Telephone Triage Nurse

3 weeks ago

San Antonio TX, United States Res-Care, Inc Full time

Starting Point Nursing Services
RN Tele-Triage (Fully Remote) - MUST have compact state RN licensure
Full Time: 1 (38 hours per week) position available immediately
Tuesday-Saturday from 3pm -11pm EST (2pm - 10pm CST)
This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage RN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations RN's. This RN performs data analysis in multiple systems.
Monitor assigned phone lines during service hours to ensure timely response for caller needs
* Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
* Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
* Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
* Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
* Develop/update care plans and determine persons served needs and secure physicians orders as needed
* Communicate with beneficiaries primarily phone, text, online (web) chat, or email
* Ensure compliance with state/local/payer requirements through review of documentation
* Provide coaching and education related to the health and well-being of persons served
* Participate in performance improvement activities and maintain ongoing clinical knowledge through internal/external training programs
* Document above actions in Nurse's Notes or Service Delivery Log
* Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
* IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)
Degree/certification from an accredited school of nursing
* Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
* Two year Home Health nursing experience
Starting Point Nursing Services is staffed 100% by a team of remote Registered Nurses trained to support the Post-Acute Continuum with clinical advice and interventions. Our 24/7 On-Call and Triage team responds to Physician Practices, Home Health Agencies, Intellectual Disability Providers, and Assisted Living Providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming interventions for high-risk populations, emergent care coordination, and case management. For more information about Starting Point Nursing Services, please visit

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