Triage/Care Coordination Nurse - Pediatrics and/or Wound Care Experience Preferred!

Job Title: Triage/Care Coordination Nurse

Department: Nursing Services

Reports To: Nursing Services Supervisor

FLSA Status: Non-Exempt

Summary:

The Triage/Care Coordinator Nurse is responsible for providing clinical triage, care coordination, and direct patient support to promote high-quality, patient-centered care for patients across the life span including pregnancy, pediatrics, adults and geriatrics. This role serves as a key liaison between patients, providers, community resources, and interdisciplinary care teams. Responsibilities include telephone and in-person triage, care coordination for patients with complex healthcare needs, medication management, medication administration, patient education, electronic medical record (EMR) documentation, and collaboration with internal and external healthcare partners. The Triage/Care Coordinator Nurse utilizes nursing judgment to assess patient needs, facilitate timely access to care, support chronic disease management, and improve patient health outcomes while ensuring compliance with clinical standards and organizational policies.

Essential Duties and Responsibilities

Clinical Triage

• Perform telephone and in-person patient triage using established protocols and clinical judgment.

• Monitor EMR messages and respond to urgent patient needs.

• Collaborate with providers and care teams to ensure timely patient evaluation and treatment.

• Coordinate appropriate scheduling and follow-up based on patient needs.

• Serve as a clinical resource for staff and escalate urgent concerns to providers.

• Provide evidence-based, age-appropriate guidance for patients across the lifespan, including pregnancy, pediatrics, adults, and geriatrics.

Medication Management

• Process and monitor medication refill requests.

• Verify patient information, medication history, and refill eligibility.

• Communicate with pharmacies and providers to resolve medication-related issues.

• Maintain accurate medication records in the EMR.

• Educate patients on medication use, adherence, and follow-up care.

Transitional Care Management (TCM) & Care Coordination

• Conduct post-discharge outreach and assessments following hospitalization or emergency department visits.

• Review discharge instructions, medications, and care plans with patients.

• Coordinate follow-up appointments, referrals, and community resources.

• Monitor patient progress and communicate concerns to providers.

• Document transitional care activities in accordance with regulatory requirements.

• Maintain accurate, timely, and complete documentation in the electronic medical record (EMR).

• Coordinate care with providers, specialists, pharmacies, hospitals, and community agencies.

• Ensure compliance with HIPAA, nursing standards, organizational policies, and regulatory requirements.

• Participate in team meetings, quality improvement activities, and other duties as assigned.

Hands-on clinical care

• On-site emergency response.

• Tuberculosis skin testing, antibiotic injections, and other injections as needed.

• Wound care (with proper training and experience).

• Urinary catheter management support and voiding trials.

• Other clinical services within the nursing scope.