Care Manager RN Transitions and Triage

Intermountain Healthcare Inc.; Nevada; Remote; USD 56,000 - 85,000; Full time

Benefits offered by this job

Generous benefits package

PEAK tuition assistance program

Job summary

Intermountain HealthCare Inc. is seeking an RN Transition and Triage Care Manager. The role provides telephonic/digital care coordination across settings, ensuring continuity and appropriate level of care for patients and families.

Responsibilities include proactive assessment, care planning, remote triage, and education. Remote work is supported; location is Las Vegas with periodic local references as needed.

Qualifications

• Current RN license in state of practice.
• BSN required within four years of hire.
• Chronic disease management experience.
• Understanding of disease management and barriers to care.
• Basic computer skills and MS Office proficiency.

Responsibilities

• Identify patients for proactive interventions using screening criteria and assess medical, functional, and social needs.
• Coordinate with services for social determinants of health and community care.
• Perform remote nursing triage and evidence-based recommendations.
• Support self-management, care navigation, and patient education to address barriers.
• Educate care teams on transitions/triage and advocate for patient needs.
• Collaborate with physicians and other care team members to ensure timely, quality care.

Skills

Care Planning

Transitions of Care

Motivational Interviewing

Critical Thinking

Time Management

Customer Service

Patient Education

Communication

Prioritization

Education

Current RN license

BSN within 4 years of hire

Chronic disease management experience

Tools

Microsoft Office

Job description

Job Description: Full Time Position

The RN Transition and Triage Care Manager offers comprehensive, time-limited services to patients and their families, ensuring continuity of care as they move across healthcare settings and clinicians. This role aims to prevent health complications, connect patients to resources, and guide them to the appropriate level of care. Utilizing clinical expertise, technology, and evidence-based practices, the manager assesses, plans, implements, and evaluates patient care through telephone or digital communication methods. Effective collaboration with patients, families, healthcare providers, payers, community-based providers, and other involved parties is essential to deliver efficient, effective, and patient-centered care management services. The manager operates in various settings, including triage, transitions of care, clinics, communities, and post-acute care environments.

Position Details

Full Time, Primarily Monday - Friday, Expect hours during PST. Moving to a 7 day week schedule with rotating weekends in the future. No holidays, evenings, or grave shifts. Various shifts available but subject to change. (i.e. 5/8, 4/10, .5 days, etc.) Fully Remote.

Patients located in Las Vegas Valley and Southern Utah.

Essential Functions

• Patient Identification and Assessment: Identifies patients for proactive interventions using specific screening criteria, medical record review, payor models, medical risk scores, or referrals. Assesses patients' medical, functional, and social conditions per department policy/guidelines to develop individualized care plans, care recommendations, or referrals as appropriate.
• Care Plan Management: Coordinates with internal and external services for social determinants of health (SDoH) needs and care in the community. Evaluates the effectiveness of the patient's care plan and outcomes. Modifies the plan of care or specific interventions, as appropriate.
• Acute Symptom Triage: Conducts remote nursing assessments: Utilizes critical thinking skills to assess patient symptoms, medical history, and concerns, applying evidence-based protocols to determine appropriate care recommendations.
• Patient Support: Supports patient self-management and behavior change through health coaching, care navigation, care coordination, and education of identified patient/caregiver/family to identify and address barriers to optimal health outcomes.
• Education and Advocacy: Educates healthcare team members about transitions and triage processes, appropriate referrals, and advocate for patient rights. Educates patients about their medical/behavioral health conditions and self-management.
• Multidisciplinary Collaboration: Collaborates with physicians and other healthcare team members on the patient’s behalf to ensure patient receives quality and timely care and resolve any delays or issues. Participates in rounds or case conferences when necessary. Utilizes team-based care approach referring and consulting with social work, nutrition, pharmacy, rehabilitation, behavioral health, etc. resources as appropriate.
• Relationship Building: Develops and maintains collaborative partnerships with hospital care management, post-acute providers, and other care managers to ensure seamless transitions and continuity of care. Avoids duplicative care management services/programs.
• Process Improvement: Actively participates in system and regional initiatives to improve transitions of care and avoid duplicative services.
• Data Analysis: Conducts root cause analysis of extended post-acute stays, inappropriate utilization, readmissions, and track key data elements or metrics. Identifies, analyzes, and monitors industry, regulatory, technology, and market-based trends that impact ambulatory and post-acute services.

Mission and Values driven: Promotes the mission, vision, and values of Intermountain Health, and abides by service behavior standards.

Skills Assessment

• Care Planning
• Transitions of Care
• Motivational Interviewing
• Critical Thinking
• Time Management
• Customer Service
• Patient Education
• Communication
• Prioritization

Minimum Qualifications

• 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 (4) years of hire or promotion date.
• Demonstrated clinical nursing experience in chronic disease management, and familiarity with chronic disease terminology and processes.
• Demonstrated understanding of disease management including treatment, length of stay, identifying barriers to delivery of care and any variation.
• Basic computer skills and knowledge of Microsoft Office software.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN) from an accredited institution.
• Care Management Certification.
• Experience in ambulatory transitional of care or telephonic triage.
• Intermediate computers skills and knowledge of Microsoft Office software.

Physical Requirements

Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies. Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc. May be expected to stand in a stationary position for an extended period of time. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

Location: Nevada Central Office
Work City: Las Vegas
Work State: Nevada

Schedule

Scheduled Weekly Hours: 40

Compensation

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

• $41.20 - $62.17

Benefits

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here.

Equality & Diversity

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Recruitment Process

Intermountain Health uses the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.

Company Overview

All positions subject to close without notice. Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here. Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match. Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!