Position Summary:
The Triage, RN provides age-appropriate, culturally and ethnically sensitive care, maintains a safe environment, and educates patients and their families about healthy practices and treatment modalities. The Triage RN is responsible for the delivery of transition of care coordination services for patients discharged from the ED or hospital in patient setting. The Triage, RN will assure continuity of care, coordinate care across settings and among caregivers, manage information, communicate effectively and utilize technology. Utilizes the nursing process to provide and plan care (i.e. assessment, nurse diagnosis, planning and coordination, implementation, and evaluation).
Under direct supervision and within established scope of practice, the Triage, RN ensures the delivery of patient-centered services as directed by San Ysidro Health policies and procedures in a clinic setting.
Essential Functions of the Job:
- Upholds San Ysidro Health’s Policies and Procedures, Core Values and competencies and applicable state, federal and local laws.
- Will provide telephonic post ED or hospital follow-up to assure members understanding of the discharge instructions reconciliation and current treatment plan.
- Performs assessment/data collection focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy.
- Documents pertinent patient information, nursing procedures and patient responses in patients' electronic medical record, following established SYH guidelines and maintaining patient confidentiality.
- Establishes patient care priorities based on essential patient needs and availability of unit resources (time, personnel, equipment, and supplies).
- Identifies patient/family learning needs and acts to meet them.
- Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs.
- Provides/coordinates care for patients/patient populations.
- Establishes effective working relationships with members of the health care team, patients, and families.
- Delegates appropriately and coordinates duties/activities of health care team members.
- Evaluates effectiveness of care given by team members.
- Utilizes effective communication methods and skills, following lines of authority as appropriate.
- Managed patient medication reconciliation post hospital discharge
- Demonstrates knowledge of and applies safety principles as identified by San Ysidro Health.
- Leads efficiently in emergency situations following established protocols, informing appropriate persons, and documenting events.
- Demonstrates responsibility and accountability for own professional practice.
- Participates regularly in staff development training and activities for clinic to support continuous quality improvement.
- Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning.
- Participates in unit and department Performance and Quality Improvement activities.
- Participates in nursing research activities as requested.
- Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests.
- Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information.
- Perform other related duties as necessary.
- Ensures “triage” of patients to the appropriate level of care and facility.
- Ability to work effectively under pressure due to changing priorities, interruptions, high/low census, payor demands and discharge planning demands.
- Excellent interpersonal communication, including conflict resolution, problem solving and negotiation skills.
- Clinical knowledge of multiple age groups, medical illness and treatment plans according to disease process, diagnosis and anticipated LOS.
Customer Service/ Patient-Centered Care:
- Practices customer service standards as defined by SYH and specified clinic.
- Anticipates the customer's needs, takes proactive steps to meet those needs, by listening and taking responsibility within scope to ensure issues are resolved.
- Promptly responds to patient requests.
- Facilitates the customer's ability to utilize resources.
- Assures a clean, orderly, and functional work environment.
Team Commitment:
- Develops, monitors, and analyzes reports and identifies trends to improve the programs’ outcomes.
- Works collaboratively with the entire Medical Management team to ensure compliance with regulatory and health plan requirements.
- Follow designated Triage workflows to assure consistency and accountability.
- Effective team member who is adaptable, cooperative, and willing to assist others.
- Works collaboratively with others to meet shared objectives.
- Manages difficult or conflict situations constructively and seeks appropriate assistance.
- Takes accountability for own actions.
- Actively participates in departmental professional development activities.
- Adheres to Attendance Policy.
Additional Duties and Responsibilities:
- Ability to effectively present information, both verbal and written.
- Demonstrated knowledge of the RN scope of practice.
- Good interpersonal skills.
- Ability to read, write, and comprehend medical information and terminology
- Effective interpersonal skills
- Excellent oral and written communication skills
Job Requirements
Experience Preferred:
- Two (2) years of experience as a Registered Nurse within clinical nursing or ambulatory care setting, emergency department and or case management, and discharge planning or transition of care experience.
Education Required:
- High School Diploma/GED
- Graduate of an accredited registered nursing program
- Bachelor of Science in Nursing (BSN)
Education Preferred:
Certifications Preferred:
- Current license to practice as a Registered Nurse in California
- Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification (American Heart Association)
Verbal and Written Skills Required to perform the Job:
- Excellent oral and written communication skills required
- Bilingual Required: Spanish and English
Technical Knowledge and Skills Required to Perform the Job:
- Microsoft Office products, especially
Equipment Used:
- Computer, telephone, other technology related tools and equipment
Working Conditions and Physical Requirements:
- Continuous standing/walking/twisting
- Sitting and typing for periods of time
- Occasionally lifts, pushed and/or transports patients
- Exposed to unpleasant elements (accidents, injuries, and illness)
- May be required to work evenings and/or weekends
- Assist with providing coverage as needed throughout all SYHealth clinic locations
- Office Environment
Universal Requirements:
Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.
About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.
