Emory Healthcare

Assistant Nurse Manager / Ortho/Neuro Registered Nurse / RN

Posted on:

April 10, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Georgia

Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs...and more!

11:00a-7:30p / Full-Time / 40 hours The Assistant Nurse Manager, Ortho/Neuro Surgery Inpatient plays a key leadership role in the Leadership Team, overseeing daily clinical and operational functions to ensure seamless patient care across the continuum. This role demands a dynamic leader capable of managing both clinical excellence and operational performance, all while ensuring that patient care remains the top priority. You will lead staff, drive clinical practice development, and manage patient care delivery, while being accountable for team performance, quality, safety, compliance, financials, throughput, workflow, and scheduling. Reporting to the Nurse Manager, you will develop, implement, and evaluate systems that promote high-quality, cost-effective, and safe care.

Minimum Required Qualifications: Bachelor's degree in nursing (BSN) required A minimum of (3) years of professional nursing practice experience in acute and/or ambulatory care nursing practice setting with 1 year of lead, supervisory, management, and/or leadership experience in nursing and/or health system position/role. A valid, unencumbered Registered Nursing License approved by the Georgia Board of Nursing. Virtual Care Setting: If managing remote clinical care team members, active compact/multistate license (eNLC) within 60 days of hire. BLS required. ACLS may be required for certain departments, post hire. Additional certifications may be required based on department and specialty. Proven leadership skills in a clinical setting, with experience in nursing practice oversight and team management. In-depth knowledge of quality assurance, performance management, and regulatory compliance. Ability to create a positive, inclusive workplace and foster professional development. Strong problem-solving and decision-making skills, with the ability to resolve technical and operational challenges. Excellent communication and interpersonal skills, with the ability to work collaboratively with other healthcare professionals. Preferred Qualifications: Education: Master's of Science in Nursing (MSN) or related field preferred. Experience: A minimum of (3) years of professional nursing practice experience in acute and/or ambulatory care nursing practice setting with 2 years of lead, supervisory, management, and/or leadership experience in nursing and/or health systems position/role in a complex academic health system preferred.

Leadership & Team Development Foster a culture of collaboration, excellence, and mutual respect within inter-professional care teams. Develop, manage, and evaluate team performance, ensuring alignment with organizational goals. Provide education, coaching, and guidance to staff, ensuring adherence to clinical standards. Support staff onboarding, competency assessment, and continuous professional development. Clinical & Operational Management Oversee clinical and operational workflows, ensuring patient integration and service efficiency. Lead quality and safety initiatives specific to your area, aligning with organizational objectives. Implement and monitor financial and productivity goals within your area of responsibility. Performance & Compliance Manage performance, providing feedback and addressing issues related to patient care and professional conduct. Ensure compliance with regulatory standards, accreditation requirements, and organizational policies. Lead continuous quality improvement efforts through data analysis and problem-solving. Strategic & Operational Oversight Plan, prioritize, and execute operations efficiently, anticipating resource needs and achieving results within budget in partnership with the triad leadership team. Address operational challenges and apply problem-solving skills to resolve issues with the triad leadership team. Advocate for the optimal allocation of resources to support patient care. Workplace Culture & Staff Well-Being Foster an inclusive and diverse work environment that values individual differences and promotes staff well-being. Create and support a healthy work environment that encourages professional growth and high staff morale. Professional Practice Oversight: Actively monitor nursing practice to ensure adherence to established standards, policies, and procedures. Provide ongoing education and training to nurses, ensuring up-to-date clinical skills and regulatory knowledge. Advocate for patient safety and optimal care by addressing concerns regarding staffing, resources, and care delivery.

Emory Healthcare

Utilization Review Specialist / Registered Nurse

Posted on:

April 10, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

RN

State License:

Georgia

Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day one! Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs… and more!

The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation. The UR Specialist will perform timely and comprehensive reviews of the patient chart utilizing InterQual Criteria accurately in conjunction with the UR Department workflows/processes, clinical nursing judgement, and when necessary, discussions with the provider team and/or Medical Director of UR. This position requires a commitment of one weekend (Saturday/Sunday) every four weeks with one day off during the week. Travel: Less than 10% of the time may be required. Work Type: This position is a remote position outside traditional office, often from home or another remote setting.

Minimum Qualifications: Education - Associate degree in nursing. Experience - Minimum of 5 years of recent acute hospital experience or a minimum of two years of previous utilization review experience. Licensure - Must have a valid, active unencumbered Registered Nurse license approved by the Georgia Licensing Board. Skills - Must meet all quality and productivity expectations and successfully complete yearly competencies. Preferred Qualifications: Education - Bachelor's degree in Nursing strongly preferred. Certification - Case Management certification preferred. Skills - InterQual Level of Care Criteria experience. Previous utilization review experience strongly preferred.

Conducts thorough medical necessity reviews to assist with determining appropriate patient class designation. 2. Performs timely and comprehensive reviews of the patient chart utilizing InterQual Criteria accurately in conjunction with the UR Department workflows/processes, clinical nursing judgement, and when necessary, discussions with the provider team and/or Medical Director of UR. 3. Performs appropriate and accurate initial, admission (episode day one) and concurrent utilization reviews as guided by InterQual Criteria and UR Department workflows on all observation, inpatient, and extended recovery admissions as required based on Emory Healthcare's Utilization Management Plan and the UR Department's processes. 4. Ensures that all InterQual reviews are supported with provider team documentation and/or clinical data. 5. When appropriate, the UR Specialist will utilize the UR Department's Severity of Illness/Intensity of Service template to document the medical necessity of the admission or continued stay. 6. While conducting utilization reviews, will identify any Avoidable Delays and accurately document the delay(s) based on the workflow. 7. Follow the UR Department's denial workflows as appropriate. 8. Prioritizes work with minimal guidance for optimal reimbursement and to avoid financial risk to both patient and hospital. Compliance: Will identify and complete Medicare Outpatient Observation Notices (MOON), Medicare Change of Status Notice (MCSN), Condition Code 44s and Medicare Hospital Issued Notices of Non-Coverage (HINNs) for Medicare beneficiaries as appropriate. 2. Ensures compliance with all state of Georgia and Federal regulatory requirements as designated in Emory Healthcare's Utilization Management Plan. 3. Maintains all required annual competencies, metrics, and fully participate and engage in department process improvements. Collaboration: Responsible for timely communication to the provider team and interdisciplinary team as it relates to patient class designation and medical necessity of an admission or continued stay on individual patient basis based on UR Department workflows. 2. In a team effort, the UR Specialist will work closely with the UR Department's Case Management Authorization Specialist IP to ensure that authorized days and patient actual LOS are reconciled to ensure appropriate reimbursement for services provided. 3. Responsible for communicating medical necessity denials for in-house patients to the Medical Director of UR, and when designated to the provider team. 4. Serves as a resource to the provider team, Interdisciplinary Care Team, and patient to explain external UR regulations. 5. Provides effective and efficient proactive communication to internal and external customers. 6. Assists in collaborative efforts with the Case Management Department, Revenue Cycle, Physician Advisors, and other required departments. Additional Duties: Ability to multi-task in a fast-paced environment while efficiently handling multiple priorities and ensuring deadlines are met. 2. Performs other duties and tasks as assigned.

IntePros

Part Time Care Management Coordinator (RN) – Utilization Management

Posted on:

April 10, 2026

Job Type:

Part-Time

Role Type:

Utilization Review

License:

RN

State License:

Compact / Multi-State

IntePros is an established, woman-owned, privately-held technology and business services consulting agency committed to building long-term relationships and helping more companies leverage the power of a more diverse workforce.

Care Management Coordinator (RN) – Utilization Management Location: Remote (PA, DE, NJ only) Schedule: Part-Time (2 weekdays + every other weekend, 9:00 AM – 5:00 PM) We are seeking an experienced Registered Nurse (RN) with a strong background in Utilization Management to join a dynamic care management team. This role is ideal for a clinically strong, detail-oriented professional who thrives in a fast-paced, decision-driven environment and is passionate about ensuring patients receive appropriate, high-quality care. The Care Management Coordinator plays a critical role in evaluating medical necessity, supporting care coordination, and ensuring compliance with regulatory standards—while serving as both a clinical resource and patient advocate. Position Overview In this role, you will independently review medical records and apply established clinical criteria to determine the appropriateness of services. You will collaborate closely with providers, case management teams, and leadership to support care decisions, facilitate appropriate treatment plans, and ensure optimal patient outcomes. This position has the authority to approve medically necessary services and escalate cases that do not meet criteria to the Medical Director for further review.

Qualifications: Active Registered Nurse (RN) license in Pennsylvania or Nurse Licensure Compact (NLC) including PA BSN preferred Minimum 3+ years of Medical/Surgical nursing experience Prior experience in Utilization Management within an acute care setting Strong working knowledge of InterQual (IQ) criteria Skills & Expertise: Strong clinical judgment and critical thinking skills Excellent communication and provider engagement abilities Proven ability to work independently and make sound clinical decisions Highly organized with strong time management and prioritization skills Comfortable working with clinical systems and Microsoft Office tools Adaptable, collaborative, and solutions-oriented mindset What Success Looks Like: Consistently makes accurate, timely utilization decisions Effectively collaborates with providers and internal teams to optimize care outcomes Maintains regulatory compliance and documentation integrity Identifies opportunities to improve efficiency, care quality, and member experience This is an excellent opportunity for a Utilization Management RN seeking a flexible, part-time schedule while continuing to make a meaningful impact on patient care and healthcare delivery.

Conduct comprehensive reviews of medical records to determine medical necessity, level of care, and length of stay Apply clinical guidelines such as InterQual and Medical Policy to support decision-making Collaborate with providers to clarify clinical information and treatment plans Identify cases that do not meet criteria and escalate to the Medical Director for review Support discharge planning and care coordination, ensuring appropriate level of care and transitions Ensure all determinations align with federal, state, and accreditation standards Maintain accurate, timely documentation and data entry within care management systems Monitor and report utilization trends and opportunities for process improvement Partner with internal teams to address delays in care and improve patient outcomes Serve as a resource and advocate for members navigating the healthcare system

TEEMA

Clinical Quality Review Nurse

Posted on:

April 10, 2026

Job Type:

Full-Time

Role Type:

Behavioral Health

License:

RN

State License:

Compact / Multi-State

Since our establishment in 2008, TEEMA has been at the forefront of revolutionizing the staffing industry. We take immense pride in serving over 1,200 clients spanning Canada, the United States, and international markets, specializing in delivering comprehensive staffing solutions. Our offerings, ranging from contract and temporary placements to payroll, permanent, and executive staffing, cater to various verticals, including Information Technology, Engineering, and Healthcare.

Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.

Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) Minimum 3+ years of clinical experience (medical/surgical and/or behavioral health) U.S. Citizenship required Ability to obtain and maintain a Department of Defense (DoD) background clearance Strong analytical and critical thinking skills Excellent written communication skills Nice to have: Bachelor’s degree in Nursing or healthcare-related field Experience in clinical quality, utilization review, or case review Familiarity with federal or government healthcare programs Experience with clinical criteria tools (InterQual or similar) Exposure to healthcare data analysis or reporting Technical SkillsProficiency with Microsoft Office (Word, Excel, Outlook) Comfortable working across multiple systems and electronic medical records What makes you successfulStrong clinical judgment and attention to detail Ability to work independently and manage multiple priorities Analytical mindset with problem-solving ability Clear and professional communication skills Comfortable working in a structured, compliance-driven environment Other Information:Remote or onsite depending on business needs Must have a secure home office setup if remote Occasional extended hours may be required

Review medical records to identify potential quality, safety, and utilization concerns Conduct detailed case analysis and prepare clear, well-documented summaries and recommendations Support peer review processes and quality improvement initiatives Analyze trends and assist in identifying patterns in care delivery and outcomes Collaborate with clinical leadership, including Medical Directors, to review findings Participate in quality committees and performance improvement efforts Ensure compliance with regulatory requirements and program standards Coordinate with cross-functional teams such as case management, care coordination, and program integrity

Help at Home

Advanced Practice Registered Nurse/Advanced Registered Nurse Practioners

Posted on:

April 10, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

NP/APP

State License:

Florida

In our 50 year history, Help at Home has provided care for individuals, helping them to remain independent and able to live their best lives in their own homes. Our clients have always been like family. As the leading national provider of high-quality, relationship-based home care for seniors and people living with disabilities, we’re uniquely positioned as the home care company of choice. Our person-centered home care services create Great Days and Meaningful Moments for individuals, while also driving high-quality, low-cost outcomes. We provide in-home, community-based care in 11 states and 200+ locations with the help of 60,000 highly trained, compassionate caregivers who have relationships with 70,000+ clients.

Flexible APRN or ARNP Virtual Assessments – $80+ per assessment Caregiver Services Inc., a Help at Home® company, is looking for 1099 - Advanced Practice Registered Nurses (APRNs) or Advanced Registered Nurse Practitioners (ARNPs) who want flexible work in your area to support patient assessments. This is a great opportunity for nurses who want to earn more per assessment, control their schedule, and work independently while assessing patients’ needs for services. Why This Opportunity Stands Out $80+ per telephonic assessment Set your own schedule directly with patients (24-48 hour turn around required) Per assessment based model – no long shifts No travel required! Conduct from your home.

This position is ideal for an APRN/ARNP who: Wants flexible or supplemental income Prefers independent, home-based work RNs wanting to step away from long shifts or facility work Requirements: Advanced Practice Registered Nurse (APRN) or Advanced Registered Nurse Practitioner (ARNP) license Strong clinical judgment and communication skills Ability to work independently and manage your own schedule

Conduct over-the-phone assessments to clinically qualify patients for services. Conduct 3008 assessments via phone Evaluate physical, cognitive, and psychosocial status Accurately document findings and complete required state forms Determine and recommend appropriate level of care and services Ensure compliance with all state and program regulations Submit completed assessments within required timeframes Communicate with care coordination teams as needed

Innovative Systems Group

Nurse Case Management Senior Analyst

Posted on:

April 10, 2026

Job Type:

Contract

Role Type:

Case Management

License:

RN

State License:

New Mexico

ISG specializes in delivering transformative consulting and BPO services that empower businesses to thrive in a competitive, ever-changing market.

This role requires either Saturday or Sunday as part of their regular scheduled shift. This is a REMOTE position, but candidates must reside in either TX, IL, NM, OK, MT or TN Contract: 2026-04-13 to 2026-08-13

RN and current unrestricted nursing license required.

Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Provides clinical assessments, health education, and utilization management to members. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services. Manages own caseload and coordinates all assigned cases. Completes day-to-day Nurse Case Management tasks without immediate supervision but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.

National University

Part-time Faculty, Master of Nursing - Family Nurse Practitioner (FNP)

Posted on:

April 10, 2026

Job Type:

Part-Time

Role Type:

Primary Care

License:

NP/APP

State License:

Compact / Multi-State

National University is a veteran-founded, San Diego-based nonprofit. Since 1971, our mission has been to provide accessible higher education to adult learners. Today, we educate a diverse student body from across the U.S. and around the globe, with more than 230,000 alumni worldwide. Our eight schools and two colleges offer more than 200 accredited and licensed graduate and undergraduate programs. National University holds accreditation through the Western Senior College and Universities Commission (WSCUC).

Compensation Range: Hourly: $52.84 - $69.81 National University – San Diego, California Part-time Faculty: Master of Nursing - Family Nurse Practitioner (FNP) Location: Remote California, Remote Texas The Department of Nursing, in the School of Health Professions at the National University invites applications for part-time faculty in Nursing with a specialization in Family Nurse Practitioner (FNP). The successful candidate will have a demonstrated record of or potential for excellence in teaching in their field and a commitment to serving the university’s diverse adult student body. The successful candidate will have the potential for a commitment to serving the university’s diverse adult student body. This position primarily works closely with the Academic Program Director and other faculty within the program and contributes to ensuring program quality, student engagement, and success. This is an excellent opportunity for a Part-Time Faculty to join our highly engaged faculty in Nurse Practitioner program. As an integral and vital part of our teaching staff, the successful candidate will provide students with unique and valuable perspectives by helping them to develop critical thinking, communication, and therapeutic nursing skills within the framework of transcultural nursing. Note: We are looking for Part-Time Assistant Professors that can teach 12-week courses online or 16 week courses when NU moves to the semester system.

Required Qualifications: Master of Science in Nursing, Family Nurse Practitioner, or Doctor of Nurse Practitioner with a Family Nurse Practitioner specialization. At least two years of continuous clinical practice in the NP role and currently working at least part-time in the NP role. Active, current, and unencumbered FNP state license in either Texas or California. (Note: Once hired, Faculty are required to have both RN and FNP licenses in both California and Texas. The department will pay for new faculty to obtain their license in either California or Texas if the applicant doesn’t already have both state licenses. Minimum of two 2 years’ current experience in an FNP role, including diagnosing and treating patients in a clinic setting. Preferred Qualifications: Doctor of Nurse Practitioner with a Family Nurse Practitioner specialization. National board certification - FNP specific. Online higher education experience is strongly preferred. Demonstrated experience in developing and maintaining courses. Experience with the following course topics is preferred: QI & Project Management, EBP for Advanced NSG Practice, Advanced Pharmacology I, Advanced Pharmacology II, FNP: Women’s Health/Pediatrics, Women’s health/Pediatric Practicum, and FNP Capstone.

Efficiently deliver didactic and/or clinical instruction online to students. Plan and deliver an effective “classroom” experience through Zoom, that promotes learning of course/program learning objectives and prepares the student to be a competent, beginning Nurse Practitioner. Effectively engage students, utilizing a variety of teaching methods. Evaluate students in classroom and clinical settings utilizing effective educational methods and tools. Grading assignments and responding to student inquiries within 48 hours of assignment submission. Responding to students' inquiries via email within 24 hours of receipt of the email, thus providing timely feedback to students' questions and concerns. Communicate effectively with students, staff, and faculty, both verbally and through written communication. Focus on student-centered learning in all aspects of the curriculum.

ChenMed

Advanced Practice Provider, Remote (Telehealth) (Nurse Practitioner)

Posted on:

April 10, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Advanced Practice Provider, Care Line is responsible for diagnostic patient care primarily through virtual, remote consultation via video conference or telephone. The incumbent in this role serves as the dispositional authority for after-hours and weekend clinical calls. They are accountable for assessing, diagnosing, treating and precisely documenting patients' physical and psychosocial health status through the collection of health data. The schedule for this position will rotate each week with one required weekend shift per month.

Bachelor’s degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required. For Nurse Practitioners: Board certification by AANP or ANCC required Basic Life Support (BLS) certification from the American Heart Association or American Red Cross required upon hire. Multi state licensure to include at minimum FL or VA (both preferred), and at least 2 licenses in the following states: GA, MI, MO, OH, PA, TN, TX, IL, KY, LA, KS. A minimum of 3 years' acute/primary care clinical work experience required; with experience in emergency service, urgent care, primary care or value based care highly preferred A minimum of 2 years' telehealth work experience highly preferred Must be willing to travel twice a year to TN and once a year to GA required. Travel costs are provided by company.

Through virtual video conference or telephone, assesses acute and non-acute clinical problems. Performs and documents physical evaluations and patient histories, analyzes trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of a plan of care that may include health education, physician referrals, case management referrals and patient/family counseling. Evaluates need for immediate nursing intervention, consultation and/or referral and facilitates the necessary patient care. Plans patient care based on knowledge of the patient population and/or protocol. Considers the patient's cultural background, level of understanding, personality and support systems to anticipate and identify physiological and/or psychological problems. Serves as patient advocate. Collects comprehensive and focused data relating to the health needs of patients and families. Analyzes data to determine appropriate health maintenance and/or improvement methods. Confers with the patient's PCP and other medical providers to report health data and ensure compliance with guidelines. Consults with patients and/or family members on health outcomes and works with them to maintain positive health habits and/or improve opportunities. Ensures achievement of optimal patient outcomes through use of Telemedicine. Collaborates with on-call PCP, as needed, to support expected clinical outcomes. Implements the appropriate protocol to attain expected outcomes. Evaluate progress toward expected outcomes. Documents assessments, interventions and progress toward outcomes in an easy-to-understand and translate format. Works with key contributors to enhance the quality of telehealth practices and systems through the utilization of data demonstrating program effectiveness and success. Communicates using a variety of formats, tools and technologies to build professional relationships and deliver care across the continuum. Utilizes appropriate resources to plan and provide services that are safe, effective and financially responsible. Provides extraordinary customer service and professionalism to all internal and external customers. May also participate in clinical rounds and conferences, risk and quality management programs, clinical and other relevant meetings. Adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, policies, and procedures. Practices in accordance with a written or electronic practice agreement. Participates with the physician in the formulation of telehealth/telemedicine policies, procedures and protocols. Initiates/participates in quality improvement activities that result in approved outcomes Participates with committee(s) to support growth Provides feedback regarding the practice of others to improve patient care Coordination of services with other programs Performs other duties as assigned and modified at manager’s discretion

InnovAge

Universal RN

Posted on:

April 10, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Colorado

InnovAge helps seniors age in their own homes with dignity through the Program of All-inclusive Care for the Elderly (PACE). InnovAge is dedicated to expanding this successful program to serve as many seniors as possible across the country. We hire exceptional people for our programs in California, Colorado, New Mexico, Pennsylvania, Virginia, and Florida. Our mission is to sustain and enhance the independence and quality of life for those we serve, on their terms. Our purpose is to help older adults remain mobile, prolong their health, and continue living in their own homes.

The Universal RN (Registered Nurse) provides skilled nursing care in accordance with InnovAge policies, clinical standards, and all applicable regulations. This universal role supports participants in both clinic and in-home settings (as assigned), partners with the interdisciplinary team (IDT) to develop and execute individualized Plans of Care, and supports safe, efficient care delivery for frail and elderly participants. Physical presence at an InnovAge center and/or participant home is essential to performing the duties of this role.

Required: Current, unrestricted Registered Nurse (RN) license in the state of practice. Current First Aid and BLS certifications from American Heart Association and/or American Red Cross (required prior to hire). 1+ year experience working with frail or elderly populations. For assignments that include in-home care: personal transportation, valid state driver’s license, acceptable driving record, and auto insurance as required by law. Preferred: Bachelor’s degree in nursing Certification as a Gerontological Nurse 3 years of health care experience with emphasis in geriatrics Bi-lingual-Spanish, Russian, Punjabi or Hmong is a plus InnovAge Service Standards Requirements Safety- Maintains a safe work place. Reports all unsafe work conditions to supervisor and/or Safety & Loss Control Manager and works in conjunction with supervisor, Safety & Loss Control Manager, and staff to correct unsafe work conditions. Follows and enforces all safety policies. Accountability Commitment – Commits to his/her job and to the success of the company. Continuously puts forth the effort to achieve goals and continuous quality improvement. Degree to which employee goes the extra step to ensure job/task completion. Takes initiative to offer ideas to improve processes or results. Cooperativeness – Consistently supports management decisions as demonstrated by his/her actions. Demonstrates a “can do” attitude by responding positively to instructions. Follows instructions and works harmoniously with others to complete the job or task. Attendance – Meets or exceeds punctuality and attendance expectations/requirements. Faithfully reports to work and conforms to scheduled work hours. When necessitated, follows call-in procedures and informs others of absences. Caring Customer Service - Embraces the organization's commitment to internal and external customer service and demonstrates a customer-centric approach when interacting with co-workers, participants, clients, and all other business contacts. Confidentiality – Maintains confidentiality of employee, participant, and client data/information, and any other sensitive organization information as appropriate. Integrity Adherence to Company Policy – Follows and enforces guidelines as established by policies. Conforms to company and job standards and requirements. Shows respect for others. Acts in the best interests of the company at all times. Serves as an example for others. Conducts business in an ethical fashion. Reliability – Completes responsibilities with minimal direct supervision. Follows through with assigned jobs and tasks all the way through completion. Puts forth the effort to achieve goals and objectives under varying circumstances. Alignment with Company Goals & Objectives – Supports the organization’s mission, vision, and values and holding self-accountable for applying these principles daily and personally living them when working with co‑workers, participants, clients, and all other business contacts. Quality Quantity of Work / Productivity – Produces at a high volume. Always puts forth the effort to maximize productivity. Meets or exceeds established work deadlines. Engages in a productive work effort whenever possible. Meets goals and objectives. Quality of Work – Produces work that is accurate and reliable. Accomplishes work quickly and efficiently. Works in a thorough and organized manner while minimizing down time. Results are consistently within acceptable quality standards. Job Knowledge – Demonstrates a thorough understanding of his/her job processes and procedures. Integrates knowledge to efficiently accomplish job requirements. Efficiently uses resources (including staff and management) to obtain additional knowledge. Communication – Exhibits good interpersonal skills. Develops and fosters professional relationships with co-workers, participants, clients, and vendors. Keeps others informed as directed by operational demands and need-to-know. Keeps self informed of announcement made via established company venues

Perform comprehensive assessments, reassessments, and ongoing monitoring to identify needs, changes in condition, and appropriate level of care; update Plans of Care accordingly. Implement provider orders (MD/DO/NP/PA), including administering medications, treatments, wound care, and other skilled nursing interventions. Triage participant and staff calls to determine priority and route/escalate appropriately. Provide medication administration, reconciliation, and training in self-administration for non-scheduled medications; monitor and promote adherence. Educate participants and caregivers/families on conditions, medications, equipment, safety, and disease management. Schedule and coordinate outside specialist visits, diagnostics, and hospital admissions as needed; arrange transportation when applicable. Observe, record, and promptly report participant condition and response to treatments/medications to providers. Participate in IDT meetings, family conferences, and case reviews; contribute to the development and adjustment of Plans of Care. Complete timely, accurate documentation in the medical record; meet all agency and regulatory charting, reporting, certification/recertification, and discharge summary requirements. Support utilization review, peer review, and quality management activities as assigned. Setting-Specific Responsibilities Clinic (Center-Based): Prepare, stock, and maintain exam and triage rooms; ensure availability of required supplies and materials. Assist with participant examinations, testing, and treatments performed in the clinic. In the absence of the Nursing Services Director/Clinic Nurse Supervisor, supervise clinic staff and support overall clinic workflow. In-Home Services: Provide skilled nursing care in the participant’s place of residence; deliver preventive, restorative, and rehabilitative nursing procedures. Determine type and amount of nursing care needed for each participant and coordinate with Home Care resources. Supervise LPNs at least every 30 days and HHAs/CNAs at least every 14 days ( [PT1] or per regulatory requirements); provide teaching and competency reinforcement. Supervises unskilled care every 90 days. Conduct supervisory visits, care conferences, and periodic participant/caregiver check-ins; trend data and collaborate with the Home Care Manager and Nursing Services Director to ensure quality care delivery. Safety, Compliance & Operations: Adhere to InnovAge policies and all applicable federal, state, and local regulations (e.g., HIPAA, OSHA, infection prevention, medication safety, scope of practice). [DF2] [JA3] Use PPE and follow standard, transmission-based, and universal precautions. Participate in on-call, after-hours, and holiday coverage as assigned. Support continuous improvement, patient safety initiatives, and cost stewardship. Other Duties As Assigned: Will as required, coordinate necessary tasks related to the center operation, as directed by leadership

NPHire

Work From Home Nurse Practitioner (Nationwide, Flexible, Remote, $230k)

Posted on:

April 10, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

NPHire connects top NP talent with leading healthcare employers and staffing agencies. We're the only job-matching platform built exclusively for Nurse Practitioners, simplifying both the job search and the hiring process so the best match rises to the top every time.

A respected national telehealth network is expanding and hiring Nurse Practitioners for multiple fully remote roles across the U.S. These positions support a wide range of virtual care services: from primary case visits to acute care, psych, women’s health, wellness, chronic care, and evidence-based lifestyle medicine. Whether you're a new graduate seeking your first telehealth role or an experienced NP looking for flexible, high-paying remote opportunities, NPHire has nationwide openings that match every schedule, specialty, and career goal.

Qualifications: Active NP license in at least one U.S. state (multi-state a plus) FNP, PMHNP, AGNP, WHNP, ANP, or similar certification Strong communication and independent clinical decision-making skills Ability to work autonomously in a fully remote setting

Conduct scheduled or on-demand virtual visits for acute, primary, or wellness-focused care Perform patient assessments, develop treatment plans, and prescribe when appropriate Manage follow-ups, messaging, and EMR documentation through modern telehealth platforms Provide compassionate, patient-centered care across diverse populations Collaborate with supportive clinical and operations teams as needed

Qlarant

Nurse Specialist II

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

License:

RN

State License:

Maryland

For over 50 years, our history has been rooted in commitment to quality improvement for organizations — and quality of life for the people they serve. We began as Delmarva Foundation for Medical Care in 1973 on Maryland’s Eastern Shore as one of the country’s first quality review organizations for the Centers for Medicare and Medicaid. Through the decades, we created entities that became nationally known, including Delmarva Foundation, Health Integrity, and Quality Health Strategies. Today, we’ve brought together these extensive resources and the expertise of more than 500 professionals under one name — Qlarant — serving some of our nation’s most important programs in health, human services, government and insurance & financial services. Qlarant has a strong commitment to protecting the integrity of national and state health care systems in Medicare, Medicaid, and the private sector. In addition, The Qlarant Foundation issues annual grant awards to various programs that provide programs to underserved communities. Qlarant offers a broad range of innovative services: we’re proud to deliver our solutions for Quality Improvement; Fraud, Waste, & Abuse; and Data Sciences & Technology. Our Real-time Predictive Modeling and Data Analytics tools sift through billions of claims and public criminal records to detect aberrant trends and alert users for early investigative and audit actions with high accuracy and performance. We also provide quality review programs, auditing, training, and have an in-house call center ready to meet your needs. Visit www.qlarant.com for further information.

Performs medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed and assesses for potential overpayment, fraud, waste, and abuse with regards to Medicare, Medicaid, and/or other claims.

Level of Supervision Received: Plans and arranges own work; works with manager to prioritize projects Education (can be substituted for experience): Minimum Bachelor's Degree preferred, RN license required Work Experience (can be substituted for education): 2 - 4 years of experience in medical claims review required; 5 - 7 years preferred Certification(s): Current, active and non-restricted RN licensure required Coding certification preferred

Reviews beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. Completes desk review or field audits to meet applicable contract requirements and to identify evidence of potential overpayment or fraud. Consults with benefit integrity investigation experts and pharmacists for advice and clarification. Completes case summaries and provides results to investigators to support the investigative process. Provides case specific or plan specific data entry and reporting. Participates in internal and external focus groups, as required. Participates in provider onsite visits and beneficiary interviews, as required, for field audits/investigations. Testifies at various legal proceedings, as necessary. Provides job-specific orientation and training, as needed. Helps develop training content, resources, and programs specific to job functions.

U.S. Renal Care

Dialysis Registered Nurse, Home Hemo & Peritoneal RN - Floater

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

California

U.S. Renal Care is the largest privately held and fastest-growing dialysis provider in the nation. We partner with nephrologists to care for more than 36,000 people living with kidney disease across 32 states in the U.S. Since 2000, U.S. Renal Care has been a leader in clinical quality, innovation, and operational excellence – delivering the best experience and outcomes for our patients. Together, our team members and physician partners share a common passion to improve the lives of those we serve. Our company’s core values of excellence, partnership, inclusion and compassion are at the center of everything we do. In fact, Newsweek named U.S. Renal Care as a “Greatest Workplace” of 2024! Learn more about our employee experience on our website: https://www.usrenalcare.com/careers/

The incumbent in this role is expected to float based on the needs of the organization determined by the Home Therapies Operations Excellence Team. The expected geography may include all states. California nursing licensure is preferred. In addition, the length of assignments will vary and will require overnight stays. The incumbent is expected to perform all duties of the role as outlined in the job description (e.g. opening, closing, working weekends, etc.). The Home Therapy Registered Nurse -- Traveler, as qualified by federal and state regulations, travels to various U.S. Renal Care locations to provide patient training and ongoing support for all patients choosing a home dialysis modality. This position provides nursing relief/support for assigned programs on a temporary or short-term basis.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Current RN license in multiple states. Prefer California licensure. All licenses must be maintained as current and in good standing. Must obtain applicable state license, based on assignment, within state specified time frames. 12 months or more current nursing experience; 6 months or more home modality experience required. Flexibility with schedule and willingness to travel to assignment locations throughout the U.S. and Guam. CPR certification required prior to patient care assignment. Confirmation of ability to distinguish all primary colors. Must successfully complete the Home Therapy Nurse Orientation program and maintain annual demonstration of skills and competency applicable for the modality assigned. Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. Must meet any practice requirement(s) for the applicable state. Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.

