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Rock Medical Group
Rock Medical Group
RelateCare
RelateCare provides nurse triage, post-discharge follow-up, and wellness solutions, delivering remote clinical and care coordination services for healthcare organizations.
We are looking for Registered Nurses with active Compact Licenses who are able to work evenings and weekends . Shifts available: • Alternating weekends (8 hour shifts Sat and Sun) plus 1-2x 2-4 hour shifts per week • Part time, 16-24 hours per week Full time: 32-40 hours per week, night shifts • The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities: • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements: • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Experience working remotely preferred • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred • Peds experience an advantage but not a necessity About us: RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule: Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Job Types: Part-time, Permanent Benefits: • 401(k) • Dental insurance • Health insurance • Vision insurance Application Question(s): • For which states do you currently hold RN licensure? • Do you hold a BSN? • How many years experience do you have as an RN? Experience: • Triage: 1 year (Preferred) • Telehealth: 1 year (Preferred) Work Location: Remote
Deaconess Health System, Inc.
Deaconess Health System, Inc. is a regional healthcare organization operating hospitals and outpatient services, providing acute care and community health programs.
Coordinating the Remote Patient Monitoring Program, the part-time hourly Multi-State Licensed Telehealth Nurse will oversee patient selection, set-up, and training for telehealth monitors while evaluating care outcomes remotely. Key responsibilities • Manage patient selection and training for telehealth monitoring systems • Plan, direct, and evaluate telehealth care outcomes to ensure proactive interventions • Provide direct care visits as needed to support patient health and well-being Required qualifications • Active Registered Nurse (RN) license with multi-state capability • Minimum of three years of RN experience in an adult acute care setting • Strong critical thinking skills and ability to build positive patient relationships • Passion for innovative care models and proactive patient management • Preferred: Bachelor of Science in Nursing (BSN)
Ways2Well
Ways2Well is a healthcare provider focused on regenerative and preventive medicine, offering personalized, data-driven telehealth care and wellness programs including hormone optimization and functional medicine.
Ways2Well is redefining the future of healthcare. As a leader in regenerative and preventive medicine, we empower patients to take control of their health through data-driven, personalized care. We’re breaking away from outdated models—leveraging cutting-edge technology, digital care platforms, and bold thinking to deliver high-impact healthcare at scale. Position Summary As a Nurse Practitioner, you will provide evidence-informed, patient-centered care via telemedicine. Your role involves conducting comprehensive health assessments, interpreting advanced lab results, designing personalized wellness and hormone optimization plans, and supporting patients through lifestyle and supplement-based interventions. You will collaborate with a multidisciplinary team in a fast-paced, fully virtual environment. MUST be licensed in at least 4 of the states listed above. Key Responsibilities • Conduct virtual consultations using both asynchronous and synchronous telehealth platforms • Review and interpret functional and traditional lab results (e.g., hormone panels, micronutrients, inflammatory markers) • Develop personalized care plans focusing on hormonal balance, metabolic health, nutrition, and preventive strategies • Educate patients on treatment options, supplement protocols, and lifestyle modifications • Document thoroughly and accurately in the EHR system (i.e., Charm or similar) • Collaborate with clinical support staff, pharmacists, and health coaches to ensure continuity of care • Adhere to state and federal telehealth regulations and best practices • Participate in ongoing training, case reviews, and team huddles to support professional development and care quality Required Qualifications • Active and unencumbered Nurse Practitioner license in at least 5 U.S. states (multi-state licensure required) • National certification (e.g., AANP, ANCC) • Active DEA • Minimum of 2 years of NP experience, with exposure to functional, integrative, or hormone therapy preferred • Strong knowledge of hormone replacement therapy (HRT) (testosterone, estrogen, thyroid), peptides, and targeted supplementation preferred • Prior experience in a telehealth or digital health setting is strongly preferred • Comfortable navigating EHRs, telemedicine platforms, and cloud-based tools • Exceptional communication, patient engagement, and clinical documentation skills Work Environment & Physical Requirements • Primarily clinic/office-based setting for telehealth visits • Remote work environment; home office or dedicated workspace required • Must be able to work independently with minimal supervision • Virtual meetings via video conferencing (camera on expected) • Reliable high-speed internet connection required • Must maintain a distraction-free, professional background for video calls • Schedule: Monday - Friday, 8am-5pm Central #Ways2Well Why Join Ways2Well? The best work happens when purpose meets potential. At Ways2Well, you'll work with a passionate, driven team that's redefining what personalized health and wellness can be — with the resources, leadership, and culture to back it up. We offer competitive compensation, strong benefits, and real room to grow, lead, and make your mark. Equal Employment Opportunity (EEO) and Affirmative Action Commitment Ways2Well is committed to providing equal employment opportunities and render affirmative action to all employees and applicants for employment, including individuals who are members of underrepresented groups, without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, or any other status protected by applicable federal, state, or local laws. Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodation may be made to help enable qualified individuals with disabilities to perform the essential functions. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Santa Barbara Cottage Hospital
Santa Barbara Cottage Hospital is an acute care hospital in Santa Barbara, California, part of the Cottage Health system providing a range of clinical services.
Santa Barbara Cottage Hospital is looking for a dedicated RN to join the National After-Hours Team. This part-time, work-from-home position involves providing telephonic care to members across multiple states. Candidates should possess a current RN license, have at least 3 years of clinical experience, and be skilled in communicating complex medical information. Flexibility in scheduling is essential, especially during weekends and holidays. A home office setup and high-speed internet are required.
Guideway Care
Guideway Care (branded as The Patient Activation Company™) provides patient guidance and care coordination services using a Motivational Patient Guidance (MPG) model and AI-powered technology to support remote clinical engagement.
Title: Triage Nurse (Telehealth) [Full-Time] Location: Birmingham, Alabama, United States Work Type: Remote, Full Time Department: 111 - Nurses COGS Job Description: About Guideway Care* Guideway Care i s The Patient Activation Company™. We don't just "engage" patients; we activatethem. By utilizing our proprietary Motivational Patient Guidance (MPG) model and AI-powered technology, we resolve the practical and psychological barriers that prevent patients from taking their "next right action." Job Summary: We are seeking an experienced and compassionate Registered Nurse to join our elite team of remote triage professionals. This RN will serve as the front line of clinical support for patients, delivering high-quality assessment, guidance, and care coordination services via telephone and digital communication platforms. This role requires a confident, autonomous nurse with a strong clinical foundation, excellent judgment, and a deep commitment to patient-centered care. You will work remotely in a structured and supportive environment, contributing to improved outcomes and experiences for patients across a variety of primary care and specialty settings Shifts available: • Monday - Friday: 10:00 AM - 7:00 PM CST Essential functions: • Conduct thorough clinical assessments and triage patients based on established evidence-based protocols and clinical guidelines. • Respond to patient inquiries via inbound and outbound calls, as well as secure patient messaging portals. • Provide appropriate recommendations for care or escalate concerns to the appropriate provider or care team member. • Document assessments, communications, and care coordination activities in electronic medical records (EMRs) with accuracy and clarity. • Support administrative functions related to patient care including FMLA, ADA, STD/LTD documentation, and coordination. • Support training and onboarding of team members, including participating in shadowing shifts (both as a learner and trainer), while reinforcing best practices to ensure consistent, high-quality patient care. • Collaborate with healthcare providers, clinical teams, and practice administrators to ensure continuity and quality of care. • Uphold Sequence Health’s commitment to clinical excellence, integrity, and service in every interaction. • Any other duties necessary to drive our values, fulfill our mission, and abide by out company values. • This role requires regular, reliable attendance during scheduled hours, as consistent presence is essential to preforming the core duties of the position. Required Skills/Abilities: • Active, unencumbered Registered Nurse license in a compact licensure state; • Minimum of 5 years’ experience in working in a variety of direct patient care settings including Emergency Department, Labor and Delivery, Critical Care. Women's Health or Labor and Delivery experience preferred. • Prior remote RN triage experience or experience with telephone-based care delivery strongly preferred. • Demonstrated clinical proficiency with strong critical thinking, problem-solving, and decision-making skills. • Excellent verbal and written communication skills, with the ability to convey empathy and clinical clarity via phone and written messages. • Proficiency in using EMRs (e.g., Epic, Cerner, Greenway) and standard office software (Microsoft Office, Adobe, fax, etc.). • Ability to work independently within scope, while maintaining alignment with clinical protocols and best practices. Supervisory Responsibilities: Non Travel Requirements: 0% Work Authorization: • Guideway Care does not offer Immigration or work visa sponsorship Total Rewards: The pay rate is $30 per hour. In addition, team members enjoy … Benefits package including: • Medical Insurance • Vision Insurance • Dental Insurance • Flexible Spending Account (FSA), • Company paid short- and long-term disability, • Employee Assistance Program, • Life Insurance, • Accident insurance, • and other voluntary benefit programs for employees and their eligible dependents. • 401(k) retirement plan with a company match Essential Duties and Responsibilities • Able to work remotely at home in a private HIPAA compliant workspace • Able to house company equipment needed to perform job • Broadband Internet Access • Internet download speed must be at least 24 mbps and upload speed at least 4 mbps • Immigration or work visa sponsorship will not be provided • Physical Demands: • Ability to hear in normal range and wear a headset / earpiece • Good visual acuity to read computer screens, scripts, forms etc. • May sit 100% of the time when taking calls • Access to the electronic medical record (EMR) system may require the use of your personal mobile device for authentication purposes. We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive.
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Florida Blue is a health solutions company (Blue Cross Blue Shield of Florida) providing insurance, care management, and member services across Florida.
