Clinical Guide, Behavioral Health Triage RN

ABOUT THE ROLE: Under the general supervision of the Sr. Clinical Manager, the Clinical Guide Behavioral Health RN performs clinical triage, high-risk outreach, condition support, care planning, clinical education, and care coordination to support Rightway members in navigating and accessing care. This role supports members across both behavioral and physical health needs, including conditions such as anxiety, depression, and chronic disease. The RN serves as a trusted clinical advisor, guiding members to high-quality, appropriate care with the goal of improving clinical outcomes, enhancing the member experience, and reducing unnecessary healthcare utilization (e.g., avoidable ED visits) while promoting appropriate care settings such as primary care and behavioral health services. WHAT YOU'LL DO: Perform clinical triage using evidence-based protocols and algorithms to assess member needs and direct them to the appropriate level of care safely and efficiently Conduct proactive, data-driven outreach to high-risk, high-cost, rising-risk members and those with identified care gaps Engage members in clinical and behavioral health conversations to assess needs, risks, preferences, and barriers to care Provide behavioral health support, including education on conditions such as anxiety, depression, and stress-related disorders Conduct suicide risk assessments and apply de-escalation techniques when appropriate Identify and address barriers preventing members from accessing preventive, primary care, and behavioral health services Deliver clinical navigation support, including: Coordinate completion of screenings and follow-up care for high-risk members Accurately document symptoms, assessments, clinical guidance, and member responses in a timely manner Act as a member advocate and trusted healthcare advisor, supporting members throughout their care journey Promote a high-quality member experience and retention through longitudinal engagement and education Collaborate cross-functionally with Navigation and internal teams to ensure seamless, coordinated care delivery Maintain a member-centric, customer-driven approach in all interactions Practice within RN scope, adhering to established care navigation protocols and clinical guidelines WHO YOU ARE: RN with ADN or BSN degree Must have an active, unrestricted Registered Nurse (RN) multi-state license and resides in a compact state Holds a Psychiatric Mental Health Nursing Certification (PMH-BC) 5+ years of nursing experience, including: Experience with suicide risk assessment and de-escalation techniques Experience in population health, disease management, or care management preferred Chronic condition support experience preferred Strong ability to engage members in both behavioral health discussions Skilled in care coordination, patient education, and navigating complex healthcare systems HOURLY RATE: $34.00-$40.86 CYBERSECURITY AWARENESS NOTICE In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @ rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment. ABOUT RIGHTWAY: Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them. Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely on us to tr ... (truncated, view full listing at source)