GROWTH: Participate in and support corporate initiatives that promote improved care and increase growth of the home department. Understand vendor product delivery methods and associated fees. Teach patients the importance of proper and timely order placement. Ensure patients receive all supplies in timely manner to not disrupt care. Assist with clinic and patient supply inventory, ensuring usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. May assist with equipment management including equipment tracking and retrieval as needed. Perform duties as assigned to meet the patient care or operational needs of the program. OUTCOMES: May assist with improving patient outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. May assist in obtaining data for the continuous quality improvement activities. Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. May complete and document monthly review of patient medication profiles as directed. Administer medications as ordered by the physician. Provide patient education and follow up as needed. Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS OPERATIONAL READINESS Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. May conduct home visits to assess the patient's home environment per policy and as needed to improve care. Inform (Direct Supervisor) and program Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. May assist with developing and implementing the patient plan of care with the interdisciplinary team. Participate in infection control monitoring, implementation, and recording as requested. Use personal protective equipment as necessary. Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. Communicate on-call system to patients and ensure patients have access to nursing support at all times. Teach patients the importance of timely communication. May perform on call nursing services, nights and weekends, on a rotational basis as needed or assigned. Flexible with staffing locations and hours to accommodate patient and USRC home program needs. Regular and reliable attendance is required for the position. Home Hemodialysis Only: May coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. May assist with ensuring required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results. PARTNERSHIPS: Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Maintain a positive/collaborative working relationship with physicians, state agencies and the community. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. May delegate tasks to competent licensed and unlicensed staff per applicable state practice act. Assist with staff training as requested. Lead staff in team concepts and promote a team effort.

Qualified Recruiter, LLC

Clinical Documentation Specialist

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Georgia

We are a talent solutions firm with offices in Pune, India, Atlanta, GA, USA, and London, United Kingdom. Our hybrid approach ensures seamless operations—our U.S.-based account managers bring deep expertise in workforce planning and role alignment, while our India-based sourcing specialists efficiently identify top professionals. Qualified Recruiter has developed an extensive and structured training program, equipping our team with industry-leading expertise. Every specialist undergoes a rigorous certification process, ensuring they possess the precision and skill required to connect businesses with exceptional professionals. Organizations partnering with Qualified Recruiter gain access to a dynamic framework designed to support a wide range of workforce requirements. Our experienced U.S.-based consultants streamline the entire journey, ensuring a smooth and efficient experience for both businesses and professionals. By combining a performance-driven strategy with a cost-effective global delivery model, Qualified Recruiter empowers organizations to secure high-performing individuals who drive business success. Our mission is to provide companies with a strategic solution that helps them identify and onboard their most valuable asset—exceptional talent.

We are seeking a detail-oriented Registered Nurse (RN) with experience in Clinical Documentation Improvement (CDI) to support concurrent and retrospective chart reviews. The ideal candidate will have hands-on experience with Iodine/APR methodologies and familiarity with Epic (preferred).

Active RN license CDI experience with concurrent reviews CCDS required Proficiency in Epic (preferred) and 3M 360 Strong analytical and communication skills

Perform concurrent and post-discharge reviews of patient records Identify documentation gaps and opportunities for physician queries prior to coding Ensure accuracy and completeness of clinical documentation Review 6–10 cases per day while maintaining a target query rate of 30% Utilize tools such as Epic and 3M 360 for documentation review and workflow management Collaborate with clinical and coding teams to improve documentation quality

Renalogic

Clinical Nurse Navigator (RN)

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Compact / Multi-State

Renalogic is committed to managing risks associated with dialysis and Chronic Kidney Disease (CKD). We empower clients with our proprietary repricing, risk-stratification and specialty case management. The Renalogic mission to revolutionize the industry has allowed us to become the leader in managing all aspects of renal risk analytics, management and dialysis cost containment. Our professional team includes leaders in healthcare administration, case management, clinical experts in renal disease, legal specialists in The Employee Retirement Income Security Act of 1974 (ERISA) and healthcare law, contract negotiation and payer/provider negotiation. Our professional staff provides an end-to-end solution for identifying risk of renal disease in member populations, providing specific, targeted Chronic Kidney Disease (CKD) management programs and industry-leading dialysis cost containment services.

Salary: $90,000 - $105,000 annually, depending on skills and certifications Employment Type: Full-Time, Salaried, Exempt Reports to: Director of Oncology and Infusion Location: US, must live in Pacific or Mountain time zone, remote; fully remote with minimal travel Hours: PST or MST with some evening and weekend hours Who We Are Renalogic is dedicated to helping our clients manage the human and financial costs of chronic kidney disease. To help us in our mission, we hire people who are humble, hungry, and smart. And it sure helps if you have a sense of humor. We're not perfect, but we're trying to build a company that we are all proud of.  Our 96% client retention suggests we're on the right path. Position Overview The Clinical Nurse Navigator (RN) serves as the primary Nurse for oncology care navigation, coordination, guideline-based treatment oversight, symptom assessment, escalation, and survivorship planning. This role functions across the full cancer continuum and provides clinical leadership to ensure care delivery is evidence-based, safe, member-centered, and cost-conscious. The RN role encompasses advanced clinical oversight, pathway alignment, interdisciplinary coordination, and escalation authority to providers. The RN inherits and expands upon all Clinical Nurse Coordinator (LPN) responsibilities.

RN license in good standing within a compact state and willingness to pursue additional state nursing licenses as required A minimum of 4 years' RN experience in a related role; clinical experience in oncology, infusions or critical care, including care navigation, treatment support, and/or complex case management is required. Must be in and able to work within the Mountain Time (MST) or Pacific Time (PST) zones. Be able to speak, write, and communicate fluently in English and Spanish. Utilization Review and/or Care Management preferred. Experience working 100% remote as a nurse is highly preferred. Ability and willingness to travel occasionally, which will include overnight stays for corporate gatherings, conferences, and health fairs. Ability to attend and professionally engage in video meetings. Proficient technological skills, meaning you can effectively and efficiently use computers, peripheral equipment, and applications/systems, including Microsoft products. Autonomous self-starter who is comfortable with ambiguity. Creative mindset and ability to appropriately challenge the status quo. Superb written and oral communication skills. Ability to overcome obstacles with a ‘yes if...' approach. Ability to effectively balance competing deadlines without losing focus on the bigger picture. Reliable internet and power with a designated area to conduct work with minimal interruptions.

Establish and maintain contact with assigned oncology members via phone, text, email, and video calls. Initiate nursing care plans, educating members on treatment regimens, symptom management, side effects, and disease-specific program benefits. Obtain and use clinical information to develop individualized member and clinician-centered care plans that complement oncologist guidance/plan of care. Utilize motivational interviewing to empower members, support adherence, and encourage enrollment of new or inactive members in employer-sponsored programs. Coordinate care among providers, pharmacies, and support services; facilitate access to medications, infusion services, and financial assistance programs. Identify and educate members eligible for clinical trials or therapy adjustments, coordinating logistics with providers and sponsors. Monitor adherence, side effects, and treatment response; escalate issues when needed to support physician-directed care. Provide emotional support and connect members to counseling, support groups, and survivorship resources. Document, request, and send member information per HIPAA; track interactions and outcomes in the EHR. Meet assigned metrics, including call volume and enrollment requirements; adapt approaches using multiple communication channels.

NPHire

Remote Nurse Practitioner / Work-From-Anywhere + Flex Schedule + $110/hr

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Primary Care

License:

NP/APP

State License:

Compact / Multi-State

NPHire connects top NP talent with leading healthcare employers and staffing agencies. We're the only job-matching platform built exclusively for Nurse Practitioners, simplifying both the job search and the hiring process so the best match rises to the top every time.

A growing network of remote healthcare organizations is hiring Nurse Practitioners to deliver virtual care across multiple specialties, including primary care, women’s health, wellness, chronic care, and acute telehealth consults. Whether you’re looking for flexible part-time telemedicine work or a full-time remote role, we’ll help match you with an opportunity that fits your schedule and clinical strengths.

Active Nurse Practitioner license in at least one U.S. state (multi-state preferred) FNP, AGNP, WHNP (and related certifications considered, depending on role) Strong communication skills and patient-centered approach to care Comfort using telehealth platforms and EMRs (training provided) New graduates welcome to apply for select roles

Conduct virtual consultations for wellness, chronic care, and acute conditions Perform patient assessments, prescribe when appropriate, and manage follow-ups Document visits and communicate with patients using telehealth platforms and EMRs Collaborate with experienced clinical and administrative support teams Choose from contract, part-time, or full-time opportunities Enjoy flexible scheduling that works around your life

Ensemble Health Partners

Virtual Utilization Review Specialist - WEEKENDS

Posted on:

April 9, 2026

Job Type:

Part-Time

Role Type:

Utilization Review

License:

RN

State License:

Compact / Multi-State

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between: RN pay scale $32.65 - $35.85/hr based on experience LPN pay scale $24.65 - $26.35/hr based on experience $$ Shift Differential for Select Shifts $$ **Must have Current unrestricted LPN or RN license (required) or RN compact license (preferred)** We are seeking Virtual Utilization Review Specialists who are interested in compressed, weekend work schedules. The schedules we are offering include: Work Schedule: Full-time: Friday, Saturday, Sunday: 7:00 AM - 7:00 PM with a 4 hour shift on Wednesday Part-time: Saturday and Sunday: 10 hour shift each day (MUST have IL license)

Experience: Bachelor's Degree or equivalent experience; Specialty/Major: Nursing or related field Current unrestricted LPN or RN license required; RN compact license preferred Five years nursing experience in an acute care environment preferred Utilization review/discharge planning experience preferred Recent experience or working knowledge of medical necessity review criteria preferred Current working knowledge of quality improvement processes Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Other Knowledge, Skills, and Abilities Required: Ability to work a compressed weekend schedule This is a remote role which requires access to high speed internet Excellent interpersonal, communication and negotiation skills in interactions with physicians, payors, and health care team colleagues Commitment to exceptional customer service at all times Communicate ideas and thoughts effectively verbally and in writing Strong clinical assessment, organization and problem-solving skills Ability to assess and identify appropriate resources, internal and community, on assigned caseload, and to work collaboratively with health care team, providers, and payors to achieve the desired patient, quality, and financial outcomes Ability to prioritize, organize information, and complete multiple tasks effectively in a fast-paced environment Resourceful and able to work independently

Resource Utilization: Utilizes proactive triggers (diagnoses, cost criteria, and complications) to identify potential over/under utilization of services Initiates appropriate referral to physician advisor in a timely manner Understands proper utilization of health care resources and assists with identifying barriers to patient progress and collaborates with the interdisciplinary team Collaborates with financial clearance center, patient access, financial counselors and/or business office regarding billing issues related to third party payers Medical Necessity Determination: Conducts medical necessity review of all admissions. Utilizes approved clinical review criteria to determine medical necessity for admissions including appropriate patient status and continued stay reviews, possibly from an offsite location Provides inpatient and observation (if indicated) clinical reviews for commercial carriers to the Financial Clearance Center (FCC) within one business day of admission Communicates all medical necessity review outcomes to in-house care management staff and relevant parties as needed Collaborates with the in-house staff and/or physician to clarify information, obtain needed documentation, present opportunities and educate regarding appropriate level of care Collaborates with the financial clearance center, patient access, financial counselors, and/or business office regarding billing issues related to third party payers Denial Management: Coordinates the P2P process with the physician or physician advisor, FCC, Revenue Cycle team when necessary and when assigned and maintains documentation relevant to the appeal process Maintains appropriate information on file to minimize denial rate Assist in recording denial updates; overturned days and monitor and report denial trends that are noted Monitor for readmissions Quality/Revenue Integrity Demonstrates active collaboration with other members of the health care team to achieve the outcomes management goals including CMS indicators Accurately records data for statistical entry and submits information within required time frame Responsible for ConnectCare and ADT work queues assigned to VUR for revenue cycle workflow Accurately records data for statistical entry and submits information within required time frame Documentation will reflect all work and communication related to the FCC, payor, physician, physician advisor and in-house care management Second-level physician reviews will be sent as required and responses/actions reflected in documentation Facilitation of Patient Care: Prioritizes patient reviews based on situational analysis, functional assessment, medical record review, and application of clinical review criteria Collaborates with the in-house care manager Maintains rapport and communication with the in-house care manager Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assignment Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures Communication: Directs physician and patient communication regarding non-coverage of benefits Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and administration Educates hospital and medical staff regarding utilization review program Maintains a calm, rational, professional demeanor when dealing with others, even in situations involving conflict or crisis Voicemail, Skype, and email will be utilized and answered in timely fashion Hospital provided communication devices will be used during work hours Staff is expected to respond and/or acknowledge communication from the FCC via approved communication guidelines and standardized service-line agreements Staff must be available as designated for meetings or training, onsite or online, unless prior arrangements are made Team Affirmation: Works collaboratively with peers to achieve departmental goals in daily work as evidenced by appropriate and timely communication which is respectful and clear. Sensitive to workload of peers and shares responsibilities, fills in and offers to help Actively participates in departmental process improvement team; planning, implementation, and evaluation of activities Provides back-up support to other departmental staff as needed Other Job Functions: Complies with FCC and department policies and procedure, including confidentiality and patient’s rights Maintains clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities (i.e., medical necessity criteria, MS-DRGs, POA) Actively participates in departmental meetings and activities Participates in FCC and community committees as assigned Actively participates in conferences, committees, and task forces as directed by the FCC division Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation

You Health Medical Groups

Clinical Escalations Provider - NP (Full-Time)

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

You Health Medical Groups employs telehealth practitioners serving patients on the Hims & Hers platform. The Hims & Hers Telemedicine Team handles the business operations, allowing practitioners to concentrate on delivering top-notch patient care.

You Health Medical Groups is seeking a Clinical Escalations Provider to provide health care services to patients via the Hims and Hers telehealth platform. The Clinical Escalations Provider is responsible for managing high-acuity and escalated patient cases, particularly those involving business disruptions or complex clinical needs. This role provides counseling and clinical support to patients utilizing diagnostic or other healthcare services that require follow-up care. The Clinical Escalations Provider will be primarily responsible for managing patient escalations, providing counseling to patients utilizing our diagnostic or other services that require follow-up. Through proactive communication and compassionate care, the Clinical Escalations Provider ensures that every patient receives exceptional support and continuity of care, even in challenging or urgent circumstances. This role reports to the You Health Associate Director of Clinical Safety and participates as an active team member focused on clinical quality, patient experience, and performance improvement. Current You Health 1099 Independent Contractors cannot work concurrently as a W2 provider and would need to terminate 1099 IC contracts.

Board Certified Nurse Practitioner (Family, Adult Gerontology, Acute Care, Women's Health) 1+ years of previous telehealth experience 3+ years of experience in clinical practice, exclusive of orientation/training Extremely strong clinical judgment and the ability to respond rapidly in escalated scenarios, and provide empathetic patient care along the way. Excellent written and verbal communication with an emphasis on clarity and compassion. Skilled at using online tools and technology to deliver care and communicate with patients. Resilient and flexible with the ability to thrive and adapt in a fast-paced, high-growth, and rapidly changing environment. Multiple state licenses (Minimum of 20 licenses, 40+ a strong plus).

Deliver high-quality clinical care for a range of patient-reported concerns and side effects Manage patient escalations and ensure appropriate responses and follow-up, including results from diagnostics that require timely and sensitive follow-up. These interactions will be mostly synchronous. Comply with safety legislation and healthcare industry practices Provide after-hours and weekend support for urgent patient escalations on a rotating on-call basis Serve as a specialist/subject matter expert for treatment services offered on the platform, providing clinical expertise, guidance, and support to both patients and internal teams Conduct ongoing patient care duties, special projects as needed, and additional duties as assigned by their manager and/or clinical leadership. Adhere to the Hims and Hers platform guidelines and policies, and complete all required training Maintain competence through Continuing Medical Education/Continuing Education Maintain applicable Board Certification

You Health Medical Groups

Clinical Educator (NP - Remote)

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

NP/APP

State License:

New York

You Health Medical Groups employs telehealth practitioners serving patients on the Hims & Hers platform. The Hims & Hers Telemedicine Team handles the business operations, allowing practitioners to concentrate on delivering top-notch patient care.

The Clinical Educator (NP) supports clinical quality and education for Nurse Practitioners and physicians delivering care on the Hims & Hers platform. This role reinforces clinical protocols and documentation standards, provides targeted coaching on platform workflows and clinical decision-making, and ensures safe, high-quality patient care in standard and moderately complex scenarios by leveraging QA and chart audit data. Clinical Educators work on a small team of NPs reporting to the Senior Manager, Clinical Education & Development, allowing for close collaboration and mentorship. Clinical Educators independently manage a broad range of education, coaching, and quality-related responsibilities with minimal oversight. They serve as trusted clinical resources, offering real-time guidance to providers and using QA and quality metrics to inform actionable coaching, improve workflows, and optimize provider performance. In addition to direct coaching, Clinical Educators proactively identify trends and risks to patient safety and quality KPIs, while identifying opportunities to improve provider training, operational processes, and workflows. They also work to scale manual processes (such as automating coaching interventions or standardizing provider guidance) to keep pace with provider growth alongside Hims & Hers. Clinical Educators collaborate closely with Clinical Leadership, Training & Content, and other cross-functional partners to enhance education programs, strengthen clinical quality, and optimize the overall provider experience.

NP licensure and board certification required and in good standing 3–5+ years of direct patient care experience, including diagnosing, prescribing, and establishing treatment plans 3–5+ years of experience in clinical education, provider coaching or mentoring, clinical quality improvement, or clinical operations Strong understanding of clinical quality standards, chart audit processes, and performance coaching Demonstrated ability to use data to inform coaching, identify trends, and drive improvement initiatives Experience collaborating cross-functionally with clinical and non-clinical stakeholders (e.g., Product, Training, Ops) Excellent communication, facilitation, and documentation skills Ability to thrive in a fast-paced, mission-driven, and rapidly evolving telehealth environment Bonus: Current or prior certification as an Advanced Education Specialist Bonus: Prior experience providing care on the Hims & Hers platform or other telehealth platforms Bonus: Experience treating patients across key domains including weight management, hair loss, sexual health, hormone replacement therapy (HRT), and testosterone support

Provider Coaching & Clinical Guidance Serve as the primary clinical resource for providers by responding to inquiries and providing guidance on protocol interpretation, platform/EMR workflows, documentation standards, and clinical decision-making. Provide coaching to reinforce adherence to clinical standards, protocols, and quality expectations, supporting providers in standard and moderately complex scenarios. Work closely with providers requiring additional support due to quality trends or low QA scores, offering targeted, actionable coaching. Connect with Subject Matter Experts (SMEs) when necessary for further clinical guidance Onboarding & Training Conduct live training and shadowing sessions for newly onboarded providers, ensuring they ramp efficiently and understand quality expectations early in their tenure. Periodically practice on the platform as a provider to maintain firsthand familiarity with workflows and the EMR, using this experience to enhance coaching, training, and operational insights. Quality & Risk Management Proactively identify trends, clinical risks, documentation issues, or protocol adherence concerns and escalate as appropriate. Support initiatives to improve provider quality and mitigate risks to patient safety. Continuous Improvement & Operational Insight Synthesize trends from provider questions, operational challenges, and recurring issues to identify opportunities and implement scalable solutions—such as improved education materials, coaching automations, and workflow enhancements—to optimize provider support and efficiency. Take ownership of discrete initiatives, service lines, resources, or playbooks within the Clinical Education function. Cross-Functional Collaboration Serve as a trusted internal resource on clinical workflows, provider experience, and protocol application. Partner with Training & Content and other teams to enhance provider education programs and materials. Represent the Clinical Education team in cross-functional projects and discussions, providing feedback on workflow challenges, protocol clarity, and opportunities to improve the provider experience.

ICU Medical

Clinical Nurse Consultant

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Leadership / Management

License:

RN

State License:

California

The Clinical Nurse Consultant provides relevant training and consultation on ICU Medical’s clinical products/software and clinical services programs. They participate as part of a cross-functional team comprised of Project Managers, Nurses and Pharmacists.

Knowledge & Skills: Must be self-motivated, well-organized with the ability to work under time-sensitive deadlines. Excellent communication and collaboration skills are required Must have proficient in MS Office skills with Outlook, Excel and Power Point. Knowledge of leading web-ex meetings is highly preferred. Analytical skills and knowledge of statistics desired Minimum Qualifications, Education & Experience: Must be at least 18 years of age Prior leadership role in nursing is highly desirable Bachelor’s degree preferably in Nursing is required; Masters degree preferred, with current US RN license A Minimum of 7+ recent RN experience preferably in areas of oncology, trauma, ED or critical care areas Experience working with Infusion systems/safety software/EMR is a plus Experience leading/participating in virtual meetings is desirable Work Environment: This is largely a sedentary role. This job operates in a professional office environment and routinely uses standard office equipment. Typically requires travel 20-50% of the time

Clinical Nursing Lead, while collaborating with internal and external teams; such as Pharmacy, Nursing, IT, Project Management, Materials Management Involvement in technology integration of ICU Medical infusion devices with EHR vendors for full five right medication administration at the bedside Assessment of current state clinical workflow in facilities, and provide consultation on future state workflow Planning, execution and follow up to education of hospital clinicians on the use of infusion devices Escalate risks and customer issues to project manager Provide go-live and post go-live customer facing support on use of ICU Medical products and solutions Presenting to a variety of audiences in a variety of settings Clinical Subject Matter Expert for internal and external customers Other duties as assigned

ICU Medical

Clinical Nurse Consultant – Customer Success

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

California

ICU Medical has consistently provided you with clinical innovations that help solve real-world challenges. With the acquisition of Hospira Infusion Systems in 2017 and Smiths Medical in 2022, we are now a global market leader with a complete line of clinically-essential IV therapy and high-value critical care products for hospital, alternate site, and home care settings. We're ready to bring you consistent quality, innovation, and value in more areas than ever. Our focus allows us to bring you: Dedicated and non-dedicated IV sets and needlefree connectors clinically proven to provide an effective barrier against bacterial transfer and colonization. The industry’s broadest IV smart pump offering covering large volume, pain management, and ambulatory needs. IV medication safety software providing full IV-EHR interoperability with the highest customer satisfaction and compatibility with more EHR systems than any other company. Significant US IV solutions manufacturing and supply capabilities. This role is based remotely; the incumbent may be remote in any state other than Colorado; California; Connecticut; Montana, Maine or New York.

The Customer Success Nurse Consultant (CSNC) is responsible for ensuring post-go-live success for ICU Medical’s full line of infusion devices and consumables. This role focuses on exceeding customer expectations following implementation by providing proactive support, clinical guidance, infusion data analysis, and strategic follow-up. CSNC works closely with the implementation teams to ensure a seamless transition and serves as a trusted resource for customers during the post-implementation phase.

BSN required Unrestricted [RN] nursing license required Unrestricted driver license required Minimum of 5 years acute care clinical experience, preferably in infusion therapy or related fields. Experience in clinical consulting, clinical informatics, or post-implementation support is highly desirable. Experience in clinical education and leadership is a plus Experience using Tableau is a plus • Strong communication, presentation, and interpersonal skills. Proficiency in Microsoft Office Suite and CRM/business automation systems. Travel Requirements Up to [50 %] travel may be required for customer site visits, optimization, and support

Customer Engagement & Support o Serve as the primary clinical contact for assigned post-implementation accounts. o Provide timely responses to customer inquiries and proactively follow up to ensure satisfaction. o Deliver customer-facing presentations and training as needed. Cross-Functional Collaboration o Partner with Sales and professional services to develop strategies that enhance customer experience. o Collaborate with the Implementation Team, Technical Support Center (TSC), and Global Complaint Management (GCM) to ensure coordinated post-go-live support. Support Data Analytics Program o Ability to analyze infusion data o Ability to analyze and interpret clinical reports across multiple infusion platforms o Present data analysis and strategies to customer stakeholders to improve outcomes Performance Monitoring & Strategic Insights o Create, implement, and monitor key performance indicators (KPIs) that drive long-term customer success. o Provide clinical expertise to enhance the customer experience in support of customer satisfaction initiatives Tools & Documentation o Develop customer-facing tools, templates, and status reports for leadership and Professional Services. o Maintain accurate and timely documentation of customer interactions, communications, and complaints in the business automation system. Product Expertise o Maintain a deep understanding of ICU Medical’s infusion products and services to provide expert guidance and support. o Strong clinical practice background Customer Success Nurse Consultant

Aledade, Inc.

Clinical Outreach Specialist, Remote

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Compact / Multi-State

Aledade is a physician-led public benefit corporation and national leader in value‑based care. We help primary care organizations deliver better patient outcomes and thrive financially by keeping people healthy. Through our accountable care organizations, over 3,000 primary care partners in 46 states and the District of Columbia share in the rewards of improved care for over 3 million patients — supported by advanced insights, AI‑driven technology, personal coaching, policy expertise and 200+ value-based contracts. To learn more, visit www.aledade.com or follow us on LinkedIn, X, Facebook, Instagram and YouTube.

As a Clinical Outreach Specialist, you will serve as a vital clinical bridge for high-risk patients, utilizing your nursing expertise to navigate the critical window between hospital discharge and home recovery. In this high-impact, telephonic role, you will perform complex medication reconciliations, identify looming clinical red flags, and proactively close care gaps to prevent unnecessary ER visits and readmissions. By blending empathetic patient education with data-driven population health tools, you will empower patients to manage their health effectively while collaborating directly with primary care practices to ensure no one falls through the cracks of the healthcare system. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home across US time zones.

Minimum Qualifications: Bachelor’s Degree in Nursing (BSN) Active, unrestricted Registered Nurse (RN) license; Valid Compact RN license Minimum of 2 years clinical experience in case management or discharge planning Experience with telephonic patient outreach and clinical assessments Demonstrated ability to prioritize and manage high-acuity cases Excellent communication and interpersonal skills Experience with electronic health records (EHRs) and population health tools Critical thinking and clinical judgement in complex and rapidly changing environments Adaptability and resilience in a fast-paced, evolving healthcare setting Ability to work both independently and as part of an interdisciplinary team Preferred Qualifications: Experience in a remote environment Experience in Value Based Care Certification in Case Management (CCM, ACM) or Care Transitions Experience working with diverse and underserved populations Physical Requirements: Prolonged periods of sitting at a desk and working on a computer.

Patient Outreach & Coordination: Conduct targeted patient outreach to address and close care gaps, ensure timely care transitions, and immediate follow-up as needed. Daily responsibilities will include both inbound and outbound calls. Deliver high-touch engagement for high-risk patients to prevent readmissions through post-discharge follow-up, medication reconciliation, and care coordination (i.e. Labs, screenings, and follow-up appointments). Document interventions, assessments, and medication reconciliation across multiple EHRs while maintaining accuracy and compliance. Provide patient education and assess eligibility for concurrent programsPersistently address patient reluctance or hesitation through education, empathy, and active listening. Meet and sustain performance metrics Practice Collaboration & Relationship Management: Collaborate with Practices to support interventions such as Transitional Care Management (TCM), Osteoporosis Management in Women (OMW), ED follow-ups, and other care gap initiatives. Serve as a clinical resource to foster collaboration and alignment with Aledade’s clinical programs. Collaborate across teams to support patient engagement strategies and organizational goals. Address challenges proactively, adapting strategies as needed and identifying areas for process improvement. Other duties as assignedWe are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home across US time zones.

Millennium Physician Group

ACO Triage Nurse

Posted on:

April 9, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Founded in Port Charlotte, Florida, in 2008, and now headquartered in Fort Myers, Millennium Physician Group is one of the largest comprehensive physician-led groups with more than 900+ healthcare providers and 200+ locations now including FL, TX, NC, and GA. Services center on primary care and are complemented by specialty care, walk-in centers, radiology and lab services, physical therapy, telehealth, wellness programs, home health, hospital care, and much more. Nationally recognized as a leader in value-based care with consistently high levels of physician engagement, Millennium aims to create a genuinely connected healthcare experience for patients by providing a comprehensive and coordinated approach to healthcare… and be Your Connection to a Healthier Life.

Remote Triage Nurse (RN) plays a vital role in healthcare settings, providing timely and efficient support to patients through remote communication channels. You will be responsible for gathering information from patients, conducting initial assessments, and making decisions regarding the appropriate level of care needed. Your ability to quickly and accurately identify urgent medical situations will be essential in ensuring the timely and appropriate treatment of patients How will you make an impact & Requirements Millennium Job Description: ACO REMOTE TRIAGE NURSE Position Philosophy/Summary Millennium Physician Group Remote Triage Nurse (RN) plays a vital role in healthcare settings, providing timely and efficient support to patients through remote communication channels. You will be responsible for gathering information from patients, conducting initial assessments, and making decisions regarding the appropriate level of care needed. Your ability to quickly and accurately identify urgent medical situations will be essential in ensuring the timely and appropriate treatment of patients.

Required Knowledge and Experience Graduate of an accredited School of Nursing, Registered Nurse Current Registered Nurse with Multi State License Prefer minimum of 5+ years of recent clinical experience in critical care/ emergency and/or telephonic triage Participation in continuing education program Strong communication and interpersonal skills Must be able to pass a basic test on the computer, clinical knowledge and typing skills. Knowledge and Abilities: Communication Excellent organizational abilities and documentation skills. Must be logical and clearly expressed. An ability to establish and maintain effective working relationships with patients, physicians, coworkers, staff and medical service providers. Compassion - The responsibility to put a patient or person’s interests first, including the duty not to harm, deliver proper care, and maintain confidentiality. Compassionate and empathetic approach to patient care. Reasoning Ability: Must be capable of making independent nursing decisions. Must be able to work well under stress and relate to the patients, and members of the healthcare team in a tactful manner. Computer Skills: Must have adequate typing skills and basic computer skills. Proficiency with EMR systems and software applications, including Microsoft Office Suite. Advanced knowledge of Excel needed. Athena knowledge preferred. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Remote Triage Nurse will be assigned a computer terminal and headset. The nurse must have good manual and finger dexterity, excellent verbal and written communication, hearing, visual acuity and color distinction. The nurse must sit in front of a computer screen for a prolonged period of time. While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; talk or hear and smell. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The nurse must sit in front of a computer screen for a prolonged period of time while wearing a headset.

Uphold and support the mission, objectives and policies of Millennium Physician Group. Respond promptly to incoming calls Triage the caller’s stated symptoms and provide assessment to determine the appropriate level of care required to safely meet the patient's medical needs (Emergent, urgent, non-urgent or home care setting) When appropriate provide home care instructions using the approved, written guidelines as well as approved reference materials provided. Utilize all resources and guidelines at his/her disposal to effectively assess, prioritize, advise, schedule physician appointments, or refer calls when necessary to the appropriate medical facility, personnel or specialized community service. Document patient encounters within the Electronic Medical Record utilizing the appropriate computer software in compliance with the approved policies and procedures. Actively participate in new employee orientation, ongoing in-service programs, staff meetings, continuous quality improvement and periodic performance/protocol evaluations and development. Maintain current nursing licensure by completing applications for renewal in a timely manner and complying with all requirements for continuing education. No nurse will be scheduled to work any shift if their nursing license has expired or has been revoked for any reason. It is the nurse’s responsibility to notify their manager immediately if their license status changes. Failure to comply with requirement will result in suspension or termination of employment. Maintain current nursing skills and knowledge base by completion of mandatory continuing education and other education provided by Manager. Work their assigned rotating set schedule from 0800 to 2000 EST, to include every other weekend and /or holidays (see employee handbook for company approved holidays).

