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

Scripps Coastal Medical Center makes it easy and convenient for our community to receive exceptional health care in San Diego. Our primary care physicians and their teams provide annual exams, preventive health screenings, wellness information and diagnostic services for you and your family.

With offices throughout San Diego County, our doctors specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology. Some locations also provide rheumatology and orthopedics care. When further specialty care is needed, you have access to an extensive network of medical experts throughout the region. Scripps also provides health education resources, including weight management programs, nutrition and fitness classes, and programs for chronic conditions, such as diabetes.

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.

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

At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.

Position Pay Range: $51.66-$74.92/hour