Are you a passionate and driven nursing professional looking to make a meaningful impact on the lives of others? Do you thrive in a fast-paced environment where no two days are ever the same? Look no further than Florida Blue, a leading health solutions company dedicated to improving the health and well-being of our members. At Florida Blue, our vision is to be the most trusted and valued health solutions company in the state of Florida, and we believe that our CRNs are essential to achieving this goal. Together, we will transform the healthcare landscape and improve the lives of our members, one care transition at a time! What Is My Impact? The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level. The CRN builds relationships with facility case managers to facilitate appropriate care and discharge planning. The CRN is responsible for identifying appropriate care programs for members to ensure a smooth transition from facility to home and to decrease frequency of readmission. Important Information: This part-time, salaried, REMOTE position that requires a commitment of 16 hours per week, consisting of 8 hours on Saturdays and 8 hours on Sundays. (typically 8am - 5pm EST) We are looking for weekend warriors! The selected candidate must hold an active, unrestricted Florida State Registered Nurse Licensure or Compact Licensure with privileges to practice in Florida. Please note, there may be the occasional travel within the State of Florida for company meetings, trainings, and/or company events. The Key Responsibilities: • Serve as a point of contact for providers to assist in navigating members them through the continuum, educate regarding benefits, identify candidates for Care Programs and provide information pertaining to the network and network access • Evaluate members in the Hospital, Skilled Nursing Facility, LTAC, Acute Inpatient Rehab for benefit determination, medical necessity and appropriate level of care utilizing member benefits and InterQual or other medical necessity criteria. • Participate in weekly case review • Determine member's discharge status and identify and coordinate any additional needs and services that require ongoing Care Coordination services • Collaborate with Medical Directors, Managers, Co-workers and other departments including Case Management and Care Partners What Is Required: • 2+ years of clinical experience in a hospital, long term acute care, rehab, or skilled nursing facility setting, evaluating medical necessity and level of care • Experience in Managed Care and one or more of the following: home health care, rehab, skilled nursing facility, utilization review, discharge planning, or case management • Proficient in MS Word and Excel with moderate to heavy keying skills • Related bachelor’s degree or additional related equivalent work experience in nursing Required Licenses and Certifications • RN - Registered Nurse - State Licensure and/or Compact State Licensure Florida What We Prefer: • Knowledge of InterQual • Ability to work in a fast-paced environment both independently as well as in a team setting with multiple deadlines General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. What We Offer: As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: • Medical, dental, vision, life and global travel health insurance • Income protection benefits: life insurance, short- and long-term disability programs • Leave programs to support personal circumstances • Retirement Savings Plan including employer match • Paid time off, volunteer time off, 10 holidays and 2 well-being days • Additional voluntary benefits available as well as a comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. Please note: This is a part-time position that DOES NOT include benefits. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Typical Annualized Hiring Range: $27,760 - 34,720 (This is the budgeted range the selected candidate will be hired into) Full-time Annualized Salary Range:$27,760 - $45,120 (This shows the future financial growth of the position) Final pay will be determined with consideration of market competitiveness, internal equity, and the j
Don Gentry Nurse Practitioner in Family Health, PLLC
Don Gentry Nurse Practitioner in Family Health, PLLC is a patient-centered primary and family health practice that provides telemedicine and modern care models to deliver accessible, evidence-based care.
Company Description Don Gentry Nurse Practitioner in Family Health, PLLC is a patient-centered practice focused on delivering accessible, high-quality primary and family health services. The practice emphasizes continuity of care, clear communication, and supportive relationships with individuals and families across the lifespan. Using telemedicine and other modern care models, the practice helps patients receive timely, evidence-based care from the comfort of their homes. Team members are encouraged to practice at the top of their licensure while collaborating to improve health outcomes and patient satisfaction. Role Description This is a remote, contract role for a Telemedicine Nurse Practitioner. The Telemedicine Nurse Practitioner will provide virtual patient assessments, develop and manage treatment plans, and conduct follow-up visits using secure telehealth platforms. Daily responsibilities include reviewing patient histories, ordering and interpreting diagnostic tests as appropriate, prescribing medications within scope of practice, and documenting encounters in the electronic health record. The role also involves patient education on disease management, wellness, and preventive care, as well as timely collaboration and consultation with supervising or collaborating clinicians when needed. The Nurse Practitioner will adhere to applicable state and federal regulations, maintain high standards of clinical quality, and support a positive, respectful patient experience in every interaction. Qualifications • Current, unrestricted Nurse Practitioner license and national certification (e.g., FNP, ANP, or equivalent), with eligibility to practice via telemedicine in applicable states. • Strong clinical assessment and diagnostic skills, with experience managing common primary and family health conditions in virtual or outpatient settings. • Proficiency with telehealth technologies, electronic health records, and secure messaging platforms, with ability to troubleshoot basic technical issues. • Excellent communication skills, including clear, empathetic, and culturally sensitive interaction with patients and caregivers in a virtual environment. • Demonstrated ability to work independently, manage time effectively, and maintain professional judgment in a remote, contract-based role. • Commitment to evidence-based practice, patient education, preventive care, and adherence to privacy and confidentiality regulations (e.g., HIPAA). • Prior telemedicine or outpatient primary care experience preferred; experience in family health, chronic disease management, or behavioral health integration is a plus. • Graduate degree from an accredited Nurse Practitioner program; current DEA registration (or eligibility) preferred depending on prescribing requirements.
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Advocate Health is a large nonprofit integrated health system formed from Advocate Aurora Health and Atrium Health, operating hospitals, clinics and telehealth services across multiple states.
Winston Salem, NC - 200 E 1st St R170735 Department: 12128 Enterprise Corporate - Physic Community Health Access Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional Information: PRN - Telehealth triage, remote - work from home. Minimum 24 hours per month required, including two 8 hr weekend shifts. Holiday rotation. The position is primarily remote: Must be able to report on site within 1 hour of Winston-Salem. EDUCATION/EXPERIENCE: • Graduate of an accredited school of nursing for Registered Nurses with a minimum of three years of varied clinical experience preferred in telephone nurse triage, ambulatory settings, and inpatient medical-surgical inpatient units. LICENSURE, CERTIFICATION, and/or REGISTRATION: • Current license to practice as a Registered Nurse (RN) in the State of applicable state • BCLS certification required unless CPR skill demonstration is medically contraindicated. • Valid driver's license required. ESSENTIAL FUNCTIONS: • Adheres to AHWFBH standards to promote a positive work environment through effective and professional communication skills, interpersonal relationships, and team building. • Provides telehealth nursing services to diverse populations in the health system. • Interactions and communication align with diversity and inclusion principles • Engages patients with the goal of improving clinical outcomes and promoting patient/customer satisfaction. • Advocates for patients and families. • Communicates and collaborates with other individuals and providers within the health system. • Demonstrates responsibility for professional and personal development. SKILLS/QUALIFICATIONS: • Previous experience with nurse telephone triage or within a nursing call center preferred • Excellent customer service skills • Experience in multidisciplinary team collaboration • Ability to perform telephone nursing patient assessments in an efficient manner using standardized nurse triage and departmental guidelines • Excellent verbal and written communication skills • Excellent organizational skills and the ability to work within a dynamic environment • Basic computer skills with the ability to navigate multiple systems Pay Range $34.90 - $52.35 Our Commitment to You: 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 listed within the listed 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 About Advocate Health 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, 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 155,000 teammates across 69 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 more than $6 billion in annual community benefits. Apply tot his job Apply tot his job Apply tot his job Apply tot his job Apply To this Job
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Ventricle Health is a virtual cardiac care company building a national cardiologist network to provide specialty telemedicine and remote patient monitoring for heart failure, coronary artery disease, and atrial fibrillation.
About Ventricle Health Ventricle Health (www.ventriclehealth.com) is a high-growth virtual healthcare startup launching a national cardiologist network providing specialty telemedicine to members with prevalent cardiovascular diseases including heart failure, coronary artery disease and atrial fibrillation. Our mission is to deliver a world-class patient experience in which patients have frictionless access to the best healthcare providers, devices, and therapies. Through the implementation of remote patient monitoring via connected medical devices and evidence-based therapy we intend to improve patients’ quality of life across the nation, focusing on heart health. Ventricle Health is well-funded, advised by industry leaders, and led by former executives from leading high-growth healthcare companies including Evolent Health, Strive Health, and Unite Us. We are a virtual only cardiac care company developing the first national cardiologist network providing specialty care to patients with prevalent chronic conditions, including heart failure, cardiovascular disease, and atrial fibrillation. Our overarching mission is to create a seamless and world-class patient experience, ensuring effortless access to top-tier healthcare providers, cutting-edge devices, and advanced therapies. Embrace a balanced work life during the week by combining remote patient monitoring, evidence-based therapy, and health coaching. Our objective is to enhance the quality of life for patients nationwide, with an initial emphasis on heart health. To achieve this, we are assembling a team of health advocates to work alongside our nurses, all dedicated to revolutionizing patient care through our virtual platform. About the role Join our team as a telehealth nurse at our virtual heart failure clinic. This role is M-F 9am to 5pm EST. Additionally, you may be required to cover up to one (1) weekday evening triage shift totaling four (4) hours (Monday to Thursday, 5-9pm EST) and rotating holidays. To ensure your success, an initial training period will be conducted on weekdays, providing you with the preparation necessary for your new role. We seek individuals who: • Demonstrate initiative, contributing to the ideation, validation, and execution of novel concepts. • Make informed and responsible clinical decisions, delivering tangible and meaningful results. • Engage in transparent and active communication, offering and seeking constructive feedback. • Consistently exceed expectations when shaping company culture and enhancing the patient experience. Our Registered Nurses redefine the way health care is delivered every day. When you join our team, you’ll play an integral role in educating patients with medication adherence and disease state training. As an emerging leader in the healthcare industry, we seek special RNs who not only possess strong clinical expertise with innovative ideas, but who have the deep compassion and sensitivity it takes to treat our patients. Nurses working for Ventricle Health play a pivotal role as the face of the company, overseeing most patient interactions with our products and services. Cultivating professional yet friendly and empathetic patient relationships, you will contribute to providing an exceptional patient experience. This role aligns with Ventricle Health Clinical Policies and Procedures and established Clinical Practice Guidelines, and provides crucial support to Ventricle Health providers. What you'll do • Meticulous review of patients vital signs, providing real-time responses and offering support to triage patients symptoms and concerns. • Provide patient education, symptom management, vitals data collection and review, and escalating patient issues. • Initiate positive and enduring behavioral health changes that significantly enhance the patients clinical outcomes and overall health status. • Actively engage with patients and fellow clinical staff via tools including email, text, audio/video call and software applications for instant messaging and clinical note-taking. • Attend meetings and trainings online. • With time allowing, assist in the evaluation and improvement of health education and intervention strategies. • Review and give input on staff/patient communication, policies, protocols, programs and services specific to the health behavior coach team. • Maintain confidentiality and adhere to all applicable regulations, including HIPAA. Requirements: • Registered Nurse (RN) with a valid and current compact licensure • RN Diploma, Associate’s or Bachelor's in Nursing or Bachelor of Science in Nursing (BSN) from an accredited institution • Minimum 4 years of bedside patient care in a hospital or clinic setting • Minimum 2 years of cardiology nursing experience required • Responsible for professional development and continuing education to maintain knowledge and skills • Nice to have, but not required: CHFN certification • Nice to have, but not required: Bilingual • Ability to work
Datadog
RelateCare is a healthcare services organization offering nurse triage, post-discharge follow-up, and wellness solutions to help coordinate patient care and provide remote clinical support.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required
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A startup health plan based in Wisconsin focused on reducing healthcare costs for mid-size employers; hiring remote clinical staff to support care coordination and member services.
Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality healthcare solutions while driving down costs for businesses over 50 employees in the Midwest. As part of our small yet dynamic team, you'll have the opportunity to make a significant impact in shaping the future of healthcare in our beautiful state, which currently ranks top 5 in the highest healthcare costs in the country. Position Overview: We are in search of a Nurse Navigator to join our dynamic healthcare team within the innovative setting of a startup. In this role, the Nurse Navigator will operate primarily in a remote capacity, offering indispensable assistance to patients as they navigate intricate healthcare systems. We require a candidate with robust clinical expertise, exceptional communication abilities, and a heartfelt dedication to patient well-being. Acting as a guiding beacon through their healthcare journey, the Nurse Navigator holds a pivotal position in ensuring patients receive the precise care and support they require. By championing patient advocacy and fostering a culture of cost-conscious care, the Nurse Navigator becomes a catalyst for positive transformation. This transformative impact extends to enhancing patient outcomes, streamlining care delivery, and furthering our mission of delivering top-tier healthcare services at optimal value. We are seeking a Nurse Navigator who embodies adaptability and agility, embracing change and uncertainty as catalysts for personal and professional development. With resilience and flexibility, the Nurse Navigator adeptly navigates the ever-evolving healthcare landscape, harnessing technological advancements, and aligning with organizational objectives to drive innovation and foster continuous improvement. Key Responsibilities: • Patient Advocacy: Serve as a primary point of contact and advocate for patients navigating the healthcare system remotely. • Care Coordination: Collaborate with healthcare providers, specialists, and other stakeholders to coordinate patient care effectively. • Communication: Maintain clear and timely communication with patients, caregivers, and healthcare professionals via phone, email, and teleconferencing platforms. • Documentation: Ensure accurate and thorough documentation of patient interactions and their plan of care in our proprietary app. • Resource Referral: Facilitate referrals to preferred providers, community resources, and additional healthcare services as needed. • Compliance: Adhere to all relevant healthcare regulations, policies, and protocols, ensuring compliance with HIPAA and other privacy laws. • Professional Development: Stay updated on current healthcare trends, best practices, and evidence-based guidelines through ongoing education and training. Qualifications: • Registered Nurse (RN) License: Active and unrestricted RN license in the state of Wisconsin. • Clinical Experience: Minimum of 2 years of clinical experience in a healthcare setting, preferably in areas such as medical-surgical, primary care, or case management. • Computer Proficiency: Proficiency in using electronic health record (EHR) systems, Microsoft Office Suite, and other relevant software applications. • Passion for the Mission: Alignment with the mission, values, and goals of the startup. A genuine passion for making a positive impact in healthcare and improving patient outcomes is motivating and fosters dedication to the organization's mission. • Communication Skills: Excellent verbal and written communication skills, with the ability to effectively interact with diverse patient populations and healthcare professionals. • Critical Thinking: Strong critical thinking and problem-solving abilities, with the capacity to assess complex healthcare situations and find appropriate options for the patient based on their health plan. • Empathy and Compassion: Demonstrated empathy, compassion, and sensitivity to patients' emotional and psychological needs. • Time Management: Excellent organizational and time management skills, with the ability to prioritize tasks and manage multiple responsibilities efficiently. • Entrepreneurial Spirit: A mindset that thrives on innovation, creativity, and risk-taking. Ability to think outside the box and contribute ideas to drive the growth and success of the startup. • Resourcefulness: Ability to accomplish goals with limited resources and find creative solutions to overcome constraints. Making the most of available tools, technologies, and networks is essential. • Collaborative Mindset: Willingness to work collaboratively with cross-functional teams, share knowledge, and contribute to a supportive and inclusive work culture. Collaboration and teamwork are vital for success in a startup setting. • Fast Learner: Rapidly acquire new skills, knowledge, and industry insight
Malaysians
A healthcare organization providing remote nursing roles.
Job Summary • The Elite Job is seeking dedicated and compassionate individuals for Home-Based Telehealth Nursing positions. As a telehealth nurse, you will provide virtual healthcare consultations and support to patients in Malaysia, offering professional advice and assistance through phone calls or video consultations. This role offers the flexibility of working from home while contributing to improving patient care and outcomes through remote healthcare services. • Key Responsibilities • Conduct virtual patient assessments, provide medical advice, and educate patients on health-related concerns via phone or video consultations. • Review patient records and communicate with other healthcare professionals to ensure coordinated care. • Assist in managing chronic conditions by providing follow-up care and monitoring patient progress remotely. • Respond to patient inquiries, document patient interactions, and provide guidance on treatment plans and medications. • Offer emotional support to patients and families during remote consultations. • Maintain accurate records of patient communications, assessments, and outcomes. • Stay updated on the latest healthcare practices and telemedicine tools to ensure efficient service delivery. • Required Skills and Qualifications • Registered Nurse (RN) with a valid Malaysian nursing license. • Proven experience in clinical nursing, preferably in telemedicine or telehealth. • Strong communication skills, both verbal and written, with the ability to explain medical information clearly to patients. • Proficiency in using telemedicine platforms, electronic health records (EHR), and basic computer software. • Ability to work independently in a remote environment and manage a flexible schedule. • Strong critical thinking, problem-solving, and decision-making skills. • Compassionate, empathetic, and patient-focused attitude towards healthcare. • Experience • Minimum of 2 years of nursing experience in a clinical or telehealth setting. • Experience in telehealth nursing is a plus but not mandatory. • Previous work in patient care, home health, or a similar remote healthcare setting is desirable. • Working Hours • Flexible working hours, with the option to work part-time or full-time. • Availability for evening, night shifts, or weekend hours may be required depending on patient needs. • No specific commute required as this is a fully remote role. • Knowledge, Skills, and Abilities • Knowledge of patient care, medical protocols, and telemedicine technologies. • Ability to assess patient conditions remotely and provide accurate and timely recommendations. • Skilled in managing multiple patient cases at once while maintaining quality care. • Ability to build rapport with patients and provide a reassuring presence in virtual consultations. • Strong organizational and documentation skills. • Ability to work in a fast-paced environment while maintaining professionalism and attention to detail. • Benefits • Competitive salary based on experience and qualifications. • Flexible work schedule to promote a healthy work-life balance. • Professional development opportunities and continuous education. • Work-from-home convenience with the necessary telehealth tools and technology provided. • Opportunities for career advancement in a growing and innovative healthcare field. • Health and wellness benefits for full-time employees. • Why Join The Elite Job? • Work in a supportive and inclusive work environment that values patient care and employee well-being. • Enjoy the flexibility of working from home, reducing commute time and enhancing work-life balance. • Be part of a leading company committed to offering innovative healthcare solutions that make a meaningful impact on patient care. • Contribute to the development of telehealth services that provide access to quality healthcare to individuals across Malaysia. • How to Apply Interested candidates are invited to submit their resume, along with a cover letter detailing their relevant nursing experience and interest in telehealth. Please send your application to the email address provided or apply through our online portal. Only shortlisted candidates will be contacted for interviews.
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STRIDE Community Health Center is a Colorado Federally Qualified Health Center providing primary care, dental, pharmacy, behavioral health, health education, and outreach across multiple clinics serving the Denver Metro area.
Job Type Full-time Description Who we are: At STRIDE Community Health Center, we’re dedicated to more than just providing healthcare—we’re committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado’s largest Federally Qualified Health Centers, we offer comprehensive services—including primary care, dental, pharmacy, behavioral health, health education, and outreach—across our 13 clinics in the Denver Metro area. With over 35 years of serving our community, our growing team is at the heart of this mission. We believe healthcare is about more than treating illness; it’s about fostering wellness and addressing the unique needs of every person, ensuring that no one is left behind. If you’re passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives—including your own—STRIDE is the place for you. General Purpose: Under general supervision, the Triage and Advice Registered Nurse (TARN) performs telephone triage and processes medication refill requests in accordance with acceptable nursing standards and organization policies and procedures. This position will primarily work remotely from home; however, training will be held onsite, and continuing education will be held onsite as needed. STRIDE reserves the right to eliminate remote work arrangements and require staff to work at a STRIDE location. Applicants must reside in Colorado. Essential Duties/Position Responsibilities • Assesses patient condition/symptoms and gives appropriate clinical direction, education, and recommendation(s) for disposition. • Responds to incoming calls in a timely, professional manner and triages (as appropriate) to address and/or support the needs of the caller. • Assesses needs using standard evidenced based protocols for triage, offers clinical recommendations, as well as referrals to health care providers, services and community resources using telephone and information system technologies. • Utilizes standardized protocols for medication management, prescription refills, and prior authorizations. • Schedules appointments. • Advises appropriate disposition for guideline selection for patient/caller. • Demonstrates the ability to adjust (override) the disposition according to the unique needs/situation of the patient/caller and using appropriate Nursing Judgment. • Integrates quality improvement activities into practice. • Assists in identifying ways to promote quality care and in collecting data needed to promote process and operational improvements. • Maintain patient confidentiality in accordance with Federal and State law and organization policies. • Document all patient care delivery in an accurate and timely manner. • Meets Key Performance Indicators including quantitative and qualitative expectations for call and medication refills. For example, meeting call and refill volume targets, timely turnaround standards, and successful periodic peer review. • Other duties as required. Requirements What you bring: Values Similar Jobs Access Nurse (Bed Management), OH Cleveland Clinic View Job RN Care Manager (Hybrid Remote), OH Strive Health $74,000.00-$90,000.00 year View Job Care Manager, PA AmeriHealth Caritas View Job Exchange Plan Utilization Management Review Nurse, Anywhere AmeriHealth Caritas View Job Integrity: Doing the right thing even when no one is watching. Compassion: Meeting patients where they are with empathy. Accountability: Following through on our commitments. Respect: Valuing human dignity. Excellence: Embracing a growth mindset and striving for continuous improvement. Education And Experience • Associate or bachelor’s degree in Registered Nursing from an accredited school or training program. • Required: 2 years of full-time experience as a Registered Nurse in a hospital or community health setting. • Preferred: Previous home health or ambulatory care nursing experience. • Preferred: Previous experience in an Emergency Department. • Strongly Preferred: Previous experience performing Triage and Advice Nurse duties. Certificates, Licenses, and Registration • An active, unrestricted Registered Nurse license in the State of Colorado or appropriate compact licensing arrangement. Skills & Expertise More RN Jobs Field RN Care Coordinator – Nursing Facilities – Dallas & Ellis Counties, TX UnitedHealthcare $28.61 to $56.06 per hour View Job RN Case Manager – California ConcertoCare $90,000 to $120,000 year View Job Telehealth Registered Nurse, Multiple Locations CVS Health $26.01 - $62.32 hour View Job Nurse Case Manager, Remote VA Akima $105,000 - $115,000 annually View Job • Knowledge of age-appropriate triage and treatment dispositions from newborn to Adult, including OB and through use of language interpretation services. • Ability to respond appropriately to emergency situations required. • Ability to apply nursing principles, practices and techniques required. • Ability to exercise in
frontendnode-production.up.railway.app
CVS Health is a large integrated healthcare and pharmacy company offering clinical services, pharmacy benefits management, and retail pharmacy operations in the United States.