Crossing Hurdles

Primary Care Nurse Practitioners (Remote)

Posted on:

April 8, 2026

Job Type:

Part-Time

Role Type:

Primary Care

License:

NP/APP

State License:

Compact / Multi-State

A fast-growing digital healthcare platform transforming outpatient care by making high-quality medical services simple, fast, and affordable. Led by the founders of a major healthcare venture acquired by a global tech leader, the organization is building the go-to destination for most non-emergency medical needs through clinical excellence and intuitive virtual technology.

Position: Telehealth Nurse Practitioner Type: Part-time Compensation: Upto $75/hr Location: Remote (United States) Commitment: 20 hours/week

Background in Family Medicine or Internal Medicine. Minimum of 6,240 clinical practice hours (equivalent to 3 years full-time experience). 5–10 years of total experience in Family or Internal Medicine. 4+ years of telehealth experience. Active U.S. medical licensure covering at least 40% of the U.S. population, including CA, TX, FL, and NY. Prior leadership experience overseeing clinical teams, workflows, or policies. Strong comfort with triage-based decision-making. Fast learner with digital tools and remote care processes. U.S.-based candidates only (visa sponsorship not available). Desired Skills and Experience: Family Medicine, Primary Care

Deliver high-quality virtual care through triage, chat, and video consultations. Assess and manage patients across a wide range of acuity and clinical complexity. Coordinate expedited labs, imaging, referrals, and specialist input within the care network. Utilize modern telehealth platforms to maintain clear, timely, and accurate documentation. Support and guide clinical workflows, policies, and best practices across teams. Adapt quickly to new tools, workflows, and next-generation digital health models.

The Johns Hopkins University

Sr. Research Nurse (DOM Infectious Disease)

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Maryland

We are America’s first research university, founded in 1876 on the principle that by pursuing big ideas and sharing what we learn, we can make the world a better place. For more than 140 years, our faculty and students have worked side by side in pursuit of discoveries that improve lives. Johns Hopkins enrolls more than 24,000 full- and part-time students throughout nine academic divisions. Our faculty and students study, teach, and learn across more than 260 programs in the arts and music, the humanities, the social and natural sciences, engineering, international studies, education, business, and the health professions.The university has four campuses in Baltimore; one in Washington, D.C.; one in Montgomery County, Maryland; and facilities throughout the Baltimore-Washington region as well as in China and Italy. The university takes its name from 19th-century Maryland philanthropist Johns Hopkins, an entrepreneur who believed in improving public health and education in Baltimore and beyond.

We are currently seeking a Sr. Research Nurse to implement and oversee multiple, single-center and multi-site national studies as assigned for the division of Transplant Oncology and Infectious Disease (TOID). Our primary research is related to the use of novel organ sources to address the national organ shortage, such as HIV+ to HIV+ transplant under the HOPE Act. The Sr. Research Nurse should be someone who works well in a fast-paced collaborative atmosphere but can also maintain a high degree of independence. This position will report directly to the TOID Research Nurse Manager, Operational Manager, and Principal Investigator.

Minimum Qualifications: Individual must be a registered nurse, licensed in the State of Maryland Minimum of two years of experience in the specialty or a related area required. Classified Title: Sr. Research Nurse Role/Level/Range: ACRP/04/MF Starting Salary Range: $38.51 - $67.53 HRLY ($80,000 targeted; Commensurate w/exp.) Employee group: Casual / On Call Schedule: flexible FLSA Status: Exempt Location: Remote Department name: SOM DOM Infectious Disease Personnel area: School of Medicine

Project Management Pre-study Anticipates research requirements for designated patient populations. Collaborates in development & writing of protocols and consent forms, as appropriate. Collaborates in the development and preparation of regulatory documents as appropriate Applies knowledge of study design to evaluate new protocols. Applies knowledge of federal & local regulations when evaluating new protocols. Reviews & assesses new protocols for clarity, thoroughness, logistical feasibility, maintaining subject safety, etc., for assigned protocols. Collaborates in the determination of roles & responsibilities of research team members in the implementation of assigned trials. Evaluates the impact on & availability of resources for assigned clinical trials. Lists & clarifies concerns & questions about new protocols with Research Nurse Manager and PI. Proposes & negotiates alternatives to improve protocol implementation. Pre-initiation Collaborates in the design of appropriate methods for the collection of data required for assigned trials. Oversees & collaborates in development of study tools, including data collection forms, eligibility checklists, preprinted orders, & distribution of the protocol on the Web Library and Internet (where applicable). Develops study-specific CRFs. Participates in the development of study-specific databases, assuring clinical data is appropriate for answering study-specific endpoints. Develops study-specific laboratory and operational manuals. Oversees that regulatory requirements are met for designated studies. Assures compliance with local, national, and international regulatory standards; as appropriate, prepares & submits required regulatory documents. Develop training materials for assigned studies/projects. Monitors for and notifies PI of IRB approval/request for further information as appropriate. Determines that IRB approval has been received before initiation of research activity. Represents the department at research and protocol initiation meetings. Assures that all elements of a trial are in place before activating sites. Participates in communications with protocol sponsors, NCI, and the cooperative group and coordinates plans to address issues with the PI. Recruitment & enrollment Responsible for evaluating and assuring recruitment and study/project goals are met by the research team and participating sites. Responsible for the development of recruitment strategies to ensure patient accrual within protocol timeframes. Prepares and presents study-specific updates to Research Nurse Manager, Operations Manager, and Investigators as requested. Identify and provide recommendations to remediate issues of concern. Data Management/Document maintenance Ensures collection of pertinent data from internal & external sources & monitors compliance with requirements of assigned clinical trials. Applies clinical/pharmacological knowledge to ensure that safety reporting processes for assigned studies are implemented and maintained. Prepares and submits protocol amendments and revisions as appropriate. Demonstrates ability to manage multiple projects at different stages of the clinical research process. Demonstrates ability to integrate new clinical trials with current research activity. Quality Assurance Evaluates outcomes of clinical trials. Monitors external sites' compliance with required study procedures & GCP standards. Performs/monitors ongoing data analysis regarding clinical research studies, including toxicities, dose modifications, dose levels, adverse reactions, & response. Assumes responsibility for specific QA activities for research teams (i.e., participates in institutional QA process). Participates in sponsor/cooperative group/internal audits/monitoring. Assists with development & review of TOID SOPs for the performance of clinical research. Maintains records of correspondence of faxes, e-mails, IRB/JCCI submissions, FDA submissions, etc. Staff Education Participates in the orientation process for new Clinical Research Nurses and Clinical Research Coordinators, including the mentoring and management of other clinic personnel to promote quality, safety, and excellence in care. Coordinates and/or presents continuing education/in-service programs for Clinical Research Nurses, Clinical Associates, Data Managers, and others involved in the research process. Attends and participates in in-service and external trainings, workshops, conferences, and other relevant programs for professional growth and development. Other Collaborates with other members of the research team in preparing study results for presentation/publication. Authors/coauthors manuscripts for publication in the nursing literature and/or presentation at conferences related to areas of expertise. Identifies nursing research questions related to protocol populations/issues and, with assistance, collaboration, and appropriate financial support, implements nursing research within departmental priorities. Takes advantage of opportunities to make presentations in the local community regarding research projects, areas of expertise, etc.

Eventus WholeHealth

Full- Time Teletriage Nurse Practitioner/Physician Assistant- NC, IN or KY license required- night shift

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

NP/APP

State License:

North Carolina

Eventus WholeHealth was founded in 2014 to provide physician-led healthcare services for residents and patients of skilled nursing and assisted living facilities. With our highly-trained team of physicians, psychiatrists, nurse practitioners, physician assistants, psychotherapists, podiatrists, optometrists, audiologists, and support staff, our comprehensive, evidence-based model provides collaborative interdisciplinary care with the seamless and vital integration of a wide range of specialties. Our differentiated approach not only empowers the facilities to reach their own goals and objectives but also ensures better patient outcomes.

Eventus WholeHealth delivers an integrated model of care to adults who reside in a variety of settings including but not limited to skilled nursing facilities, assisted living facilities, independent living and in personal homes. These services are provided through a network of Eventus WholeHealth providers who include Physicians, Nurse Practitioners, Physician Assistants, Care Team Advocates, and in-house Support Staff.    Telemedicine uses videoconferencing equipment to send and receive patient medical information and pictures. Telemedicine providers also render medical consultations with family, facility staff and specialty providers when necessary. Hours for this position include 7 pm - 7 am shift with some weekends Eventus WholeHealth delivers an integrated model of care to adults who reside in a variety of settings including but not limited to skilled nursing facilities, assisted living facilities, independent living and in personal homes. These services are provided through a network of Eventus WholeHealth providers who include Physicians, Nurse Practitioners, Physician Assistants, Care Team Advocates, and in-house Support Staff.    Telemedicine uses videoconferencing equipment to send and receive patient medical information and pictures. Eventus WholeHealth telemedicine providers deliver medical services to patients at assigned contract sites according to site-specific protocols. Telemedicine providers also render medical consultations with family, facility staff and specialty providers when necessary. Medical services are provided via telemedicine.

Knowledge: Knowledge of theory, practice, and regulations to give and evaluate patient care. Knowledge of rules and regulations of bodies governing health care. Knowledge of Eventus WholeHealth policies and procedures. Knowledge of common safety hazards and precautions to establish/maintain a safe work environment. Skills Required: Skill in gathering and analyzing physiological, socioeconomic, and emotional patient data. Skill in accurately evaluating patient problems and providing appropriate advice, intervention, or referral. Skill in documenting clinical services Skill in using computer technology Skill in exercising a high degree of self-direction, judgment, and discretion. Abilities: Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff, and the public. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt and apply guidelines and procedures. Ability to work collaboratively with all members of the health care team. Ability to make responsible decisions within the scope of the provider’s license Ability to evaluate and make recommendations for continuous quality improvement. Ability to handle confidential and sensitive information. Physical/Mental Demands: Sedentary physical demands. Ability to lift equipment and small items which is generally not more than 10 pounds needed. Flexibility of schedule at times may be required. Work may be busy and demand multi-tasking. Qualifications/Education: Master’s degree in Nursing from an accredited educational institution and a current and valid license to practice advanced practice nursing issued by the state where you are providing tele triage. All certifications necessary to perform one’s responsibilities must be current and valid. Specialization in geriatric, family, or internal medicine desired. Licensed in NC., IN or KY. Additional state licenses may be required as requested. OR Have graduated from a physician assistant educational program that is accredited by a National Commission on Accreditation of Allied Education Programs. Have passed the national certification examination of the National Commission on Accreditation of Certification of Physician Assistants. Licensed in NC. Additional state licenses may be required as requested. Specialization in geriatric, family, or internal medicine desired.

Provide primary-care telemedicine services in accordance with Eventus site-specific protocols and consistent with the standard of care for the specialty of family medicine, geriatric medicine, and/or internal medicine. Perform other duties and activities as appropriate and/or assigned by Eventus Management as pertains to providing quality or timely medical care and or administrative responsibilities. Manage facility and other partners relationships, organization, patient consents, CCM and billing. Provide on call tele triage per established protocol policy. Confirm treatment and telehealth consents are signed prior to telemedicine visit. Follow Eventus telehealth visit etiquette protocols. Include family members in the visit, as appropriate. Be familiar with telemedicine equipment, delivery platform and software. Ensure the patient has the proper equipment available. If a patient, family, or site staff report faulty or lack of equipment, the provider is to notify the director of tele triage. Providers are to complete documentation and sign all orders specific for the telemedicine visit immediately after completing the visit. All narcotic prescriptions are to be managed per Eventus RX Policy. Notify patient’s regular provider of visit and triage treatment plan via EMR. On-call telehealth scheduling may be modified as needed. Providers are expected to adhere to the newest agreed upon triage schedule. Establish and maintain open and positive communications with facility staff and administration. Provide verbal and/or written instruction or feedback regarding medications and other pertinent caregiver information. Give time for questions to be asked by patient, family, or staff members. Establish when the patient should be seen next. All required data to be collected and documented same day. Be knowledgeable of and adhere to Eventus standards, policies, and procedures. Be aware of and adhere to all legal and regulatory agencies' rules, guidelines, and professional ethical standards. Comply with all regulatory agencies governing health care delivery. Always conduct self in a professional manner, this includes avoiding gossip, avoiding negative comments about other staff or competitors, maintaining appropriate interpersonal boundaries, and avoiding dual relationships (this includes refraining from offering medical or psychotherapy services to facility staff or family members, avoiding accepting gifts from patients, etc.), and observing appropriate professional attire when on call. Perform other duties and activities as appropriate and/or assigned by Eventus Management. Always maintain patient confidentiality including appropriate use of Cell phone, emails text messaging, patient charts and EMR. Agrees to abide by and be knowledgeable of HIPAA rules and regulations Maintain multiple practice licenses and comply with each state’s practice regulations, as requested by Eventus.

Eventus WholeHealth

Clinician Support Specialist Tele Triage, PRN Remote

Posted on:

April 8, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Eventus WholeHealth was founded in 2014 to provide physician-led healthcare services for residents and patients of skilled nursing and assisted living facilities. With our highly trained team of physicians, psychiatrists, nurse practitioners, physician assistants, psychotherapists, podiatrists, optometrists, audiologists, and support staff, our comprehensive, evidence-based model provides collaborative interdisciplinary care with the seamless and vital integration of a wide range of specialties. Our differentiated approach not only empowers the facilities to reach their own goals and objectives but also ensures better patient outcomes. For more information, please visit www.eventuswholehealth.com.

Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and private residences through a network of healthcare providers including Physicians, Nurse Practitioners, Physician Assistants, Psychologists, Licensed Clinical Social Worker, Clinical and Administrative Support Staff. Hours: 7a-7p every other weekend Work Environment: Remote

Qualifications/Education: High School Diploma or equivalency Certified Medical Assistant degree a plus Typing speed of 45wpm or greater Medical Scribing experience preferred

Provider Support:  Ensure that all clinical providers are able to focus on triaging and taking care of patients Prepare clinical documentation for the provider as requested Complete basic opening of encounter note for acute Tele Triage visits Perform medication reconciliation on patients who are being seen for acute Tele Triage visits Enter lab and imaging results into patient’s chart  Document appropriate triage note encounter and time for CCM services  Send updates to PCPs for patients that are triaged Make phone calls to facilities to gather information for provider Patient Support: Check all forms of communication several times daily to ensure patient needs are met. Primarily will be using Telemediq. Inform patient and family of recent visits, new orders and defer to provider when needed  Communicate transitions of care to Tele Triage team to enhance patient care and education 

Eventus WholeHealth

Part-Time Teletriage Nurse Practitioner/Physician Assistant- NC, IN or KY license required- night shift

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

NP/APP

State License:

North Carolina

Eventus WholeHealth was founded in 2014 to provide physician-led healthcare services for residents and patients of skilled nursing and assisted living facilities. With our highly-trained team of physicians, psychiatrists, nurse practitioners, physician assistants, psychotherapists, podiatrists, optometrists, audiologists, and support staff, our comprehensive, evidence-based model provides collaborative interdisciplinary care with the seamless and vital integration of a wide range of specialties. Our differentiated approach not only empowers the facilities to reach their own goals and objectives but also ensures better patient outcomes.

Eventus WholeHealth delivers an integrated model of care to adults who reside in a variety of settings including but not limited to skilled nursing facilities, assisted living facilities, independent living and in personal homes. These services are provided through a network of Eventus WholeHealth providers who include Physicians, Nurse Practitioners, Physician Assistants, Care Team Advocates, and in-house Support Staff.    Telemedicine uses videoconferencing equipment to send and receive patient medical information and pictures. Telemedicine providers also render medical consultations with family, facility staff and specialty providers when necessary. Hours for this position include 7 pm - 7 am shift with some weekends Eventus WholeHealth delivers an integrated model of care to adults who reside in a variety of settings including but not limited to skilled nursing facilities, assisted living facilities, independent living and in personal homes. These services are provided through a network of Eventus WholeHealth providers who include Physicians, Nurse Practitioners, Physician Assistants, Care Team Advocates, and in-house Support Staff.    Telemedicine uses videoconferencing equipment to send and receive patient medical information and pictures. Eventus WholeHealth telemedicine providers deliver medical services to patients at assigned contract sites according to site-specific protocols. Telemedicine providers also render medical consultations with family, facility staff and specialty providers when necessary. Medical services are provided via telemedicine.

Knowledge: Knowledge of theory, practice, and regulations to give and evaluate patient care. Knowledge of rules and regulations of bodies governing health care. Knowledge of Eventus WholeHealth policies and procedures. Knowledge of common safety hazards and precautions to establish/maintain a safe work environment. Skills Required: Skill in gathering and analyzing physiological, socioeconomic, and emotional patient data. Skill in accurately evaluating patient problems and providing appropriate advice, intervention, or referral. Skill in documenting clinical services Skill in using computer technology Skill in exercising a high degree of self-direction, judgment, and discretion. Abilities: Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff, and the public. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt and apply guidelines and procedures. Ability to work collaboratively with all members of the health care team. Ability to make responsible decisions within the scope of the provider’s license Ability to evaluate and make recommendations for continuous quality improvement. Ability to handle confidential and sensitive information. Physical/Mental Demands: Sedentary physical demands. Ability to lift equipment and small items which is generally not more than 10 pounds needed. Flexibility of schedule at times may be required. Work may be busy and demand multi-tasking. Qualifications/Education: Master’s degree in Nursing from an accredited educational institution and a current and valid license to practice advanced practice nursing issued by the state where you are providing tele triage. All certifications necessary to perform one’s responsibilities must be current and valid. Specialization in geriatric, family, or internal medicine desired. Licensed in NC., IN or KY. Additional state licenses may be required as requested. OR Have graduated from a physician assistant educational program that is accredited by a National Commission on Accreditation of Allied Education Programs. Have passed the national certification examination of the National Commission on Accreditation of Certification of Physician Assistants. Licensed in NC. Additional state licenses may be required as requested. Specialization in geriatric, family, or internal medicine desired.

Provide primary-care telemedicine services in accordance with Eventus site-specific protocols and consistent with the standard of care for the specialty of family medicine, geriatric medicine, and/or internal medicine. Perform other duties and activities as appropriate and/or assigned by Eventus Management as pertains to providing quality or timely medical care and or administrative responsibilities. Manage facility and other partners relationships, organization, patient consents, CCM and billing. Provide on call tele triage per established protocol policy. Confirm treatment and telehealth consents are signed prior to telemedicine visit. Follow Eventus telehealth visit etiquette protocols. Include family members in the visit, as appropriate. Be familiar with telemedicine equipment, delivery platform and software. Ensure the patient has the proper equipment available. If a patient, family, or site staff report faulty or lack of equipment, the provider is to notify the director of tele triage. Providers are to complete documentation and sign all orders specific for the telemedicine visit immediately after completing the visit. All narcotic prescriptions are to be managed per Eventus RX Policy. Notify patient’s regular provider of visit and triage treatment plan via EMR. On-call telehealth scheduling may be modified as needed. Providers are expected to adhere to the newest agreed upon triage schedule. Establish and maintain open and positive communications with facility staff and administration. Provide verbal and/or written instruction or feedback regarding medications and other pertinent caregiver information. Give time for questions to be asked by patient, family, or staff members. Establish when the patient should be seen next. All required data to be collected and documented same day. Be knowledgeable of and adhere to Eventus standards, policies, and procedures. Be aware of and adhere to all legal and regulatory agencies' rules, guidelines, and professional ethical standards. Comply with all regulatory agencies governing health care delivery. Always conduct self in a professional manner, this includes avoiding gossip, avoiding negative comments about other staff or competitors, maintaining appropriate interpersonal boundaries, and avoiding dual relationships (this includes refraining from offering medical or psychotherapy services to facility staff or family members, avoiding accepting gifts from patients, etc.), and observing appropriate professional attire when on call. Perform other duties and activities as appropriate and/or assigned by Eventus Management. Always maintain patient confidentiality including appropriate use of Cell phone, emails text messaging, patient charts and EMR. Agrees to abide by and be knowledgeable of HIPAA rules and regulations Maintain multiple practice licenses and comply with each state’s practice regulations, as requested by Eventus.

hims & hers

Analyst, Clinical Quality (Nurse Practitioner)

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

NP/APP

State License:

California

Hims & Hers is the leading health and wellness platform, on a mission to help the world feel great through the power of better health. We are redefining healthcare by putting the customer first and delivering access to care that is affordable, accessible, and personal, from diagnosis to treatment to delivery. No two people are the same, so we provide access to personalized care designed for results. By normalizing health & wellness challenges and innovating on their solutions, we’re making better health outcomes easier to achieve. Hims & Hers is a public company, traded on the NYSE under the ticker symbol “HIMS.” To learn more about the brand and offerings, you can visit hims.com/about and hims.com/how-it-works . For information on the company’s outstanding benefits, culture, and its talent-first flexible/remote work approach, see below and visit www.hims.com/careers-professionals.

We are currently hiring an Analyst, Clinical Quality who will report into our Director, Clinical Quality to join our Clinical Quality team. This role will collaborate and contribute to the overall clinical quality program including chart audits, monitoring quality metrics, and continuous performance improvement for all clinical services and for the medical provider team. We are looking for a creative, dedicated and driven individual who ensures quality principles are applied in all duties, is passionate about healthcare quality, and loves solving problems through innovative solutions.

Nurse Practitioner with 5+ years of experience in healthcare field Working knowledge of clinical best practices and performance improvement Creative and practical operationalization of clinical services/care Familiarity with relevant tools and programs (i.e. Epocrates, Excel) Self-starter aptitude and ability to work independently: you’ll be working in a fast-paced environment and managing competing priorities Willingness to grow, learn, and work as a member of a cross-functional team Past experience in Clinical Quality & Clinical Education is helpful but not required Bilingual (Spanish) a plus

Monitor clinical quality through evaluation of completed clinical visits against approved clinical guidelines Participate in ongoing quality improvement processes (i.e., reconsideration flow) Demonstrate expertise in correlating data trends to implementation of clinical practice behaviors Collaborate with key internal clinical and business operations team members for strategic direction and operational logistics of new clinical initiatives Maintain consistent communication with key internal stakeholders Maintain highly organized and accurate documentation on all quality metrics and performance improvement initiatives Perform research and documentation for service expansions Other duties as needed

CVS Health

Utilization Management Nurse Consultant

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

RN

State License:

Ohio

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Required Qualifications: 2+ years of experience as a Registered Nurse in adult acute care/critical care setting Must have active current and unrestricted RN licensure in state of residence Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications: 2+ years of clinical experience required in med surg or specialty area Managed Care experience preferred, especially Utilization Management Preference for those residing in EST zones Education: Associates Degree required BSN preferred

Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Typical office working environment with productivity and quality expectations. Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment. Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding. Effective communication skills, both verbal and written

Healthmap Solutions

RN Care Navigator - (Remote for Ohio residents)

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Care Management

License:

RN

State License:

Ohio

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

The Registered Nurse, Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination. Location We are hiring candidates located in Ohio. This position is 100% remote for Ohio residents.

Requirements: Active, unrestricted RN license required Bachelor's degree required CCM preferred Three (3) years of experience in case management preferred Experience in a dialysis center or transplant center preferred Experience with Medicare and Medicaid preferred Skills: Advocate and energize a culture of collaboration, positivity, and motivation Strategic thinking and planning Deliver effective communication – verbal and written Succeed in a challenging environment with changing priorities

Handle in and outbound calls delivering world-class service to our members Educate kidney health and related co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options Engage members into HealthMap’s Kidney Health Program Follow up with members based on complexity and cadence by policy Serve as patient advocate for responding and working to resolve concerns or barriers Utilize community resources and programs in care planning Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals Notify providers of identified patient needs based on policy Comply with HIPAA privacy laws and all other federal, state, and local regulations Comply with company-defined operational policies and procedures Comply with company security policies Accountable for individual metrics and key performance indicators and identified by the organization Navigate technical applications - Excel, OneNote, Outlook, and Word Support after hours and various time zones based on business need Drive patient and families in their own care and to support self-management

Healthmap Solutions

RN Care Navigator (100% Remote for New York residents)

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Care Management

License:

RN

State License:

New York

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

The Registered Nurse, Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination. Location We are hiring candidates located in New York. This position is 100% remote for New York residents.

Requirements: Active, unrestricted RN license required Bachelor's degree required CCM preferred Three (3) years of experience in case management preferred Experience in a dialysis center or transplant center preferred Experience with Medicare and Medicaid preferred Skills: Advocate and energize a culture of collaboration, positivity, and motivation Strategic thinking and planning Deliver effective communication – verbal and written Succeed in a challenging environment with changing priorities

Handle in and outbound calls delivering world-class service to our members Educate kidney health and related co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options Engage members into HealthMap’s Kidney Health Program Follow up with members based on complexity and cadence by policy Serve as patient advocate for responding and working to resolve concerns or barriers Utilize community resources and programs in care planning Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals Notify providers of identified patient needs based on policy Comply with HIPAA privacy laws and all other federal, state, and local regulations Comply with company-defined operational policies and procedures Comply with company security policies Accountable for individual metrics and key performance indicators and identified by the organization Navigate technical applications - Excel, OneNote, Outlook, and Word Support after hours and various time zones based on business need Drive patient and families in their own care and to support self-management

Healthmap Solutions

RN Case Manager (100% Remote In New Jersey)

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

New Jersey

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

The Registered Nuse Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination.

Requirements: Active, unrestricted RN license required Bachelor's degree required CCM preferred Three (3) years of experience in case management preferred Experience in a dialysis center or transplant center preferred Experience with Medicare and Medicaid preferred Skills: Advocate and energize a culture of collaboration, positivity, and motivation Strategic thinking and planning Deliver effective communication – verbal and written Succeed in a challenging environment with changing priorities

Handle in and outbound calls delivering world-class service to our members Educate kidney health and related co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options Engage members into HealthMap’s Kidney Health Program Follow up with members based on complexity and cadence by policy Serve as patient advocate for responding and working to resolve concerns or barriers Utilize community resources and programs in care planning Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals Notify providers of identified patient needs based on policy Comply with HIPAA privacy laws and all other federal, state, and local regulations Comply with company-defined operational policies and procedures Comply with company security policies Accountable for individual metrics and key performance indicators and identified by the organization Navigate technical applications - Excel, OneNote, Outlook, and Word Support after hours and various time zones based on business need Drive patient and families in their own care and to support self-management

Alignment Health

Remote Telephonic RN Case Manager – Special Needs Plan (California RN License Required) (Bilingual preferred)

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

California

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

Location: Fully Remote (Must be licensed in California) (HIPAA compliant work space) Schedule: Monday–Friday, 8:00 AM – 5:00 PM PT Language: Bilingual candidates strongly preferred (Spanish and Vietnamese) Join the Team That’s Redefining Healthcare! Are you a compassionate Registered Nurse with a passion for improving the lives of seniors and complex care patients? Join Alignment Health as a Telephonic RN Case Manager for our Special Needs Plan (SNP) members — all from the comfort of your home! This is a fully remote, phone-based position where you'll play a vital role in helping members navigate their care journeys, close gaps in care, and overcome barriers to better health. (HIPAA compliant work space)

Must-Haves: Active, unrestricted RN license in California (Non-Compact) Minimum 2 years of clinical nursing experience At least 1 year of case management experience Proficiency with Microsoft Office (Word, Excel, Outlook) Nice-to-Haves: Bilingual (Spanish, Korean, Mandarin, etc.) Previous health plan or IPA experience Bachelor's Degree in Nursing (BSN) Licensure Requirement Upon Hire: Must be willing to obtain RN licensure in Nevada, Arizona, North Carolina, and Texas (company reimburses costs) Work Environment Fully remote — work from anywhere in the U.S., but must work Pacific Time hours All communication is conducted via phone, email and Teams. Company-provided equipment and IT support included

As a Fully Remote RN Case Manager (SNP), you will: Provide telephonic case management to medically complex and chronically ill members Conduct comprehensive health assessments and create individualized care plans Coordinate care with internal and external partners, including physicians and specialists Educate members and caregivers on disease management and preventive care Monitor member progress and advocate for timely, appropriate interventions Identify and help resolve service or access issues impacting care quality

Gallagher Bassett

Liability Nurse Consultant

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Georgia

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Primarily focused on applying medical knowledge and research, in a legal setting, to advise in the review and analysis of General Liabiliy and Auto claims. Collaborates with claims handling professionals and attorneys to identify and evaluate liability and causation issues to assist in the defense of healthcare provider defendants in litigation.

Required: Bachelor's degree in Nursing (BSN) or equivalent; Registered Nurse (RN) license is required. Minimum of 3 years of clinical nursing experience. Must have proficient knowledge of medical malpractice and personal injury law. Strong knowledge of medical terminology, healthcare regulations, and legal procedures. Excellent research and analytical skills, with the ability to interpret complex medical information and apply it to legal cases. Proficient in using medical research databases, electronic medical record systems, and legal research tools. Excellent written and verbal communication skills, with the ability to effectively communicate complex medical concepts to claims handling professionals, attorneys and other team members. Proficient in using Microsoft Office Suite (Word, Excel, PowerPoint) and legal case management software. Strong Analytical and interpretive skills. Ability to create and complete comprehensive, accurate and constructive written reports. Desired: Experience in a hospital or medical-legal setting preferable. Paralegal certification or equivalent legal education and experience is highly desirable. Prior experience working for a law firm, insurance company, third party claims administrator or in-house legal team assisting in the management and defense of General Liability and Auto litigation is strongly preferred. Work Traits: Strong ethical standards and commitment to maintaining confidentiality. Stays updated and abreast on current healthcare regulations, industry trends, and legal developments related to medical malpractice and personal injury cases. Maintains strict confidentiality of all medical and legal information in accordance with all applicable regulations.

Conducting thorough medical malpractice case reviews, including reviewing and analyzing medical records; Preparing detailed medical chronologies, summaries, and reports for use in legal proceedings; Participating in the review and/or preparation of legal documents, including pleadings, motions, and discovery requests related to medical issues; Coordinating and communicating with opposing counsel and expert witnesses to gather necessary information and expert opinions; and Reviewing and analyzing medical literature, research studies, and industry standards to support legal arguments and strategies. Attends meetings, depositions, and trials to provide medical expertise and support to attorneys. Collaborates with the legal team to develop case strategies, conduct legal research, and assist in trial preparation.

AACN (American Association of Critical-Care Nurses)

Clinical Practice Specialist, Clinical Nurse Education & Content

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

California

AACN is the largest specialty nursing organization in the world, representing the interests of more than 500,000 nurses who are charged with the responsibility of caring for acutely and critically ill patients. The association is dedicated to providing our members with the knowledge and resources necessary to provide optimal care to critically ill patients.

