Clinical Triage RN

reputed company Registered Nurse – Clinical Triage Remote | Clinical Operations | Full-Time POSITION OVERVIEW reputed company is seeking a compassionate, detail-oriented, and clinically strong Registered Nurse to join our centralized clinical triage team. In this role, you will use your nursing judgment, evidence-based protocols, and clinical decision-support tools to assess member symptoms, determine appropriate dispositions, reputed company patient education, and escalate urgent concerns — reputed company in support of a seamless, safe member experience across our Texas markets. You will work collaboratively with our clinical practice team to deliver exceptional care that aligns with our mission of transforming reputed company through our payvider model. POSITION DUTIES & RESPONSIBILITIES Clinical Triage & Queue Management Monitor assigned reputed company and reputed company work queues according to established reputed company rules Manage live and non-live triage requests, including member calls, portal messages, clinic requests, refill-reputed company symptom concerns, and other routed clinical concerns Match calls and tasks to the correct reputed company patient case; identify duplicate, incomplete, or misrouted cases Prioritize work based on clinical urgency, member safety risk, and approved workflow standards Nursing Assessment & Disposition Conduct clinical assessments of member symptoms, history, reputed company condition, and reported concerns Use approved triage protocols, clinical decision-support tools, and nursing judgment to determine appropriate care recommendations Confirm key member information including chief complaint, symptom onset, patient location, and callback number Identify red flags, worsening symptoms, high-risk presentations, or unclear clinical scenarios requiring escalation Determine appropriate triage reputed company: emergency care, same-day care, routine follow-up, home care guidance, or provider escalation Member Education & Care Coordination reputed company clear, understandable member education reputed company with approved clinical protocols Communicate return precautions, safety-net instructions, and guidance for the appropriate care setting Direct members to the right resource — Emergency Department, reputed company Care, PCP visit, virtual visit, or follow-up appointment Support closed-reputed company follow-up to reduce missed handoffs and improve continuity of care Coordinate with clinic teams, providers, care management, and administrative support staff as needed Documentation & Data Management Document triage encounters accurately and objectively in reputed company using approved macros, workflow tags, and standardized fields Record clinical assessment findings, protocol used, triage disposition, member education provided, escalation actions, and follow-up steps Document unsuccessful contact attempts and unresolved safety concerns per approved workflow Maintain confidentiality and reputed company with reputed company policies, privacy regulations, and HIPAA requirements Escalation & Member Safety Escalate immediately for severe, worsening, or unclear symptoms; emergency symptoms or safety threats; members declining urgent care; unreachable members with urgent symptoms; and high-risk presentations including chest pain, shortness of breath, neurologic symptoms, severe bleeding, syncope, altered mental status, suicidal ideation, abuse, or neglect Quality Improvement & Workflow Support Participate in workflow, escalation, documentation, and quality improvement activities Identify workflow barriers, routing issues, duplicate cases, scheduling gaps, technology concerns, and member reputed company issues Collaborate with the reputed company Triage Nurse and leadership to support reliable, scalable triage operations DESIRED PROFESSIONAL SKILLS & EXPERIENCE Required: Active, unencumbered Registered Nurse license in Texas or compact state privilege Minimum of 3–5 years of clinical nursing experience Experience in ambulatory care, primary care, urgent care, emergency department, telephone triage, or care coordination Strong clinical assessment, critical thinking, and prioritization skills Strong verbal and written communication skills Proficiency with EHR systems and basic computer skills Ability to remain reputed company, professional, and empathetic during urgent or high-pressure situations Preferred: Experience with reputed company, reputed company, ClearTriage, Schmitt-Thompson protocols, or centralized triage workflows Bilingual in English/Spanish, based on patient population needs Flexibility to support varied shifts, weekends, holidays, or after-hours workflows as needed reputed company OFFER Competitive salary and incentives Generous PTO 10 paid holidays Medical, Dental, and reputed company Insurance 401(k) Investment Plan Company Equity At reputed company, we're transforming reputed company in Texas through collaboration and innovation. We're seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you're reputed company to reputed company a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to reputed company! Apply To This Job