Octiva delivers virtual nurse triage, Tele-ICU support, and clinical call center services—so your team can focus on what matters most.

Registered Nurse – Telephone Triage (Bilingual English/Spanish)

Remote | Full-Time & Part-Time

Join a Clinical Team Where Your Nursing Judgment Matters

Are you an experienced bilingual Registered Nurse who enjoys critical thinking, patient education, and making meaningful clinical decisions? Do you want to work remotely while collaborating with a supportive team of experienced nurses, advanced practice providers, and physicians who value your expertise?

At Octiva Healthcare, our nurses are trusted clinical professionals. Every day, you'll help patients navigate urgent health concerns, provide evidence-based clinical guidance, and ensure they receive the right level of care at the right time. If you are passionate about delivering exceptional patient care while working from home, we'd love to hear from you.

About Octiva Healthcare

Octiva Healthcare is a rapidly growing telemedicine company providing 24/7/365 clinical support to patients who need timely care and trusted medical guidance. Our mission is to deliver around-the-clock healthcare that meets the highest standards of clinical excellence and patient experience.

We partner with healthcare organizations across multiple states to ensure patients have access to safe, compassionate, and evidence-based nursing care whenever they need it. Our culture is built on teamwork, integrity, accountability, continuous improvement, and treating every patient with compassion and respect.

As we continue to expand, we are seeking experienced nurses who are passionate about making a meaningful difference through virtual care.

Why Join Octiva?

• Fully remote position
• Full-Time and Part-Time opportunities available
• Collaborative team of experienced Registered Nurses, Nurse Practitioners, and Physicians
• Evidence-based telephone triage
• Diverse patient population across multiple states
• Modern technology designed to streamline workflows and documentation
• Meaningful work that allows you to improve patients' lives every day

Position Summary

The Telephone Triage Nurse is a vital member of Octiva Healthcare's clinical team. In this role, you will practice professional nursing through telephonic assessment, utilizing your clinical expertise, physician guidance, and nationally recognized telephone triage protocols.

You will evaluate patient symptoms, determine the appropriate level of care, provide nursing education and self-care recommendations, coordinate prescription refill requests, and collaborate with healthcare providers to ensure safe, high-quality patient care.

All responsibilities are performed within departmental policies, organizational standards, applicable state regulations, and the scope of practice established by the Board of Registered Nursing.

Essential Responsibilities

• Perform comprehensive telephone assessments.
• Evaluate patient symptoms and determine the appropriate level of care, including:
• Home care
• Primary care follow-up
• Same-day appointments
• Urgent Care
• Emergency Department referral
• Transfer to an Octiva Healthcare provider when appropriate
• Provide evidence-based nursing advice and patient education.
• Educate patients regarding medications, symptom management, warning signs, and follow-up recommendations.
• Coordinate medication refill requests according to organizational policies.
• Collaborate with physicians, nurse practitioners, clinic staff, and internal clinical teams to ensure continuity of care.
• Escalate urgent and emergent clinical situations according to established workflows.
• Review patient histories within multiple Electronic Medical Record (EMR) systems.
• Maintain accurate, timely, and detailed clinical documentation.
• Deliver compassionate, patient-centered care while maintaining exceptional customer service.
• Perform additional duties as assigned.

Qualifications

Education

• Graduate of an accredited School of Nursing (Required)
• Bachelor of Science in Nursing (BSN) preferred

Required Licensure

Applicants must meet all of the following requirements:

• Active California Registered Nurse License
• Active Compact (Multi-State) Registered Nurse License
• Active, unrestricted RN licenses in good standing

Experience

• Minimum of three (3) years of recent Registered Nurse clinical experience required.
• Previous telephone triage or telehealth nursing experience strongly preferred.
• Experience in one or more of the following areas is highly preferred:
• Emergency Department
• Med-Surg
• Urgent Care
• Family Medicine
• Internal Medicine
• Telephone Triage

Knowledge & Skills

• Fluent in both English and Spanish (written and verbal) required
• Strong clinical assessment and critical thinking skills
• Excellent telephone communication skills
• Ability to make sound clinical decisions in a fast-paced environment
• Strong understanding of symptom assessment and urgent/emergent care criteria
• Proficiency with multiple Electronic Medical Record (EMR) systems
• Ability to prioritize multiple clinical situations effectively
• Strong attention to detail and documentation accuracy
• Ability to work independently while collaborating with a multidisciplinary team
• Commitment to providing compassionate, patient-centered care

Technical Requirements

• Dedicated, quiet home office free from distractions
• Dual monitors preferred
• Comfortable navigating multiple software platforms simultaneously

To ensure reliable performance, security compliance, and compatibility with Octiva's clinical tools, all nurses working remotely must meet the following minimum computer specifications:

Operating System

Windows 11 (Home or Pro) — Recommended

macOS Ventura (13) or newer — Accepted

Linux (stable, LTS release — e.g. Ubuntu 22.04/24.04) — Accepted

Chromebooks and Chrome OS are not supported

Android, iPadOS, or any other mobile/tablet OS is not supported

Processor (CPU)

Intel Core i5 (8th Gen or newer) — Minimum

AMD Ryzen 5 (3000 series or newer) — Minimum

Apple Silicon (M1/M2/M3) meets this requirement automatically

Older or low-power processors (Intel Celeron, Pentium, Atom, or equivalent) are not recommended and may result in performance issues.

Memory (RAM)

8 GB minimum is required to run Citrix, Nextiva, Teams, browser tabs, and email simultaneously without performance degradation

16 GB recommended for optimal multitasking

Storage

256 GB SSD minimum (HDD is not recommended due to performance impact)

Adequate free space is required — a nearly full drive can cause application crashes and system instability

Internet Connection

Wired (Ethernet) connection required

⚠️ Wi-Fi is not recommended — wireless connections introduce latency and instability that can affect VoIP call quality (Nextiva) and Citrix session reliability

Minimum recommended speed: 25 Mbps download / 10 Mbps upload

Additional Requirements

Built-in or external webcam and microphone (for Teams meetings)

Up-to-date browser (Chrome or Edge recommended)

⚠️ Please note: Devices that do not meet these requirements may experience issues with clinical applications and could impact patient care. If you are unsure whether your device qualifies, please confirm with IT before your start date.

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The Ideal Candidate

You will thrive at Octiva Healthcare if you are:

• Calm under pressure
• Compassionate and empathetic
• A confident clinical decision-maker
• Highly organized
• An exceptional communicator
• Adaptable and technology-savvy
• Passionate about delivering outstanding virtual nursing care
• Committed to continuous learning and clinical excellence

Schedule

• Remote
• Full-Time and Part-Time opportunities
• 24/7/365 operation
• Weekend availability is required as part of our 24/7/365 operation.

Reports To

Director of Clinical Services

Benefits

• Paid Time Off
• 401(k)
• Opportunities for professional development and career growth
• Supportive and collaborative clinical leadership

Equal Employment Opportunity

At Octiva Healthcare, we believe that our greatest strength is our people. We are committed to fostering a diverse, inclusive, and respectful workplace where every employee is valued.

Employment decisions are based on merit, qualifications, competence, and business needs. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other status protected by applicable law.

Ready to Make an Impact?

If you're looking for a remote nursing position where your clinical expertise is respected, your voice matters, and you can make a meaningful difference in patients' lives every day, we encourage you to apply.

Join Octiva Healthcare and help us deliver exceptional care—anytime, anywhere.