length of stay, barriers to care delivery, and variations.

• Basic computer skills along with knowledge of Microsoft Office software.

• Minimum of 2 years of nursing experience; new graduates are not being considered at this time.

• Care Management Certification is preferred.

• Experience in ambulatory transitional care or telephonic triage is preferred.

• Intermediate computer skills and proficiency in Microsoft Office software are preferred.

• Office hours must align with the Pacific time zone.

• Strongly preferred: ambulatory care experience in a primary care clinic, telephone triage, or telephonic nursing.

🏝️ Benefits

• Comprehensive benefits package that includes wellness, health, security, connection, and engagement programs.

• Provision of company equipment and remote-work support as outlined in remote work expectations.