Join a team that's making a tangible difference. We're seeking a Registered Nurse Telehealth! Experience the best of both worlds with this role based in our innovative Remote office. This position requires a strong and diverse skillset in relevant areas to drive success. Your contribution will be valued, with a compensation package starting at a competitive salary.   Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand  with heart at its center  our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. ** Candidate must reside in Texas ** At CVS Health, we believe we can change the world by improving patient lives, one call at a time. Our Telephonic Registered Nurses (RN) have patient contact in the uniqueness of a telephonic practice setting, where they are impacting lives across the country... You will continue to experience the reasons you became a nurse without having to be in a bedside patient care environment. Working from home, you will be part of a specialized team on the cutting edge of patient care. Working collaboratively with health care professionals, you will provide a meaningful patient experience, while using your critical thinking skills to develop, implement, and evaluate comprehensive plans of care for multiple disease state patients. As a Telephonic Registered Nurse, you will a profound effect on the lives of the patients and caregivers via each outbound call, providing education and support for their new medication. Along with the Compliance and Persistency team, you are the continuity of care supporting defined patient populations through the use of our state-of-the-art telecommunications nursing outreach programs. To be successful in this Registered Nurse position, you must have excellent written and verbal customer service skills, as well as advanced computer skills in order to interact with patients. Our Registered Nurses redefine the way health care is delivered every day. When you join our team, you ll play an integral role in educating patients with medication adherence and disease state training. As a national leader in the healthcare industry and a Fortune 7 company, we seek special RNs who not only possess strong clinical expertise with innovative ideas, but who have the deep compassion and sensitivity it takes to treat our patients. ****This is a Monday-Friday role with hours starting from 10:30-7pm CST These are set hours and this is a fulltime hourly position. Learn more about us: https://www.youtube.com/watch?v=4Cr04QVn3IQ&list=PLLUzEQYSggzJqVUcnRO8LdpspUTuvw7_k&index=2 Required Qualifications : -A Registered Nurse with an unrestricted current compact license in Texas and the ability to be licensed in multiple states A Registered Nurse must hold an unrestricted license in their state of residence, with multi-state/compact privileges and have the ability to be licensed in all non-compact states, territories and the District of Columbia based on the needs of the business. Many states licensing bodies have their own requirements regarding the COVID-19 vaccines that apply to this role and are separate from the requirements of CVSHealth. A Registered Nurse must ensure that their vaccine or reasonable accommodation status meets state mandate requirements and complete any paperwork if necessary. The District of Columbia Department of Health (DC Health) has the most stringent vaccine mandate. DC Health announced on March 1, 2022 all health care professionals licensed in the District of Columbia must have a COVID-19 vaccine and booster or request a reasonable accommodation.  These requirements are subject to change. For more information, please refer to https://doh.force.com/ver/s/vaccinereporting. -Candidate must be based in TX for this particular requisition -3+ years of clinical RN experience -Experience using Microsoft Office, including Word, Excel and Outlook COVID Vaccine Required : N/A COVID Requirements : Preferred Qualifications : -Previous Telephonic Nursing experience -EPIC systems experience -Bachelors Degree preferred -Licensure in multiple states preferred Education : RN Diploma, Associates or Bachelors in Nursing Pay Range The typical pay range for this role is: $29.10 - $62.32 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual b
frontendnode-production.up.railway.app
A job posting hosted on a railway.app domain; the employer is not clearly identified. The listing advertises a remote telehealth nursing position.
Job Overview • *** Required 1 year of experience as a Telehealth RN * *** • **** Required Compact License ******* Join our dynamic healthcare team as a Telehealth Nurse, where you will deliver compassionate, expert nursing care remotely through innovative telehealth platforms. In this vital role, you will assess patient needs, provide health guidance, and coordinate care plans—all from a distance—empowering patients to achieve better health outcomes. Your expertise in nursing, physiology, and medical documentation will be essential in delivering high-quality virtual care that is accessible, efficient, and patient-centered. This paid position offers an exciting opportunity to make a meaningful difference in people's lives while working in a flexible and technologically advanced environment. Responsibilities • Conduct thorough virtual patient assessments by gathering medical histories and current health information using secure telehealth systems. • Provide clear health education and guidance based on patients' symptoms and conditions, ensuring they understand next steps and treatment options. • Utilize your knowledge of physiology and anatomy to interpret patient symptoms accurately and determine appropriate interventions. • Maintain detailed, accurate medical documentation in compliance with HIPAA regulations to ensure confidentiality and integrity of patient records. • Collaborate with healthcare providers and specialists to coordinate care plans, follow-up appointments, and necessary referrals. • Monitor patient progress through electronic health records, updating medical records promptly with relevant observations and treatment notes. • Adhere strictly to privacy standards such as HIPAA to protect patient information during all communications and documentation. Qualifications • Valid nursing license with current registration; experience in clinical nursing preferred. • Strong understanding of physiology, anatomy, and medical terminology to interpret symptoms effectively. • Proven ability to deliver exceptional patient care through verbal communication and digital tools. • Familiarity with electronic medical records systems and medical documentation best practices. • Knowledge of HIPAA regulations to ensure compliance with patient privacy laws. • Excellent communication skills with the ability to explain complex health information clearly and empathetically. • Ability to work independently in a fast-paced virtual environment while maintaining attention to detail. Embark on a rewarding career where your nursing skills meet cutting-edge technology! We are committed to supporting your professional growth by providing a stimulating environment that values your expertise, fosters innovation, and prioritizes patient well-being at every step. Work Location: Remote Apply tot his job Apply To this Job Apply tot his job Apply To this Job
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Orlando Health is a not-for-profit healthcare organization in Central Florida operating hospitals and health services; the posting describes a remote telecare/RPM nursing position within its system.
Position Summary: Department:APAS Telecare Ambulatory Shift: Night Weekend overnight 12 hour shift (Fri-Sun) Location: Remote Title: RN, Telecare Summary: The Registered Nurse (RN) in TeleCare and Remote Patient Monitoring (RPM) triages and prioritizes patient care using Evidence Based Practice Standards. The RN practices effective problem identification, resolution, and/or escalation while addressing urgent patient clinical inquires and any RPM patient values out of range requiring intervention. This position directly supports our ED Diversion and Readmission Reduction efforts. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.” Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here. ORLANDO HEALTH - BENEFITS & PERKS: Competitive Pay • Evening, nights, and weekend shift differentials offered for qualifying positions. All Inclusive Benefits (start day one) • Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Forbes Recognizes Orlando Health as a Best-In-State Employer • Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued. Employee-centric Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare. Responsibilities: Essential Functions • Under the general supervision of the Manager, the RN will be responsible for patient triaging, remote patient monitoring, outbound and inbound phone lines, assisting with nurse case management, nursing assessments, collaboration with providers and other departments, and provision of quality patient care in compliance with local, state, and federal regulations and accreditation standards. • Accurately assesses each patient’s condition by actively listening to callers and asking probative questions. Identifies emergent situations and effectively gives appropriate dispositions. • Prioritizes patient care in an ongoing manner in accordance with Evidence-Based Practice Standards of Care. • Provides appropriate and courteous telephone advice including plan of care and patient education to callers according to approved protocols. • Appropriately and accurately documents initial and ongoing telephone conversations, with documentation being completed immediately after the call ends. • Places outbound follow up calls to caregivers as needed. • Accurately communicates information to physician on call as needed, either over the telephone or by routing the necessary information to the physician. • Meets unit expectations for call volumes, call duration, and customer service expectations. • Works autonomously while adhering to organizational standards and core values. • Attends and participates in staff meetings and required departmental meetings. • Appropriately utilizes and maintains supplied equipment; troubleshoots tech issues to ensure uninterrupted service to patients. • Assesses patients’ needs when developing an individualized plan of care for each patient. • Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on assigned unit. • Demonstrates knowledge of the principles of growth and development over the life span, assesses data reflective of patient’s status and interprets the necessary information needed to identify each patient’s requirements relative to age-specific needs. • Provides, delegates, coordinates, and documents patient care in a knowledgeable, skillful, and consistent manner. This includes but is not limited to patient assessment, education, medication administration, and patient safety. • Demonstrates competency in nursing and use of patient care/unit equipment as defined by unit-specific requisite skills. • Delegates tasks and duties to healthcare team members in accordance with the patient’s needs and the team member’s capabilities and qualifications. • Communicates appropriate information regarding patient condition or unit concerns to other health care team members. • Monitors and responds to triage calls in person and/or on the nurse phone line. • Talks directly to patients on the telephone and then dire
Uloop Inc.
Uloop Inc. is a company that posts and recruits for job opportunities; this listing is for a telehealth Registered Nurse role based in Miami, Florida.
Uloop Inc. is seeking a Registered Nurse for a part-time telehealth role based in Miami, Florida. The position involves connecting with patients to provide care advice, conducting clinical assessments, and delivering health education. The ideal candidate must have an Associate Degree in Nursing, active licensure, and experience in triage or emergency settings. A commitment to customer service and communication skills are essential, along with a willingness to work weekends.
Verse Medical
Verse Medical is a healthcare technology company offering AI-assisted clinical documentation review services to support equitable patient care and clinical operations.
Verse Medical is seeking a detail-oriented clinical review professional to join their team. In this remote role, you will review patient documentation against medical criteria using internal AI software. The ideal candidate holds an active RN license, has over 2 years of clinical experience, and thrives in a high-throughput environment. Compensation ranges from $70,000 to $90,000 with comprehensive health benefits. Be part of a mission-driven company focusing on equitable care for all.
Elara Caring
Elara Caring is a national home health and hospice provider delivering in-home and telehealth services to patients across the United States.
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: This position is part-time: weekends, holidays, and additional coverage as needed. At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their journey of health, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Telehealth Registered Nurse (RN). Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer in delivering unparalleled care, we need a Telehealth Registered Nurse (RN) with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? • Work in a collaborative environment. • Be rewarded with a unique opportunity to make a difference • Competitive compensation package • Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost • Opportunities for advancement • Comprehensive insurance plans for medical, dental, and vision benefits • 401(K) with employer match • Paid time off, paid holidays, family, and pet bereavement • Pet insurance What is Required? • Bachelor’s Degree in Nursing or related field • Employment is contingent upon the holding and maintaining an active Registered Nurse (RN) license and/or compact (multistate) license for all states serviced by Elara Caring, or obtaining the required licensure within 30 days of hire. In instances where state processing timelines exceed 30 days, an extension may be granted at the Company's discretion • 2 years of experience as a Registered Nurse • Experience in Medicare/Medicaid home health care benefits, policies and procedures is preferred • Passion for patient care You will report to the Clinical Manager. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.
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Optum is a large health services and innovation company within UnitedHealth Group that provides care delivery, data-driven healthcare services, and population health management solutions.
