Clinical Triage RN

Registered Nurse – Clinical Triage

Harbor Health is seeking a compassionate, detail-oriented, and clinically strong Registered Nurse to join our centralized clinical triage team. In this role, you will use your nursing judgment, evidence-based protocols, and clinical decision-support tools to assess member symptoms, determine appropriate dispositions, provide patient education, and escalate urgent concerns — all in support of a seamless, safe member experience across our Texas markets. You will work collaboratively with our clinical practice team to deliver exceptional care that aligns with our mission of transforming healthcare through our payvider model.

Position Duties & Responsibilities

• Monitor assigned Athena and Twilio work queues according to established priority rules
• Manage live and non-live triage requests, including member calls, portal messages, clinic requests, refill-related symptom concerns, and other routed clinical concerns
• Match calls and tasks to the correct Athena patient case; identify duplicate, incomplete, or misrouted cases
• Prioritize work based on clinical urgency, member safety risk, and approved workflow standards

• Conduct clinical assessments of member symptoms, history, current condition, and reported concerns
• Use approved triage protocols, clinical decision-support tools, and nursing judgment to determine appropriate care recommendations
• Confirm key member information including chief complaint, symptom onset, patient location, and callback number
• Identify red flags, worsening symptoms, high-risk presentations, or unclear clinical scenarios requiring escalation
• Determine appropriate triage outcomes: emergency care, same-day care, routine follow-up, home care guidance, or provider escalation

• Provide clear, understandable member education aligned with approved clinical protocols
• Communicate return precautions, safety-net instructions, and guidance for the appropriate care setting
• Direct members to the right resource — Emergency Department, Express Care, PCP visit, virtual visit, or follow-up appointment
• Support closed-loop follow-up to reduce missed handoffs and improve continuity of care
• Coordinate with clinic teams, providers, care management, and administrative support staff as needed

• Document triage encounters accurately and objectively in Athena using approved macros, workflow tags, and standardized fields
• Record clinical assessment findings, protocol used, triage disposition, member education provided, escalation actions, and follow-up steps
• Document unsuccessful contact attempts and unresolved safety concerns per approved workflow
• Maintain confidentiality and comply with Harbor Health policies, privacy regulations, and HIPAA requirements

• Escalate immediately for severe, worsening, or unclear symptoms; emergency symptoms or safety threats; members declining urgent care; unreachable members with urgent symptoms; and high-risk presentations including chest pain, shortness of breath, neurologic symptoms, severe bleeding, syncope, altered mental status, suicidal ideation, abuse, or neglect

• Participate in workflow, escalation, documentation, and quality improvement activities
• Identify workflow barriers, routing issues, duplicate cases, scheduling gaps, technology concerns, and member access issues
• Collaborate with the Lead Triage Nurse and leadership to support reliable, scalable triage operations

Desired Professional Skills & Experience

Required:

• Active, unencumbered Registered Nurse license in Texas or compact state privilege
• Minimum of 3–5 years of clinical nursing experience
• Experience in ambulatory care, primary care, urgent care, emergency department, telephone triage, or care coordination
• Strong clinical assessment, critical thinking, and prioritization skills
• Strong verbal and written communication skills
• Proficiency with EHR systems and basic computer skills
• Ability to remain calm, professional, and empathetic during urgent or high-pressure situations

Preferred:

• Experience with Athena, Twilio, ClearTriage, Schmitt-Thompson protocols, or centralized triage workflows
• Bilingual in English/Spanish, based on patient population needs
• Flexibility to support varied shifts, weekends, holidays, or after-hours workflows as needed

What We Offer

• Competitive salary and incentives
• Generous PTO
• 10 paid holidays
• Medical, Dental, and Vision Insurance
• 401(k) Investment Plan
• Company Equity

At Harbor Health, we're transforming healthcare in Texas through collaboration and innovation. We're seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you're ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!