PCTS

RN Nurse Triage Without the Staffing Risk

After-hours + daytime triage support that cuts costs by ~40% versus building internally—without coverage gaps or surge risks.

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Professional nurse ready to help with patient calls

40% Lower Cost

vs internal build

Built-in Redundancy

+ surge capacity

Immediate Go-Live

no hiring ramp

Pay-Per-Call

no idle staffing

Tech Included

no platform investment

SOC 2 Type II Certified
HIPAA Compliant

Two Solutions, One Reliable Partner

Choose after-hours coverage, daytime support, or both—all with the same commitment to reliability and surge readiness.

After-Hours Triage

  • Nights, weekends, and holidays
  • Consistent protocols + documentation
  • Resilient during predictable surges
Learn More

Daytime Triage

  • Cover peak periods and daily call load
  • Reduce clinician interruptions
  • Scale capacity without adding headcount
Learn More

Internal Build vs PCTS

Internal Build

  • Staffing minimums + turnover costs
  • Holiday premiums + coverage gaps
  • No slack capacity for surges
  • Platform investment required

PCTS

  • Pay-per-call + no idle time
  • Holidays included at standard rate
  • Built-in redundancy + surge capacity
  • Technology included

Most practices discover that outsourcing wins on both cost and reliability. Use our calculator to see the full analysis for your organization.

See the Full Build vs Buy Analysis

Who We Serve

Same reliability model—tailored workflows and reporting to match your organization.

Sole & Small Practices

Unplug safely with reliable after-hours coverage

Mid-Sized Groups

Reduce interruptions + cover peak periods

Medical Groups

Standardization + reliability at scale

IPAs

Network-wide consistency + reporting

How It Works

Three steps to reliable triage coverage—without the hiring headaches.

1

Align Protocols

We configure our systems to match your clinical protocols, escalation procedures, and documentation requirements.

2

Go Live Quickly

No hiring ramp or training delays. Our experienced RN staff is ready to handle your calls from day one.

3

Ongoing QA + Reporting

Continuous quality assurance and detailed reporting keep you informed and confident in the service.

Industry-Leading Client Satisfaction

With many clients who have partnered with us for decades.

"As physicians of Palomar Health Medical Group, a family practice medical group in Escondido, CA, we can only give our highest recommendations for Pacific Coast Triage Service. Their nurses are highly skilled and experienced, we never get patient complaints, and the company is very well managed. They are a pleasure to work with. Having their triage service helps positively impact our financial bottom line while allowing us a better quality of life outside of the office."

Palomar Health Medical Group

Family Practice Medical Group, Escondido, CA

"We have been partnered with PCTS for the past 15 years and have been very happy with their services. Our patients are very complimentary of the on-call nurses, and I feel very confident with the advice that they offer to my patients. The service is extremely professional and I would highly recommend PCTS to any practice to increase profitability and improve physicians' out of office life styles, which in turn allows me to deliver a higher quality of patient care. Everybody wins!"

Salvatore Tarantino, MD

La Mesa, CA

See What Triage Costs When You Don't Staff for Idle Time

Use our Build vs Buy calculator to compare internal staffing costs against an outsourced model built for redundancy and scale.

Use the Calculator Talk to a Specialist

Frequently Asked Questions

If your question is not answered here please call or message our office.

Most practices can go live within days, not months. Unlike building an internal triage team which requires hiring, training, and ramping up over 3-6 months, PCTS already has trained RN staff ready to handle your calls. We focus on protocol alignment using Schmitt-Thompson Protocols, your practice's Standard Operating Procedures, and workflow setup, then you're operational.
Implementation is straightforward: we start with a discovery call to understand your practice's Standard Operating Procedures and workflows. Then we configure our systems to match your escalation procedures, documentation requirements, and preferred communication methods including HippoChat, our secure healthcare messaging platform. We conduct a brief training period with your staff on the handoff process, and provide training content for encounter and nursing note management. Then you're live.
Our RNs are trained across multiple specialties including pediatrics, OB/GYN, internal medicine, and more. During implementation, we align our Schmitt-Thompson Protocols to your practice's specific Standard Operating Procedures and escalation criteria. Your patients receive consistent, specialty-aware triage that matches your clinical standards.
We follow your defined escalation protocols precisely. When a call meets your criteria for provider escalation, we contact your on-call provider using your preferred method—phone, secure text, or HippoChat—with a complete clinical summary. You maintain full control over escalation thresholds and procedures.
This is where PCTS shines. Internal teams with zero slack capacity fall behind during surges, creating a backlog that compounds (the "snowball effect"). PCTS maintains redundant staffing specifically to handle predictable surges—holidays, flu season, COVID waves. You get consistent response times even during peak demand. Our average callback time is two to three minutes company-wide, and twelve to fifteen minutes even during surge periods.
PCTS provides coverage on all major holidays and is positioned to support practices on non-standard holidays and other office closures as well.
You pay only for calls handled. Unlike internal staffing where you pay nurses even during slow periods, our model eliminates idle time costs. This typically results in approximately 40% lower total cost compared to building and maintaining an internal triage operation.
We offer flexible arrangements based on your practice size and needs. Contact us to discuss the right structure for your organization—we're focused on making the economics work for practices of all sizes.
PCTS maintains full HIPAA compliance with encrypted communications, secure documentation systems, audit trails, and regular compliance training for all staff. We are SOC 2 Type 2 certified, and we can provide documentation of our security posture and BAA for your records.
We provide clean documentation that can be integrated into your existing EHR workflow. Depending on your system, this can range from secure message delivery to direct EHR integration. We'll work with your team to find the most efficient documentation flow.
PCTS

RN-led nurse triage for after-hours and daytime coverage. ~40% lower cost versus internal operations with built-in redundancy and surge capacity.

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Solutions

Who We Serve

Company

SOC 2 Type II Certified
HIPAA Compliant

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