[Hiring] Triage RN @Adaptive Home Health / Fira Health

Role Description

The PRN After-Hours Triage RN provides remote clinical triage, problem-solving, and urgent patient support outside of normal business hours. This role ensures timely clinical decision-making, appropriate escalation, and continuity of care for home health patients requiring after-hours intervention. The RN serves as the first-line clinical resource for patients, caregivers, field clinicians, and facility partners, utilizing strong assessment skills and sound clinical judgment. This position is 100% remote telephonic triage only with no in-home visit requirements.

Key Responsibilities

• Respond promptly to after-hours patient calls and urgent clinical needs.
• Conduct telephonic assessments to determine urgency and needed interventions.
• Provide clinical guidance for symptoms, medications, wound issues, pain, and condition changes.
• Document all triage calls thoroughly in the EMR.
• Determine need for in-person visits and coordinate with on-call RN/CM.
• Escalate emergencies to 911 or urgent care resources when needed.
• Notify Clinical Manager or on-call leadership for escalations.
• Communicate recommendations and follow-up needs to branch leaders and field teams.
• Collaborate with weekend/evening leadership for continuity of care.
• Review orders, labs, and concerns arising after hours and act per policy.
• Ensure timely physician communication for urgent situations.
• Complete documentation within required timeframes.
• Follow HIPAA and home health regulatory standards.
• Provide calm, compassionate, patient-centered communication.
• Demonstrate strong problem-solving and clinical leadership.
• Represent the agency professionally.

Qualifications

• Active RN license.
• 1–2 years recent clinical experience (home health, ER, urgent care, med-surg, or ICU preferred).
• Strong triage and telephonic assessment skills.
• EMR proficiency (HCHB preferred).
• Reliable internet and ability to work independently.

Preferred Qualifications

• Prior home health on-call/triage experience.
• Knowledge of Medicare and home health regulations.

Core Competencies

• Clinical assessment & critical thinking
• Strong verbal communication
• Calm under pressure
• Detail-oriented documentation
• Independent decision-making

Physical Requirements

• Prolonged phone/computer use.
• Ability to perform all duties remotely.

Work Environment

• Fully remote telephonic role.
• Requires evening, night, weekend, and holiday availability.