Telehealth Triage Registered Nurse (RN)

Company overview: Lumina Care is focused on unifying, coordinating, and managing care for geriatric patients in nursing facilities and at home. We offer a range of services to improve health outcomes and quality of life for patients, including after\-hours telehealth, transitional care, chronic care, remote patient monitoring, behavioral health and telehealth psychiatry. Job title: Telehealth Triage Registered Nurse (RN) Purpose/Summary: The Telehealth Triage RN serves as the first\-line clinical support nurse for the After\-Hours Telehealth (AHTH) program and assists with the Remote Patient Monitoring program. This role is responsible for triaging inbound calls, reviewing clinical handoffs from skilled nursing facilities (SNFs), assessing patient acuity, prioritizing follow\-up activities, and facilitating timely provider intervention when necessary. The Telehealth Triage RN utilizes critical thinking and clinical judgment to identify residents at risk for deterioration, proactively communicate with facility staff, and ensure urgent clinical concerns are escalated appropriately. This position will report to an AHTH Clinical Manager. This position is remote and works from home. The hours will vary but include the range of after 5 pm Est until 3 am EST Monday – Friday, day and night shift coverage on weekends and will include some holiday coverage. This position works closely with telehealth Nurse Practitioners and Physician Assistants to improve patient outcomes, reduce avoidable hospital transfers, and support high\-quality after\-hours clinical care. **Role \& Core Responsibilities:** Clinical Handoff Review \& Prioritization * Review incoming facility clinical handoffs at the beginning of each shift. * Triage inbound calls from facilities utilized clinical protocols and clinical acumen * Assess resident conditions using clinical judgment to determine urgency and required follow\-up. * Prioritize residents based on risk factors, clinical status, and likelihood of deterioration. * Identify residents requiring immediate provider evaluation versus routine follow\-up. Facility Outreach \& Triage * Contact nursing staff at SNFs to obtain clinical updates on residents identified during handoff review. * Perform nursing triage and assess reported symptoms, vital signs, clinical changes, and nursing concerns. * Determine when issues can be managed through nursing guidance versus provider involvement. * Escalate urgent or concerning findings to the telehealth provider for evaluation. * Facilitate warm handoffs between facility staff and telehealth providers when provider intervention is indicated. * Document all triage activities according to company standards. Proactive Clinical Surveillance * Conduct proactive outreach calls to facilities regarding high\-risk residents as directed by leadership or identified through handoff review. * Monitor residents with recent emergency department visits, hospital discharges, significant clinical change