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 Clinical Triage & Patient Support - 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. Interdisciplinary Communication - 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. Care Coordination & Compliance - 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. Professionalism & Customer Service - Provide calm, compassionate, patient-centered communication. - Demonstrate strong problem-solving and clinical leadership. - Represent the agency professionally. Qualifications Required - 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. - HCHB preferred - Reliable internet and ability to work independently. Preferred - 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.