Clinical Practice Specialist (CPS), CNECT (Clinical Nursing Education and Content Team) Department: Practice Excellence Reports to: Practice Excellence CNECT Supervisor About the Organization: The American Association of Critical-Care Nurses (AACN) is the largest specialty nursing organization in the world, representing the interests of more than 550,000 nurses who care for acutely and critically ill patients. AACN is dedicated to creating a healthcare system driven by the needs of patients and families, in which acute and critical care nurses can make their optimal contributions. Visit us online at http://www.aacn.org . AACN is an equal opportunity employer and prohibits discrimination against or harassment of any person employed by or seeking employment with AACN on the basis of race, color, religion, creed, sex and gender (including pregnancy, childbirth, breastfeeding or related medical conditions, gender identity, gender expression, and sexual orientation), ancestry, national origin, age (40 or older), disability (mental and physical), military or veteran status, marital status, medical condition, or genetic information and any other basis protected by federal, state or local law or ordinance or regulation. Application Instructions: To view the full job description and apply, please visit our Careers Page here and search for the “Clinical Practice Specialist, Clinical Nursing Education & Content Team (CNECT)” job posting. You can also email jobs@aacn.org with any questions. The position can be performed remotely. Some travel may be required. Position Purpose: The Clinical Practice Specialist (CPS), CNECT, oversees the development, review, and validation of acute, progressive, and critical care nursing content for AACN’s products and services. This role collaborates with internal and external experts and stakeholders to deliver innovative, industry-leading, and cost-effective products and services. It operates independently and without close supervision.

Skills Required: Proven project management, with emphasis on planning, design, launch and evaluation of programs. Excellent written and verbal communication skills, including strong facilitation skills. Proven skills in leading and collaborating within a cross-functional team environment. Demonstrated ability to co-create with others to cultivate engagement and develop content and services. Demonstrated experience providing mentorship and feedback to others. Ability to use and adapt to technology and willingness to develop new skills. Proficient or able to quickly learn various business, project, and productivity software (examples may include: Google Suite, Microsoft Office Suite, Zoom, and Smartsheet). Demonstrates emotional intelligence and ability to work effectively in a remote environment with diverse time zones, including time management and engagement with others in various synchronous and asynchronous platforms Education and/or Experience: Bachelor’s degree in Nursing; Master’s or doctorate degree preferred with CNS/ACNP certification Holds an unencumbered RN licensure in the United States Creation of successful new initiatives that meet or exceed organizational objectives 5-7 years’ healthcare experience Experience in progressive or critical care nursing Experience implementing or using eLearning programs is preferred Physical Requirements: The physical demands described here represent those that must be met by an individual to successfully perform the essential responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Position is eligible for remote work. Some travel may be required for the role. Prolonged periods sitting/standing at a desk and working on a computer. Ability to operate standard office equipment and keyboards. Candidates selected for the interview process are welcome to request accommodations through their designated recruiter/AACN contact. Any candidates selected for hire with AACN must satisfactorily complete a background check, obtain clearance, and provide documentation verifying their identity and eligibility to work in the U.S. We are not able to provide visa sponsorship at this time.

Ensures effective strategies and systems to deliver expert clinical practice knowledge across projects, programs, and services. Collaborates with internal and external stakeholders to build a resource network that supports the needs of various content experts. Actively conducts environmental scanning to provide current perspectives and address issues important to nurses and the healthcare environment. Synthesizes information from environmental scans and shares insights with internal stakeholders to guide AACN’s work. Plans and collaborates to develop new products, programs, and services, making sure current nursing practices and issues are central to planning and design. Assesses resource needs for internal and external projects. Develops and implements processes to ensure the right people with the required skills are chosen for each project. Serves as a liaison and facilitator with project subject matter experts (SMEs) and community groups. Provides leadership in ensuring content quality and integrity for clinical products, programs and services. Working collaboratively, establishes and maintains systems for content-quality assessment of new products and reviews of existing products. Ensures accuracy, context and relevance of clinical content used in products. Leads clinical content review of products, programs and services, identifying needed updates. Ensures products and services are consistent with national standards and AACN mission, vision and values. Acts as a resource for the AACN community on practice issues, engaging the appropriate processes and groups to address them. Develops, mentors, and delivers feedback to volunteers and SMEs in order to support their professional development and contributions. Collaborates with internal stakeholders and/or leads project development, implementation, and evaluation processes for assigned projects. Organizes and leads project teams, ensuring coordination and alignment with internal departments. Supports and facilitates SME work on projects, providing an overarching perspective to ensure alignment with AACN project goals and objectives. Develops and/or collaborates on project schedules and budgets aligned with internal and external resources, coordinates to meet project goals, and manages project plans to closure. Facilitates project meetings, builds consensus and addresses conflict to ensure project outcomes are met. Collaborates to ensure an evaluation is finished following project completion. Applies technology solutions to support the development and representation of our content, products, services, and interactions with the community. Collaborates as needed to ensure the process of assessing, planning, implementing, and evaluating CE activities adheres to current ANCC and CA BON program approval criteria. Ensures appropriate education design principles are used and processes are consistent with the requirements of the ANCC and CA BON. Coordinates processes to ensure proper assignment of CE to learning activities. Ensures that program approval processes are completed for assigned projects.

Inside Higher Ed

Research Nurse (Research Administration)

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Maryland

Inside Higher Ed is the leading source for the latest news, analysis, and services for the entire higher education community. We deliver independent news and analysis that informs the world about higher education, while providing essential tools and services to help organizations and professionals be more effective.

The CAPABLE Transplant study seeks a Registered Nurse (RN) to serve adults on a casual basis as part of a research study. The research study seeks to adapt the existing CAPABLE program for older adults on the kidney transplant waitlist. This role will work under the direction of the research study Principal Investigator (Dr. Melissa Hladek), in collaboration with the Lead CAPABLE Occupational Therapist. The RN will implement the CAPABLE Transplant study protocol after completion of CAPABLE training through Johns Hopkins University School of Nursing CAPABLE on-line training. The CAPABLE Transplant program consists of up to four RN home visits over 4-5 months. The RN will work with CAPABLE participants on their self-selected goals, assess and implement strategies. The RN meets with participants in the home. The RN uses training and motivational interviewing techniques to conduct a comprehensive interview to identify and prioritize issues that matter to the participants. These goals become the foundation for brainstorming and action plan development and implementation. The RN documents the participant's own goals in up to 3 Action Plans. The RN interacts and communicates with the CAPABLE Occupational Therapist (OT) and other team members as needed to ensure close collaboration throughout the research study. This is a remote position but have to be able to commute to Baltimore city and surrounding county areas to participants' homes.

Additional Knowledge, Skills, And Abilities: Ability to work from a collaborative, client-directed model. Willingness and ability to implement a protocol and balance with clinical judgment. Able to commute to Baltimore City, County, and surrounding county areas (within a 40 min radius of the Johns Hopkins School of Nursing) to participant homes. Minimum Qualifications: Individual must be a registered nurse, licensed in the State of Maryland or state where practicing. Current CPR certification with the American Heart Association or the American Red Cross. Must maintain current licensure and certification during the duration of employment. Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. Preferred Qualifications: Bachelor's Degree in Nursing or related discipline preferred. Experience working with home care with older adults. Experience in motivational interviewing.

Conduct a comprehensive, semi-structured interview to identify and prioritize issues related to medications, pain, depression, strength and balance, primary care provider communication, and other topics as prioritized by the older adult. Engage participants in problem-solving to identify behavioral and environmental contributors that may impact function. Coach and guide the older adult in building self-efficacy and confidence. Reinforce brainstorming techniques, strategic thinking, and more independent problem-solving to promote the ability to live at home and in the community. Provide education and resources to address future needs and the participant's priorities. Communicate with the OT and other team members weekly. Document visits according to the organization's guidelines.

Advocate Health Care

Care Manager Registered Nurse – Atrium Health Remote PT Weekends

Posted on:

April 8, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Wisconsin

Aurora Health Care is the largest health system in Wisconsin and a national leader in clinical innovation, health outcomes, consumer experience and value-based care. The state’s largest private employer, the system serves patients across 17 hospitals, more than 70 pharmacies and more than 150 sites of care. Aurora Health Care, in addition to Advocate Health Care in Illinois and Atrium Health in the Carolinas, Georgia and Alabama, is now part of Advocate Health, the third-largest nonprofit, integrated health system in the United States. Committed to providing equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits.

Must live within 1 hour of Mint Hill, NC Primary Care Office to be considered for this remote opportunity.

Preferred qualifications: 3+ years RN: experience in case management, triage, with prior telephonic/remote experience. This is a weekend position, hours of operation 8am to 8:30pm with a potential to include holidays. This is a remote work from home position. Must have high speed internet. Must live within 1 hour of Mint Hill, NC Primary Care office. Licensure, Registration, and/or Certification Required: Registered Nurse license issued by the state in which the team member practices. Education Required: Bachelor's Degree in Nursing or related field. Experience Required: Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience. Knowledge, Skills & Abilities Required: Applicable certification is encouraged. Must be self-directed with the ability to work well independently and within a team environment while recognizing and meeting the individual needs of external and internal partners/customers. Ability to demonstrate excellent oral, written and interpersonal skills. Ability to demonstrate critical thinking, problem solving and excellent organizational skills. Ability to work productively and effectively in a complex environment that includes multiple changing priorities. Demonstrated ability to work well with physicians and other healthcare professionals in a direct and positive manner. Proficient computer/Microsoft-suite skills and previous Epic EMR experience. Ability to handle multiple responsibilities. Physical Requirements and Working Conditions: Position may require travel between clinic sites so there may be exposure to road and weather conditions. Manual dexterity required for operation computer and calculator. Visual acuity required to facilitate review of written documents/computer screens, medical records, and to record information accurately. Clear oral communications and hearing acuity required for receiving instructions and converse on standard telephone. Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone. Exposed to normal office environment; including usual hazards related to operating electrical equipment. Operates all equipment necessary to perform the job.

Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers and constraints to delivery of care in a timely manner. Understands and interprets multiple contracts and contractual obligations in order to enable the care management team to achieve maximum clinical and financial outcomes. Collaborates with the patient/family and inter-professional team including the primary care team, hospital care team, post acute care managers, and other care partners to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services. May work embedded within a provider office or telephonically working with a care team. Uses evidenced-based approaches to increase patient and family activation and engagement in their own care. As appropriate to the population, partners with patient and family to develop SMART (specific, measurable, attainable, relevant, time-bound) goals. Assists in the development, procurement, and adoption of patient self-management educational resources. Identifies potential barriers to learning and/or to the optimal delivery of care. Reports abnormal findings to the responsible provider/care team, and collaborates to develop a plan. Independently manages CM caseload according to department expectations. Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements. Partners with identified at-risk patients throughout the diagnosis, treatment and follow-up in order to deliver continuity of care. Anticipates the needs of the patient, recognizes and responds to changes in a patient’s status and determines priorities of patient care based on essential patient needs. Coordinates patient information and communication between and among the patient/family, the referring/accepting facilities and physicians, community caregivers (as applicable) and other members of ACM to ensure smooth transitions of care. Coordinates referrals to other internal AAH departments and/or external community resources as necessary. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Advocate Health Care

Remote Triage Registered Nurse (RN) – Patient Access and Care Team FT

Posted on:

April 8, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Wisconsin

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation within the position’s pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate’s job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program

Looking for full time RNs – Position is 100% remote **Candidate MUST have 2+ years' acute care experience (ED, Urgent Care, ICU and some Med/Surg will be considered) is required within the last 4 years to be considered.** Due to complex requirements, remote work is NOT permitted from the following states: CA, CO, CT, HI, MA, MD, MN, NJ, NY, OR, RI, VT, WA Schedule: Full time position Start times days: 8a-10a or PM 12p-2p (or later) 8 hour or 10 hour shifts are available for different shifts MUST be available to work every 4th weekend and holiday rotation.

Licensure, Registration, and/or Certification Required: Registered Nurse license issued by the state in which the team member practices. Education Required: Associate's Degree (or equivalent knowledge) in Nursing. Experience Required: Typically requires 2+ years' of acute care experience, preferably within the last 4 years (ED, Urgent Care, ICU and some Med Surg will be considered). Knowledge, Skills & Abilities Required: Critical thinking skills necessary to independently determine and prioritize the needs of patients using sound judgment and strong problem-solving skills. Knowledge of a variety of healthcare specialties, including levels of care, symptom identification and proven treatment recommendations. Ability to incorporate past experience with established protocols. Excellent verbal communication skills demonstrating empathy, respect, restatement, open-ended questions, active listening and diplomacy with a diverse customer population. Ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians. Proven ability to independently organize and prioritize work, managing multiple priorities and maintaining a flexible schedule in a fast paced, dynamic customer service environment. Excellent customer service and follow-up skills including the ability to stay calm during stressful situations. Demonstrated proficiency as a technology user with computers, internet, desktop software packages and multiple-line telephone systems. Ability to converse with customers/patients while researching and documenting calls on multiple systems. Knowledge of documentation techniques for communication Physical Requirements and Working Conditions: Required stable and secure internet connection Must have functional vision, touch, speech, and hearing. Required sitting a majority of the workday. Operates all equipment necessary to perform the job. Must have quiet space to make and receive phone calls Ability to lift 15 lbs.

Uses the nursing process and guidance of established protocols to assess the needs of the patient telephonically including the patient, guardian, or family in the conversation when necessary. Determines most appropriate level of care needed, provides detailed education, establishes a plan of care including interventions, and communicates follow up instructions to the patient. Escalates and collaborates with the appropriate on call provider when additional guidance is needed. Prioritizes patient interactions by acuity and need considering all available information and resources. Applies evidence-based practice to deliver patient care. Implements strategies to reduce patient risk and increase patient safety. Assesses patient and family readiness to learn and individualizes the approach as necessary. Works collaboratively to develop strategies to meet the learning needs of the patient and family. Supports shared governance activities and initiatives to improve processes and patient outcomes. Participates in department quality/process improvement initiatives aimed at enhancing the patient care experience. Participates in professional activities which contribute to personal professional development and the development of others. Seeks opportunities to be taught, coached, and mentored. Attends required meetings/educational programs and completes annual competencies in a timely manner. Demonstrates effective communication, feedback, and conflict resolution skills. Promotes collaboration with clinicians and other healthcare team members to coordinate patient-centered care. Promotes a culture of safety through identifying threats to patient safety and intervening to prevent patient harm. Reports patient safety events and near misses in a timely manner. Seeks to identify potential safety issues and assists in the implementation of corrective action. Applies ethical decision making, demonstrates respect and understanding for peers, and other clinical disciplines. Participates as an effective member of the patient care team to formulate an integrated, unbiased, individualized approach to care. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret appropriate information needed to identify each patient’s requirements relative to his/her age specific needs and provide the care advice/disposition outlined in the departments policies, procedures, and protocols. Schedules appointments with emphasis on making the appointment in correlation to the recommended end point of the protocol used. Collaborates with other health care team members to coordinate medical and nursing management of patient care, including procedures and medication refills. Accurately maintains and updates the patient’s clinical records according to agency, State and Federal guidelines. Documents all call encounters utilizing the patient’s Electronic Medical Record at the time of the call. Communicates information relating to the patient’s physical and psychological status to the physician, Advanced Practice Clinician and/or additional members of the interdisciplinary team as appropriate. Provides pertinent and concise reports describing patient’s response to medical and nursing plans of care. Participates in team meetings and works on special projects/tasks as assigned by leadership. Participates in the ongoing development of comprehensive health information resources, system and operational efficiencies and resources. Assists in interpreting department policies and procedures and advises staff on procedural changes.

Advocate Health Care

Care Transitions Nurse

Posted on:

April 7, 2026

Job Type:

Part-Time

Role Type:

Care Management

License:

RN

State License:

Illinois

Advocate Health Care is proud to be a part of Advocate Health, the third-largest nonprofit integrated health system in the U.S. Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin and Michigan, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs nearly 162,000 team members across 68 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits.

Part Time Care Transitions Nurse - This is a part-time remote role that requires high-speed internet and requires some evening and weekend coverage. Care Transitions role for both 30 and 90-day programs Medicare/ACO patient population/Medicare FFS program post-hospital discharge. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Bachelor`s Degree in Nursing. Typically requires 2 years of experience in nursing in an acute care or community setting with an emphasis in palliative care or senior services. Excellent written and verbal communication skills. Strong organizational analytical and problem-solving skills. Ability to educate clinical staff and the community. Ability to work well with physicians and other healthcare professionals. Ability to work in a team-based multidisciplinary environment. Registered Nurse license issued by the state in which the team member practices. May need to operate a motorized vehicle to facilitate home visits as appropriate. Must be able to sit stand and walk without restriction. Must have the ability to move about in confined spaces including bending twisting kneeling squatting and occasionally reaching one or both arms overhead. Must be able to concentrate on detailed information, tasks and functions for prolonged periods of time. Must be able to speak clearly and hear in order to communicate in-person or via telephone.

Responsible for ensuring an efficient and coordinated hospital discharge and transition process for patients recently hospitalized or treated in the emergency room that are at high risk for increased use of healthcare resources. Accountabilities: Identifies the needs of patients and families and coordinates internal and external community resources within the first month of hospital discharge.

Cancer Center of South Florida

Oncology Triage Registered Nurse

Posted on:

April 7, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

The Tampa General Hospital (TGH) Cancer Institute and Cancer Center of South Florida (CCSF) partnership delivers top-tier, academic-level care to patients in South Florida and beyond. Our team, led by renowned medical oncologists and hematologists, provides local, highly personalized patient care and state-of-the-art medical treatments, combined with access to Tampa General, an academic health system with multidisciplinary experts, advanced clinical trials, and comprehensive support services. Our physicians, advanced practice providers, oncology nurses, navigators, and pharmacy staff work collaboratively to understand each individual’s condition, develop customized medical options, and choose the most effective treatment plan. Throughout the patient journey, our care team ensures that each member delivers compassionate and unmatched support, making a powerful and positive difference for patients and their loved ones. Established in 2008 in Palm Beach County, CCSF formed an alliance with TGH in 2020, enabling patients in Palm Beach and the Treasure Coast to receive the world-class care and complex services a major academic health system provides close to home. Today, TGH Cancer Institute and CCSF have two locations in Palm Beach County and one in Hillsborough and 20 specialized oncologists. For more information, visit cancercenterofsouthflorida.com

An oncology telephone triage nurse helps existing oncology and hematology patients with care over the phone. They often provide a cursory assessment of the patients and help them decide if they need to seek emergency treatment, make an appointment with a doctor, or treat themselves at home collaborating with other health care providers to deliver care and document outcomes.

REQUIRED EDUCATION & EXPERIENCE: Associate's Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited nursing program required. At least 1–2 years of oncology and/or infusion nursing experience preferred Required Certificates, License Or Registration: Current Registered Nurse (RN) license in the applicable state (required) Oncology Certified Nurse (OCN) – preferred Basic Life Support (BLS) certification – preferred Required Knowledge, Skills Or Abilities: Solid understanding of oncology and hematology conditions, treatments, and symptom management. Proficient in clinical triage protocols, including assessing symptom severity and guiding appropriate care pathways. Knowledge of HIPAA regulations and documentation standards in electronic health records (EHR), such as EPIC.

Triage incoming calls from patients and physician offices, prioritizing and returning calls on the same day. Manage scan authorizations and ensure timely approval of radiology orders. Collaborate with providers on treatment side effects and appropriate actions. Maintain therapeutic communication with patients and families. Assist with prescriptions, refills, and review lab/imaging results with providers. Place orders for tests and procedures as confirmed by providers. Address clinical issues and escalate serious concerns to providers. Reduce unnecessary clinic visits and ER trips by providing self-care and symptom management advice. Arrange appointments for non-urgent cases and consult with providers as needed. Provide phone consultations, education, and triage based on oncology guidelines. Determine urgency of care based on assessment and patient history. Record consultations and treatments in the EHR system. Assist in implementing oncology policies and NCCN guidelines.

Momentum Life Sciences

Bilingual (Spanish) Nurse Case Manager, 9-6p EST (Remote)

Posted on:

April 7, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Indiana

Momentum Life Sciences is the leading provider of patient engagement solutions integrating human connection, advanced technology, and real-world data to deliver holistic support in a personalized environment. Leveraging 30+ years’ experience in patient engagement, our One Voice™ model empowers biopharma teams to optimize the right mix of interventions for each patient. On behalf of our biopharma partners, we deliver 1M+ patient and healthcare provider engagements in person and virtually through our network of 800+ nurse educators nationwide. Our seasoned senior executive team is led by President and CEO Andrea Heslin Smiley. Momentum has been certified as a Great Place to Work® for 7 years running, additionally resulting in being named a Great Place to Work for Women, a Great Place to Work for Giving, and a FORTUNE® 100 Best Medium Workplace. Other distinctions include Best Place to Work in Indiana, Working Mother magazine’s Best Women-owned Companies, Inc. 500 Fastest Growing Companies in America, Growth 100​ company by the Kelley School of Business Johnson Center for Entrepreneurship and Innovation, and a Fortune 500 pharmaceutical client Global Supplier of the Year. Momentum continues to grow at a rapid pace. We are seeking candidates who thrive in an entrepreneurial environment and a culture of innovation. To inquire about our products and services, please email: businessdevelopment@momentumls.com.

The Bilingual (Spanish) Nurse Case Manager will be responsible for utilizing their professional nursing skills, clinical experience, ability to foster relationships, strong empathy, and to provide personalized high-touch virtual support to patients and healthcare professionals (HCPs) with an emphasis on reimbursement, patient access, and therapy coordination. The role will engage with patients and HCPs to ensure patients have seamless access to treatment. The NCM will guide HCPs through any access barriers for their patients while also heavily collaborating cross-functionally with the REMS vendor, HUB, specialty pharmacy, and field teams to optimize the patient treatment journey. You will leverage your clinical knowledge while combining technical expertise to deliver best-in-class support, customer service, and ongoing guidance to these patients and providers.

Required Education and/or Experience: Bachelors degree preferred Experience in a telephonic support role centered in patient access, reimbursement, or care coordination/case management roles Experience with high volume inbound/outbound call center Required License and/or credential(s): Current, unrestricted nursing license (RN, NP) Required Skills: High emotional intelligence and ability to exhibit empathy to meet each patient where they are Demonstrated flexibility and adaptability in a fast-paced environment with shifting priorities, new information, and changing business demands Strong clinical skills and experience with medication compliance, specialty pharmacy knowledge, understanding of the insurance approval process, and motivational interviewing Maintain strong time management and organizational discipline while coordinating concurrent workstreams and navigating frequent interruptions Desire and ability to create an individualized relationship with patients as they progress through their journey Ability to accurately recognize and report AEPQC information. Optimistic, upbeat, and enthusiastic in times of challenge and constant change. Ability to deliver outstanding patient experience Demonstrate experienced competency and ability to independently navigate technology using multiple platforms, computer screens, and other technical components. (Ex: Telephony Systems, CRM tools, Microsoft Suite) Advanced knowledge of written and verbal communication skills and problem-solving techniques Detail-oriented, highly organized, and able to work through ambiguity Able to work independently, self-motivated, managing workload with minimal supervision Ability to maintain cases and complete calls on time Ability to maintain compliant conversations and documentation in a high-volume role Ability to maintain patient confidentiality by using the headset during all conversations, maintaining a private environment for home office without distraction Ability to maintain great flexibility in an ever-changing environment and willingness to learn other therapies or float to other brands as needed Willingness to assist in shift coverage as needed outside of typical hired shift Special Position Requirements: Travel: As required; less than 10% Working Conditions: Work is generally sedentary in nature but may require standing and walking for up to 10% of the time. The working environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, etc. Work is generally performed within an office environment, with standard office equipment available. Physical Requirements: Must be able to read, write, and communicate fluently in Spanish and English. Ability to communicate effectively (hear, listen, speak) with or without reasonable accommodations.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Provide virtual high-volume omnichannel support through email, chat, text, virtual connections, and inbound or outbound calls to patients, HCP’s, REMS vendor, HUB, specialty pharmacy, and field teams Demonstrate strong empathy and high emotional intelligence to engage patients/HCP’s effectively, creating individual relationships built on trust and rapport Provide proactive support to HCP office issues related to REMS, reimbursement, insurance coverage, and product dispense Act as a primary point of contact for patients to provide comprehensive disease/therapy education and access to therapy (including benefit verification, prior authorizations, and navigating insurance reimbursement processes) Prepare structured case status reports for ongoing HCP email or telephonic review Collaborate and work cohesively with Momentum Inbound team to identify gaps, barriers, and opportunities to improve process and overall patient/HCP experience Communicate complex information effectively and empathetically to patients/HCP’s Accurately complete patient engagements based on provided criteria Ensure the success of the program through collaborative partnerships with patients, HCPs, field, and operational partners Lead and facilitate weekly touchpoint meetings with field partners to review wins, priorities and action items; document outcomes and drive timely follow-through Monitor and prioritize daily and weekly workload to anticipate needs, rebalance tasks, and ensure timely follow-through on commitments Work and communicate cohesively within a team to identify collaborative opportunities, enable process improvement and escalate as needed Provide manager and the account team voice of the customer feedback on the product, support, and insights to enable enhancements Ensure all activities are conducted in a manner that complies with all Momentum, client, and industry-mandated rules and regulations. Complete AEPQC reporting and provide all communications in a compliant manner. Other duties: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Momentum Life Sciences

Nurse Case Manager, 11-8p EST (Remote)

Posted on:

April 7, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

RN

State License:

Compact / Multi-State

Momentum Life Sciences is the leading provider of patient engagement solutions integrating human connection, advanced technology, and real-world data to deliver holistic support in a personalized environment. Leveraging 30+ years’ experience in patient engagement, our One Voice™ model empowers biopharma teams to optimize the right mix of interventions for each patient. On behalf of our biopharma partners, we deliver 1M+ patient and healthcare provider engagements in person and virtually through our network of 800+ nurse educators nationwide. Our seasoned senior executive team is led by President and CEO Andrea Heslin Smiley. Momentum has been certified as a Great Place to Work® for 7 years running, additionally resulting in being named a Great Place to Work for Women, a Great Place to Work for Giving, and a FORTUNE® 100 Best Medium Workplace. Other distinctions include Best Place to Work in Indiana, Working Mother magazine’s Best Women-owned Companies, Inc. 500 Fastest Growing Companies in America, Growth 100​ company by the Kelley School of Business Johnson Center for Entrepreneurship and Innovation, and a Fortune 500 pharmaceutical client Global Supplier of the Year. Momentum continues to grow at a rapid pace. We are seeking candidates who thrive in an entrepreneurial environment and a culture of innovation. To inquire about our products and services, please email: businessdevelopment@momentumls.com.

The Nurse Case Manager will be responsible for utilizing their professional nursing skills, clinical experience, ability to foster relationships, strong empathy, and to provide personalized high-touch virtual support to patients and healthcare professionals (HCPs) with an emphasis on reimbursement, patient access, and therapy coordination. The role will engage with patients and HCPs to ensure patients have seamless access to treatment. The NCM will guide HCPs through any access barriers for their patients while also heavily collaborating cross-functionally with the REMS vendor, HUB, specialty pharmacy, and field teams to optimize the patient treatment journey. You will leverage your clinical knowledge while combining technical expertise to deliver best-in-class support, customer service, and ongoing guidance to these patients and providers.

Required Education And/or Experience: Bachelors degree preferred Experience in a telephonic support role centered in patient access, reimbursement, or care coordination/case management roles Experience with high volume inbound/outbound call center Required License And/or Credential(s) Current, unrestricted nursing license (RN, NP) Required Skills: High emotional intelligence and ability to exhibit empathy to meet each patient where they are Demonstrated flexibility and adaptability in a fast-paced environment with shifting priorities, new information, and changing business demands Strong clinical skills and experience with medication compliance, specialty pharmacy knowledge, understanding of the insurance approval process, and motivational interviewing Maintain strong time management and organizational discipline while coordinating concurrent workstreams and navigating frequent interruptions Desire and ability to create an individualized relationship with patients as they progress through their journey Ability to accurately recognize and report AEPQC information. Optimistic, upbeat, and enthusiastic in times of challenge and constant change. Ability to deliver outstanding patient experience Demonstrate experienced competency and ability to independently navigate technology using multiple platforms, computer screens, and other technical components. (Ex: Telephony Systems, CRM tools, Microsoft Suite) Advanced knowledge of written and verbal communication skills and problem-solving techniques Detail-oriented, highly organized, and able to work through ambiguity Able to work independently, self-motivated, managing workload with minimal supervision Ability to maintain cases and complete calls on time Ability to maintain compliant conversations and documentation in a high-volume role Ability to maintain patient confidentiality by using the headset during all conversations, maintaining a private environment for home office without distraction Ability to maintain great flexibility in an ever-changing environment and willingness to learn other therapies or float to other brands as needed Willingness to assist in shift coverage as needed outside of typical hired shift Travel Special Position Requirements: As required; less than 10% Working Conditions Work is generally sedentary in nature but may require standing and walking for up to 10% of the time. The working environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, etc. Work is generally performed within an office environment, with standard office equipment available. Physical Requirements: Must be able to read, write, and communicate fluently in English. Ability to communicate effectively (hear, listen, speak) with or without reasonable accommodations.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Provide virtual high-volume omnichannel support through email, chat, text, virtual connections, and inbound or outbound calls to patients, HCP’s, REMS vendor, HUB, specialty pharmacy, and field teams Demonstrate strong empathy and high emotional intelligence to engage patients/HCP’s effectively, creating individual relationships built on trust and rapport Provide proactive support to HCP office issues related to REMS, reimbursement, insurance coverage, and product dispense Act as a primary point of contact for patients to provide comprehensive disease/therapy education and access to therapy (including benefit verification, prior authorizations, and navigating insurance reimbursement processes) Prepare structured case status reports for ongoing HCP email or telephonic review Collaborate and work cohesively with Momentum Inbound team to identify gaps, barriers, and opportunities to improve process and overall patient/HCP experience Communicate complex information effectively and empathetically to patients/HCP’s Accurately complete patient engagements based on provided criteria Ensure the success of the program through collaborative partnerships with patients, HCPs, field, and operational partners Lead and facilitate weekly touchpoint meetings with field partners to review wins, priorities and action items; document outcomes and drive timely follow-through Monitor and prioritize daily and weekly workload to anticipate needs, rebalance tasks, and ensure timely follow-through on commitments Work and communicate cohesively within a team to identify collaborative opportunities, enable process improvement and escalate as needed Provide manager and the account team voice of the customer feedback on the product, support, and insights to enable enhancements Ensure all activities are conducted in a manner that complies with all Momentum, client, and industry-mandated rules and regulations. Complete AEPQC reporting and provide all communications in a compliant manner. Other Duties This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

The Cigna Group

RN Health Services Manager - Cigna - Remote

Posted on:

April 7, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Conneticut

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

The Clinical Waste & Abuse (CWA) Complex Claim Program leader oversees pre- and post-pay medical record reviews to support accurate coding, billing, medical necessity determinations, and coverage decisions in alignment with the benefit plan and Cigna Medical and Reimbursement Policies. This leader manages and develops a team of Registered Nurses and drives a quality, cost-effective approach to high-cost claim review operations.

Required Qualifications: Active, unrestricted Registered Nurse (RN) license in state of residency. Three years of experience in Complex Claim Review (CCR) or Clinical Waste & Abuse (CWA) review. Experience with CCR/CWA operations, including high-dollar bill review. Three years of working knowledge of the insurance industry and end-to-end claims processes. Preferred Qualifications: Prior people leadership experience. Strong problem-solving skills with the ability to apply systems thinking to business solutions and manage change. Medical coding experience. Ability to manage multiple priorities, meet objectives, and maintain attention to detail. Proficient critical thinking and decision-making skills. Ability to think strategically, design action plans, and execute. Attention to detail Detailed understanding of cover policies and reimbursement policies. Demonstrated strong leadership skills. Demonstrated excellence in the application of decision-making skills. Demonstrated ability to initiate, research, prioritize, plan, coordinate and organize Excellent written and verbal communication and strong interpersonal skills. Proficiency in Microsoft Office (Excel, PowerPoint) and other common business tools. Knowledge of applicable state and federal statutes and regulations related to claim processing. Experience in training and staff development. Experience managing remote staff. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Hire, onboard, and retain staff; foster engagement and accountability. Monitor daily inventory, capacity, and financial performance to ensure alignment with goals. Serve as the subject matter expert for clinical pre-pay requests and key matrix partner needs. Coach the team on workflows, processes, and tools; reinforce best practices and quality standards. Track service metrics and quality results; review work regularly and take action to address trends and gaps. Set clear objectives and performance expectations for direct reports aligned to operational priorities. Provide ongoing performance coaching, career development support, and feedback; support talent planning and succession. Communicate effectively with stakeholders across the Complex Claim Unit, including Medical Directors and matrix partners.

