RN Clinic - Per Diem - Family Practice - Hybrid (Remote & 4S Ranch)

About the role

Intra-Unit: Must be a current Scripps Employee already working on Trisha Ignacio's team for consideration.

This is a per diem/casual position working 8-hour day shifts starting between 8-8:30am. Occasional weekend coverage and flexibility to adjust schedule based on department needs required. The role is hybrid, with a combination of on-site work at the 4S Ranch clinic and remote work.

Initial training will be conducted on-site for 2–8 weeks with the duration dependent on training progress. After training, the schedule will consist of one week on-site followed by four weeks remote.

Why join Scripps Health?

At Scripps Health, your ambition is empowered and your abilities are appreciated:

• Nearly a quarter of our employees have been with Scripps Health for over 10 years.
• Scripps is a Great Place to Work Certified company for 2026.
• Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
• Becker's Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care.
• We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
• Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.

Why Family Practice/Internal Medicine Triage?

• Our team at Scripps thrives on innovation and collaboration, embracing change and staying adaptable in a dynamic, fast-paced environment.
• We maintain a positive, inclusive atmosphere that celebrates wins, learns from challenges, and encourages creative problem-solving—making a meaningful impact on both our team and our patients.
• Our team supports multiple specialties and clinic locations, with roles and workflows that continuously evolve. Flexibility, adaptability, strong clinical judgment, and a team-first mindset are essential to success. 

What you'll do: 

• Provide primarily indirect patient care through telephone triage, patient portal messages, and electronic health record (EHR) workflows, with direct patient care as needed when working onsite.
• Support Adult Family/Internal Medicine, Pediatrics, and OB/GYN patient populations across multiple clinic locations.
• Perform telephone triage and assess patient symptoms using established nursing protocols, clinical judgment, and appropriate escalation pathways.
• Manage patient portal messages, medication refill requests, patient education, and other clinical in-basket workflows.
• Collaborate with providers, clinical teams, clerical teams, and interdisciplinary departments to coordinate patient care and ensure timely follow-up.
• Support referral coordination, prior authorization workflows, and other clinical operational needs as appropriate.
• Utilize Epic EHR to document patient interactions, coordinate care, and manage clinical workflows.
• Work independently in a hybrid onsite/remote environment while maintaining effective communication and collaboration with the team.
• Adapt to evolving workflows, staffing needs, and operational priorities in a fast-paced ambulatory care environment.
• Practice autonomously in accordance with ANA Standards of Practice, organizational policies, and established nursing protocols.

Qualifications

Required Education/Experience/Specialized Skills:

• ADN or Nursing Diploma
• Highly organized and detail-oriented

Required Certification/Registration: 

• CA RN License

• BLS through the American Heart Association

Preferred Education/Experience/Specialized Skills/Certification:

• 2+ years of adult RN experience
• RN experience in adult, OB/GYN and/or pediatric settings
• Telephone triage experience
• Clinic or outpatient experience
• Prior remote work experience
• Proficiency with Epic EHR
• Familiarity with Microsoft Office Suite
• Strong clinical assessment, critical thinking, and independent decision-making skills
• Experience managing high-volume telephone triage and electronic patient messages
• Ability to prioritize competing clinical needs across multiple specialties and clinic locations
• Strong communication, collaboration, and time-management skills