[ad_1] 2326005 Optum is seeking a Call Center Nurse RN to join our HouseCalls team. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum. As a member of the broader Home and Community Care team, you’ll provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being. At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be – helping patients access and navigate care anytime and anywhere. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together. The HouseCalls Clinical Support Team (HCCST) supports Advanced Practice Clinicians in the HouseCalls program by providing telephonic consultation to plan members post HouseCalls visit. This position is completely telephonic in a call center environment. Goals of the program include providing a one-time outreach to members for follow up post HouseCalls visit to provide education and clarification on any concerns raised during their HouseCalls visit. The main objective of this program is to ensure successful transition of care from the HouseCalls Advanced Practice Clinician back to the members Primary Care Provider. This team includes nurse care managers and social workers. The Nurse Care Manager (NCM) will report directly to the Manager/or Director of Clinical Operations of HCCST. The NCM interacts via telephonic consult with members and providers to assist with education and clarification on any concerns raised during the HouseCalls visit and ensure the member has/or assist in obtaining an appointment with the provider to transition care. They work to ensure members receive quality customer service by answering questions, addressing concerns, providing education, providing resource information, and entering referrals. The schedule is Monday through Friday from 9AM to 5:30PM Eastern or 9AM to 5:30PM Central respectively. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: [ad_2] apply to this job
hirevista
RelateCare provides remote nurse triage, post-discharge follow-up, and wellness solutions, partnering with healthcare organizations to coordinate patient care and offer telephonic clinical support.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required Apply tot his job Apply To this Job Apply tot his job Apply To this Job Apply To This Job Apply To This Job
Beyoung Health
Beyoung Health is a Canadian virtual clinic offering evidence-based hormone optimization and medical weight management care via secure video consultations and a fully digital workflow.
Beyoung Health – Remote (Ontario-based) Location: Remote within Ontario Job Type: Full time or Part time Compensation: $65 to $85 per hour equivalent, volume based Schedule: Flexible, choose your own hours About Beyoung Health Beyoung Health is a Canadian virtual clinic focused on hormone optimization and medical weight management for adults. We provide structured, evidence based care through secure video consultations, supported by a fully digital workflow and dedicated administrative team. Our model is designed to reduce administrative burden and allow practitioners to focus on patient care. The Role We are currently hiring Ontario licensed Nurse Practitioners to join our telehealth team. This role is ideal for NPs looking for: • flexible scheduling • consistent patient flow • a structured clinical environment • fully remote work within Ontario You will provide virtual care for patients seeking support with hormone health and medically supervised weight management programs. What You’ll Do • Conduct virtual consultations via secure video platform • Review patient history, symptoms, and lab results • Order and interpret laboratory testing • Assess patient eligibility for treatment programs • Develop personalized treatment plans within NP scope • Prescribe and monitor therapies as appropriate • Provide follow up care and ongoing patient support • Maintain accurate documentation in EMR Requirements • Nurse Practitioner licence in good standing with the College of Nurses of Ontario (CNO) • Authorized to assess, diagnose, prescribe, and order lab testing independently • Eligible to provide virtual care within Ontario • Professional liability coverage (CNPS or equivalent) • Comfortable working in a fully remote environment Nice to Have • Experience in primary care, endocrinology, or hormone health • Interest or exposure to TRT, bHRT, or weight management • Previous telehealth or EMR experience What We Offer • Fully remote role within Ontario • Flexible scheduling (part time or full time) • Competitive, volume based compensation • Consistent patient demand • Structured onboarding and clinical protocols • Full administrative and scheduling support • Streamlined EMR workflow How to Apply Please submit your resume and include: • Your Ontario NP licence status • Your weekly availability • Confirmation you are located in Ontario Job Types: Full-time, Part-time Pay: From $65.00 per hour Application Question(s): • Are you currently licensed as an NP in Ontario, in good standing with the College of Nurses of Ontario? • What is the maximum number of hours per week you are available for patient consultations? • Are you authorized to prescribe controlled substances in Ontario? • Are you eligible to practice virtual care in the province of Ontario? Work Location: Remote
Healthcare
Medix is a workforce solutions and staffing company supporting healthcare, scientific, and IT industries, assisting candidates with contract, contract-to-hire, and direct-hire opportunities.
Schedules: Full-time hours 4x10 hour shifts with 1 weekend required every 3rd week (must be okay working PST time) Job Summary: The RN will work on the Virtual Care Support team with other clinical staff to support the Virtual Care clinicians and patients. The RN will serve as an available resource for patients and clinicians, and act as a care guide to support patients through the continuum of care. He/she/they will carry out assigned nursing tasks and orders as delegated by the clinicians to support patient care. Essential Job Duties: • Assists all patients through the healthcare system by . • Participates in patient-centered team meetings and quality improvement initiatives. • Facilitates health and disease patient education. • Supports patient self-management of disease and behavior modification interventions. • Coordinates (in conjunction with other care team members) continuity of patient care with external healthcare organizations and facilities and referrals from the Virtual Care provider to a specialty care provider. • Coordinates continuity of patient care with • , including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting. • Conducts comprehensive, preventive screenings for patients and/or assists all support staff in daily patient interactions as needed. • Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans. • Facilitates patient medication management based upon standing orders and protocols. • Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to Virtual Care. • Evaluates clinical care, utilization of resources, and development of new clinical tools, forms, and procedures. • Follows standard procedures and protocols related to triage, Rx refills and escalation of care. • Follows protocols and acts on standing orders per clinician guidance to assist with refills, ordering preventative/screening interventions, etc. within RN scope of practice. • Collects and analyzes biometric data to support various population health and patient care initiatives • Provides support to medical assistants regarding clinical guidelines and protocols Requirements: • Bachelor of Science in Nursing (Current RN license in state of residency. Additional multi-state licensure may be required in other states which Doctor on Demand will facilitate.) • Compact licensure required and must reside in a compact state & CA single state license • Excellent verbal communication skills • Proficient computer skills, including experience with google suite • Must have experience working in an electronic health record system or have previous database experience • 2-5 years experience in a clinical setting, ideally in an outpatient clinic with chronic disease management care • Occasional evening and weekend coverage may be required Other Skills/Abilities • Self-disciplined, energetic, passionate, innovative and flexible • Comfort with ambiguity and in fast-paced environments • Able to collaborate well within a team and work independently in a remote setting • Demonstrates sound judgment, decision-making and problem-solving skills About Medix? Medix is dedicated to positively impacting lives every day. Since 2001, we have made it our mission to be the leading provider of workforce solutions for clients and candidates across the Healthcare, Scientific, and Information Technology industries. Our dedicated recruiters are here to help you find and secure just the right opportunity. We take the time to learn about you, your skills, your interests, and your career goals, and then match you with the jobs and companies that best suit your needs. Whether you are looking for a contract, contract-to-hire, or direct hire positions, we can help you to find the meaningful and gratifying work that you've been looking for. • Minimum Essential Coverage (MEC) plan • Two different fixed indemnity plan add-ons • Major Medical Plans, including 1 HSA Plan • Dental • Vision • Short-term disability • Life and AD&D This year’s recipient of the Business Ledger's "Entrepreneurial Excellence Growth Award" Join our network of talented professionals! Pay: $36.00 - $40.00 per hour Benefits: • 401(k) • Dental insurance • Disability insurance • Health insurance • Paid time off • Vision insurance Application Question(s): • Do you have an active Multistate/Compact License as an RN? • Do you have a single state license in the state of CA? • Do you have a Bachelor of Science Degree in Nursing? • Do you have any experience in Primary Care setting and taking care of patients with Chronic Disease conditions? Work Location: Remote
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A healthcare organization providing telehealth services and remote nursing roles.
Role Description Dispensed is seeking passionate and motivated Registered Nurses with strong communication skills and a keen eye for detail, who are committed to delivering high-quality patient care and thorough clinical assessments. Join Team Dispensed as our next Telehealth Nurse and play a key role in shaping a seamless, patient-first care experience. You’ll play a critical role in conducting patient assessments, managing consultations, and ensuring a smooth and supportive experience for every patient. You will • Conduct patient consultations via phone, including screening and documentation • Manage follow-up appointments as required • Collaborate with internal teams, including Medical Assistants, Customer Service, and Clinical Leadership Qualifications • Proficiency with digital tools (e.g. Google Meet, Slack, Deputy, and patient management systems) • Fast, accurate typing skills and the ability to multitask effectively • Strong attention to detail, particularly in clinical documentation • Confidence in following structured processes and clinical protocols • Excellent interpersonal skills - empathy, active listening, and clear communication • Strong time management and organisational skills • Previous telehealth or remote work experience (preferred) Requirements Important to note • This is a fully remote role involving back-to-back telehealth consultations, so you’ll need a quiet, distraction-free workspace and a stable, high-speed internet connection. • Please consider whether this style of work aligns with your preferences and lifestyle before applying. Benefits • Work From Anywhere. • A competitive salary and awesome benefits package. • A supportive and positive work environment. • Opportunities to grow and develop your career. • Opportunity to transform lives through alternative medicine. Apply tot his job Apply To this Job
frontendnode-production.up.railway.app
OpenLoop Health Partners is a healthcare organization that provides telemedicine and remote clinical services, hiring RNs for virtual patient care and care coordination roles.
Role Description OpenLoop is looking for a full time Telemedicine Registered Nurse (RN) to join our team remotely. In this role, you will be responsible for providing patient education and clinical support, ensuring optimal health outcomes, and working closely with RN Team Leads and RN Manager for patient success. This is an incredible opportunity to support RN operations in a fast-paced, innovative company that puts the patient at the center of everything we do. This role is for a clinical care professional who delivers nursing care using telemedicine modalities and provides support to the RN team. Registered nurses are members of an interdisciplinary care team working as staff clinicians with OpenLoop. You'll be at the forefront of healthcare delivery, providing vital support to patients over the phone. Your role will involve: • Assessing patient needs • Offering medical advice • Coordinating care plans • Ensuring optimal health outcomes • Providing an outstanding patient experience In addition to providing direct patient care, this role will provide administrative and operational support for the RN Team in close partnership with the RN Manager. Responsibilities include: • Assisting with quality assurance, reporting and analytics • Supporting training • Participating in other projects to ensure continuous improvement of RN Team operations This position offers an opportunity to make a meaningful impact on patient satisfaction and quality of care while contributing to the continuous improvement of healthcare services. If you are a dedicated RN with a passion for patient advocacy, compassionate and patient-centered communication, technology, fast-paced and innovative environments, and driving operational excellence, we encourage you to apply for this rewarding position. Qualifications • Active and Unencumbered compact licensure with eligibility to obtain 50 state licensure • Must live in the state in which the Compact was granted • Associate degree in Nursing (A.D.N) from an accredited school of nursing required; Bachelor of Science in Nursing (B.S.N) preferred • At least 5+ years of clinical experience in settings such as telemedicine, acute care, or primary care • Demonstrated ability to provide patient-centered care through strong communication, empathy, and effective patient education • Commitment to patient safety and quality • Above average proficiency in using technology, telecommunication technology, and electronic health record (EHR) systems • Strong preference for experience with Google Suite and Slack • Excellent skills in troubleshooting technical concerns and guiding others on use of technology • Ability to work independently and as part of a team in a fast-paced, rapidly changing environment • Excellent organizational skills and attention to detail, with the ability to manage multiple tasks simultaneously in a fast-paced, high volume environment • Full-time scheduled role, requiring availability to work extended hours including certain weekends and holidays • Timely and professional • Telemedicine or virtual care experience a plus Requirements • Must have Active and Unencumbered compact licensure with the eligibility to obtain 50 state licensure • This license MUST be reflected on a current CV or provided upon application to be considered Benefits • Generous PTO — We believe in taking time off (and actually do it) • Medical, Dental and Vision • 401K Program • The chance to change the future of medicine! Apply To This Job
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Dispensed appears to be a healthcare/telehealth organization offering remote patient consultations and services, with this role posted via a recruiting platform.
