Hybrid Primary Care Triage Registered Nurse (RN) - Massachusetts ONLY

Job Summary The Care Delivery Triage RN is responsible for performing telephonic clinical triage and providing health information service and care coordination as a key part of the primary care team, and acts as the primary liaison with Care Partnership and external care team members when communicating clinical and care management needs. Essential Functions Serves as primary telephonic contact person for clinical and care coordination needs, maintaining timely accurate documentation. Evaluates and assesses health care needs utilizing established triage protocols and documented workflows. Escalates issues to APC/physician based on triage protocol disposition, documented workflows, or nursing judgment. Coordinates and schedules appointments based on triage disposition or as requested by the care team. Provides telephonic education to patient and family regarding chronic disease management and follow‑up preventive health maintenance. Serves as primary point of contact with Care Partnership in coordinating health plan activities and care management needs. Participates in the coordination of referrals, specialty visits, testing, social services, and skilled services. Communicates and follows up with skilled services on new/routine orders and chronic disease management. Assists administrative staff in identifying VNA vendors when needed. Performs telephonic follow‑up of inpatient and ED care. Attends and participates in team meetings as directed. Utilizes nursing judgement and/or provider order to refer to internal and external auxiliary resources such as CCA clinical group CHW, Rehab, Nursing and APCs, home based lab services, instEd, pharmacies, etc. Takes a primary role in coordinating gap closure activities. Communicates lab results and other medical advice with direction from the APC or physician. Assists with logistical planning for vaccination efforts or other clinical initiatives. Assists the APC/physician with submitting lab orders and follow‑up as delegated. May be cross‑trained to provide backup support to other areas of nursing within practice, including but not limited to clinic‑based care and field support. Perform any other job related duties as requested. Education and Experience Associates degree in nursing required; Bachelor’s degree in nursing preferred. Three (3) years of experience as Registered Nurse in a high‑touch clinical environment or home care required, or two (2) years of experience caring for patients/members with complex medical, behavioral health, and social needs required. Competencies, Knowledge and Skills Strong computer skills Strong clinical assessment skills Strong communication skills Ability to work independently and within a team environment Attention to detail Critical listening and thinking skills Decision making/problem‑solving skills Proper phone etiquette Customer service oriented Broad base of clinical knowledge Teaching skills Ability to remain calm under pressure and in member life‑threatening situations Ability to apply multiple communicative skills while utilizing available tools and resources simultaneously Ability to effectively work with patients with various cognitive, physical, and behavioral abilities Ability to learn and utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services Licensure and Certification Current, unrestricted RN licensure in Massachusetts required. Working Conditions General office environment; may be required to sit or stand for extended periods of time. Up to 15% (occasional) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties. Compensation Range $62,700.00 - $100,400.00. CareSource may also offer a bonus tied to company and individual performance. CareSource is an Equal Opportunity Employer. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. #J-18808-Ljbffr CareSource