AccessNurse

RN Telephone Triage

Posted on:

April 7, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional nurses & offering flexibility, balance and a modern work environment. AccessNurse-TeamHealth is the premier medical call center, delivering 24/7 telephone nurse triage, answering services and health information services to hospitals, physician offices, and insurance plans across the country. We serve more than 20,000 clinicians and practices along with healthcare systems, health plans, and federally qualified health centers across the country. From day one, you’ll work from home using advanced evidence-based clinical decision tools to help patients get the right level of care at the right time. Why Nurses Love This Role: 100% remote- work from home No bedside lifting or hospital burn out The variety of scheduling options Competitive Pay + excellent benefits Supportive, collaborative team culture Paid training & equipment is provided Opportunities for bilingual pay incentive As a Telephone Triage RN, you’ll use clinical expertise and technology to guide patients across the lifespan & determine the best way to address their medical issues and concerns over the phone

Qualifications / Experience: Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job offer 1+ years of RN experience Proficiency using computers and type a minimum of 25 wpm Excellent listening and comprehension skills to determine key information by patient Remote Workstation / HIPAA Requirements Must have a high-speed internet connection Workstation must be in a room where door can be locked Desk should be large enough to hold 2 monitors, computer, accessories + hands-free headset Ability to handle confidential information; HIPAA compliance is mandatory

Assess symptoms using physician-developed clinical algorithms Deliver & document health education to assist patients in managing their symptoms when indicated Assist in getting patients to the appropriate level of care (e.g. home care, an office visit, emergency room) Consult with physicians as needed

UnityPoint Health

RN Call Center

Posted on:

April 7, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

RN

State License:

Compact / Multi-State

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health.

Area of Interest: Nursing FTE/Hours per pay period: 0.8 Department: Call Center Shift: 10:30pm-7:00am, every other weekend, holiday rotation Job ID: 180474 Overview RN Call Center 10:30PM-7:00AM, every other weekend, holiday rotation Full Time Benefits REMOTE - Candidate must reside in a compact license state**

Qualifications/Experience: Requires active and unrestricted license to practice nursing in the states of Iowa and Illinois. Requires a minimum of 1-2 years of clinical nursing experience providing direct patient care or equivalent work experience - 2-3 years preferred Strong time management and organizational skills Possesses excellent written and verbal communications. Proficiency in use of computer applications such as Microsoft Office and electronic health systems. Requires knowledge of federal healthcare laws and regulations. Requires highly developed communication skills to effectively work with all levels of management throughout the UnityPoint Health, its subsidiaries and affiliates. Excellent academic credentials with a track record of professional accomplishments, which demonstrate superior performance, leadership and vision. Ability to work as a team member, creating and maintaining effective working relationships. Ability to understand and apply guidelines, policies and procedures. Education: Graduate from an accredited nursing program. Bachelors of Science (BSN) preferred Compliance with Mandatory Child/Adult Abuse Reporting

The UnityPoint IntelliCenter nurse is an RN who provides care over the telephone by thoroughly assessing symptoms to identify acuity to disposition caller or patient appropriately utilizing best-practice updated protocols. Protocols are embedded within the eMR to support guidance in appropriate care delivery. Nursing services are provided telephonically and, in some cases, virtually. May include triage, care management, referral management and telehealth support. Must have proficient keyboarding/typing skills and have a technical aptitude to learn new computer software systems quickly. Ability to handle a “call center” environment: work quickly and multi-task, utilizing clinical critical skill thinking while navigating computer software to meet the required turnaround time to support key performance indicators which support patient care delivery and operational costs. We are a 24/7 operation with the bulk of our services provided in the evenings and weekends. Primary Function and Relationship to the Total Organization: My UnityPoint Nurse Call Center offers a free health information service for the public, sponsored by UnityPoint Health and staffed by registered nurses 24-hours a day, 7 days a week. The nurses at My UnityPoint Nurse provide medical assessment and triage, up-to-date health information and physician and clinic referral service. My UnityPoint Nurse Call Center is a centralized function of UnityPoint Health providing clinical support to UnityPoint Health and affiliates. Operations: Performs symptom assessment triage utilizing protocols to guide best practice care delivery and disposition. Documents call criteria in eMR within a timely manner. Promotes and educates appropriate callers regarding second level triage and virtual care visits with NP and MDs when appropriate. Serves as a resource to customers seeking physician referral and community-based resource information. Provides health information to customers via UnityPoint Health’s approved resources Maintains strict confidentiality of all employee and customer information Adhere to all UnityPoint Clinic personnel Policies and Procedures and safety guidelines. Supports change transformation initiatives Identifies with shift change requirements as call volume dictates in order to support staffing needs appropriately Perform other duties as assigned. Support team efforts in patient care delivery objectives. Provides assistance with other reasonable related duties as assigned by supervisor or manager. Ability to handle confidential and sensitive information. Ability to communicate effectively on the telephone. Ability to relate to persons with diverse educational, socioeconomic and ethnic backgrounds. Ability to handle a “call Center” environment: work quickly and multi-task. Ability to demonstrate good customer service. Exhibits discretion and sound judgment in all aspects of the job.

CopilotIQ

Telehealth Nurse Practitioner

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

At the forefront of health tech innovation, CopilotIQ+Biofourmis is transforming in-home care with the industry's first AI-driven platform that supports individuals through every stage of their health journey-from pre-surgical optimization to acute, post-acute and chronic care. We are helping people live healthier, longer lives by bringing personalized, proactive care directly into their homes. With CopilotIQ's commitment to enhancing the lives of seniors with chronic conditions and Biofourmis' advanced data-driven insights and virtual care solutions, we're setting a new standard in accessible healthcare. If you're passionate about driving real change in healthcare, join the CopilotIQ+Biofourmis Team!

We are looking for a full-time Nurse Practitioner specializing in cardiology and heart failure with experience overseeing complex chronic care programs. Bilingual candidates (English and Spanish speaking) are highly preferred. You will manage a growing panel of patients and contribute to the growth and development of a telemedicine program that leverages first in class medication management titration algorithms combined with patient management principles. We are seeking full-time coverage Monday through Friday from 8:00 AM to 5:00 PM PST.

2+ years as a Board-Certified Nurse Practitioner specializing in heart failure and/or internal medicine in an ambulatory or inpatient setting. Actively licensed in California, multiple state licenses strongly preferred. Willingness to obtain additional state licenses as needed. Fluency in English and Spanish is highly preferred. Previous experience overseeing complex chronic care programs strongly preferred. Previous telehealth experience strongly preferred. Willingness to work in a changing, dynamic environment with a growing company Ability to work from home in a HIPAA compliant environment is required. Motivated to provide health education and have a grounding in health promotion techniques. Ability to learn and proficiently use multiple EMRs and various communication applications, including Google products.

Virtually evaluate patients entering the program and assist in creating a care plan based on patient specific needs and predesignated protocols. Respond to alerts escalated from the nursing team related to patients’ deviations in vitals and physiologic data; symptoms; weight changes. Independently manage changes in clinical status that are within the APP’s scope of practice (e.g. dose change in diuretic after 3 pounds of weight gain over 24 hours). Escalate out of scope clinical changes to lead MD. Liaise with the nursing team to ensure proper medications, labs and virtual appointments are ordered and communicated to the patient. Partner with the nursing team to ensure that medications are reconciled on program entry and exit. Serve as the point of contact for each patient’s primary care teams, relaying information to them and tailoring this communication to individual providers’ needs. Provide education to patients about healthy behaviors and self-management.

CopilotIQ

Telehealth Nurse (LVN/LPN)

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

LPN/LVN

State License:

Compact / Multi-State

At the forefront of health tech innovation, CopilotIQ+Biofourmis is transforming in-home care with the industry's first AI-driven platform that supports individuals through every stage of their health journey-from pre-surgical optimization to acute, post-acute and chronic care. We are helping people live healthier, longer lives by bringing personalized, proactive care directly into their homes. With CopilotIQ's commitment to enhancing the lives of seniors with chronic conditions and Biofourmis' advanced data-driven insights and virtual care solutions, we're setting a new standard in accessible healthcare. If you're passionate about driving real change in healthcare, join the CopilotIQ+Biofourmis Team!

The Telehealth Nurse (LVN/LPN) shall monitor and screen incoming alerts, calls and chat communications. The Telehealth Nurse schedules and participates in audio-visual calls with patients participating in the chronic care remote monitoring program. They shall report abnormal values or other patient concerns to the Provider Team, which they shall work closely with. The Telehealth Nurse acts as a liaison for patients to ensure that all needs are met during monitoring. They shall work with all members of the clinical care team to enhance health care outcomes and take the initiative to ensure clinical care and related support services are made available to patients. They shall think critically and creatively about what is needed to provide virtual in-home support while assisting with the low-level tech support and troubleshooting for patients. We are seeking full-time coverage Monday through Friday from 8:00 AM to 4:30 PM PST.

Must have a current, active, unrestricted LVN/LPN compact license and an active, unrestricted LVN license in the state of California. Must be in good standing with the Board of Nursing. A minimum of 2 years hands on nursing experience is required; telehealth and chronic care management experience is strongly preferred. Fluency in English and Spanish is a plus. Experience with patient phone triage either in-office or via telemedicine. Ability to learn and proficiently use multiple EMRs and various communication applications, including Google products. Must be comfortable with the virtual use of episodic vital sign monitoring devices. Ability to work from home in a HIPAA compliant environment is required. Some holidays may be required.

Conduct patient onboarding via phone, providing a clear explanation of program goals and responsibilities. Register patients in the EHR system. Assist in reviewing patient records and documentation. Receive and perform follow-up calls and document all information obtained on the call in the appropriate charting systems and tools. Support participants' physical and emotional wellness with a holistic health approach. Communicate concerns, changes in condition and all medical complaints to the Provider Team. Troubleshoot issues with technology and escalate technical difficulties that cannot be resolved. Schedule task appointments in the EHR.

SimiTree Talent Solutions

Quality Assurance Manager - Home Health

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

License:

RN

State License:

Maryland

At SimiTree Healthcare Consulting we are focused on providing the right talent to help our clients achieve more, and working with them to develop strategies to retain that talent. As the recognized leader in talent recruitment and retention solutions for Home Care and Hospice providers, Simitree Healthcare Consulting has over a decade of experience in recruiting top talent to help clients succeed. We have vetted thousands of Home Care and Hospice professionals for interim or permanent placement at every level, from C-suite to field level staff. Simitree Healthcare Consulting focuses on providing the right talent to help clients achieve more and works with them to develop strategies to retain that talent.

Quality Assurance Manager - Home Health If you are an experienced Director of Quality, Director of Nursing / DON, Director of Clinical Services / DOCS or Patient Care Manager, or Clinical Manager / Clinical Supervisor with QAPI Home Health experience, then you need to read on... Quality Assurance Manager Opportunity Description Our client is a well-established Home Health organization. They have a current opening for a Quality Assurance Manager for their Maryland service area. This is a REMOTE position with very occasional travel. Candidates must be based in Maryland (norther Washington D.C. area). A Registered Nurse with Medicare Home Health Quality Assurance is required. Staff development, training, preceptor experience is preferred.

Quality Assurance Manager Job Requirements Medicare Home Health management experience as a Registered Nurse. Excellent understanding of state/federal regulations, OASIS, and PDGM. Maryland RN license required

Quality Assurance Manager Job Responsibilities Review OASIS and clinical documentation for accuracy. Ensure compliance with all state / federal regulations. Educate clinical team on proper documentation and regulations. Occasional office or field visits as necessary.

CVS Health

Case Manager Registered Nurse (Field - Chinatown area) Bilingual English and Cantonese/Mandarin

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Illinois

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Our Case Managers use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. Remote Work Expectations This is a remote-hybrid role; candidates must have a dedicated workspace free of interruptions Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

Required Qualifications: Minimum 3-5 years clinical practical experience preference required Minimum 2-3 years CM, discharge planning and/or home health care coordination experience Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually Must possess reliable transportation and be willing and able to travel up to 50-75% of the time in the Southloop, Chinatown and surrounding areas. Mileage is reimbursed per our company expense reimbursement policy Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills Ability to work independently Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. Efficient and Effective computer skills including navigating multiple systems and keyboarding Preferred Qualifications Certified Case Manager Bilingual in English AND Cantonese or Mandarin Education Associates Required, Bachelor's preferred License: Active and unencumbered Registered Nurse License in the state of Illinois

Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services. Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. Prepares all required documentation of case work activities as appropriate. Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. Provides educational and prevention information for best medical outcomes. Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation.

BCFORWARD

Care Coordinator - OB/Maternal Health - Indiana

Posted on:

April 6, 2026

Job Type:

Contract

Role Type:

Care Management

License:

None Required

State License:

Indiana

BC Forward is hiring for Care Coordinator - OB/Maternal Health at Indiana - Remote Position: Care Coordinator II Location: Indiana Duration: 12 Months (Possible Extension) Work Type: Remote Shift: Training 8am-5pm EST 4 weeks CAMERA ON THROUGHOUT TRAINING | M-F 8am to 5pm EST. No overtime. Opportunity for schedule flexibility (After 120 days contractor is eligible to move shift if needed. Work 10 hour days, start earlier or later on the day. Shift stays at 40H a week) Pay Rate: $21/hr Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.

Requires a High School diploma or GED Requires 1 – 2 years of related experience Must haves: Organized and able to handle fast-paced environment. Knowledge and comfortable navigating. Microsoft software (Word, excel, teams). Requires 1 – 2 years of related experience Nice to haves: OB background, Experience in providers offices or hospital setting, Telephonic outreach experience and exceptional communication High volume call center experience

Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service May support performing service assessments/screenings for members and documenting the member’s care needs Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager Provide education on benefits and resources available Performs other duties as assigned. Complies with all policies and standards.

Pager Health

Remote Nurse Navigator (Must be an RN and Reside in Puerto Rico)

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Puerto Rico

Pager Health is a connected health platform company that enables healthcare enterprises to deliver high-engagement, intelligent health experiences for their patients, members and teams through integrated technology, AI and concierge services. Our solutions help people get the right care at the right time in the right place and stay healthy, while simultaneously reducing system friction and fragmentation, powering engagement, and orchestrating the enterprise. Pager Health partners with leading payers, providers and employers representing more than 28 million individuals across the United States and Latin America. We believe that healthcare should work for everyone. We believe that it’s too important to be as cumbersome and difficult as it is. And we believe that there is a better way to deliver a simplified, more meaningful healthcare experience for all – one that we’re determined to enable.

To be considered for this position, all applicants must submit a resume in English This position is for a full-time, fully-remote, Registered Nurse who is willing to think creatively and utilize their clinical skills in the field of Telehealth! We are seeking motivated Registered Nurses with 1+ years of clinical hospital experience to work in Pager Health's Command Center where our nurseline serves our members 24/7. This person must be based in Puerto Rico, and have an active, unencumbered RN license in Puerto Rico. In addition, licensure in one or more US states is a HUGE plus. This position entails working the 2:00pm - 10:30pm shift, 5 days per week, including alternating weekends. The core objective of the Triage RN, Nurse Navigator is to use technology to build trust and triage patients to the right care at the right time while providing an exceptional virtual care experience.

Candidate Profile for the Triage RN, Nurse Navigator: Passionate about patient care and triage Enjoy helping others Ability to use critical thinking when presented with new and challenging situations Relish solving problems, seeking out answers, and trying new things Kind, empathetic and possess a strong social perceptiveness Positive, energetic, and fun! Outstanding multitasking skills Enthusiasm and savviness for new technology Mastery of oral and written language along with strong typing skills Ability to assess and communicate with patients via a text-based platform Flexible and fast learner, comfortable in a fast-paced and changing environment Eager to challenge the status quo of traditional healthcare Detail oriented and an organized self-starter with outstanding interpersonal skills Ability to give and receive actionable feedback Qualifications: 2+ years of clinical hospital experience working as an RN An active unencumbered RN license in Puerto Rico Minimum of an Associate's Degree in Nursing (ADN) Be a permanent resident of Puerto Rico Fluent in spoken and written English and Spanish is required; All applicants must submit a resume in English to be considered Prior call center experience strongly preferred

Provide exceptional customer service and virtual care by communicating with patients via phone, live messaging, video, and/or email Document within EMR Follow and apply clinically validated triage protocols Ensure the highest quality customer service for patients and providers Complete basic nursing responsibilities, outpatient testing, medications, etc… Troubleshoot technology with patients Work to ensure a seamless patient call center experience Coordinate lab orders, prescription orders, radiology tests, and any aspect of patient care Work on projects that will optimize operational efficiency and improve the patient’s telemedicine experience Assist in identifying technology needs that improve patient experience Additional projects as assigned

Comagine Health

Behavioral Health Clinical Reviewer

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Behavioral Health

License:

RN

State License:

Oregon

Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our success. We go beyond merely providing a remote work option; we support and embrace it. We offer opportunities to make a difference from anywhere in the U.S. and enjoy better work-life balance. An annual stipend gives you the freedom to enhance your workspace with options that suit your needs.

Are you passionate about improving access to behavioral health services in the community? Do you enjoy using your clinical expertise to evaluate needs, support care decisions, and help individuals receive the right services at the right time? In this role, you will review clinical documentation to determine medical necessity and appropriateness of services, complete functional needs assessments that evaluate how mental health symptoms impact daily living, and support service coordination that connects children, youth, and adults to in-home and community-based care. You will manage referrals, follow-ups, reviews, and assessments within an electronic medical record system; apply evidence-based criteria to utilization management reviews; document clinical determinations; provide subject matter expertise to stakeholders; support quality activities and audits; and travel for in-person assessments as needed across your assigned region. If you are someone who demonstrates strong clinical judgment, builds trusting relationships with members and partners, and effectively manages a high-volume workload while meeting timelines, we encourage you to apply. If you bring a collaborative mindset, accountability in your work, curiosity to ask questions and learn, and comfort using technology to navigate systems and documentation, you will be well-positioned for success on this team. This is a remote position based in Oregon and travel is required.

Current, active, unrestricted clinical licensure as required by the Oregon contract (e.g., RN or behavioral health licensure such as LCSW, LPC, LCPC, LPA, PsyD, PhD) Master's in physical or occupational therapy OR Master's in psychology, counseling, or social work OR Bachelor’s degree in nursing and licensed by the State of Oregon 3 years of clinical (direct patient care) experience; behavioral health preferred Candidates must reside in Oregon, have personal transportation, and ability to travel. Valid Driver License and Proof of Auto Insurance are required. You May Have (Desired Qualifications) Experience with Medicaid Knowledge of the Oregon behavioral health system of care 2 years of utilization review or other medical management experience 2 years of full-time substance use disorder and/or behavioral health disorder experience You Bring (Competencies): Clinical documentation review expertise, including use of the Oregon Health Plan Prioritized List of Health Services and InterQual Strong organizational skills and ability to manage multiple tasks in a team environment Excellent oral and written communication skills Strong interpersonal and problem-solving skills Proficiency with MS Office Suite and familiarity with database software Ability to apply clinical review criteria, policies, and guidelines to determine medical necessity Ability to document utilization review determinations accurately and timely in designated systems Capability to provide clinical and utilization review subject matter expertise and respond to stakeholder questions or concerns

Review clinical documentation to substantiate medical necessity and appropriateness for requested services Perform initial and continued stay reviews using standardized, evidence-based criteria to ensure services align with individualized behavioral health needs Apply clinical review criteria, organizational policies, guidelines, and screening tools to determine medical necessity of healthcare services Document utilization review determinations accurately and timely in designated systems Consult with physician or practitioner reviewers when cases do not meet clinical review criteria Refer cases to other clinicians when appropriate Provide clinical and utilization review subject matter expertise and respond to stakeholder questions or concerns Support quality assurance activities, audits, and other program support as assigned Provide guidance or oversight to non-clinical staff performing support activities, as appropriate Perform other duties as assigned

Locklab

Telehealth Nurse Practitioner —Multi-State Licensed (NY, SC, FL, or TN, Remote)

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

Locklab is a fast-growing telehealth platform providing evidence-based hair loss treatment through asynchronous care. We focus on safe, effective prescription treatments and high-quality patient support in a space often filled with misinformation. We’re expanding our clinical team and hiring a multi-state licensed Nurse Practitioner to conduct patient visits, manage clinical triage, and support patients throughout their treatment journey.

READ THIS FIRST: We Think You’ll Be Perfect for This Role If You’re comfortable delivering direct patient care in an asynchronous telehealth environment You enjoy educating patients, answering questions, and helping them feel confident moving forward with treatment You replay patient conversations in your head - not because you’re anxious, but because you want to understand what landed, what didn’t, and how to communicate more clearly next time. You’re licensed in at least 10 states and comfortable practicing via telehealth You believe patient outcomes are often determined by how well information is explained and framed The Role: This is a hands-on clinical role with real ownership and patient impact. You will conduct telehealth patient visits on the Locklab platform, review patient intake information, assess clinical eligibility, triage side effects, respond to patient messages, and support patients via secure messaging and phone. A core part of this role is patient education. Hair loss treatment requires trust, clear communication, and realistic expectations. You’ll help patients understand why treatments work, what results look like over time, and how consistency impacts outcomes. Many patient interactions involve guiding, reassuring, and educating patients so they can make informed decisions about starting or continuing treatment. You’ll be expected to think critically about how patients respond to your communication and adapt your approach to improve outcomes over time.

Active Nurse Practitioner or PA license Licensed in 10+ U.S. states (multi-state coverage required) Eligible to perform telehealth visits in assigned states (full practice authority) Independent prescriptive authority (in states where applicable) Experience conducting telehealth or asynchronous visits preferred Strong clinical judgment and risk awareness Excellent written communication skills Excellent patient phone skills Comfortable handling both clinical care and patient support responsibilities Experience with EHRs and telehealth platforms strongly preferred Compact / multi-state licensure preferred What Success Looks Like Patient visits are completed accurately and compliantly Patients understand their treatment and feel confident moving forward Clinical issues are identified early and escalated appropriately Patients receive timely, clear, and reassuring communication that leads to understanding, confidence, and follow-through Patient satisfaction remains high as volume scales Schedule & Coverage Full-time, salaried position Defined coverage hours (may include evenings or weekends) Expected to manage patient visits and message queues during scheduled hours

Patient Visits & Clinical Care: Conduct asynchronous telehealth patient visits on the Locklab platform Review patient intake forms, medical history, and contraindications Assess clinical appropriateness of treatment per established protocols Document visits accurately, thoroughly, and compliantly Follow all state-specific scope-of-practice and telehealth regulations Clinical Triage & Messaging: Respond to patient messages related to symptoms, side effects, and medication questions Receive inbound calls from patients and place outbound calls when appropriate Respond to patient portal messages, create orders, and route to appropriate parties Triage clinical concerns and determine next steps Identify urgent or concerning symptoms and escalate per protocol Support refill-related clinical questions within scope Patient Support & Customer Experience: Respond to non-clinical issues (shipping, billing, account questions) Respond to general patient questions regarding treatment expectations and timeline Educate patients on hair loss mechanisms, treatment timelines, and expected outcomes to support informed treatment decisions Provide clear, calm, patient-appropriate education using approved guidance Act as a clinical resource for the customer support team when medical context is needed Reflect on patient interactions and continuously improve communication to better guide patients toward informed, better decisions Help ensure patients feel supported, informed, and safe throughout treatment Quality, Compliance, & Collaboration: Adhere to clinical protocols and documentation requirements Collaborate with physicians and clinical leadership on escalations Participate in quality assurance reviews and protocol improvements Help refine visit workflows, triage pathways, and patient messaging templates

Wasef Health

Remote Telemedicine NP

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

Wasef Health is a nationwide telemedicine group that provides high-quality virtual care through partnerships with leading digital-health companies across the United States. We focus on creating an efficient, tech-enabled clinical environment that allows providers to focus on patient care while our support and operational teams handle logistics. Our clinicians work with a wide range of telehealth programs, including weight loss, hair loss, hormone and anti-aging therapies, general wellness, and more — all through a unified digital platform.

Telemedicine Nurse Practitioner (NP) — Multi-State Licensed (Full-Time, Remote) Company: Wasef Health Location: Remote (U.S.) Employment Type: Part Time Available, ​Full-Time Preferred (1099 salaried structure) Compensation: $75,000 - 150,000 / year Schedule: Monday–Friday, 9:00 AM – 5:00 PM EST; after hours and weekends available We’re hiring full-time, multi-state licensed Nurse Practitioners (NPs) to join our national telemedicine team. This role combines both asynchronous and synchronous patient consults. Asynchronous consults are available anytime. Scheduled availability for synchronous consults. You’ll work within our secure telemedicine platform to review consults, manage patient messages, and collaborate with the Wasef Health team via Slack.

Active Nurse Practitioner (NP) license in good standing. Minimum of 25 active state licenses required; 50-state licensure preferred. At least 2 years of telemedicine experience, preferably with asynchronous consults. Experience treating common telehealth conditions, including: Weight loss / GLP-1 therapy Hair loss Hormone and anti-aging therapies General wellness and preventive care Men’s and women’s health Strong written communication, attention to detail, and clinical judgment. Proficiency in Slack or similar communication platforms. Reliable internet connection and ability to maintain consistent weekday coverage.

Complete assigned asynchronous and synchronous patient consults daily, meeting monthly consult targets. Review patient intakes, evaluate medical history, and prescribe appropriate treatments. Respond to patient follow-up messages. Communicate with the clinical operations team via Slack for care coordination. Ensure timely, accurate, and compliant chart documentation. Participate in team meetings, case reviews, and performance discussions.

Allegiance Hospice

Hospice Registered Nurse - Weekends - Triage/On-call/Runner (RN)

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

At Allegiance Hospice, we are a team of care givers and health care professionals who have come together with over 50 years of combined experience in the health care field. Our team members enhance the lives of patients with life-limiting illnesses and their loved ones, during a time when compassionate care is needed most. We are looking to add dedicated team members who can make difference in the lives of our patients and their families by respecting patient choice, providing comfort and promoting dignity, while creating positive contributions in their community.

Hospice Registered Nurse - Weekends - Triage/On-Call Runner (RN) We are looking for a compassionate, talented and experienced Hospice Registered Nurse - Weekends - Triage/On-call (RN) for our Houston TX area, to join a dynamic team of professionals who have proven that home health care is not just a business. At Allegiance Hospice, we strive to support and improve the overall quality of life for the patients we serve.

Education and Experience: Must have current or compact RN licensure in the state of Texas. Hospice Nurse Certification (CHPN) preferred. Valid Driver’s License and Automobile Insurance. Pass the Background check. At least two years of experience , preferred, as a Hospice Nurse, hospital, nursing home, home health agency, or long term care facility. Skills and Abilities: Shall have a genuine interest in geriatrics, preferably, shall have experience in geriatric care. Must be able to assess, evaluate and communicate effectively. Must demonstrate sound knowledge and actions in patient care and decision making. CPR certification required Participates in continuing education to broaden knowledge and acquire skills necessary to be effective in all aspects of job performance. Must have reliable transportation and a valid driver’s license.'

Available to Triage calls and do Visits as needed on the weekends. Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. Follows infection control standard precautions and uses personal protective equipment as required. Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care. Confer with physician in developing any necessary changes to current treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation. Administer on-going care for each patient, provide necessary follow-up as directed by the Clinical Manager. Provide admission, and follow-up skilled nursing visits for hospice patients. Participates in weekly team meetings on Friday evenings, as necessary, to assure appropriate care and service are provided to the patient during weekend coverage. Exhibits an attitude which promotes harmony and goodwill in the workplace. Promotes quality, comprehensive services through a team approach. Performs other duties as assigned. Communicate with Families/Facility after each visit to encourage strong continuity of care.

Humana

Bilingual RN Care Manager

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Care Management

License:

RN

State License:

Puerto Rico

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

This is a remote, telephonic position, but you must live in Puerto Rico. The RN Care Manager uses clinical knowledge to assess and evaluate members' needs to achieve and maintain optimal wellness. They also guide members with chronic conditions toward and facilitate interaction with resources appropriate for their care and wellbeing. The Care Manager reports to a Manager of Care Management, and work assignments frequently require interpretation and independent determination of the appropriate courses of action. We require you to be bilingual in English/Spanish and will test you for both languages - Speaking/Reading/Writing included. Please submit your resume in English.

Required Qualifications: Bachelor's Degree in Nursing (BSN) Bilingual in English and Spanish (and able to pass language proficiency tests in both languages) Active RN license without restrictions in Puerto Rico Active RN license without restrictions in Florida Affiliated with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico). Prior clinical experience in adult acute care, skilled nursing, rehabilitation or discharge planning Knowledge in Chronic Condition management (treatment, pharmacological treatment, signs and symptoms), including Diabetes, Hypertension, COPD, and chronic kidney disease. Shift is 8-hours, plus 1 hour for lunch, from 8:30 AM to 5:30 PM EST and we adjust for Daylight Savings. We adjust the work schedule according to business needs including necessary overtime and weekends. Preferred Qualifications: Health Plan experience Previous Case Management Experience Call center or triage experience Previous experience managing Medicare members Work-At-Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can only be used if leadership approves it. Humana will provide Work-At-Home employees with telephone equipment appropriate to meet the requirements for their position. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Language Proficiency Testing Any Humana associate who speaks with a member in a language other than Spanish must take a language proficiency assessment, provided by an outside vendor, to ensure competency. The Federal Government requires applicants to take the Interagency Language Rating (ILR) test.

The Care Manager, Telephonic Nurse employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues. Responsibilities include the following: Resolve barriers that hinder care. Assess members with chronic conditions to determine their state of wellness and determine next steps, if any. Ensure patient is progressing towards desired outcomes by managing patient care through assessments and evaluations. May create member care plans. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Require minimal direction and receive guidance where needed. Follow established guidelines/procedures.

AccessNurse A TeamHealth Company

Bilingual RN Telephone Triage

Posted on:

April 6, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

TeamHealth was founded in 1979 with a vision of developing the best teams of healthcare professionals. With the relentless pursuit to advance patient care through strong leadership, innovation and teamwork, we're proud to say that over the years we have made great strides towards our goals. The impressive growth of TeamHealth should come as no surprise to hospitals and clinicians aware of our reputation for efficiency and commitment to excellence and collaboration. Originally founded to provide emergency department administrative and staffing services, TeamHealth is one of the nation's largest providers of hospital-based clinical outsourcing in multiple departments, including Anesthesia, Hospital Medicine, in addition to Emergency Medicine. Although we are a national organization, our operating philosophy is essentially the same as when we started. TeamHealth is committed to a patient-centric model of healthcare delivery with hospitals, physician groups and TeamHealth working collaboratively to deliver compassionate, effective, efficient and safe patient care. More than ever before, healthcare executives today face enormous challenges, including financial performance, healthcare reform, government mandates, safety and quality, physician relations, patient satisfaction, personnel shortages and the uninsured. They've turned to TeamHealth for help. Executives know they can benefit from our large pool of resources, infrastructure and best practices while maintaining accountability; clinicians know they can take their career to the next level and do what they do best, focus on patient care. All of this is demonstrated by our 97% average annual client retention rate and 93% physician retention rate. Most importantly, it shows in what our customers are saying: "What most impressed me about our association with TeamHealth is that they were truly a great partner. TeamHealth is an outstanding organization with quality people who drive great results." "I knew we selected the right partner for the job. With TeamHealth's expertise and our mutual commitment to excellence, our operational efficiency and the overall morale in the emergency department are the best they've been in years." In 2015, TeamHealth was named among “The World’s Most Admired Companies” by Fortune magazine and among “150 Great Places to Work in Healthcare” by Becker’s Hospital Review. In 2014, TeamHealth was named among "America's 100 Most Trustworthy Companies" by Forbes magazine. For more information visit www.teamhealth.com.

