Manage a panel of seriously ill patients through telemedicine, ensuring visit frequencies align with patient acuity.
Communicate with patients via phone and video conferencing as outlined in the care plan, providing care within your scope of practice and per provider orders.
Develop and update care plans based on ongoing assessments, managing medications and coordinating with the Interdisciplinary team and external agencies.
Review medical records for appropriate admission status and continued hospitalization.
Collaborate with the attending physician, consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking.
Collaborate with Concurrent Denial RNs to determine the root cause of denials and implement denial prevention strategies.
Provide telephone triage in a remote, centralized contact center, assessing symptoms, determining urgency, and guiding patients to safe next steps using client-specific protocols and Epic’s Nurse Triage module. Manage back-to-back calls, using nursing judgment and clear guidelines to advise patients, route them appropriately, and support follow-up care. Work with a supportive team of nurses and non-clinical colleagues and receive training, coaching, and feedback to grow your skills and handle increasingly complex scenarios.
Answers telephones, prioritizes clinical triage calls, follows clinical protocols, and coordinates services, as needed.
Serves as an escalation point for clinical patient issues and other POD team members requiring clinical support, and provides clinical advice based on clinical protocols and procedures.
Accurately documents symptoms/complaints, nursing assessment, advice provided and patient/caller response.
We are currently seeking a TOC RN Manager to lead and support a team of RN Case Managers who deliver exceptional care and patient outcomes. This leader will help shape culture, performance, and clinical excellence by mentoring nurses, supporting their clinical decision-making, and ensuring care is delivered with compassion, integrity, and skill. Our ideal candidate is compassionate, solutions-driven, clinically strong, and experienced in people management.