Role Description Dispensed is seeking passionate and motivated Registered Nurses with strong communication skills and a keen eye for detail, who are committed to delivering high-quality patient care and thorough clinical assessments. Join Team Dispensed as our next Telehealth Nurse and play a key role in shaping a seamless, patient-first care experience. You’ll play a critical role in conducting patient assessments, managing consultations, and ensuring a smooth and supportive experience for every patient. You will • Conduct patient consultations via phone, including screening and documentation • Manage follow-up appointments as required • Collaborate with internal teams, including Medical Assistants, Customer Service, and Clinical Leadership Qualifications • Proficiency with digital tools (e.g. Google Meet, Slack, Deputy, and patient management systems) • Fast, accurate typing skills and the ability to multitask effectively • Strong attention to detail, particularly in clinical documentation • Confidence in following structured processes and clinical protocols • Excellent interpersonal skills - empathy, active listening, and clear communication • Strong time management and organisational skills • Previous telehealth or remote work experience (preferred) Requirements Important to note • This is a fully remote role involving back-to-back telehealth consultations, so you’ll need a quiet, distraction-free workspace and a stable, high-speed internet connection. • Please consider whether this style of work aligns with your preferences and lifestyle before applying. Benefits • Work From Anywhere. • A competitive salary and awesome benefits package. • A supportive and positive work environment. • Opportunities to grow and develop your career. • Opportunity to transform lives through alternative medicine. Apply To This Job Apply tot his job Apply To this Job
frontendnode-production.up.railway.app
Dispensed appears to be a healthcare organization offering telehealth services and remote nursing roles focused on patient consultations and clinical assessments.
Role Description Dispensed is seeking passionate and motivated Registered Nurses with strong communication skills and a keen eye for detail, who are committed to delivering high-quality patient care and thorough clinical assessments. Join Team Dispensed as our next Telehealth Nurse and play a key role in shaping a seamless, patient-first care experience. You’ll play a critical role in conducting patient assessments, managing consultations, and ensuring a smooth and supportive experience for every patient. You will • Conduct patient consultations via phone, including screening and documentation • Manage follow-up appointments as required • Collaborate with internal teams, including Medical Assistants, Customer Service, and Clinical Leadership Qualifications • Proficiency with digital tools (e.g. Google Meet, Slack, Deputy, and patient management systems) • Fast, accurate typing skills and the ability to multitask effectively • Strong attention to detail, particularly in clinical documentation • Confidence in following structured processes and clinical protocols • Excellent interpersonal skills - empathy, active listening, and clear communication • Strong time management and organisational skills • Previous telehealth or remote work experience (preferred) Requirements Important to note • This is a fully remote role involving back-to-back telehealth consultations, so you’ll need a quiet, distraction-free workspace and a stable, high-speed internet connection. • Please consider whether this style of work aligns with your preferences and lifestyle before applying. Benefits • Work From Anywhere. • A competitive salary and awesome benefits package. • A supportive and positive work environment. • Opportunities to grow and develop your career. • Opportunity to transform lives through alternative medicine. Apply To This Job Apply tot his job Apply To this Job
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Advocate Health (formed from Advocate Aurora Health and Atrium Health) is a large nonprofit integrated health system operating hospitals and care sites across multiple states, providing clinical services under regional brands including Atrium Health and Advocate Health Care.
Department 12707 Enterprise Corporate - Patient Access & Care Team NC/GA Nursing Status Part time Benefits Eligible Yes Hours Per Week 24 Schedule Details/Additional Information 24-hr position. Work remote. (3) 8-hr shifts - Fri, Sat, Sun OR 9a-9p Saturday & Sunday. Holiday rotation. Pay Range $38.20 - $57.30 Major Responsibilities Engages in unit councils, professional governance, and quality initiatives to improve care processes and apply evidence-based practices. Utilizes the nursing process to assess, plan, implement, and evaluate care, engaging patients and families from admission to post-discharge. Monitors patient conditions, adjusts care plans, mobilizes resources, and collaborates with the care team to influence care outcomes. Upholds and promotes a culture of safety. Continuously evaluates patient, team, and unit outcomes, taking action as needed. Administer medications, treatments, and therapies safely and according to clinical protocols and procedures. Demonstrates effective communication, feedback, and conflict resolution, fostering team collaboration and appropriate delegation. Pursues professional development, completes required education, and maintains certifications. Adhere to the ANA Code of Ethics and practices ethical decision-making, respects interdisciplinary roles, and contributes to integrated, unbiased patient care. Appropriate delegation to other registered nurses, licensed practical nurse, nurse assistants, and other unlicensed assistive personnel. Maintains accurate, timely EHR documentation. May be required to float to other units, departments, or facilities within the designated service area to meet patient care needs. 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. Licensure, Registration, and/or Certification Required Basic Life Support (BLS). Additional education, training, certifications, or experience may be required based on specialty. Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services Note Licensed nurses practicing via telehealth/telenursing/virtual modalities are required to be licensed or hold the privilege to practice in the state(s) where the client(s) is/are located. Licensed nurses are responsible and accountable for knowing, understanding, and practicing in compliance with the laws, rules, regulations, and standards of practice of the state(s) where the client(s) is/are located Education Required Graduate of a Board of Nursing approved nursing education program. Knowledge, Skills & Abilities Required Strong clinical judgment and critical thinking. Time management, prioritization and problem-solving skills. Excellent communication and interpersonal skills. Ability to work in a fast-paced, dynamic environment. Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.) Physical Requirements and Working Conditions Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must be able to push/pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present. Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions. Maneuver foot pedals on carts or machines. Perform physical safety interventions such as patient restraint and verbal de-escalation, if needed. May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary. Must be able to respond quickly to changes in patient and/or unit conditions. Physical Abilities Testing may be required. Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader. Our Commitment to You 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 listed within the listed 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 Note Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health 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, 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 155,000 teammates across 69 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 more than $6 billion in annual community benefits. Apply To This Job Apply To This Job Apply tot his job Apply To this Job
Advocate Aurora Health
Advocate Aurora Health is a large healthcare system operating hospitals and clinics, providing a range of clinical services and healthcare programs across multiple states.
Title: Telehealth Nurse - Atrium Health Wake Patient Access and Care Team (PACT) PT Location: Winston Salem, NC, United States Job Description: Part time job requisition id R247918 Department: 12707 Enterprise Corporate - Patient Access & Care Team: NC/GA Nursing Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional Information: Evenings. Required every other weekend. Required holiday rotation. Pay Range $35.50 - $53.25 EDUCATION/EXPERIENCE: Graduate of an accredited school of nursing for Registered Nurses with a minimum ofthree years ofvaried clinical experience preferred in telephone nurse triage, ambulatory settings, and inpatient medical-surgical inpatient units. LICENSURE, CERTIFICATION, and/or REGISTRATION:Current license to practice as a Registered Nurse (RN) in the State of applicable state and BCLS certification required unless CPR skill demonstration is medically contraindicated. Valid driver's license required. ESSENTIAL FUNCTIONS: Adheres to AHWFBH standards to promote a positive work environment through effective and professional communication skills, interpersonal relationships, and team building. Provides telehealth nursing services to diverse populations in the health system. Interactions and communication align with diversity and inclusion principles Engages patients with the goal of improving clinical outcomes and promoting patient/customer satisfaction. Advocates for patients and families. Communicates and collaborates with other individuals and providers within the health system. Demonstrates responsibility for professional and personal development. SKILLS/QUALIFICATIONS: Previous experience with nurse telephone triage or within a nursing call center preferred Excellent customer service skills Experience in multidisciplinary team collaboration Ability to perform telephone nursing patient assessments in an efficient manner using standardized nurse triage and departmental guidelines Excellent verbal and written communication skills Excellent organizational skills and the ability to work within a dynamic environment Basic computer skills with the ability to navigate multiple systems WORK ENVIRONMENT: On-site orientation required Primarily remote: In the event of technology failures while working remotely, must be able to report on site within one hour, and to report on site at the request of leadership. There is potential for the role to transition from remote to performing work duties from a designated work site. Requires the ability to successfully multi-task and to navigate competing priorities PHYSICAL REQUIREMENTS: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum Our Commitment to You: 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 listed within the listed 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 Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
Zapier
Greenlife Healthcare Staffing is a nationwide healthcare recruitment agency that connects clinicians with hospitals, clinics, long-term care facilities, and other employers for staffing and contract opportunities.