Come grow with us at AccessNurse! Are you looking for an exciting alternative to bedside nursing? Are you bilingual? Are you tired of 12-hour shifts and the physical wear and tear of working in the hospital? AccessNurse has an opportunity for you! The AccessNurse-TeamHealth Medical Call Center is a 24/7 Call Center offering remote telephone triage and Health Information services to Hospitals, Physician Offices, and Insurance Plans across the country. If you want to be a part of a growing industry and work from home from day one, contact us today! We are searching for registered nurses of all backgrounds with at least 2 years of experience who are seeking an exciting and rewarding alternative to direct patient care. If you are looking for a way to continue to positively impact patients and use your nursing skills without the wear and tear of working in a hospital you should send your resume today! We promote success through a supportive work environment, provide excellent benefits, and offer competitive pay and paid time off. Part-time and full-time weekend and evening shifts are currently available. Now also recruiting for bilingual nurses who can fluently speak both Spanish and English.

Current multi-state RN license with no restrictions Computer Skills a MUST 2+ years of Nursing Experience Ability to train for minimum of 3 weeks Successful Completion of Background Check, Drug Screen, and References

Homeland LLC

LPN Personal Care Coordinator

Posted on:

April 5, 2026

Job Type:

Full-Time

Role Type:

Care Management

License:

LPN/LVN

State License:

Compact / Multi-State

Homeland has partnered with a leading national chronic care management organization to hire an LPN Personal Care Coordinator to join a growing care team. This organization delivers chronic care management (CCM) services to patients across the U.S., supporting individuals with two or more long-term health conditions expected to last at least 12 months. Their programs help patients stay connected to their healthcare providers and receive ongoing support between office visits.

In this role, the LPN Personal Care Coordinator provides personalized, patient-centered care while working closely with the patient’s broader care team. Through outbound phone calls, LPN Personal Care Coordinator will help monitor chronic conditions, identify new or evolving health concerns, and connect patients with the resources they need to improve their health, well-being, and quality of life. This opportunity is ideal for nurses who are passionate patient advocates and value building long-term, collaborative relationships to help patients make meaningful lifestyle improvements. Additional Information This is a day-shift position, operating Monday through Friday. Candidates must be in EST or CST time zone. Available shifts are: 8:30–5:30 pm EST, 9:00–6:00 pm EST, 10:00–7:00 pm EST, 11:00–8:00 pm EST, 12:00–9:00 pm EST. This is a full-time, fully remote role with full benefits. All necessary equipment will be provided.

LPN/LVN diploma from an accredited nursing program Current, active, compact LPN/LVN license Strong ability to follow established clinical protocols and procedures with accuracy and consistency Flexible and adaptable, with the ability to shift between tasks efficiently Collaborative team player who is eager to support coworkers and contribute to overall team success

Conduct monthly care management calls with assigned patients to assess and support their ongoing healthcare needs Educate patients on available resources and services across the continuum of care Identify patient-specific health concerns, goals, and interventions using clear, action-oriented, and time-based care plans Maintain accurate and compliant patient documentation, including medical history, medications, immunizations, allergies, surgical history, and family history Monitor changes in patient conditions or circumstances and adjust care plans, goals, and preferences as needed, while recognizing potential barriers to care Provide appropriate health education to support improved health outcomes Escalate patient concerns and clinical issues to the triage nurse team as appropriate

USTech GCC Private Limited

Family Nurse Practitioner

Posted on:

April 5, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com

Duration: 6 months contract Position Overview: The Telehealth Nurse Practitioner provides virtual patient care through a remote platform, delivering evidence-based, patient-centered services. This role involves independent clinical decision-making while collaborating with a multidisciplinary care team. The provider will assess, diagnose, treat, and manage patients (ages 18 months and above), while ensuring accurate documentation in an Electronic Health Record (EHR) system.

Required Qualifications: Minimum 2+ years of medically relevant experience Active, unrestricted Nurse Practitioner license in: Florida (FL), Massachusetts (MA), and/or Ohio (OH) Ability to obtain multi-state/compact licensure Basic Life Support (BLS) certification Master’s Degree in Family Nurse Practitioner (FNP) program Current National Board Certification Strong communication, organizational, and multitasking skills Ability to work independently in a remote environment Proficiency with EHR systems and healthcare technology

Patient Care & Clinical Quality: Conduct assessments for acute, chronic, and primary care conditions Diagnose, treat, and manage patient health concerns Provide health education, counseling, and preventive care guidance Offer counseling on: Pregnancy prevention STI prevention and safer sex practices Contraceptive care and medication management Document all patient encounters in EHR systems Coordinate care with physicians, pharmacists, and healthcare teams Ensure high standards of patient safety and care quality Patient Experience & Customer Service: Deliver a high-quality, patient-first experience Maintain a warm, professional communication style Respond effectively to patient inquiries and concerns Enhance patient satisfaction through feedback integration Ensure compliance with HIPAA and patient confidentiality standards Clinical & Operational Management: Manage patient flow and prioritize care needs Adapt quickly to new care models and services Handle administrative tasks such as: Lab follow-ups Inventory management Phone calls and coordination Maintain a collaborative and positive work environment Business & Practice Management: Support clinic performance goals and operational efficiency Handle responsibilities related to: Billing and insurance verification Payment collection Documentation for revenue cycle management Contribute to achieving business targets and patient outcomes Autonomy & Professional Development: Work independently with strong decision-making ability Demonstrate initiative, adaptability, and problem-solving skills Participate in ongoing professional development Maintain compliance with continuing education requirements

USTech GCC Private Limited

Healthcare Consultant III - Utilization Management Clinical Consultant – Behavioral Health

Posted on:

April 5, 2026

Job Type:

Full-Time

Role Type:

Behavioral Health

License:

RN

State License:

Compact / Multi-State

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .

This is a remote position but does require a BH licenses, those have to be active in Arizona Position Summary: The Utilization Management Clinical Consultant (UMCC) applies clinical expertise and evidence-based criteria to review behavioral health services for adult and child/adolescent members. This role evaluates medical necessity, supports appropriate utilization of benefits, and collaborates with providers to ensure quality, cost-effective care across the continuum of services.

Active Arizona license: LCSW (Licensed Clinical Social Worker) LPC (Licensed Professional Counselor) LMFT (Licensed Marriage and Family Therapist) OR RN with active compact license and behavioral health focus Master’s degree required for behavioral health clinicians Associate’s degree required for RN applicants Experience in behavioral health utilization management or clinical review Strong knowledge of medical necessity criteria (InterQual, MCG, ASAM, LOCUS preferred) Excellent communication and documentation skills Ability to work independently in a remote environment

Review clinical documentation to determine medical necessity and appropriateness of behavioral health services Apply clinical guidelines and tools such as InterQual, MCG, ASAM, or LOCUS Conduct initial, concurrent, and discharge reviews Coordinate with healthcare providers regarding authorizations and care planning Identify members who may benefit from care management or community resources Support continuity of care and safe discharge planning Provide urgent or emergent triage support when required Ensure accurate documentation and compliance with policies and regulatory standards Participate in quality improvement and utilization initiatives

Upward Health

Nurse Practitioner

Posted on:

April 5, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

NP/APP

State License:

Compact / Multi-State

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!

The Nurse Practitioner (NP) is responsible for providing high-quality, patient-centered, comprehensive primary care. Utilizing Upward Health's proprietary Facilitated Virtual Care platform, the NP delivers care that improves outcomes and reduces costs for patients with complex diagnoses and co-morbid, chronic conditions. This role primarily involves virtual patient care with periodic or as needed in-person care to support transitions of care, annual wellness visits, risk adjustments, primary care needs, and urgent visits. The NP collaborates closely with a multidisciplinary team to provide whole-person care to our patients in their homes.

Knowledge, Skills & Abilities: Perform and document accurate and thorough risk assessments for the purpose of accurate documentation of condition(s). Expertise in managing complex, polychronic patients, with demonstrated ability to assess and treat high-acuity patients. Familiarity with caring for Medicare and Medicaid populations, with experience in both inpatient and outpatient or home care settings. Proficiency in motivational interviewing, trauma-informed care, and supporting vulnerable populations is preferred. Excellent written, computer, and oral communication skills, with the ability to communicate efficiently and proactively with the clinical team. Dedication to health equity and transforming care for patients in their homes. Strong organizational skills and ability to provide clinical leadership and coordination. Qualifications: Minimum of 5 years' experience as a provider, with a minimum of 3 years in a primary care, or related, setting. Multi-state Advanced Nursing License or willingness to obtain. A valid driver's license and auto liability insurance. Willingness and ability to travel as needed, though responsibilities are primarily performed virtually. Experience in urgent/emergent care settings is a plus. Key Competencies: Clinical Leadership: Ability to provide decision support and leadership to the care team. Patient-Centered Care: Focused on delivering high-quality, compassionate care to improve patient outcomes. Collaboration: Works effectively within a multidisciplinary team to provide comprehensive care Adaptability: Thrives in a dynamic, fast-paced environment with evolving protocols. Problem-Solving: Proactively identifies and addresses challenges in patient care and team coordination.

Triage, diagnose, and treat patients in person or via our virtual care platform. Serve as a day-to-day clinical leader, providing decision support and directing the multidisciplinary team under the guidance of the Medical Director. Conduct primary care, urgent visits, and annual wellness exams, ensuring all appropriate screening tests and quality measures are addressed. Refer patients appropriately for behavioral health and specialty services. Coordinate care transitions to prevent hospital readmissions by collaborating with PCPs, hospitalists, and SNF providers. Participate in the on-call provider schedule to support the 24/7 patient hotline, requiring after-hours and weekend availability on a rotating and recurring basis. Foster a collaborative working environment with all members of the interdisciplinary team, contributing to daily huddles, team meetings, and patient discussions. Monitor and respond to remote patient data collected through monitoring devices. Perform other duties as assigned.

Allegiance Hospice

Hospice Registered Nurse - Weekends - Triage/On-call/Runner (RN)

Posted on:

April 5, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

At Allegiance Hospice, we are a team of care givers and health care professionals who have come together with over 50 years of combined experience in the health care field. Our team members enhance the lives of patients with life-limiting illnesses and their loved ones, during a time when compassionate care is needed most. We are looking to add dedicated team members who can make difference in the lives of our patients and their families by respecting patient choice, providing comfort and promoting dignity, while creating positive contributions in their community.

Hospice Registered Nurse - Weekends - Triage/On-Call Runner (RN) We are looking for a compassionate, talented and experienced Hospice Registered Nurse - Weekends - Triage/On-call (RN) for our Houston TX area, to join a dynamic team of professionals who have proven that home health care is not just a business. At Allegiance Hospice, we strive to support and improve the overall quality of life for the patients we serve.

Education and Experience: Must have current or compact RN licensure in the state of Texas. Hospice Nurse Certification (CHPN) preferred. Valid Driver’s License and Automobile Insurance. Pass the Background check. At least two years of experience , preferred, as a Hospice Nurse, hospital, nursing home, home health agency, or long term care facility. Skills and Abilities: Shall have a genuine interest in geriatrics, preferably, shall have experience in geriatric care. Must be able to assess, evaluate and communicate effectively. Must demonstrate sound knowledge and actions in patient care and decision making. CPR certification required Participates in continuing education to broaden knowledge and acquire skills necessary to be effective in all aspects of job performance. Must have reliable transportation and a valid driver’s license.'

Available to Triage calls and do Visits as needed on the weekends. Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. Follows infection control standard precautions and uses personal protective equipment as required. Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care. Confer with physician in developing any necessary changes to current treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation. Administer on-going care for each patient, provide necessary follow-up as directed by the Clinical Manager. Provide admission, and follow-up skilled nursing visits for hospice patients. Participates in weekly team meetings on Friday evenings, as necessary, to assure appropriate care and service are provided to the patient during weekend coverage. Exhibits an attitude which promotes harmony and goodwill in the workplace. Promotes quality, comprehensive services through a team approach. Performs other duties as assigned. Communicate with Families/Facility after each visit to encourage strong continuity of care.

Almadelic

Licensed Mental Health NP in Florida

Posted on:

April 5, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

NP/APP

State License:

Florida

We are seeking a dynamic and compassionate Licensed Mental Health Nurse Practitioner (NP) to join our mental health care team in Florida. This vital role involves providing comprehensive mental health assessments, developing personalized treatment plans, and delivering evidence-based therapy to diverse patient populations. The ideal candidate will bring enthusiasm, expertise, and a proactive approach to improving mental well-being across our community. You will work collaboratively with multidisciplinary teams, utilizing advanced clinical skills to promote recovery and resilience. This position offers an exciting opportunity to make a meaningful impact while advancing your professional growth in a vibrant healthcare environment.

Valid licensure as a Nurse Practitioner with board certification in mental health or psychiatric-mental health nursing. Proven experience in behavioral health settings with exposure to diverse populations including pediatrics, geriatrics, or assisted living environments. Strong knowledge of clinical research methodologies related to mental health treatments. Familiarity with EMR/EHR systems such as Epic or Athenahealth for efficient documentation and patient management. Experience with medication administration including injections and IV infusions; knowledge of CPT coding for billing purposes is preferred. Ability to perform comprehensive physical examinations and mental status assessments accurately. Excellent communication skills with the ability to triage urgent cases effectively and provide clear patient education. Additional Skills & Experience: Experience working within hospital settings such as Level I Trauma Centers or critical care units is advantageous. Knowledge of substance use disorder treatments like botulinum toxin therapy or esthetic laser treatments is a plus. Prior experience in telehealth platforms or working with individuals with developmental disabilities further strengthens your candidacy. Join us in delivering innovative mental health services that transform lives! We are dedicated to fostering a supportive environment where your expertise makes a real difference—empowering patients on their journey toward wellness while advancing your career in a thriving healthcare community.

Conduct thorough psychiatric evaluations and mental health assessments for patients across age groups, including children and seniors. Develop, implement, and monitor individualized treatment plans incorporating psychotherapy, medication management, and crisis intervention when necessary. Administer medications, including psychopharmacology treatments, following best practices and regulatory guidelines. Collaborate with physicians, social workers, case managers, and other healthcare professionals to coordinate patient care effectively. Utilize company's electronic health record (EHR) system for accurate documentation of patient encounters and treatment progress. Provide telehealth services to expand access to mental health support for remote or underserved populations. Educate patients and families on mental health conditions, coping strategies, and available resources to foster ongoing recovery and wellness.

New England Life Care

Overnight Clinical Resource Nurse

Posted on:

April 5, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

New Hampshire

New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region’s only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you’re energized by this opportunity, but your experience doesn’t support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for!

New England Life Care currently has an opening for a Clinical Resource Nurse to be a lifeline, as-needed for our patients during the overnight hours. These nurses must reside in either New Hampshire, Maine, or Massachusetts. We would like these nurses to eventually be licensed in MA/NH/ME, although not an initial requirement. NELC will reimburse any costs associated with attaining additional licenses outside of the home license. **Only hiring remotely in the following states: Maine, Massachusetts, and New Hampshire** Job Summary: The RN in this position is responsible for providing patient and VNA triage as well as subsequent coordination of care services. In addition, the RN in this position is competent in the duties of the Infusion Nurse as described by NELC, Inc. Benefits: Remote / Work From Home Position Room for growth and potential for advancement Generous employer-matched 403(b) savings program Paid time off And much more!

Education: Associate degree or diploma in Nursing required. BS in Nursing preferred. Two (2) years intravenous therapy experience in hospital or homecare required. Oncology experience preferred. CRNI preferred. R.N. license in good standing in the state(s) where providing care / services required Current BLS Certification required. Skills and Requirements: Valid driver’s license required. Excellent driving record required. Knowledge of HIPAA Privacy and Security Regulations preferred. Knowledge of the Joint Commission accreditation process and overall JC standards preferred. Excellent patient assessment skills required. Working / practical knowledge of home infusion therapy administration / equipment use preferred. Ability to communicate effectively with all customers and members of the healthcare team verbally and in writing. Good interpersonal skills required. Good organizational skills required. Ability to work independently as well as a part of a team required. Working / practical knowledge of microcomputer systems including patient documentation systems, Microsoft Office (Word, Excel, Outlook). Dependability in attendance and job performance required.

Accepts patient phone calls and provides appropriate triage interventions, determines if a nursing visit is needed based on the unique situation of the patient. If necessary, the resource nurse will coordinate a nursing visit (with NELC or Home Health Agency (HHA) nurse) in the appropriate time frame to meet the healthcare needs of the patient. Accurately performs initial and ongoing patient assessments of home infusion/enteral therapy patients. Provides comprehensive initial and ongoing patient and caregiver education relating to the prescribed home infusion/enteral therapy. Effectively communicates with the scheduling team to facilitate adequate and timely PRN nursing visits. Effectively communicates ongoing patient requirements, concerns, and/or changes in patient status / level of care to appropriate members of NELC multidisciplinary teams and on-call staff, as well as the HHA staff involved in meeting the patient’s home health needs. Actively participates as a member of the patient’s care management team to identify and provide care coordination and/or guidance to care team, providers, and patients referred to NELC for infusion/enteral therapy, providing updated patient information as needed. Comprehensively documents all interactions with patient and members of the healthcare team in the patient record and/or electronic progress notes. Demonstrates competency in the use and troubleshooting of all equipment and/or supplies dispensed by NELC. Demonstrates competency in home infusion medication administration, side effects, goals of therapy, and patient care expectations to include aseptic administration and monitoring of all therapy types provided by NELC. Reviews needs and abilities of the patient and caregivers, participates in development and implementation of a patient specific training plan when appropriate as needed to assist Out-patient Resource team. Assists in coordinating services with other home health agencies. Acts as resource between NELC and all care providers. This includes, but is not limited to, the medical staff, care coordination team, and social services as needed.

Mission Hospice and Home Care

Per diem Hospice Triage Nurse - Remote - MUST HAVE CA RN LICENSE

Posted on:

April 5, 2026

Job Type:

Role Type:

Triage

License:

RN

State License:

California

Mission Hospice & Home Care serves patients and families in the San Francisco Peninsula and South Bay with quality care and compassionate end-of-life support and education. Founded in 1979, we are a local, independent nonprofit that has provided thousands of patients and their families with physical, emotional, and spiritual support throughout the journey from a life-threatening diagnosis through death and bereavement.

The Hospice Triage RN will receive phone calls from Hospice patients and families. They will assess the needs of the patient and family, and coordinate the needed care and/or scheduling of home visits as needed. The triage nurse will collaborate with the transdisciplinary team members and facilitate communication among the transdisciplinary team, Hospice, and the patient’s Attending Physician. Schedule: Per diem; 4 shifts per month; 4:00pm - 12:30am Location: Remote Mission Hospice & Home Care follows all CDPH vaccine requirements for healthcare personnel.

Education/Experience: Bachelor’s degree in nursing from an accredited nursing program Minimum of three (3) years of experience as a professional nurse within the last five (5) years At least one (1) year of hospice or palliative care experience Experience working effectively with an interdisciplinary group Certificates, Licenses, Registrations: California RN license CHPN certification

Receives phone calls from hospice patients and families Assesses the needs of the patients and families to coordinate needed care over the phone and scheduling visits as needed Managing patients’ pain and symptoms pursuant to physicians’ orders; obtaining changes in orders as need and updating the patient’s plan of care and medication list accordingly Assessing the patient and family’s needs for home visits, contacting the appropriate clinicians to schedule the visit, and notifying the patient and family of expected visit times

3 - Weeks Medical Center

Triage RN with Remote Option (Per Diem)

Posted on:

April 4, 2026

Job Type:

Role Type:

Triage

License:

RN

State License:

New Hampshire

The major strength of Weeks Medical Center is found in the ability of our physicians and staff to offer extensive services utilizing state-of-the-art technology while maintaining the personalized care of a community hospital. Weeks is a 25-bed critical access hospital offering medical, surgical, and intensive care services. In addition, a wide variety of outpatient services are available, including cardiac and physical rehabilitation; a fully-staffed oncology department; 24-hour emergency care; a fully equipped laboratory; and an extensive radiology department. Weeks is blessed with strong leadership and a dedicated community that allows us to meet the ever-changing requirements of today's healthcare environment.

Graduate from an accredited school of professional nursing. Current NH License and BLS & ACLS certifications required, PALS (preferred). Must be proficient in oral and written communication skills and have excellent interpersonal, organizational, and time management skills. Current clinical experience preferred.

The Registered Nurse (RN) is responsible for managing individualized patient care by promoting and restoring patients' health through the nursing process; collaborating with physicians and multidisciplinary team members; providing physical and psychological support to patients, friends, and families; and supervising assigned team members. The RN is responsible to their Nurse Manager and ultimately, Chief Nursing Officer.

UMass Memorial Health Care

Licensed Practical Nurse- Advanced Therapeutics, 40hr, Day REMOTE

Posted on:

April 4, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

LPN/LVN

State License:

Massachusetts

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position supports a multidisciplinary clinical team by delivering high-quality, patient-centered care through remote modalities. This role emphasizes clinical triage, ongoing patient follow-up, medication education, and adherence support across diverse patient populations. Also conducts lifestyle and behavioral assessments to promote safe, effective care, optimize outcomes, and ensure alignment with established clinical protocols and care plans.

Required: Current and active LPN license Experience/Skills Required: Minimum 2 years of clinical experience (ambulatory, primary care, specialty, or telehealth preferred) Strong communication and patient education skills Ability to work independently in a remote environment Proficiency with telehealth technologies and remote patient communication Preferred: Experience supporting patients with chronic disease management Clinical patient triage and symptom assessment evaluation Familiarity with electronic medical record systems, preferably Epic

Conduct telephonic and video-based patient triage to assess symptoms, medication tolerance, and clinical concerns. Perform structured side-effect assessments and escalate findings to appropriate clinical staff as needed. Complete nurse visits focused on medication administration education (including injectables) and lifestyle/behavioral assessments. Provide comprehensive patient education on medications, side-effect mitigation strategies, lifestyle interventions, and program requirements. Support pre-initiation workflows, including baseline assessments, laboratory coordination, and pharmacy/provider collaboration. Participate in ongoing patient monitoring, including safety labs, refill timing, and insurance or authorization requirements. Respond to patient communications via phone, secure messaging, and other approved channels within established service-level timeframes. Coordinate care and communicate patient updates with clinical, administrative, pharmacies, payers, and external providers. Document all clinical encounters, assessments, and communications accurately and timely within the EMR, ensuring compliance with protocols. Participate in team meetings, case discussions, quality improvement initiatives, and virtual visits while maintaining a secure, private workstation environment.

PeopleOne Health Medical Group PA

Family Nurse Practitioner - Remote

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Pennsylvania

PeopleOne Health is one of the fastest-growing providers of value-based primary care and has earned the best-in-class member satisfaction scores. We deliver exceptional healthcare that reduces costs and significantly improves health outcomes by focusing on preventive care, behavior change, and keeping people healthier. The key to our successful culture is living our motto: care for yourself; care for each other; care for our members.

PeopleOne Health is seeking a Family Medicine Nurse Practitioner (NP) to deliver virtual-first care for new patients and provide remote urgent-care coverage for established members. This strictly remote role focuses on welcoming and engaging new members through their first appointment, ensuring a positive introduction to PeopleOne Health, and supporting timely access to care by addressing acute, episodic, and urgent health needs via telehealth.

SKILLS & ABILITIES: Strong skills in telehealth-based assessment and triage. Ability to work efficiently in a high-access, episodic care model. Excellent communication and patient education skills. Comfort with technology, telemedicine platforms, and EHRs. Collaborative, flexible, and responsive to patient needs. Requirements EDUCATION & CERTIFICATIONS: Master’s Degree in Nursing (MSN) or Doctor of Nursing Practice (DNP) Current and unrestricted Nurse Practitioner license National Board Certification in Family Medicine (FNP) DEA Certificate (as required) EXPERIENCE: Minimum 2+ years practicing in Family Medicine or Urgent Care Telehealth experience strongly preferred Experience in value-based or team-based care models is a plus PHYSICAL REQUIREMENTS: (The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the position’s essential functions.) 100% remote position using secure telehealth platforms Requires reliable internet, private workspace, and compliance with HIPAA standards May involve flexible scheduling, including evenings or weekends, to meet urgent care access needs

SUPERVISORY RESPONSIBILITIES: This position provides supervision to others: No ESSENTIAL JOB FUNCTIONS: Conduct Virtual First Appointments – Perform new patient intake visits, review health history, establish baseline assessments, and introduce members to the PeopleOne Health model. Provide Remote Virtual Urgent Care Coverage – Manage same-day or next-day appointments for acute conditions (e.g., infections, minor injuries, medication needs, symptom evaluations). Support Care Coordination – Appropriately triage patients to in-person care, diagnostics, or specialists when necessary. Promote Patient-Centered Health – Educate and counsel patients during virtual visits on self-care, medication use, and follow-up needs. Document and Manage Care in EHR – Complete accurate, timely, and compliant documentation of all virtual encounters. Collaborate with Interdisciplinary Team – Communicate with primary providers, clinical pharmacists, registered dietitians, health coaches, and care coordinators to ensure seamless handoff and follow-up. Champion Access and Experience – Serve as a welcoming, accessible first point of contact for patients and contribute to a positive member experience. Collaborate with Client Success and Member Experience teams to maximize impact on patient engagement. Hours of availability to work until 8pm ET two nights per week to allow for access outside of patients’ normal work hours. Incentive for quality, patient feedback, and more.

Optum

RN Call Us First Remote in Everett, WA

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Washington

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Optum WA, (formerly The Everett Clinic) is seeking a RN Call Us First to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. Position in this function is under general supervision, the Staff RN/Consulting Nurse is responsible for providing telephone triage assessment to Primary Care patients by using state of the art telecommunications, information technology and approved protocols; to clients ensuring the efficient use of medical and nursing, facilities and equipment and to provide excellent customer service. Schedule: Week 1: Sun, Mon, Tues, Fri = 40 hours 8:30am-7:30pm PST and Week 2: Mon, Tues, Wed, Sat = 40 hours 8:30am-7:30pm PST If you live in Washington State, you will have the flexibility to work remotely* as you take on some tough challenges.

Required Qualifications: WA State RN license 3+ years of experience in a clinical setting (Med/Surg, critical care, ER, etc.), disease management, home health, discharge planning, utilization review, patient education and telephonic nursing Preferred Qualifications: Bachelor of Science in Nursing American Academy of Ambulatory Care Nursing (AAACN) 1+ years of Call Center Nursing experience Case Management experience All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Utilizes clinical expertise and approved protocols to provide health advice to consumers with clinical questions and makes referrals for health services as appropriate via telephone Able to document calls in applicable system in a timely manner and exhibits a willingness to master new work routines and methods Documents all inquiries according to department standards for legal/statistical purposes Excellent written and verbal communication skills Able to problem solve issues independently as well as work with teams collaboratively situations require assessment, decision-making within the framework of established protocols, excellent listening and communication skills, knowledge of computers, critical thinking skills and the nursing process Speaks with a pleasant, professional phone voice and provides superior customer service to internal and external customers Ensures performance standards are met and accepts constructive feedback

Aspirus

REGISTERED NURSE - CONTACT CENTER - NURSING CONTACT CENTER

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

Aspirus Health is currently seeking a Triage RN for our new Nurse Call Center. HOURS: Supplemental or 3 FTE, 24 hours every pay period. Varied shifts including Day/PM/ Nights and rotating weekends. We are looking for someone with strong Primary or Specialty Clinic experience to triage these clinic related calls. **** This is remote position.

PROFESSIONAL EXPERIENCE/QUALIFICATIONS Current State of WI or MI RN license required at time of hire; must obtain both MI and WI within 90 days of hire. Knowledge of patient care standards and practices normally acquired through graduation from an accredited RN program. CPR/BLS required within 60 days of hire; ACLS desired

The Triage RN utilizes the nursing process when assisting with the delivery of primary health care and patient care management in the clinic setting. The Triage RN performs a wide variety of patient care activities including documentation within the medical record. The Triage RN utilizes nursing skills when assessing and triaging patients and recommending follow-up care. The position requires the ability to make decisions consistent with nursing practice, clinic policies and observance of confidentiality of patient information. The Triage RN in addition to triaging responsibilities serves also as a liaison between the patient, their family and health care providers.

Aspirus

REGISTERED NURSE - CONTACT CENTER - PATIENT SERVICE CENTER

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The integrated health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians.

REGISTERED NURSE - NURSE CALL CENTER Aspirus Health Full Time (.8 FTE, 64 hours every pay period) Day/PM rotation, 10-hour shifts, every third weekend *** REMOTE POSITION*** Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

We are looking for someone with strong Primary or Specialty Clinic experience to triage these clinic related calls. Experience/Qualifications: Current State of WI or MI RN license required at time of hire; must obtain both MI and WI within 90 days of hire. Knowledge of patient care standards and practices normally acquired through graduation from an accredited RN program. CPR/BLS required within 60 days of hire; ACLS desired

The Triage RN utilizes the nursing process when assisting with the delivery of primary health care and patient care management in the clinic setting. The Triage RN performs a wide variety of patient care activities including documentation within the medical record. The Triage RN utilizes nursing skills when assessing and triaging patients and recommending follow-up care. The position requires the ability to make decisions consistent with nursing practice, clinic policies and observance of confidentiality of patient information. The Triage RN in addition to triaging responsibilities serves also as a liaison between the patient, their family and health care providers.

The Waters

Clinical Triage Nurse On Call

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Minnesota

Our mission is powerful, yet simple. We are committed to creating communities that thrive by offering living and working experiences centered on health, wellbeing, and hospitality. For nearly 15 years, The Waters Senior Living has helped seniors and their families thrive. We provide a full spectrum of care options that include independent living, assisted living, memory and Alzheimer's care, and enhanced care. Our unique approach to wellbeing influences everything we do. Instead of only focusing on physical wellness, we believe that all dimensions of a person are important – The Waters Senior Living looks for talented team members who are passionate about working with seniors and want to make a difference in the lives of those they serve. Our mission is powerful, yet simple. We are committed to creating communities that thrive by offering living and working experiences centered on health, wellbeing, and hospitality. This is The Waters Way. It is in how we design our buildings, hire, train, and treat our team members.

On Call/potential nocs for vacations Telecommute position; must live in Minnesota The mission of The Waters is 'To create a sense of community where everyone THRIVES' We recognize that every team member is a direct reflection of The Waters. Attracting and investing in professional, caring, and compassionate team members is essential to our mission. We want our team members to feel inspired and to THRIVE, just as our residents do. The Clinical Triage Nurse is a remote support role to on-site team members and Assisted Living residents who require nursing or emergent consultation after business hours. In this role, the triage nurse will support the Directors of Health and Wellbeing in upholding, reinforcing and ensuring clinical excellence continues throughout all hours of care.

Provides clinical assessment and intervention using the nursing process and The Waters Senior Living policies and procedures to ensure consistency and improve health care outcomes for residents. Evaluates and assesses resident's health care needs based on resident's signs and symptoms, utilizing critical thinking skills. Ensures appropriate triage phone assessment, direction, and action for resident's medical situations based on information provided by the caller. Ensures appropriate communications between team members, family, and providers to coordinate resident health needs as assessed in the triage on-call role. Obtains appropriate input and direction from the provider as needed to determine the best clinical course of action and recommendation for specific resident health care needs. Accurately documents in the electronic health record (EHR), including but not limited to: triage assessment, changes to plan of care, caller agreement/response to the plan, any actions and interventions and the resolution of each interaction. Assures that pertinent medical information is forwarded to proper departments for continuity of resident care, by completing a nightly report for each community. Responsible to uphold financial integrity through billing triage services as appropriate for each state. As needed, performs other nursing functions as assigned, including resident chart audits, etc. Attends regularly scheduled in-services, team member meetings, and educational opportunities.

