Primary Care Triage Nurse

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

Full time

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.

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.

Assists administrative staff in identifying VNA vendors when needed.

Performs telephonic follow-up of inpatient and ED care.

Utilizes nursing judgement and/or provider order in 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.

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.

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

Strong computer skills

Proper phone etiquette

Customer service oriented

Ability to learn and utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services

Current, unrestricted RN licensure in Massachusetts required

To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.

CareSource adheres to all federal, state, and local regulations. 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. General office environment; Up to 15% (occasional) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.In addition to base compensation, you may qualify for a bonus tied to company and individual performance.We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Fostering a Collaborative Workplace Culture

Cultivate Partnerships

Pursue Personal Excellence

We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day.

We do what it takes to form creative solutions that make our community and the world just a little better.