Long-Term Care Registered Nurse (VA Reviewer) - Remote (#25278) • Location: Remote • Employment Type: Contract (Case-based) • Hourly Rate: Per Case Compensation (See details below) About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: We are seeking a highly experienced Long Term Care Registered Nurse to conduct remote case reviews for the Department of Veterans Affairs (VA). In this role, you will provide critical clinical oversight by reviewing medical cases to assess the quality, timeliness, and appropriateness of care. This is an excellent opportunity for a seasoned professional to leverage their clinical expertise in a flexible, remote capacity while contributing to the mission of supporting our veterans. • Why Join Us? • Competitive Compensation: • VA per Case Rates (subject to change per contract year) • A one-time flat rate of $150 onboarding bonus will be paid on your 1st payroll. • Reviewer time is not compensated for training. • Cases are compensated at a flat rate per case and per case type. • Audits FRRs (Facility Requested Reviews) - $95 / case • MAOs (Medical Advisory Opinions) - $225 / case • Flexible, Remote Work: Enjoy the flexibility of working remotely and managing your own schedule. • Work Schedule: Maintain control over your workload with a minimum requirement of 20 clinical hours per month. • Professional Growth: Gain valuable experience in medical legal review and quality assurance for a major national healthcare system. • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes and ensuring high standards of care for veterans. • Legal Protection: All reviews are protected, and reviewers are not required to present in court. • Qualifications: • Education: Graduate of an accredited nursing program. • Licensure: Must hold a current, non-restricted RN license in a U.S. state or territory. • Experience: • Minimum of 5 years of active clinical practice in a Long-Term Care specialty. • Minimum of 2 years of recent experience in the Long-Term Care specialty for which they are reviewing. • Must be actively engaged in the practice of medicine and maintain active hospital privileges. • Technical Skills: Strong analytical and critical thinking skills for comprehensive case review. • Soft Skills: Excellent written communication skills, attention to detail, objectivity, and the ability to work independently. • Key Responsibilities: • Audits/ Facility Requested: • Quality Management Reviews • Standardized set of questions • Was the standard of care timely and appropriate? • approx. 1 hr. to complete • Management Other Cases: • non-standardized set of questions • cases can be initiated for any number of performance improvement indicators • approx. 1 hr. to complete • Medical Advisory Opinions: • non-standardized set of questions by attorneys • typically initiated by patient complaints and malpractice concerns • approx. 2–4 4 hrs. to complete • How to Apply: • If you are a dedicated RN ready to take the next step in your career and make a difference in the healthcare industry, we want to hear from you! Submit your Resume/CV to or call our office at (800) 608-4025 to learn more about this opportunity and others we offer. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives. Long-Term Care Registered Nurse (VA Reviewer) - Remote (#25278) • Location: Remote • Employment Type: Contract (Case-based) • Hourly Rate: Per Case Compensation (See details below) About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: We are seeking a highly experienced Long Term Care Registered Nurse to conduct remote case reviews for the Department of Veterans Affairs (VA). In this role, you will provide critical clinical oversight by reviewing medical cases to assess the quality, timeliness, and appropriateness of care. This is an excellent opportunity for a seasoned professional to leverage their clinical exp
Concierge Home Care
Concierge Home Care is a home health provider offering in-home nursing and clinical services; recruiting a remote clinical manager to oversee and support home health clinicians in Florida.
This a Full Remote job, the offer is available from: Florida (USA) Clinical Manager (RN) – Home Health | Leadership Role | F-M Schedule | Remote Concierge Home Care | Midwest Florida Competitive salary package ($80K+ and bonus potential) Friday-Monday leadership schedule Lead, mentor, and grow a clinical team Concierge Home Care is hiring a Clinical Manager (RN). This is a high-impact leadership opportunity for an experienced home health nurse ready to lead a clinical team, drive patient outcomes, and grow within a rapidly expanding organization. If you’re looking to step into (or expand in) leadership while maintaining work-life balance, this role offers both professional growth and stability. Location: Remote covering the Midwest, FL Compensation & Earning Potential • Competitive base salary (based on experience) • Quarterly performance-based bonuses • Additional earnings: • Pay-per-visit compensation for field visits (if completed) • Administrative on-call pay opportunities Leadership growth opportunities within a rapidly expanding organization Why Nurse Leaders Choose Concierge Home Care Leadership with Real Support • Lead and mentor a team of home health clinicians • Partner with experienced executive and clinical leadership • Influence patient care quality and team performance • Play a key role in agency growth and expansion Work-Life Balance • Friday-Monday schedule • Predictable leadership structure Technology That Supports You • AI-assisted documentation tools to increase efficiency • User-friendly EMR (WellSky/Kinnser) built for home health • Streamlined workflows for improved team productivity Growth & Advancement • Clear pathways to higher-level leadership roles • Ongoing professional development and leadership training • Opportunity to scale teams and expand operations Your Role as Clinical Manager (RN) • Supervise, mentor, and support clinical staff • Ensure compliance with Medicare, state, and regulatory standards • Review documentation for accuracy and quality (including OASIS) • Monitor patient outcomes and drive performance improvements • Collaborate with physicians and interdisciplinary teams • Coach clinicians for professional growth and clinical excellence • Ensure agency policies and standards are consistently followed Benefits & Perks • 3 weeks PTO (increases with tenure) • Quarterly performance bonuses • Health, dental, and vision insurance • 401(k) retirement plan • Employee Assistance Program (EAP) • Referral bonuses ($1,000 per full-time clinical hire) • Supportive leadership and collaborative culture Qualifications • Active, unencumbered Florida Registered Nurse (RN) license • Minimum 1 year RN experience (acute care, med/surg, ICU, ER, or similar) • At least 1 year of skilled home health experience • OASIS proficiency required • Strong knowledge of home health regulations and compliance • Valid driver’s license, reliable transportation, and auto insurance • Ability to travel locally as needed Join a team where your leadership drives real impact—supporting clinicians, improving patient outcomes, and shaping the future of home health care. Employment is contingent upon successful completion of an AHCA Level 2 background screening. For more information, please visit the Florida Care Provider Background Screening Clearinghouse. This offer from "Concierge Home Care" has been enriched by Jobgether.com and got a 72% flex score.
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Vitra Health is a Massachusetts-based healthcare organization providing home- and community-based services for aging adults, people with disabilities, and individuals with complex care needs.
About Vitra Health Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Opportunity The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Key Responsibilities • Clinical Oversight and Documentation Review • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Assessment and Care Planning • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Quality Assurance and Compliance • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Staff Development and Training • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. What we are looking for • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in good standing. • Bachelor’s degree in Nursing preferred or equivalent • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Prior experience supervising LPNs strongly preferred. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Work Environment and Physical Requirements • Works in a clean, well-lit environment with fluctuating temperatures in close proximity to others. • Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse. • Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to navigate stairs; requires visual acuity and manual dexterity to operate equipment. Perks and Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status. Apply To This Job
careersprint
CareerSprint appears to be a recruiting/staffing organization that posts healthcare and clinical job opportunities, including remote nursing roles.
Job Title Clinical Review RN (IDR/Appeals) Experience Open to various clinical backgrounds/experience. Appeals experience not required. Must have 2+ years of clinical experience post graduation, must has critical thinking and problem solving skills. • Must have BSN and New York State RN license* Location Remote (can sit anywhere in the US as long as you can work EST hours) Hours of Operation M-F 7a-530p *flexible start between 7am-9am (40hrs/wk) Start date ASAP Pay $50-53/hr DOE GENERAL RESPONSIBILITIES This individual will complete the full spectrum of activities related to State and Federal Independent Dispute Resolution (IDR) case determinations. They will conduct clinical level review, Prior Authorization, and disputed benefits review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. DUTIES 1. Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, complete electronic worksheets and preparing final determinations. 2. Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles. 3. Training and mentoring new RNs as the project expands. 4. Claims assessment and adjudication. 5. Participate in collaborative training. 6. Other activities as may be deemed necessary. QUALIFICATIONS 1. Knowledge and experience with electronic medical records. 2. Ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff. 3. Excellent written and verbal skills. 4. Ability to work independently with little supervision. 5. Ability and desire to be flexible, innovative, and creative. 6. Ability to meet deadlines in a time sensitive environment. EDUCATION AND EXPERIENCE 1. Licensed, Registered Nurse in NYS, required. 2. BSN required OR bachelor's degree + ASN is acceptable 3. Minimum of two years’ experience in a clinical setting, required Apply tot his job Apply To this Job
careersprint
A digital healthcare/telemedicine organization (Career.zycto / CareerSprint) offering remote telehealth services and virtual nursing roles supporting patients in Singapore.
About Company Imagine a place where your nursing expertise is amplified by technology, reaching patients far and wide. Career.zycto is at the forefront of digital healthcare solutions, empowering medical professionals to deliver unparalleled virtual care. We believe in harnessing innovation to expand access to quality health services, making a tangible difference in people's lives. For a Telehealth Nurse, our dynamic, supportive ecosystem provides the perfect platform to thrive, offering continuous learning and the chance to shape the future of remote patient management. Join us in redefining healthcare delivery. Job Description Are you a compassionate and highly skilled Registered Nurse eager to leverage technology to deliver patient-centric care from the comfort of your home? Career.zycto is seeking a dedicated Telehealth Nurse to join our pioneering remote healthcare team. In this pivotal role, you will be instrumental in providing virtual assessments, education, and support to patients across Singapore, ensuring continuity of care and promoting positive health outcomes. This is an exciting opportunity for a self-motivated professional to contribute to a forward-thinking organization committed to enhancing healthcare accessibility and efficiency through innovative digital platforms. You will utilize cutting-edge telemedicine tools to conduct virtual consultations, manage chronic conditions, provide post-operative follow-ups, and offer health coaching. Your ability to communicate clearly, empathize effectively, and make sound clinical judgments remotely will be key to your success. We are looking for an individual who is not only clinically proficient but also adaptable, tech-savvy, and passionate about the evolving landscape of digital health. If you are ready to embrace a new frontier in nursing and make a significant impact without the daily commute, we encourage you to apply and become a part of our transformative journey in remote patient care. Key Responsibilities • Conduct comprehensive virtual health assessments, triage patient needs, and provide appropriate medical advice or referrals. • Utilize telehealth platforms to deliver patient education on various health conditions, medication management, and preventive care. • Monitor and manage chronic disease patients remotely, tracking progress, and adjusting care plans in collaboration with physicians. • Provide post-discharge follow-up care, ensuring smooth transitions and preventing readmissions. • Document all patient interactions accurately and thoroughly in the electronic health record (EHR) system. • Adhere strictly to clinical protocols, ethical guidelines, and all relevant regulatory standards for telehealth practice in Singapore. • Collaborate effectively with interdisciplinary healthcare teams to ensure holistic patient care. • Participate in ongoing training and professional development to stay current with telehealth best practices and technological advancements. Required Skills • Registered Nurse (RN) license in Singapore (SNB) • Minimum 3 years of clinical nursing experience, with at least 1 year in a remote or telehealth capacity preferred. • Strong clinical assessment and critical thinking skills. • Excellent verbal and written communication abilities. • Proficiency in using electronic health record (EHR) systems and telehealth platforms. • Ability to work independently and manage time effectively in a remote environment. • Strong patient education and coaching skills. • High level of empathy and cultural sensitivity. Preferred Qualifications • Bachelor of Science in Nursing (BSN) or equivalent. • Certifications in telehealth, chronic disease management, or specific medical specialties. • Experience with AI-powered diagnostic tools or virtual monitoring devices. • Fluency in additional local languages (e.g., Mandarin, Malay, Tamil) to serve a diverse patient population. Perks & Benefits • Competitive annual salary and performance-based incentives. • Comprehensive health, dental, and vision insurance plans. • Flexible remote work schedule, promoting work-life balance. • Opportunities for continuous professional development and training in telehealth technologies. • Access to cutting-edge telemedicine tools and resources. • A supportive and collaborative team environment focused on innovation. • Paid time off, including annual leave and sick leave. • Employee wellness programs and mental health support. How to Apply Interested candidates are invited to click on the application link below to submit their resume and a cover letter detailing their relevant experience and interest in a remote telehealth nursing role. Please ensure your application highlights your proficiency in telehealth technologies and your commitment to patient-centered care. Apply tot Apply To This Job
Molina Healthcare
Molina Healthcare is a managed care health plan that provides Medicaid, Medicare, and Marketplace services, delivering coordinated care and health plan administration for low-income and vulnerable populations.