Achieve Whole Recovery

Remote Registered Nurse – Addiction Medicine/Psychiatry

Posted on:

April 3, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Colorado

Achieve Whole Recovery is seeking a Registered Nurse to support patients receiving addiction medicine and psychiatry services. This role focuses on patient outreach, nurse triage, and care coordination to help ensure continuity of care between appointments. The RN provides patient education, responds to clinical concerns through nurse triage, and communicates laboratory results when delegated by providers. Working closely with physicians, nurse practitioners, and the Clinical Nurse Supervisor, this role helps patients stay engaged in treatment while supporting safe, responsive, and coordinated care. This remote position is ideal for a nurse who enjoys building patient relationships, coordinating care, and supporting recovery-focused treatment. Schedule & Work Expectations: Part-time position working 2–3 days per week Schedule includes one consistent Monday or Friday commitment Work occurs during regular clinic business hours Schedule supports patient outreach, nurse line coverage, and care coordination Limited schedule flexibility may be available with advance approval from the Clinical Nurse Supervisor

Licensure: Current unrestricted Registered Nurse (RN) license in the State of Colorado (required) Experience: Minimum 2 years of clinical nursing experience preferred Experience in addiction medicine, psychiatry, behavioral health, primary care, or care coordination strongly preferred Clinical Knowledge: Understanding of addiction medicine principles and medication-assisted treatment (MAT) Familiarity with psychiatric conditions and psychotropic medications preferred Skills: Strong verbal and written communication skills Ability to build rapport with patients and collaborate with interdisciplinary teams Strong clinical judgment for triage and patient guidance Experience using electronic health records (EHR) Professional Attributes: Commitment to patient confidentiality Trauma-informed care approach Alignment with Achieve Whole Recovery’s mission of compassionate, whole-person care

Patient Outreach & Care Coordination: Conduct follow-up outreach to patients after initial addiction medicine appointments or when requested by providers Provide patient-centered education on medications, treatment plans, recovery resources, and follow-up care Assist patients with scheduling and navigating ongoing treatment appointments Identify barriers to treatment adherence and communicate concerns to providers Support patient engagement in recovery through compassionate and supportive communication Nurse Line Triage: Provide coverage for the Achieve Whole Recovery nurse line during clinic hours Assess patient concerns including medication questions, treatment-related issues, and general health concerns Provide triage guidance consistent with provider treatment plans and clinic protocols Escalate urgent or complex clinical concerns to providers when appropriate Support triage needs across addiction medicine and psychiatry services Laboratory Result Notifications: Notify patients of laboratory results when delegated by providers Communicate urine drug screen (UDS) results and other clinically relevant laboratory findings Provide patient education regarding next steps or follow-up care Coordinate provider follow-up when additional clinical evaluation is needed Document patient notifications in accordance with clinic documentation standards Documentation & Clinical Communication: Document all patient interactions in the electronic health record (EHR) in a timely and accurate manner Communicate relevant patient updates and concerns to providers and clinical staff Maintain organized records of outreach and follow-up efforts Ensure documentation supports continuity of care across the interdisciplinary team Collaboration & Team Support: Collaborate with physicians, nurse practitioners, psychiatrists, therapists, and clinical staff Work closely with the Clinical Nurse Supervisor to follow established clinical workflows Support nursing workflows designed to improve patient engagement and continuity of care Participate in team meetings or clinical training as needed

Area Agency on Aging Region 9, Inc.

Remote PASSPORT Case Managers/MyCare Level of Care Assessor

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Compact / Multi-State

We are looking for PASSPORT Case Managers/MyCare Level of Care Assessor! Are you looking for a rewarding career? The Area Agency on Aging Region 9, is dedicated in helping older adults and people with disabilities remain happy, healthy, and at home in the counties we serve. We are seeking a self-motivated, energetic, detail oriented, highly organized, tech-savvy Licensed Practical Nurse (LPN), Registered Nurse (RN), or Licensed Social Worker (LSW) to serve as a PASSPORT Case Manager/MyCare Level of Care Assessor.

Active Ohio or multi-state RN, LSW, or LPN license Strong organizational and communication skills Ability to work independently in a remote environment Reliable transportation, valid driver’s license, and auto insurance

Optum

RN Call Us First Remote in Everett, WA

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Washington

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Optum WA, (formerly The Everett Clinic) is seeking a RN Call Us First to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. Position in this function is under general supervision, the Staff RN/Consulting Nurse is responsible for providing telephone triage assessment to Primary Care patients by using state of the art telecommunications, information technology and approved protocols; to clients ensuring the efficient use of medical and nursing, facilities and equipment and to provide excellent customer service. Schedule: Week 1: Sun, Mon, Tues, Fri = 40 hours 8:30am-7:30pm PST and Week 2: Mon, Tues, Wed, Sat = 40 hours 8:30am-7:30pm PST If you live in Washington State, you will have the flexibility to work remotely* as you take on some tough challenges.

Required Qualifications: WA State RN license 3+ years of experience in a clinical setting (Med/Surg, critical care, ER, etc.), disease management, home health, discharge planning, utilization review, patient education and telephonic nursing Preferred Qualifications: Bachelor of Science in Nursing American Academy of Ambulatory Care Nursing (AAACN) 1+ years of Call Center Nursing experience Case Management experience

Utilizes clinical expertise and approved protocols to provide health advice to consumers with clinical questions and makes referrals for health services as appropriate via telephone Able to document calls in applicable system in a timely manner and exhibits a willingness to master new work routines and methods Documents all inquiries according to department standards for legal/statistical purposes Excellent written and verbal communication skills Able to problem solve issues independently as well as work with teams collaboratively situations require assessment, decision-making within the framework of established protocols, excellent listening and communication skills, knowledge of computers, critical thinking skills and the nursing process Speaks with a pleasant, professional phone voice and provides superior customer service to internal and external customers Ensures performance standards are met and accepts constructive feedback The Everett Clinic joined Optum in 2019, working together across the Puget Sound, the partnership means we're able to expand our services and locations to offer even more services. As we grow, we'll keep on giving you top-quality care, just as we always have. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Optum

Inpatient Utilization Management Nurse RN - Remote in MST or PST - Saturday or Sunday required weekly

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

RN

State License:

New Mexico

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Utilization Review Nurse, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent review and or prior authorization requests for appropriate care and setting by following evidence based clinical guidelines, medical necessity criteria and health plan guidelines. Reviews and applies hierarchy of criteria to all inpatient admission and preauthorization requests from providers that require a medical necessity determination. Is involved in assuring that the patient receives high-quality cost-effective care. Uses sound clinical judgement and managed care principles in the coordination of care. Prepares any case that does not meet medical necessity guidelines for medical appropriateness of procedure, service or treatment for review with the Medical Director for a decision. Required hours are 8am-5pm in PST or MST to include one weekend day, either Sunday-Thursday or Tuesday-Saturday, after the 3-6 month training period. Training for the first 3-6 months (or potentially longer depending on training progress) will be Monday-Friday 8am-5pm PST before moving to your regular schedule. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Required Qualifications: Current unrestricted Registered Nurse (RN) license in state of residence 3+ years of clinical nursing experience in acute care hospital or LTAC setting 1+ years of Utilization Management experience in hospital or insurance setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual guidelines Experience researching and preparing clinical information for case review with Physician Leadership for patient treatment and care planning Experience providing accurate and timely documentation of clinical review and supporting rational of decision in care management systems Experience employing analytical skills necessary for quality case management, utilization review, and quality improvement to meet organizational objectives Experience using various computer software applications with an intermediate level of competence, including Microsoft Word and Excel Ability to work Monday-Friday 8am-5pm in Pacific Time Zone or Mountain Time Zone to include one weekend day, either Sunday-Thursday or Tuesday-Saturday, after the 3-6 month training period. Training for the first 3-6 months (or potentially longer depending on training progress) will be Monday-Friday 8am-5pm PST before moving to your regular schedule Preferred Qualifications: Inpatient Utilization Management experience Utilization Management experience for insurance or managed care organization Prior Authorization experience Primary residence in Pacific Time Zone or Mountain Time Zone

Maintains clinical expertise and knowledge of scientific progress in nursing and medical arena and incorporates this information into the clinical review and care coordination processes Performs clinical review for appropriate utilization of medical services by applying appropriate medical necessity criteria guidelines Authorizes healthcare services in compliance with contractual agreements, Health Plan guidelines and appropriate medical necessity criteria Documents clinical reviews in care management system. Provide accurate and timely documentation and supporting rational of decision in care management system Utilizes care management system and resources to track and analyze utilization, variances and trends, patient outcomes and quality indicators Research and prepares clinical information for case review with Physician Leadership for patient treatment and care planning Utilizes knowledge of resources available in the health care system to assist the physician and patient effectively Identifies members who are appropriate for care coordination programs and collaborates with the Medical Management team for care coordination of the member's needs along the continuum of care Successfully completes the Interrater Reliability Testing to ensure consistency of review and application of criteria Meets timeliness standards for decision, notification, and prior authorization activities Serves as an advocate for all providers and their patients Demonstrates a positive attitude and respect for self and others and responds in a courteous manner to all customers, internal and external Maintains the confidentiality of all company procedures, results, and information about patients, contracts, and all other proprietary information regarding Optum business Performs other duties as required or requested in a positive and helpful manner to enable the department to achieve its goals You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

ColigoMed

Care Coordinator - CCM/RPM (Licensed Practical Nurse - LPN/LVN)

Posted on:

April 3, 2026

Job Type:

Contract

Role Type:

Care Management

License:

LPN/LVN

State License:

Compact / Multi-State

ColigoMed is a US-based digital health company. At ColigoMed, our AI-enabled continuum platform connects patients, medical providers, and payers and provides the scale for at-home and virtual care programs to improve healthcare quality and patient outcomes. Our application is driven by our proprietary AI engine, ColigoAssist, which serves as a digital care assistant for both patients and providers—enabling better management of chronic medical conditions. Our provider portal delivers real-time clinical visibility across hospitals, clinics, and connected monitoring devices. ColigoMed is focused on helping patients live healthier, more independent lives. To achieve this, we recruit high-caliber professionals who combine deep clinical excellence with compassion and accountability. Our global team culture is built on trust, innovation, performance, and mission-driven care delivery.

We are seeking experienced LPNs with active compact multistate licensure to support our remote CCM and RPM programs across the United States. This is a high-engagement, patient-facing role where you will manage an assigned panel of patients and deliver ongoing patient management and care delivery through regular telephonic outreach and digital care platforms. The role requires the ability to interact with multiple patients daily, maintain accurate documentation, and operate effectively within a structured, performance-driven environment. You will work as part of a remote clinical team, collaborating closely with providers and internal staff to assess patient needs, implement care plans, and support improved health outcomes through consistent patient engagement. This role is primarily focused on outbound patient engagement, with the majority of daily work consisting of proactive patient calls and ongoing care management. This position is best suited to nurses who enjoy structured workflows, consistent patient interaction, and working independently in a remote environment. While this is a high-volume role, we provide onboarding support and guidance to help nurses build confidence and succeed.

Education and Licenses: LPN/LVN with an active compact multistate license (required) Minimum 6–10 years of nursing experience including chronic disease management Core Experience Requirement Candidates must meet one of the following pathways: Path A – Direct CCM / RPM Experience (Strongly Preferred) At least 2 years of direct CCM or RPM experience involving: Ongoing patient management Regular outbound patient interaction Telephonic or remote care delivery Use of EMR and digital care management platforms Path B – Equivalent Longitudinal Care Experience Candidates without direct CCM/RPM experience will be considered only if they demonstrate all of the following: At least 5 years of experience in case management, transition of care (TOC), or longitudinal chronic care Ongoing responsibility for managing the same patient population over time Regular, proactive patient communication as a core part of daily workflow Demonstrated ownership of care plans, patient follow-up and coordination across providers Other Experience Requirements Experience working in structured, high-volume patient engagement environments is required. (typically, 15–20+ patient interactions per day or equivalent workload and/or managing 150–300 patients per month) Demonstrated use of EMR systems, telehealth platforms & digital care tools Experience with Medicare or Medicare Advantage populations preferred Stable employment history Knowledge and Skills: Ability to work effectively in a remote, structured environment Strong organizational and time management skills Excellent communication skills with patients and providers Ability to manage multiple patients and priorities concurrently Strong clinical knowledge in chronic disease management High attention to detail and documentation accuracy Team-oriented with strong collaboration skills Bilingual (Spanish) preferred

Program Enrollment, Onboarding & Initial Patient Engagement (Transitional Phase) During the initial phase, you will support patient onboarding and program setup for CCM and RPM services. Key responsibilities include: Manage an assigned panel of patients and conduct regular outreach interactions using digital care platforms, requiring consistent execution of approximately 15–20 patient interactions per day as part of ongoing CCM/RPM care delivery. Deliver structured, scheduled patient interactions to support chronic disease management, including medication review, care plan updates, patient education, and escalation of clinical concerns where appropriate. Maintain accurate, timely documentation of all patient interactions and care activities within digital systems, ensuring compliance and continuity of care. Initiate outreach and onboarding calls for Medicare and Medicare Advantage patients Explain CCM/RPM programs, including expectations and device usage Obtain and document patient consents in line with CMS guidelines Conduct initial patient assessments Create and maintain care plans in collaboration with providers Perform medication reconciliation and escalate concerns Coordinate RPM device setup and usage Respond to patient inquiries and support ongoing engagement Manage allocated patient case load to meet required timelines, quality care standards and meet billing metrics of average fifteen (15) CCM units per day Collaborate with providers and internal teams Role Evolution This role will transition into a dedicated CCM/RPM Care Coordinator position focused on managing an ongoing patient panel as program volumes stabilize.

National Care Advisors

Field Nurse Case Manager

Posted on:

April 3, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Colorado

NCA is in search of a Nurse Case Manager based in the Denver area who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and collaboration with the primary family caregivers, attorneys, financial planners and trustees that are also serving the client.

Bachelor of Science in Nursing (BSN) required, CCM or CRRN preferred Minimum of 5 years clinical Nursing experience – experience in field case management or workers’ compensation case management, preferred Experience with third party benefits – health insurance, Medicaid, Social Security, Developmental Disability services Excellent communication skills – written and verbal Proficient in using MacOS and a variety of related software applications (including MS Office) Strong ability to quickly learn and adapt to new technologies and tools in a Mac environment Highly motivated self-starter comfortable working in a virtual company/office, with solid time management and organization skills Proven ability to collaborate as necessary to accomplish goals and work through conflicts Ability to research and develop solutions to challenges presented by the client Excellent customer service skills Overnight travel required regionally 1-2 times per month and occasional nationwide travel Willingness to meet timely documentation requirements

Wheel

20+ State Licensed Nurse Practitioner - Fully Remote Telemedicine 1099 Contract

Posted on:

April 2, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

Wheel Medical Group is a physician owned professional corporation that serves patients across the United States; evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment. Wheel solutions include configurable virtual care programs, an intuitive consumer interface, and access to a nationwide network of board-certified clinicians. Discover how Wheel is transforming the future of healthcare by visiting www.wheel.com.

Wheel Medical Group is seeking nurse practitioners with multiple state licenses to join our network of world-class clinicians delivering virtual care. Wheel Medical Group offers a better way to work in virtual care by enabling clinicians to work with multiple telehealth companies — all in one platform. Clinicians in our nationwide network are credentialed, trained, and matched with vetted companies delivering the highest quality patient care. You could have the opportunity, based on experience and interest, to provide care in a number of programs such as: Primary Care Urgent Care Women’s Health Men’s Health Weight Management Dermatology Pediatrics

Board certified nurse practitioner 20 state licenses Must be licensed in CA or TX Must be licensed in at least 9 of these states: AK, AZ, DE, DC HI, ID, IA, KS, ME, MD, MA, MI, MT, NE, NV, NH, NM, ND, OR, RI, SD, UT, VT, WA, WY) Must also be licensed in at least 10 of the following states: OK, AR, CA, CO, CT, FL, IL, KY, MA, MN, NY, NJ, VA, WV 2+ years of clinical experience as a nurse practitioner in emergency, urgent care, or family medicine/primary care experience Available a minimum of 12 hours per week (including 6 weekend hours per month). Ability to perform both synchronous and asynchronous consults Providers with Full Practice Authority preferred At least 1 year of telemedicine experience preferred Ability to treat pediatric patients required Comfort providing medical weight loss patients required Outstanding clinical expertise Strong verbal and written communication skills Comfortable with technology

Deliver high-quality, evidence-based asynchronous and synchronous virtual care. Review comprehensive patient intake information, including medical history, medication lists, and patient-submitted photos, to ensure safe and appropriate prescribing decisions​. Conduct thorough clinical assessments aligned with Wheel clinical guidelines, utilizing clinical snippets and workflows to tailor education and treatment plans​. Prescribe medications responsibly, ensuring alignment with patient eligibility, formulary guidance, and safety parameters such as blood pressure ranges, contraindicated medications, and clinical red flags. Document each patient encounter using a complete and structured SOAP note, including rationale for prescribing or referring, patient counseling, and follow-up recommendations​. Engage in clear and compassionate communication with patients through secure messaging or live video visits, maintaining a professional and supportive web-side manner​. Refer patients to in-person care when clinical guidelines are not met, documenting rationale and providing clear patient instructions​. Maintain compliance with quality assurance standards, incorporating feedback from periodic chart audits and actively participating in continuous improvement efforts​. Escalate urgent clinical concerns such as suicidal ideation or harassment according to platform protocols, ensuring patient safety and clinician protection​. Collaborate with Wheel’s clinical operations team for onboarding, platform support, and guideline updates to ensure consistent, high-quality care delivery.

Wheel

Remote Nurse Practitioner - 1099 Contract (DC or CA license required)

Posted on:

April 2, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

Wheel Medical Group is a physician owned professional corporation that serves patients across the United States; evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment. Wheel solutions include configurable virtual care programs, an intuitive consumer interface, and access to a nationwide network of board-certified clinicians. Discover how Wheel is transforming the future of healthcare by visiting www.wheel.com.

Wheel Medical Group is seeking nurse practitioners with multiple state licenses to join our network of world-class clinicians delivering virtual care for a primary care client. Minimum of 2 licenses are required. Clinicians with the following license combinations will be considered: DC and VA DC and IL DC and WA CA and one of the following: IL,MD,NJ,VA or WA NY and one of the following: IL,MD,NJ,VA or WA Wheel Medical Group offers a better way to work in virtual care by enabling clinicians to work with multiple telehealth companies — all in one platform. Clinicians in our nationwide network are credentialed, trained, and matched with vetted companies delivering the highest quality patient care. You could have the opportunity, based on experience and interest, to provide care in a number of programs such as: Primary Care Urgent Care Women’s Health Men’s Health Weight Management Dermatology Pediatrics

Board certified Family Nurse Practitioner (FNP) with a national certification Multiple state licenses with at least 1 license from each category: Category 1: DC or CA Category 2: IL,MD,NJ,VA or WA Collaborative agreement preferred for CA Attestation for independence required for IL, FL, NY, VA 2 years of experience in an outpatient primary care setting or 1 year in an outpatient primary care setting, coupled with either a 1 year primary care fellowship or 1+ year in an urgent care setting. seeing patients of all ages Available a minimum of 12 hours per week with the ability to work a combination of weekdays, weekends, daytime and evening shifts (flexible 24/7 scheduling); 1099 Contract Position Pediatric experience / willingness to see pediatric patients required Ability to perform both synchronous and asynchronous consults required Providers with Full Practice Authority preferred Outstanding clinical expertise Strong verbal and written communication skills Comfortable with technology

Deliver high-quality, evidence-based asynchronous and synchronous virtual care. Review comprehensive patient intake information, including medical history, medication lists, and patient-submitted photos, to ensure safe and appropriate prescribing decisions. Conduct thorough clinical assessments aligned with Wheel clinical guidelines, utilizing clinical snippets and workflows to tailor education and treatment plans. Prescribe medications responsibly, ensuring alignment with patient eligibility, formulary guidance, and safety parameters such as blood pressure ranges, contraindicated medications, and clinical red flags. Document each patient encounter using a complete and structured SOAP note, including rationale for prescribing or referring, patient counseling, and follow-up recommendations. Engage in clear and compassionate communication with patients through secure messaging or live video visits, maintaining a professional and supportive web-side manner. Refer patients to in-person care when clinical guidelines are not met, documenting rationale and providing clear patient instructions. Maintain compliance with quality assurance standards, incorporating feedback from periodic chart audits and actively participating in continuous improvement efforts. Escalate urgent clinical concerns such as suicidal ideation or harassment according to platform protocols, ensuring patient safety and clinician protection. Collaborate with Wheel’s clinical operations team for onboarding, platform support, and guideline updates to ensure consistent, high-quality care delivery.

Wheel

Remote Nurse Practitioner - Weekend Shifts, 1099 Contract (7+ state licenses)

Posted on:

April 2, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

Wheel Medical Group is a physician owned professional corporation that serves patients across the United States; evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment. Wheel solutions include configurable virtual care programs, an intuitive consumer interface, and access to a nationwide network of board-certified clinicians. Discover how Wheel is transforming the future of healthcare by visiting www.wheel.com. Wheel Medical Group offers a better way to work in virtual care by enabling clinicians to work with multiple telehealth companies — all in one platform. Clinicians in our nationwide network are credentialed, trained, and matched with vetted companies delivering the highest quality patient care. You could have the opportunity, based on experience and interest, to provide care in a number of programs such as: Primary Care Urgent Care Women’s Health Men’s Health Weight Management Dermatology Pediatrics

Wheel Medical Group is seeking nurse practitioners with multiple state licenses to join our network of world-class clinicians delivering virtual care. Must be available to work weekends.

Board certified nurse practitioner Multiple state licenses (7 minimum with at CA or TX) Must be available to work a minimum of 8 hours per week Willing to do video sync and async visits 2+ years of clinical experience as a nurse practitioner in emergency, urgent care, or family medicine/primary care experience Providers with Full Practice Authority in FL, VA, NJ, IL, CT, CO preferred At least 1 year of telemedicine experience preferred Experience treating pediatric patients preferred Outstanding clinical expertise Strong verbal and written communication skills Comfortable with technology Multiple telehealth opportunities. With just one application, one credentialing effort, and one schedule, Wheel offers a simple and flexible way to work with multiple telehealth companies. Unlimited and uncapped earnings. Flexible schedule. Create your own schedule and work when you want, whether that’s evenings, part-time, or full-time. Contract position. 100% remote. Provide rewarding patient care from the comfort and safety of your home or office. Clinician community. Join a collaborative community of clinicians working in virtual care. Clinical compliance.Wheel supports brand GLP-1s only and does not operate compounded GLP-1 programs. Clinical, operational, administrative, and technical support. Wheel works to offer guidance and support for your virtual care practice, handling payments, credentialing, onboarding, and more. Simple to use. Utilize our secure and HIPAA-compliant platform that includes video conferencing, scheduling, and patient information tools. We protect clinicians. We vet all of our telehealth company partners for clinical safety and standard of care procedures to help protect your clinical practice. We also provide malpractice insurance, including tail coverage.

Deliver high-quality, evidence-based asynchronous and synchronous virtual care. Review comprehensive patient intake information, including medical history, medication lists, and patient-submitted photos, to ensure safe and appropriate prescribing decisions. Conduct thorough clinical assessments aligned with Wheel clinical guidelines, utilizing clinical snippets and workflows to tailor education and treatment plans. Prescribe medications responsibly, ensuring alignment with patient eligibility, formulary guidance, and safety parameters such as blood pressure ranges, contraindicated medications, and clinical red flags. Document each patient encounter using a complete and structured SOAP note, including rationale for prescribing or referring, patient counseling, and follow-up recommendations. Engage in clear and compassionate communication with patients through secure messaging or live video visits, maintaining a professional and supportive web- side manner. Refer patients to in-person care when clinical guidelines are not met, documenting rationale and providing clear patient instructions. Maintain compliance with quality assurance standards, incorporating feedback from periodic chart audits and actively participating in continuous improvement efforts. Escalate urgent clinical concerns such as suicidal ideation or harassment according to platform protocols, ensuring patient safety and clinician protection. Collaborate with Wheel’s clinical operations team for onboarding, platform support, and guideline updates to ensure consistent, high-quality care delivery.

Fern and Fathom Mental Health Solutions, PLLC

Psychiatric Mental Health Nurse Practitioner

Posted on:

April 2, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

Psychiatric Mental Health Nurse Practitioner (PMHNP) – 1099 Fern & Fathom Mental Health Solutions, PLLC Remote | Multi‑State | Austin, TX–Based Fern & Fathom is a growing integrative private practice offering telehealth mental health services across multiple states. We are seeking a PMHNP who values thoughtful, patient‑centered care over high‑volume schedules. Role Highlights 1099 Independent Contractor 50/50 revenue split (increase potential based on caseload/performance) Set your own schedule Remote/telehealth model Credentialing support in states where you hold licensure Texas‑based in‑person location planned for those who prefer this model Existing caseload strongly preferred, but not required.

Important Prescribing Note Fern & Fathom does not prescribe controlled substances. PMHNPs must maintain active DEA licensure in each credentialed state for payer and regulatory requirements. Requirements: Active PMHNP certification & unrestricted license DEA license (active) Malpractice insurance Strong psychopharmacology knowledge Ethical, collaborative, patient‑focused approach

Psychiatric evaluations & diagnoses (ICD‑10) Medication management (non‑controlled substances only) Individualized treatment planning Telehealth outpatient care Accurate EMR documentation

Advocate Aurora Health

Remote Triage Registered Nurse (RN) - Patient Access and Care Team PT

Posted on:

April 2, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Reshaping Access We offer more sites of care than any other health system in the Midwest, but we're also exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it. Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we'll touch lives and contribute to stronger and more vibrant communities. Transforming Care We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in a dozen specialties.

Schedule: Part-time, either 3 (10 hour) shifts or 4 (8 hour) shifts. Day/pm hours available. Every fourth weekend and holiday rotation. **Candidate MUST have 2+ years' acute care experience (ED, Urgent Care, ICU and some Med/Surg will be considered) is required within the last 4 years to be considered.** Due to complex requirements, remote work is NOT permitted from the following states: CA, CO, CT, HI, MA, MD, MN, NJ, NY, OR, RI, VT, WA Schedule: Part time position (30 or 32 hours) start times mornings 8a,9a or 10a, PMs 12p, 1p, 2p or later 8 hour or 10 hour shifts are available for different shifts MUST be available to work every 4th weekend and holiday rotation

Licensure, Registration, and/or Certification Required: Registered Nurse license issued by the state in which the team member practices. Education Required: Associate's Degree (or equivalent knowledge) in Nursing. Experience Required: Typically requires 2+ years' of acute care experience, preferably within the last 4 years (ED, Urgent Care, ICU and some Med Surg will be considered). Knowledge, Skills & Abilities Required: Critical thinking skills necessary to independently determine and prioritize the needs of patients using sound judgment and strong problem-solving skills. Knowledge of a variety of healthcare specialties, including levels of care, symptom identification and proven treatment recommendations. Ability to incorporate past experience with established protocols. Excellent verbal communication skills demonstrating empathy, respect, restatement, open-ended questions, active listening and diplomacy with a diverse customer population. Ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians. Proven ability to independently organize and prioritize work, managing multiple priorities and maintaining a flexible schedule in a fast paced, dynamic customer service environment. Excellent customer service and follow-up skills including the ability to stay calm during stressful situations. Demonstrated proficiency as a technology user with computers, internet, desktop software packages and multiple-line telephone systems. Ability to converse with customers/patients while researching and documenting calls on multiple systems. Knowledge of documentation techniques for communication Physical Requirements and Working Conditions: Required stable and secure internet connection Must have functional vision, touch, speech, and hearing. Required sitting a majority of the workday. Operates all equipment necessary to perform the job. Must have quiet space to make and receive phone calls Ability to lift 15 lbs.

Uses the nursing process and guidance of established protocols to assess the needs of the patient telephonically including the patient, guardian, or family in the conversation when necessary. Determines most appropriate level of care needed, provides detailed education, establishes a plan of care including interventions, and communicates follow up instructions to the patient. Escalates and collaborates with the appropriate on call provider when additional guidance is needed. Prioritizes patient interactions by acuity and need considering all available information and resources. Applies evidence-based practice to deliver patient care. Implements strategies to reduce patient risk and increase patient safety. Assesses patient and family readiness to learn and individualizes the approach as necessary. Works collaboratively to develop strategies to meet the learning needs of the patient and family. Supports shared governance activities and initiatives to improve processes and patient outcomes. Participates in department quality/process improvement initiatives aimed at enhancing the patient care experience. Participates in professional activities which contribute to personal professional development and the development of others. Seeks opportunities to be taught, coached, and mentored. Attends required meetings/educational programs and completes annual competencies in a timely manner. Demonstrates effective communication, feedback, and conflict resolution skills. Promotes collaboration with clinicians and other healthcare team members to coordinate patient-centered care. Promotes a culture of safety through identifying threats to patient safety and intervening to prevent patient harm. Reports patient safety events and near misses in a timely manner. Seeks to identify potential safety issues and assists in the implementation of corrective action. Applies ethical decision making, demonstrates respect and understanding for peers, and other clinical disciplines. Participates as an effective member of the patient care team to formulate an integrated, unbiased, individualized approach to care. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret appropriate information needed to identify each patient’s requirements relative to his/her age specific needs and provide the care advice/disposition outlined in the departments policies, procedures, and protocols. Schedules appointments with emphasis on making the appointment in correlation to the recommended end point of the protocol used. Collaborates with other health care team members to coordinate medical and nursing management of patient care, including procedures and medication refills. Accurately maintains and updates the patient’s clinical records according to agency, State and Federal guidelines. Documents all call encounters utilizing the patient’s Electronic Medical Record at the time of the call. Communicates information relating to the patient’s physical and psychological status to the physician, Advanced Practice Clinician and/or additional members of the interdisciplinary team as appropriate. Provides pertinent and concise reports describing patient’s response to medical and nursing plans of care. Participates in team meetings and works on special projects/tasks as assigned by leadership. Participates in the ongoing development of comprehensive health information resources, system and operational efficiencies and resources. Assists in interpreting department policies and procedures and advises staff on procedural changes.

Globalhealth Holdings Llc

Case Manager RN (49541)

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Compact / Multi-State

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.

This position, under the direction of the Supervisor, Care Management, performs and manages all aspects of care management to improve the long-term wellness of members, becoming an advocate for our members through coordination of care.

EDUCATION AND EXPERIENCE: Active Registered Nurse license in the state of Oklahoma required Active multi-state RN license is preferred Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ABILITIES: Knowledge of current nursing processes, techniques, and established standards, including disease management, medications, and community resources. Strong attention to detail and good organization and time management skills, including ability to multi-task, learn new skills and reach set goals. Must be able to communicate, both orally and in writing, clearly and effectively Knowledge of Microsoft software programs including Word, Excel, and PowerPoint. Proven ability to work independently or as a member of a team. WORK ENVIRONMENT: Work is normally performed in a professional setting. Work involves standing and walking for brief periods of time, but most duties are performed from a seated position. Work may include occasional pushing and/or pulling, lifting, and carrying objects weighing up to 20 pounds. Work requires normal vision and hearing as might be required in typical conversational use along with finger dexterity and eye-hand coordination to operate a computer keyboard at a moderate skill level. TRAVEL: N/A

Conducts telephonic case management for complex, high-risk members to include identification and assessment of needs, planning and coordination of care, and monitoring outcomes in accordance with GlobalHealth and the departments policies and procedures. Coordinates with providers when applicable to ensure holistic, healthy, beneficial outcomes. Communicates with respect to family culture, ethnic origin, race, language, gender, age, religion, socioeconomic status, sexual orientation, mental and/or physical challenges. Through interdepartmental communication, network communication, and member outreach the Case Manager remains aware of patient needs and changes in condition, providing patient advocacy, support, assessing and ensuring quality care, and providing crisis intervention. Coordination of services for members, including community resources and collaboration with other members of the care team. Educate members and their caregivers on conditions and self-management techniques. Initiate and participate in all elements of the SNP MOC, including completing HRA, creating ICP, and initiating ICT. Complete TOC activities to include post-discharge assessment, medication reconciliation/review, and ensuring member has access to follow up care. OTHER DUTIES: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Globalhealth Holdings Llc

Prior Authorization Nurse (LPN)

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

LPN/LVN

State License:

Compact / Multi-State

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.

