Registered Nurse Triage and Transition Team

40600 Medical Group Administration - Peaks; United States; On-site; USD 73,000 - 111,000; Full time

Benefits offered by this job

Benefits package

PEAK Program

Job summary

Intermountain Health is seeking an RN Transition and Triage Care Manager to ensure seamless transitions across care settings, assess patient needs, and coordinate care with families, providers, and payers. The role emphasizes evidence‑based practice, data analysis, and patient‑centered care through remote and in‑person interactions.

The position requires an active RN license, BSN within four years, and experience in chronic disease management.

Qualifications

• Current RN license in state of practice.
• BSN from an accredited institution; must obtain BSN within four years.
• Experience in chronic disease management and familiarity with disease management concepts.
• Basic computer skills and MS Office.

Responsibilities

• Identify patients for proactive interventions and develop individualized care plans.
• Coordinate with services for social determinants of health and community care.
• Perform remote nursing triage and assess symptoms to provide care recommendations.
• Support patient self-management through health coaching and care navigation.
• Educate healthcare teams and patients about transitions, referrals, and self-management.
• Collaborate with multidisciplinary team to ensure timely care and resolve delays.
• Develop and maintain partnerships with care providers to ensure seamless transitions.
• Participate in system and regional initiatives to improve transitions of care.
• Analyze data to identify trends in post-acute stays and readmissions.

Skills

Assessment

Care Planning

Transitions of Care

Motivational Interviewing

Critical Thinking

Time Management

Customer Service

Patient Education

Communication

Prioritization

Education

RN license in state of practice

BSN from an accredited institution

Care Management Certification

Tools

Microsoft Office

Job description

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.

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

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

Peaks Regional Office Work City: Broomfield Work State: Colorado

Scheduled Weekly Hours

40

Pay

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $35.22 - $53.29

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.

Application Policies

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

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.

At Intermountain Health, we use 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 Profile

Intermountain Health is 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.

Career Opportunities

Join our world‑class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

PEAK Program

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.

Closing Note

All positions subject to close without notice.

Thank You

Thanks for your interest in continuing your career with our team!