Registered Nurse (RN) - General Ambulatory Services, Per Diem Remote

Remote Registered Nurse (RN) – DH Direct Triage

Per Diem

Position Summary

The RN - DH Direct Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on, responsible for assessing patient symptoms, determining the appropriate level of care, providing education, and ensuring timely communication with providers. The ideal candidate has strong triage, Med-Surg, and Primary Care experience, is proficient with Epic EMR, and thrives in an independent remote environment.

Key Responsibilities

• Perform telephone triage using established protocols and sound nursing judgment.
• Assess symptoms, prioritize patient needs, and determine appropriate care or follow-up.
• Provide patient education, guidance, and reassurance as appropriate.
• Accurately document all patient encounters in Epic EMR in real time.
• Escalate urgent or emergent situations per clinic and organizational policies.
• Communicate effectively with on-call providers, clinic teams, and patients to ensure continuity of care.
• Contribute to a culture of safety, quality, and patient satisfaction within the triage team.

Qualifications Required:

• Active, unrestricted RN license (multi-state compact required).
• Minimum 2-3 years of clinical experience with a strong background in triage, ER, Med-Surg, and/or Primary Care.
• Proficiency in Epic EMR and remote communication systems.
• Excellent assessment, critical thinking, and decision-making skills.
• Strong communication, documentation, and time management abilities.
• Self-motivated and comfortable working independently in a remote environment.

Preferred:

• Associates degree required; BSN preferred
• Previous experience in remote triage, nurse advice lines, or outpatient/clinic settings.

Schedule & Work Environment

• Weekend, Holiday, Day, Evening, Night shift cover requirements
• 100% remote position — requires reliable internet and a secure HIPAA-compliant workspace, free from distractions.

* Eligible candidates will reside in one of the following compact eligible states: Arizona, Colorado, Connecticut, Florida, Georgia, Indiana, Kentucky, Maine, Maryland, New Hampshire, North Carolina, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington. 

These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire.

• We have loan repayment up to $20,000.
• We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home.
• We offer generous tuition reimbursement.
• We have a very popular "earned time" plan.
• We have extensive CEU/Training programs.
• Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art.
• Our nurses serve as central figures in the success of our system through our shared governance nursing model.
• We offer a rigorous, research-focused environment.
• Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center.

Read more about Dartmouth Health and why YOU should work here.

The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play.

Applicants are encouraged to visit our nursing career site to learn more and apply:

Please visit:  https://dhnursing.org/nursing-careers/

Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.

The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served.

Practitioner

1. Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.
2. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.
3. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination.
4. Actively seeks feedback and acts to improve performance.
5. Engages in the governance of practice.

Leader/Decision Maker

1. Manages interpersonal relationships for self and with others.
2. Mentors colleagues for the advancement of nursing practice and the profession.
3. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures.
4. Prioritizes and organizes time to optimize patient outcomes.

Scientist

1. Actively seeks out the most current evidence and standards and applies and translates to daily practice.
2. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.

Transferor

1. Communicates effectively in a variety of formats in all areas of practice.
2. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
3. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
4. Performs other duties as required or assigned.

• Graduate from an accredited Nursing Program required.
• Bachelor of Science Degree in Nursing (BSN) preferred.

• Licensed Registered Nurse with NH eligibility
• Basic Life Support (BLS) Certificate required upon hire.