This position performs utilization management review. This position determines appropriateness of services, medical necessity, and location of services required to encourage effective, high-quality care and cost-efficient outcomes through. This position requires excellent verbal and written communication, organization and time management skills.

EDUCATION AND EXPERIENCE: Current active LPN license in Oklahoma/Texas or compact Experience in managed care/utilization management preferred Minimum of 3-5 years of clinical experience required KNOWLEDGE, SKILLS AND ABILITIES: Working knowledge of ICD-10/CPT codes preferred Working knowledge of Microsoft software programs Excellent organizational skills Strong communication skills Proven ability to work independently and as a member of a team WORK ENVIRONMENT: Current work environment is remote; however, some state exclusions apply. Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies. TRAVEL: May require limited travel for offsite meetings or training

Reviews preservice requests, appropriateness of services, and ensure timely determination Communicates with customers, both internal and external, regarding status of referral/referral process. Utilizes NCDs, LCDs, MCG, and additional guidelines to assist in determining coverage of the request. Maintains current knowledge of managed care issues (benefits, contracted providers, health plan guidelines, MCG, NCD, LCD and community standards of practice and regulatory developments, and new and experimental procedures). Collaboration with internal team to support member needs, including but not limited to discharge planning, provider relations, and care management. Adheres to company and department policies and procedures. Performs other duties as assigned SUPERVISORY RESPONSIBILITY: This position has no supervisory responsibility OTHER DUTIES: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

NeuroCare Health, LLC

Part‑Time Registered Nurse (RN) – CCM/PCM

Posted on:

April 2, 2026

Job Type:

Part-Time

Role Type:

Telehealth

License:

RN

State License:

Georgia

We are seeking an experienced Registered Nurse (RN) to provide Chronic Care Management (CCM) and Principal Care Management (PCM) services. Candidates with neurology experience or experience supporting patients with chronic neurological conditions are strongly preferred. This role involves patient outreach, care coordination, and ongoing support for individuals with chronic or complex conditions. Schedule Part‑time/Contract(W-9) Flexible hours

Application Question(s): Do you have an - Active, unrestricted RN license (GA) License/Certification: RN License (Required)

Provide CCM/PCM services including monthly outreach and care plan updates Conduct telephonic or virtual patient check‑ins Support patients with chronic neurological conditions (e.g., migraines, neuropathies, Parkinson’s, epilepsy, MS) Collaborate with providers and care teams Document all encounters in the EMR Identify care gaps and coordinate follow‑up Educate patients on disease management and available resources

Oscar Health

Utilization Review Nurse, BPO Supervisor

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

RN

State License:

Compact / Multi-State

Hi, we're Oscar. We're hiring a Utilization Review Nurse, BPO Supervisor to join our team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

You will provide daily oversight and management of the team. You will own the daily Nurse off-shore team operations, including queue and volume throughput and staffing, and also serves as the primary escalation point for their teams. You will supports strategic and clinical initiatives. You will report into the Manager, Utilization Review. Work Location:This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.#LI-Remote Pay Transparency: The base pay for this role is: $91,980 - $120,629 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Requirements: 3+ years of utilization review experience at a managed care plan or provider organization Active, unrestricted Registered Nurse (RN) licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) 2 + years of off-shore managing vendor experience 2+ year of leadership experience Associate Degree and/or Bachelors of Nursing from an accredited school of nursing 5+ years healthcare experience (including at least 2 years clinical practice in an acute care setting) Milliman (MCG) experience Bonus points: Bachelors of Nursing (BSN) degree Masters of Science in Nursing (MSN) degree, or MBA/Healthcare administration degree Project management certification (e.g. Six Sigma, SCRUM, Agile)

Own daily workforce management, including staffing and queue assignments, PTO/leave, and payroll/compensation. Manage queue on a daily basis, ensuring compliance with regulatory timelines, staff coverage, and coordination with internal teams for forecasting and timely handling of ad hoc escalations Ensure on-shore team adheres to department policies and workflows and serve as continual champion of the Oscar mission. Drive and own the success of clinical auditing and performance through ongoing evaluations; effectively use Oscar tools to monitor and trend nurse productivity and auditing data for assessment and reporting. Support the onboarding and training of newly-hired clinicians and partner with the Clinical Quality & Training team on the development and maintenance of clinical training and resource material. Partner with the Talent Acquisition team on clinical hiring initiatives. Complete medical necessity and level of care reviews using clinical judgment and the Plan's designated clinical guidelines, if applicable. Comply with department performance and quality metrics, and adhere to training and remediation requirements. Compliance with all applicable laws and regulations Other duties as assigned

Revolution Medicines

Regional Nurse Case Manager (East)

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

California

Revolution Medicines is a clinical-stage precision oncology company focused on developing novel targeted therapies to inhibit frontier targets in RAS-addicted cancers. The company’s R&D pipeline comprises RAS(ON) Inhibitors designed to suppress diverse oncogenic variants of RAS proteins, and RAS Companion Inhibitors for use in combination treatment strategies. As a new member of the Revolution Medicines team, you will join other outstanding Revolutionaries in a tireless commitment to patients with cancers harboring mutations in the RAS signaling pathway.

The Nurse Case Manager (RNCM) role sits at the intersection of patient advocacy, insurance policy, and product access – making this a critical role in supporting patients who have been prescribed a Revolution Medicines’ therapy. The RNCM Team will operate in a hybrid model in close partnership with a third-party HUB responsible for intake, benefits investigation, and Customer Relationship Management (CRM) operations. RNCMs will work directly with patients, healthcare providers, insurers, field reimbursement team, and other key stakeholders to help patients understand their coverage, access the company’s patient support programs, and connect with external resources that help overcome access barriers. This regionally aligned team (Northeast, Southeast, Central, and West) will manage the launch and ongoing lifecycle of Revolution Medicines’ approved therapies using a patient centric model. This role requires a strategic, independent worker with deep expertise in oncology market access, clinical knowledge, and a passion for ensuring no patient is left behind.

Required Skills, Experience and Education: Bachelor’s Registered Nurse degree required with current state license. 7 to 9+ years of experience in oncology, Patient Access, market access, or pharmaceutical patient service programs. Proven experience supporting specialty or oral oncology launches (start-up or high-growth environments strongly preferred). Deep understanding of payer dynamics, specialty pharmacy and distribution models, reimbursement processes, and patient support program operations. Exceptional skills in communication, compliant documentation, and cross-functional collaboration. Extensive knowledge of HIPPA regulations and Adverse Event (AE) reporting. Preferred Skills: Advance degree (MSN, MBA, MHA, other). Launch and customer-facing experience. Experience with targeted oncology product experience strongly preferred. Experience in a smaller, rapidly growing company preferred.

By acting as a single point of contact, the RNCM will proactively manage and work individual patient cases to ensure access and financial barriers are compliantly overcome —including benefit verifications, Prior Authorization (PA) delays, denials, appeals hurdles, specialty pharmacy (SP) and non-commercial pharmacy routing issues, affordability barriers, complex Center for Medicare and Medicaid cases (CMS), community resources and more. Execute smooth transition of all Expanded Access Programs (EAP) patients with urgency upon FDA approval. Manage the standardized escalation frameworks with the Field Reimbursement Team (FRDs), specialty pharmacies, non-commercial pharmacy and insurance providers to ensure rapid and compliant issues of resolution. Ensure timely contact with patients and providers during each step from enrollment to closure of case, benefit verification, PA status, appeals, specialty and noncommercial pharmacy dispense and refills. Monitor all patient cases for delays or bottlenecks, ensuring immediate contact with the appropriate stakeholder (patient, healthcare provider (HCP), third party HUB, and FRD team) to ensure follow-up of unresolved cases. To include regularly scheduled meetings to address any issues. Maintain rigorous documentation standards to ensure access barriers are tracked, addressed, and compliantly resolved in alignment with a “no patient left behind” mindset. Foster a culture grounded in patient advocacy, compassion, compliance, customer centricity, urgency, and collaboration. Create and manage a “one-team” mindset with other critical access teams, including third-party hub provider, non-commercial pharmacy, third-party copay provider, FRD Team, Medical, Quality Control, and Patient Access leadership. Travel as needed to home office as applicable and external meetings and conferences. Other duties as assigned.

Maximus

Clinical Supervisor RN - (Remote in Colorado)

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Leadership / Management

License:

RN

State License:

Compact / Multi-State

We’re moving people forward by providing transformative technology services, digitally enabled customer experiences, and clinical health services that change lives. Our employees share an authentic desire to make vital services available to the public and support the missions of our customers.

Maximus is seeking a Clinical Supervisor (RN) to lead our clinical team supporting the Colorado HMA (Health Maintenance Activities) Review Program. This role oversees a team of clinical reviewers, ensures program goals and service level agreements (SLAs) are met, and fosters a high‑performance culture. The Supervisor serves as a program subject matter expert, ensures adequate staffing coverage, partners with leadership on process improvements, required contract reporting, and participates in stakeholder meetings. **Position is contingent upon contract award** Work Schedule: This position is scheduled Monday through Friday from 8:00 a.m. to 5:00 p.m. Mountain Time with some weekend coverage required based on business needs.

Bachelor's degree or equivalent combination of education, technical training, or relevant experience in lieu of degree Minimum of two years of related experience. Current Registered Nurse (RN) license valid in the state of practice is required Associate degree in Nursing An active Registered Nurse license in the state of Colorado or a compact license is required Minimum 4 years of experience working with people with complex disabilities, including pediatric and geriatric populations Familiarity with Home and Community Based Services waivers (HCBS) Minimum 2 years of experience Supervising clinical staff Proficiency in Microsoft Office applications Preferred Requirements: Prior experience conducting document-based reviews Prior experience delivering clinical training Prior experience working remotely Prior experience with data analytics, including preparation of monthly reports and collaboration with state partners Home Office Requirements Maximus provides company-issued computer equipment Reliable high-speed internet service Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity Minimum 5 Mpbs upload speeds Private and secure workspace

Supervise a team of employees through cultivation of a high performance team Ensure adequate staff coverage for assigned program area Serve as subject matter expert for identified area of program knowledge Ensure assigned team is meeting contract and individual SLA's, and related requirements Work with contract management and shared services to identify opportunities for improvement and efficiencies May attend client and stakeholder meetings Performs other related duties as assigned.

Ascension

Registered Nurse Senior Director Professional Development

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Leadership / Management

License:

RN

State License:

Compact / Multi-State

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Location: Remote Department: CPD National Schedule: Full-time Salary: $146,000 - $248,200 per year Eligible for an annual bonus incentive Life at Ascension: Where purpose meets opportunity

Licensure / Certification / Registration: Registered Nurse obtained prior to hire date or job transfer date required. Education Master's degree required. Work Experience 5 years of experience required. 10 years of experience preferred. 2 years of leadership or management experience required. 5 years of leadership or management experience preferred. What Additional Preferences We're Seeking Doctoral degree in Nursing (PhD, DNP, EdD, or equivalent) preferred. National certification in nursing professional development or education preferred. Experience in system-level or multi-site health care organizations preferred. Active engagement with national nursing education and professional development organizations (ANPD, NLN, AACN, AONL) preferred.

Lead the design and execution of enterprise-wide nursing development programs that align clinical excellence with the organization’s long-term strategic goals. Design robust competency management systems and transition-to-practice programs to ensure every clinician is prepared to provide safe, high-quality patient care. Partner with executive nursing and HR leadership to identify future workforce needs, creating proactive education pathways that close competency gaps before they impact care. Integrate evidence-based research and clinical standards into daily practice, empowering nursing teams to improve patient outcomes. Mentor and develop the next generation of nurse leaders and clinical educators, fostering a culture of continuous professional growth and certification. Evaluate program success using data analytics to refine educational strategies, ensuring our training investments result in measurable improvements for both staff and patients.

Classet

LPN CCM Care Coordinator - Bilingual and MST/PST Only

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Care Management

License:

LPN/LVN

State License:

Compact / Multi-State

Classet automates the most time-consuming recruiting tasks with voice AI. Our view is that recruiters provide the highest level of impact to candidates when they spend their time building relationships and helping candidates succeed. Transform your hiring with Classet's AI-powered instant interview solution. Automate screening, schedule effortlessly, and hire top talent faster than ever. Experience the future of recruitment now! We don't use AI to replace the human touch desperately needed in recruiting - we use AI to augment and accelerate it, while providing a best-in-class candidate experience!

Chronic Care Staffing is Hiring a Remote Bilingual Care Coordinator (LPN)! Location: Remote (Must reside in MST or PST) Schedule: Monday - Friday (No Weekend Work) Employment Type: Full-Time Pay Rate: $23.50 - $26.50 per hour Overview Chronic Care Staffing is seeking a compassionate and detail-oriented Bilingual Care Coordinator (LPN) to support patients managing chronic conditions in a fully remote setting. This role is ideal for nurses who enjoy patient engagement, care coordination, and improving long-term health outcomes through consistent communication and support. You'll play a critical role in helping patients stay on track with care plans while collaborating closely with providers and internal teams.

Must Have: Active, unencumbered LPN/LVN license Must live in MST or PST (required) Fluent in English and Spanish Active BLS certification Strong proficiency with EHR systems Proficiency in Google Suite Ability to work independently in a HIPAA-compliant home office Strong clinical reasoning, problem-solving, and communication skills Excellent verbal and written communication abilities Nice to Have: Experience in care coordination, CCM, TCM, or remote patient monitoring Familiarity with community resource navigation Experience educating patients/families on chronic conditions Knowledge of CMS compliance, reporting, or quality measures Team-oriented mindset in a remote environment Home Office Requirements Private, distraction-free, HIPAA-compliant workspace Reliable high-speed internet Dual monitor setup

Conduct monthly Chronic Care Management (CCM) outreach calls and enroll patients Perform health risk assessments and support Transitional Care Management (TCM) Assist with Remote Patient Monitoring (RPM) and chronic condition tracking Educate patients and families on diagnoses, medications, and care plans Coordinate care between patients, providers, and internal teams Encourage adherence to treatment plans and patient self-management Accurately document all interactions in EHR systems Maintain productivity targets while delivering empathetic patient care Ensure compliance with HIPAA, CMS, and company standards

CenterWell Pharmacy

Care Manager, Telephonic Nurse

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

RN

State License:

Texas

CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager, Telephonic Nurse 2. In this pivotal role, you will play a crucial part in our Patient Management Program, focusing on individuals with specialized and complex health conditions, including autoimmune disorders, pulmonary diseases, neuromuscular disorders, infectious diseases, cancer(s), and other rare ailments. This position is a call center based environment. There is a set schedule that is provided daily with inbound and outbound tasks to perform. This position is for 10am-6:30pm EST three days a week M-F, and two days a week hours of 11:30am-8pm EST. There will be a Friday late night requirement on a rotation of 11:30am-8pm. There will be a Saturday rotation hours of 8:30am-12:30pm EST. Overtime is required on an as needed basis. There is a Holiday rotation that will be worked. Workable holidays for the pharmacy include Martin Luther King Day, Memorial Day, Juneteenth, 4th of July, Labor Day, The day after Thanksgiving, and New Years Day.

Use your skills to make an impact Bachelors of Science in Nursing (REQUIRED) MUST BE COMPLETED! 3 - 5 years of clinical acute care experience as an RN. Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action Must live in OH, KY, FL, AZ, TX. Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook Managed care experience Must be passionate about contributing to an organization focused on continuously improving consumer experiences Schedule Adherence Preferred Qualifications: Experience with care management, patient education for adult care, auto dialer experience Bilingual English/Spanish Auto Dialer Experience Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

As a Care Manager, Telephonic Nurse your primary responsibility will be to assess and evaluate the conditions of our members, with a particular emphasis on medication therapy, through telephonic interactions to ensure they achieve and maintain optimal wellness. Additionally, you will develop and implement comprehensive care plans, monitor patient progress through regular assessments, and utilize advanced telecommunication systems to provide medication education. The ideal candidate will demonstrate strong clinical expertise, exceptional communication skills, and the ability to work independently while adhering to established protocols and guidelines. This position offers the opportunity to make a significant impact on the lives of patients with serious and rare health conditions within a supportive and professional environment.

Evernorth Health Services

Clinical Nurse Trainer & Health Center Support Nurse - Evernorth - Remote NJ / FL

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Primary Care

License:

RN

State License:

Compact / Multi-State

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Our Evernorth Workplace Care Team delivers high-quality care where you are—with convenient onsite or virtual access to workplace-based health and wellness centers, health coaching and wellness events. Clinical Nurse Trainer & Health Center Support Nurse – Evernorth Full time 40 hour/week position The experienced Clinical Nurse Trainer & Health Center Support Nurse is responsible for providing coverage in our Evernorth Workplace Care Health Centers.

Graduate of approved RN program Current RN or LPN Compact licensure is required and ability to maintain as needed At least three or more years of experience in a primary care clinic or provider office. Travel Nursing experience strongly preferred Current BCLS required and ability to maintain Strong Phlebotomy skills Current driver's license and clean motor vehicle record Solid Computer skills with proficiency in MS Office Suite and Electronic Health Records Excellent customer service skills required Team oriented Strong time management skills Responsible and reliable Excellent customer skills, and care deeply about providing empathetic, quality care to customers Dynamic personality Leadership experience (indirect or direct) is a plus Ability to travel to US sites to provide coverage for health center, telehealth, health coaching and or training; Expected travel is 60-75%; Travel will be Monday - Friday Strong preference for this nurse to be based in North New Jersey / NY area (Bergen County NJ) or greater Orlando FL. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Travel to workplace health centers across the US - 60-75% travel Conduct patient assessment; obtain patient history Assist in development of care plans and coordination of care. Support the clinician to help manage the complex healthcare needs of patients, lead and support the back and front office staff with regards to patient’s concerns or center needs Assist in implementing provider orders and order follow-up, medication refills, patient/family education, identifying opportunities for preventative screening, notification of member’s test results. Triage patient calls and concerns; where applicable, schedule appointments Communicate effectively to provider to resolve issues. Set up all patients for procedures, exams and obtains vital signs. Utilize phlebotomy skills for Blood draws Ensure day-to-day operations in the clinic, use your organizational skills to help manage the health care needs of our varied patient population. Properly document your efforts of all the care and information provided to our patients. Maintain supplies in exam room Additional responsibilities in alignment with the scope of your certification or licensure Train new employees as needed May be Cross Trained in Health Coaching as needed Work with MDLive partners as needed

WPS—A health solutions company

Utilization Management RN

Posted on:

April 2, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

RN

State License:

Wisconsin

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to review medical services with evidence-based criteria, authorize requested services as appropriate. Our Utilization Management RN will be responsible for referring questionable cases to medical directors to prevent unnecessary procedures, treatments, or prolonged hospital stays. Work Location We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin

Minimum Qualifications: Registered Nurse (RN) with current licensure in the state of Wisconsin. 4 or more years of experience as a Registered Nurse in varied clinical settings (i.e., hospital, clinic, home care, skilled nursing facility, etc.). 2 or more years of experience in Managed Care (i.e., prior authorization, utilization review). Demonstrated experience managing and coordinating care effectively for case managed members. Strong knowledge of current medical practices, medical coding, trends and patterns of care. Familiarity with health plan operations, payer/provider relationships, and insurance benefits. Strong diverse experience and expertise that includes: The ability to work independently, manage a case load, and prioritization. Excellent analytical, critical thinking, problem-solving skills and decision-making skills. Excellent communication and interpersonal skills to work with members, providers, and teams Proficiency in Microsoft Office and healthcare software and systems. Preferred Qualifications: Bachelor’s degree in nursing (BSN). Health insurance background in Point of Service (POS), Preferred Provider Organization (PPO), or Medicare Supplement) plans. Knowledge of Utilization Review Accreditation Commission (URAC). Certified Managed Care Nurse (CMCN). Technical experience with word processing, spreadsheets, and proficiency with electronic medical record (EMR) systems and/or other managed care software. Remote Work Requirements: High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net) Please review Remote Worker FAQs for additional information

Enjoy working with healthcare professionals to facilitate appropriate and quality services in a cost-effective manner to positively impact medical loss ratio. Can work closely with Medical Directors to facilitate decision-making process for the Health Services department. Have experience reviewing medical and behavioral health prior authorization requests for medical necessity and appropriateness of requested treatment according to medical policies and evidence-based criteria. Have experience working closely with members of Health Services, and key contacts in Sales, Member Services, Claims, Provider Contracting, and Billing & Enrollment. Can document case summaries and refer cases to Medical Director that do not meet internal or external guidelines, policies, or medical criteria. Like to be accountable to monitor and maintain inventory in the Utilization Management queue to meet productivity standards. Enjoy evaluating, analyzing, and reporting trends in utilization changes in all healthcare delivery areas. Can make recommendations and implement changes consistent with Health Services objectives of quality care and reasonable cost. Would enjoy identifying opportunities and provide recommendations to improve department processes. Have Identified legal or liability issues and refer potential ethical or risk management issues to the appropriate department for resolution. Have participated in training new nursing staff on department workflows, policies, and procedures. Can work cross functionally to support other departmental efforts to ensure overall efficiency, quality, productivity, and compliance with all departmental, regulatory and URAC standards.

IntellaTriage

Remote Hospice Triage RN PT 4:30a-10a + rotating Sat & Sun 7:30a-4p CST

Posted on:

April 2, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients’ nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients’ care team, and they trust us to support them and their patients during their non-core hours.

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services.

Active multistate Registered Nurse (RN) license Hospice, palliative, or end-of-life care is strongly preferred Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls Ability and comfort with typing documentation and notes in a fast-paced environment Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends) Strong communication and critical thinking skills Ability to work independently in a remote environment This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination

Provide telephone triage for hospice patients and families Assess patient conditions and determine appropriate next steps Collaborate with on-call teams to coordinate care and resources Accurately document all communications and interventions Maintain a calm and professional demeanor while handling urgent calls.

Optum

RN Call Assist - Remote (PST Hours)

Posted on:

April 1, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Compact / Multi-State

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Optum WA, is seeking a RN Call Assist to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. Position in this function is under general supervision the Staff RN/Consulting Nurse is responsible for providing telephone triage assessment to Primary Care patients by using state of the art telecommunications, information technology and approved protocols; to clients ensuring the efficient use of medical and nursing, facilities and equipment and to provide excellent customer service. Schedule: Week 1: Sun 8am-8pm, Mon 10am-9:30pm, Tues 10am-9:30pm, Wed Off, Thurs Off, Fri Off, Sat Off = 32 hours Week 2: Sun Off, Mon 10am-9:30pm, Tues 10am-9:30pm, Wed Off, Thurs Off, Fri Off, Sat 8am-8pm = 32 hours If you have the ability to work PST hours, you'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

Required Qualifications: Unrestricted WA State or Compact RN license 3+ years of experience in a clinical setting (Med/Surg, critical care, ER, etc.), disease management, home health, discharge planning, utilization review, patient education and telephonic nursing Ability to work PST work schedule to include: Week 1: Sun 8am-8pm, Mon 10am-9:30pm, Tues 10am-9:30pm, Wed Off, Thurs Off, Fri Off, Sat Off = 32 hours, Week 2: Sun Off, Mon 10am-9:30pm, Tues 10am-9:30pm, Wed Off, Thurs Off, Fri Off, Sat 8am-8pm = 32 hours Preferred Qualifications: Bachelor of Science in Nursing American Academy of Ambulatory Care Nursing (AAACN) 1+ years of Call Center Nursing experience Case Management experience

Utilizes clinical expertise and approved protocols to provide health advice to consumers with clinical questions and makes referrals for health services as appropriate via telephone Be able to document calls in applicable system in a timely manner and exhibits a willingness to master new work routines and methods Documents all inquiries according to department standards for legal/statistical purposes Excellent written and verbal communication skills Be able to problem solve issues independently as well as work with teams collaboratively situations require assessment, decision-making within the framework of established protocols, excellent listening and communication skills, knowledge of computers, critical thinking skills and the nursing process Speaks with a pleasant, professional phone voice and provides superior customer service to internal and external customers Ensures performance standards are met and accepts constructive feedback You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

ExamWorks

Clinical Quality Assurance Coordinator (31628)

Posted on:

April 1, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

State License:

Compact / Multi-State

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Craving a New Adventure? Flex Your Clinical Skills Right from Your Couch! Are you a Nurse (LPN, LVN or RN) seeking a role that challenges you, helps you grow, and lets you work from the comfort of your own home? ExamWorks has the perfect opportunity for you! We’re looking for a Clinical Quality Assurance Coordinator to join our team! In this role, you’ll ensure Peer Review case reports meet the highest standards of quality, integrity, and compliance with client agreements, regulatory guidelines, and federal/state mandates. Why This Role Rocks: 100% Remote - Enjoy the flexibility of working from home! Impactful Work - You’ll play a key role in ensuring the quality and compliance of critical reports. Schedule - 9:30am-6:00pm CT, either Wednesday-Sunday or Monday and Wednesday-Saturday (some flexibility); Monday-Friday with weekend rotations may also be an option!

High school diploma or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience. Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, and/or disability. Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values. Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages. Must be a qualified typist with a minimum of 40 W.P.M Must be able to operate a general computer, fax, copier, scanner, and telephone. Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. Must possess excellent skills in English usage, grammar, punctuation and style. Ability to follow instructions and respond to upper managements’ directions accurately. Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met. Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. Must be able to work independently, prioritize work activities and use time efficiently. Must be able to maintain confidentiality.

Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews. Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations. Ensure that all client instructions and specifications have been followed and that all questions have been addressed. Ensure each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications. Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards. Ensure the appropriate board specialty has reviewed the case in compliance with client specifications or state mandates and is documented accurately on the case report. Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists. Ensure the provider credentials and signature are adhered to the final report. Identify any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed. Assist in resolution of client complaints and quality assurance issues as needed. Ensure all federal ERISA and state mandates are adhered to at all times. Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications. Promote effective and efficient utilization of company resources. Participate in various educational and or training activities as required. Perform other duties as assigned.

24-MAG

Remote | Registered Nurses — $60–$100/hour

Posted on:

April 1, 2026

Job Type:

Contract

Role Type:

Clinical Operations

License:

RN

State License:

Wyoming

This opportunity is available through a leading AI-driven work platform that connects domain experts with frontier AI research projects. Experts contribute to improving advanced AI systems by providing specialised expertise across real-world workflows, structured evaluation, model training support, and domain-specific professional knowledge.

We are sharing a specialised part-time consulting opportunity for experienced Registered Nurses with strong professional expertise in clinical care, nursing workflows, patient support, and real-world healthcare practice. This role supports a research project for one of the world's top AI companies and focuses on using real-world occupational expertise to design high-quality questions related to the day-to-day work of Registered Nurses. Selected professionals will apply their domain knowledge to help shape structured project content grounded in real professional practice, contributing occupation-specific expertise that supports advanced AI training and evaluation work. Contract Details: Independent contractor role Fully remote with flexible scheduling Hourly compensation listed at $60–$100 per hour for U.S.-based applicants Compensation will vary depending on professional background and geographic location Candidates must be based in the US, UK, or Canada This project is a short-term sprint with a high number of work hours expected to be available A desktop or laptop computer is required for this project Chromebook users cannot be accepted for this role Projects may be extended, shortened, or concluded early depending on project needs and performance Weekly payments via Stripe or Wise Work will not involve access to confidential or proprietary information from any employer, client, or institution Please note: We are unable to support H1-B or STEM OPT candidates at this time Start date: Immediate

Strong candidates may have: 4+ years of full-time work experience as a Registered Nurse Strong professional background in nursing practice, patient care, clinical workflows, or related healthcare environments Ability to contribute real-world occupational insight to structured research work Strong written communication and analytical thinking skills Reliable availability for intensive short-term project participation Current location in the US, UK, or Canada Preferred qualifications: Experience translating professional knowledge into structured content or research inputs Strong understanding of nursing workflows, patient care responsibilities, and clinical decision-making processes Ability to contribute precise, profession-specific material in a consistent and high-quality way

Occupational Expertise & Research Input: Use professional experience as a Registered Nurse to support a research project for a leading AI company Contribute domain knowledge grounded in real-world full-time work experience Help ensure project outputs reflect authentic occupational practice and professional standards Question Design & Content Development: Design questions related to the occupation of Registered Nurse Translate day-to-day professional knowledge into structured, high-quality research content Contribute occupation-specific material that supports AI training and evaluation initiatives Project Participation & Quality Contribution: Engage consistently in a structured remote project environment Contribute professional judgment shaped by registered nursing experience Support high-quality output through reliable participation and strong subject-matter expertise

TOXICOLOGY ASSOCIATES, INC

Licensed Vocational Nurse

Posted on:

April 1, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

LPN/LVN

State License:

Texas

TOXICOLOGY ASSOCIATES, INC, headquartered in Houston, Texas, specializes in delivering professional and reliable services in the field of toxicology. With its main office located on Bellaire Boulevard, the company is dedicated to excellence and innovation. As a trusted name in the industry, TOXICOLOGY ASSOCIATES, INC emphasizes a commitment to high standards and quality care for its clients. The company strives to provide effective solutions while fostering a positive work environment for its team.

This is a full-time remote Licensed Vocational Nurse (LVN) position.

Proficiency in providing direct patient care, including medical evaluations and administering medications as permitted. Strong skills in clinical documentation, maintaining patient records, and ensuring compliance with healthcare standards. Effective communication skills for educating patients and collaborating with healthcare professionals. A valid Licensed Vocational Nurse (LVN) certification and state licensure. Knowledge of toxicology or experience in a healthcare environment is a plus. Ability to work remotely while maintaining a high level of professionalism and organization.

The primary responsibilities include providing patient care, conducting routine medical evaluations, administering medications under physician guidance, and maintaining accurate clinical documentation. The LVN will coordinate patient care plans, educate patients on healthcare practices, and collaborate with healthcare teams to ensure patient well-being and compliance with prescribed treatments.

Elite Care Provider Network

Remote Nurse practitioner Multi State Licensed

Posted on:

April 1, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

Elite Care is a leading nationwide telemedicine network dedicated to matching top-tier clinical professionals with digital health organizations across all 50 states. Our network comprises board-certified MDs, PAs, and NPs with expertise in dynamic fields such as longevity, GLP-1 therapies, and hormone optimization. By combining thorough regulatory compliance and expert medical oversight, we provide the infrastructure needed to scale virtual care operations. Our mission is to deliver innovative, credible, and life-enhancing patient care.

We are seeking a qualified healthcare provider to join our team as a 1099 independent contractor. This role involves conducting SYNC telehealth consultations focused on Medical Weight Loss (MWL). Key Details: Compensation: $30 per consult (SYNC) (paid monthly) Typical volume: 2–3 consultations per hour Schedule: Minimum availability of 10–15 hours per week

Active licenses in 5 or more full practice authority states Experience conducting Medical Weight Loss (MWL) clinical visits Proficiency with telehealth platforms and workflows Fluent, clear, and easily understandable English communication Comfortable with consultations being recorded, with recordings accessible to patients (audio or transcript format) Ability to provide at least 48 hours’ notice for schedule changes to allow for patient rescheduling