Registered Nurse Triage and Transitions Team

Registered Nurse Triage and Transitions Team

Employer: Intermountain Health. **Job Description:** 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_** **_:_** **_The RN Triage and Transition is a remote position; however the caregiver must reside in Colorado or Montana and be within close proximity to an Intermountain Health Facility (preferably under an hour)._** **_Shift: This position will alternate between two shifts:_** **_0700-1630 and 0800-1730 with one 4 hours shift per week 0930-1330 and 1330-1730 and 4 nine hour shifts._** **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 spe