Bachelor’s degree in Nursing, Current, active MA RN license; CT license required, 5+ years of relevant nursing experience, Experience in triaging patients with complex medical histories preferred..
Key responsibilities:
Receive and assess referrals for instED visits from patients and clinicians.
Provide telephonic nursing care and triage for patients with complex medical histories.
Communicate follow-up care instructions to patients and care partners.
Participate in quality assurance activities and support ongoing program development.
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Commonwealth Care Alliance® (CCA) is a mission-driven healthcare services organization that offers high-quality health plans and care delivery programs designed for individuals with significant needs. With offerings in Massachusetts, Rhode Island, Michigan, and California, CCA delivers comprehensive, integrated, and person-centered care by coordinating the services of local staff, provider partners, and community organizations. CCA has been recognized as a “Best Place to Work for Disability Inclusion” by the 2023 Disability Equality Index®, the world’s most comprehensive benchmarking tool for companies to measure disability workplace inclusion. In addition, The Boston Globe recognized CCA as a Top Place to Work for 2022.
instED provides on-demand, urgent care in the home for medically complex patients. The RN, instED Clinical Resource Center will receive referrals for services, conduct intake assessments, provide triage to ensure referrals are clinically appropriate, and respond clinical questions related to referrals and services. The InstED RN will engage telephonically with patients, clinicians, and care partners who call with urgent clinical needs for a medically diverse group of patients across the continuum of care.
Supervision Exercised
No, this position does not have direct reports.
Essential Duties & Responsibilities
Intake
Receive referrals for an instED visit, both electronically and telephonically, from patients, clinicians, and care partners
Ensure complete and accurate information for the visit request
Obtain comprehensive data collection electronically and/or via telephone from referring provider or patient directly
Triage per instED triage guidelines and protocols, assessing patients and applying solid decision-making to achieve highest patient outcomes
Deliver competent, safe, compassionate and individualized telephonic nursing/triage care for patients with complex medical histories
Triage
Make clinically-appropriate recommendations for action/interventions
Triage and prioritize referrals for acuity and sequencing of visits
Identify emergent situations and provide clinical advice appropriately
Analyze data to identify and determine expected outcomes
Develop a plan with instED team to identify strategies to attain expected outcomes
Exercise sound clinical judgment, along with excellent working knowledge of instED, to appropriately disperse accurate level of resources needed for achieving the best patient outcomes
Follow-up
Communicate with patients and care partners to provide education and instructions regarding any recommended follow-up care. Follow-up services may include, but are not limited to, follow-up call by Provider, Tele-health re-visit, PCP evaluation, re-deployment of paramedic or other clinical provider, and phone teaching with teach-back to ensure understanding
Ensure appropriate teaching has occurred with patient and or family
Provide follow-up and encounter summary with referring provider and Primary Care Provider
Complete accurate and appropriate documentation in real time
Demonstrate strong focus on patient experience, with commitment to service excellence from intake through discharge
Secondary Responsibilities
Quality Assurance
Work with the instED team to develop metrics and standards for Quality Assurance within the Clinical Resource Center
Participate in Quality Assurance activities in other areas within the instED delivery model
Ongoing Program Support
Participate in the development and design of the instED Now platform offering feedback and suggestions for improvement
Working Conditions -Remote work environment
Must be able to work a flexible schedule. RN coverage is Monday thru Sunday 0800-2200. The shifts can be full shifts or half-shift. Weekends and Holidays are required (instED provides services 365 days per year)
Required Education
Bachelor’s degree in Nursing
Required Licensing
Current, active MA RN license; will need CT, licenses also (at instED expense)
Required Experience
5+ years of relevant nursing experience
Triaging patients with complex medical histories across the lifespan
Desired Experience
Experience in urgent care,primary care, or emergency department preferred
Call center triage experience preferred
Quality and process improvement experience preferred
Required Language(s)
English
Desired Language(s)
Fluency in Spanish a plus
Required profile
Experience
Industry :
Health Care
Spoken language(s):
English
Check out the description to know which languages are mandatory.