Registered Nurse – Triage and Transitions Team
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Job Description
Registered Nurse care manager providing remote triage, care planning, and transitions support for Intermountain Health patients. Coordinating providers, resources, and evidence-based interventions across healthcare settings.
Responsibilities:
- Identify patients for proactive interventions using screening criteria, medical record review, payor models, medical risk scores, or referrals
- Assess patients' medical, functional, and social conditions to develop individualized care plans, recommendations, or referrals
- Coordinate internal and external services for social determinants of health needs and community care
- Evaluate and modify care plans and interventions based on effectiveness and outcomes
- Conduct remote nursing assessments using critical thinking and evidence-based protocols to determine care recommendations
- Support patient self-management and behavior change through health coaching, care navigation, care coordination, and education
- Educate healthcare team members about transitions, triage processes, and referrals; educate patients about conditions and self-management
- Collaborate with physicians and healthcare team members to ensure timely, quality care and resolve delays or issues
- Participate in rounds or case conferences and consult team-based resources such as social work, nutrition, pharmacy, rehabilitation, and behavioral health
- Build partnerships with hospital care management, post-acute providers, and other care managers to ensure seamless transitions and continuity of care
- Participate in system and regional initiatives to improve transitions of care and avoid duplicative services
- Conduct root cause analysis of extended post-acute stays, inappropriate utilization, and readmissions; track key metrics
- Monitor industry, regulatory, technology, and market trends affecting ambulatory and post-acute services
- Promote Intermountain Health's mission, vision, values, and service behavior standards
Requirements:
- Current Registered Nurse (RN) license in state of practice
- Bachelor of Science in Nursing (BSN) from an accredited institution; degree verification required
- RNs hired or promoted into this role must obtain their BSN within four years of hire or promotion
- Demonstrated clinical nursing experience in chronic disease management
- Familiarity with chronic disease terminology and processes
- Demonstrated understanding of disease management, including treatment, length of stay, barriers to care delivery, and variation
- Basic computer skills and knowledge of Microsoft Office software
- Care Management Certification preferred
- Experience in ambulatory transitional care or telephonic triage preferred
- Intermediate computer skills and knowledge of Microsoft Office software preferred
- Must reside in Colorado or Montana and be within close proximity to an Intermountain Health facility, preferably under an hour
- Ability to work the specified alternating shifts and scheduled weekly hours
- Ability to perform required visual, auditory, manual dexterity, computer, communication, and potential driving tasks
Benefits:
- Generous benefits package covering programs for wellness, health, security, connection, and engagement
- PEAK program with up-front tuition coverage paid directly to the academic institution
- 100+ learning options, including undergraduate studies, high school diplomas, and professional skills and certificates
- PEAK eligibility beginning on day 1 of employment
- Remote work expectations include use of company equipment
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