Remote RN Triage & Transitional Care Manager

Yale New Haven Health Services Corp.; New Haven (CT); Remote; USD 85,000 - 110,000; Full time

Job summary

The Transitional Care Manager Triage RN at Yale New Haven Health Services Corp. leads post-discharge triage, follow-up, and care coordination to reduce readmissions and ED visits.

This remote/onsite role collaborates with care teams to guide patients to appropriate levels of care and ensures timely follow-up. Responsibilities include post-hospital outreach, medication review, referral coordination, and EHR reporting, while maintaining confidentiality and adhering to quality standards; requires

Qualifications

• Bachelor's degree in a clinically related field and CT RN license.
• Minimum 3 years direct patient care and 2 years in case management in acute, community, or post-acute settings.
• Excellent communication, organizational skills, and ability to work independently; translation capability preferred.

Responsibilities

• Post-discharge calls and follow-up to reduce readmissions and ED visits; assess barriers and coordinate referrals.
• Collaborate with care management teams; coordinate equipment and services as directed.
• Perform telephonic triage and guide patients to appropriate level of care; maintain confidentiality.
• Generate and review EHR reports and ensure timely follow-up; adhere to quality standards.
• Travel to onsite locations as needed; support care navigation staff.

Skills

Motivational interviewing

Clinical judgment

Verbal and written communication

Organizational skills

Independent worker

Team collaboration

Translation capability

Basic computer skills

Education

Bachelor's degree in clinically related field

Job description

The Transitional Care Manager Triage RN at Yale New Haven Health Services Corp. leads post-discharge triage, follow-up, and care coordination to reduce readmissions and ED visits.

This remote/onsite role collaborates with care teams to guide patients to appropriate levels of care and ensures timely follow-up. Responsibilities include post-hospital outreach, medication review, referral coordination, and EHR reporting, while maintaining confidentiality and adhering to quality standards; requires