Regional Triage Nurse

Your Health; Pooler (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Your Health is seeking a Registered Nurse to join our growing Nurse Case Manager team serving Savannah area and surrounding communities. Nurses will travel to patients' homes and facilities to evaluate care needs, initiate telemedicine visits, and coordinate with providers within applicable laws and policies.

The role involves visiting patients in homes and facilities (ALF/ILF) and requires reliable transportation for daily travel.

Qualifications

• Licensed nurse with RN preferred and in good standing; license verified.
• Minimum of 3 years clinical experience.
• Experience in community settings preferred.
• Proven ability to communicate and collaborate with interdisciplinary teams, patients and caregivers.
• Strong written and verbal skills; good interpersonal abilities.

Responsibilities

• Facilitate receiving all medical records from patients’ providers and specialists.
• Review medical records and complete patient consents.
• Enroll patients in Care Management if eligible and initiate a Plan of Care.
• Capture diagnoses with high specificity and close care plan updates.
• Complete AWV’s and cognitive impairment screenings for providers’ review.
• Perform Social Determinants of Health assessments and ACPs with patients.

Skills

Communication

Teamwork

Leadership

Organizational skills

Interpersonal skills

Adaptability

Education

RN license

Tools

Basic computer knowledge

Job description

We are seeking Registered Nurse to service our patients throughout the Savannah area. The role of the Nurse Case Manager position is a critical part of the patient’s care team. The nurse will visit patients and facilitate with appropriate provider. The Nurse Case Manager will be required to travel to patients’ homes, long-term care facilities, etc. to evaluate patients and initiate telemedicine visits. Provide quality healthcare in adherence to all applicable laws, regulations, and policies within the scope of practice.

The Nurse Case Manager will have a full patient load against all patients in the region based upon priority

Nurse Case Manager's perform visits in homes and facilities (ALF and ILF's) in their designated service area. You must have reliable transportation as travel is required daily. This is a full time, salary-based working

• Track Schedule 7 on 7 off

The Following Service Area(s) Are Currently Available

• Savannah area

About

We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.

Why Choose a Career at Your Health?

Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.

• Competitive Compensation Package with Bonus Opportunities
• Employer Matched 401K
• Free Visit & Prescriptive Services with HDHP Insurance Plan
• Employer Matched HSA
• Generous PTO Package
• Career Development & Growth Opportunities
• Vehicle allowance

What Are We Looking For?

Your Health is currently looking for a Registered Nurse to join our growing primary care family. A successful Nurse Case Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.

The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).

Area Of Responsibility

• Facilitate receiving all medical records from the patient’s primary provider and specialists.
• Review medical records.
• Complete consents with patients.
• Enroll patients in Care Management, if they meet eligibility criteria.
• Initiate a Care Management Plan of Care, if the patient is eligible.
• Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted.
• Complete AWV’s to be reviewed by the provider.
• Complete cognitive impairment screenings.
• Complete Social Determinants of Health (SDoH) assessments and/or screenings.
• Complete ACP’s to be reviewed with the patient by the provider.
• Evaluate for home health, hospice, palliative, or consults with Your Health Specialty Division, etc.
• Evaluate for RPM devices, resources, or tools that may improve the patient’s quality of life.
• Communicate and coordinate care.
• Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments.
• Provide post-discharge education.
• Evaluate for adaptive equipment and DME.
• Evaluate for safe environment.
• Evaluation of acute condition(s) or follow-up from previous visit.
• Appropriately and accurately document and log Care Management activities. Work in conjunction with care team to keep the patients Care Management care plans up to date.

Qualifications

• Must be a licensed nurse. Registered nurse preferred. License must be in good standing with appropriate board/issuer.
• A minimum of three (3) years clinical experience preferred.
• Experience in community settings preferred.
• Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers.
• Strong written and verbal skills.
• Basic computer knowledge.
• Ability to manage and demonstrate effective leadership skills.
• Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
• Ability to foster a cooperative work environment.
• Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
• Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order