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent hospital experience in an intensive care unit (ICU) or emergency room. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
frontendnode-production.up.railway.app
Atrium Health (listing appears hosted via a third-party site) — a healthcare system operating hospitals and outpatient services; this listing is for a telehealth/patient access call center role.
Department 12707 Enterprise Corporate - Patient Access & Care Team NC/GA Nursing Status Part time Benefits Eligible Yes Hours Per Week 24 Schedule Details/Additional Information 24-hr position. Work remote. (3) 8-hr shifts - Fri, Sat, Sun OR 9a-9p Saturday & Sunday. Holiday rotation. Pay Range $38.20 - $57.30 Major Responsibilities Engages in unit councils, professional governance, and quality initiatives to improve care processes and apply evidence-based practices. Utilizes the nursing process to assess, plan, implement, and evaluate care, engaging patients and families from admission to post-discharge. Monitors patient conditions, adjusts care plans, mobilizes resources, and collaborates with the care team to influence care outcomes. Upholds and promotes a culture of safety. Continuously evaluates patient, team, and unit outcomes, taking action as needed. Administer medications, treatments, and therapies safely and according to clinical protocols and procedures. Demonstrates effective communication, feedback, and conflict resolution, fostering team collaboration and appropriate delegation. Pursues professional development, completes required education, and maintains certifications. Adhere to the ANA Code of Ethics and practices ethical decision-making, respects interdisciplinary roles, and contributes to integrated, unbiased patient care. Appropriate delegation to other registered nurses, licensed practical nurse, nurse assistants, and other unlicensed assistive personnel. Maintains accurate, timely EHR documentation. May be required to float to other units, departments, or facilities within the designated service area to meet patient care needs. 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. Licensure, Registration, and/or Certification Required Basic Life Support (BLS). Additional education, training, certifications, or experience may be required based on specialty. Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services Note Licensed nurses practicing via telehealth/telenursing/virtual modalities are required to be licensed or hold the privilege to practice in the state(s) where the client(s) is/are located. Licensed nurses are responsible and accountable for knowing, understanding, and practicing in compliance with the laws, rules, regulations, and standards of practice of the state(s) where the client(s) is/are located Education Required Graduate of a Board of Nursing approved nursing education program. Knowledge, Skills & Abilities Required Strong clinical judgment and critical thinking. Time management, prioritization and problem-solving skills. Excellent communication and interpersonal skills. Ability to work in a fast-paced, dynamic environment. Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.) Physical Requirements and Working Conditions Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must be able to push/pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present. Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions. Maneuver foot pedals on carts or machines. Perform physical safety interventions such as patient restraint and verbal de-escalation, if needed. May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary. Must be able to respond quickly to changes in patient and/or unit conditions. Physical Abilities Testing may be required. Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader. Our Commitment to You 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 listed within the listed pay range based on factors such
Lifepoint Health
LifePoint Health is a community-based healthcare organization operating hospitals and care sites across multiple U.S. states, providing acute, behavioral health, and outpatient services through a diversified network.
RN Clinical Documentation Improvement Specialist This is a REMOTE opportunity Your experience matters: Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty care providers. Frye Regional Medical Center employs more than 1500 professional and clinical staff. Our medical center is a 355-bed acute care facility which offers a broad array of inpatient and outpatient care. Frye Regional Medical Center provides patients with a full range of services to meet the healthcare needs of our community. We believe our employees are our most valuable assets in accomplishing this goal and we have made great strides to ensure employee satisfaction. If you are passionate about changing lives, we are looking for you! How you’ll contribute: Facilitates improvement in overall quality, completeness, and accuracy of clinical documentation. A Clinical Documentation Specialist who excels in this role: • Conducts daily concurrent reviews of medical records to identify missing, vague and/or incomplete diagnoses and procedures. • Conducts timely follow up reviews of clinical documentation to ensure that issues discussed and issued queries have been answered by providers. • Queries physicians on specificity of procedures performed and diagnoses based on accepted coding guidelines, clinical expertise and LifePoint Health query policy. • Participate in department and facility Quality and Performance initiatives. • Maintains education record and meets minimum corporate CEU requirements. • Maintains clean work station, follows all safety regulations, Code of Conduct and ethics, customer service, and attends hospital training and departmental staff meetings. Qualifications and requirements: Education: Associate’s Degree Nursing (ADN): Required and validated by the presence of a current RN license; Bachelor’s Degree Nursing (BSN): Preferred Licenses: Registered Nurse; One of the following is Preferred - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist - Physician-base (CCS-P), Certified Coding Specialist (CCS) Minimum Work Experience: Three years of clinical work experience Required Required Skills: Minimal completion of Level One on the Clinical Ladder Program annually for Full-time nurses. If not completed, employee forfeits the annual evaluation pay increase and possible termination. What we offer: We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage with medical plans starting at just $10 per pay period tailored benefit options for part-time and PRN employees, and more. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. "We are an Equal Opportunity Employer. We are committed to Equal Employment Opportunity for all applicants and employees and comply with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
careersprint
Dispensed is a healthcare provider offering telehealth consultations and patient care services; this telehealth nurse role was posted via CareerSprint.
Role Description Dispensed is seeking passionate and motivated Registered Nurses with strong communication skills and a keen eye for detail, who are committed to delivering high-quality patient care and thorough clinical assessments. Join Team Dispensed as our next Telehealth Nurse and play a key role in shaping a seamless, patient-first care experience. You’ll play a critical role in conducting patient assessments, managing consultations, and ensuring a smooth and supportive experience for every patient. You will • Conduct patient consultations via phone, including screening and documentation • Manage follow-up appointments as required • Collaborate with internal teams, including Medical Assistants, Customer Service, and Clinical Leadership Qualifications • Proficiency with digital tools (e.g. Google Meet, Slack, Deputy, and patient management systems) • Fast, accurate typing skills and the ability to multitask effectively • Strong attention to detail, particularly in clinical documentation • Confidence in following structured processes and clinical protocols • Excellent interpersonal skills - empathy, active listening, and clear communication • Strong time management and organisational skills • Previous telehealth or remote work experience (preferred) Requirements Important to note • This is a fully remote role involving back-to-back telehealth consultations, so you’ll need a quiet, distraction-free workspace and a stable, high-speed internet connection. • Please consider whether this style of work aligns with your preferences and lifestyle before applying. Benefits • Work From Anywhere. 🌍 • A competitive salary and awesome benefits package. 💰 • A supportive and positive work environment. 🌟 • Opportunities to grow and develop your career. 📈 • Opportunity to transform lives through alternative medicine. 💡 Apply To This Job
careersprint
RelateCare is a healthcare services company offering nurse triage, post-discharge follow-up, wellness solutions and care coordination to help organizations manage patient care journeys.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required Apply tot his job Apply To this Job Apply tot his job Apply To this Job Apply To This Job
Advocate Health
Advocate Health is a large nonprofit integrated health system formed by the combination of Advocate Aurora Health and Atrium Health, operating hospitals and clinics under Advocate, Atrium and Aurora brands across multiple states.
R247918 Department: 12707 Enterprise Corporate - Patient Access & Care Team: NC/GA Nursing Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional Information: Evenings. Required every other weekend. Required holiday rotation. Pay Range $35.50 - $53.25 EDUCATION/EXPERIENCE: Graduate of an accredited school of nursing for Registered Nurses with a minimum ofthree years ofvaried clinical experience preferred in telephone nurse triage, ambulatory settings, and inpatient medical-surgical inpatient units. LICENSURE, CERTIFICATION, and/or REGISTRATION:Current license to practice as a Registered Nurse (RN) in the State of applicable state and BCLS certification required unless CPR skill demonstration is medically contraindicated. Valid driver's license required. ESSENTIAL FUNCTIONS: • Adheres to AHWFBH standards to promote a positive work environment through effective and professional communication skills, interpersonal relationships, and team building. • Provides telehealth nursing services to diverse populations in the health system. • Interactions and communication align with diversity and inclusion principles • Engages patients with the goal of improving clinical outcomes and promoting patient/customer satisfaction. • Advocates for patients and families. • Communicates and collaborates with other individuals and providers within the health system. • Demonstrates responsibility for professional and personal development. SKILLS/QUALIFICATIONS: • Previous experience with nurse telephone triage or within a nursing call center preferred • Excellent customer service skills • Experience in multidisciplinary team collaboration • Ability to perform telephone nursing patient assessments in an efficient manner using standardized nurse triage and departmental guidelines • Excellent verbal and written communication skills • Excellent organizational skills and the ability to work within a dynamic environment • Basic computer skills with the ability to navigate multiple systems WORK ENVIRONMENT: • On-site orientation required • Primarily remote: In the event of technology failures while working remotely, must be able to report on site within one hour, and to report on site at the request of leadership. There is potential for the role to transition from remote to performing work duties from a designated work site. • Requires the ability to successfully multi-task and to navigate competing priorities PHYSICAL REQUIREMENTS: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum Our Commitment to You: 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 listed within the listed 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 Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health 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, 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 155,000 teammates across 69 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 more than $6 billion in annual community benefits.
Johns Hopkins Medicine
Johns Hopkins Health Plans is the managed care and health services arm of Johns Hopkins Medicine, providing Medicaid, Medicare, commercial and other health plan services as part of the Johns Hopkins health system.
Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP has become a leader in provider-sponsored health plans and is poised for future growth. About this Job: The incumbent will be responsible for the delivery of training modules on case management, disease specific conditions, disease management and population health, along with CM computer documentation systems and Disease Management Databases. This role supports clinical staff across Health Services which includes UM, Medical Directors, CM, Appeals, Pharmacy, etc. This position assists in the documentation process including training manuals, workflows, “tips” and updates. Participates in the assessment of training effectiveness and partners with our QA team which identifies trends. Assists in development of interventions to ensure workflow compliance. Tasks & Duties of this position: • Conducts training sessions for JHHP staff using written materials, oral presentations and audio-visual equipment to assist groups in development of sound skills • Assists in the development of programs that reflect the needs of the organization. • Revises training programs based on evaluations and assessments. • Analyzes and evaluates training programs for impact and effectiveness • Identifies problem areas based on data integrity monitoring. • Assists in design of interventions to address problem areas. • Delivers interventions to end users Requirements: Education: • Completion of an accredited Nursing Program (RN); BSN and/or MSW degree required Work Experience: • Requires three years of managed care experience. • Training or teaching experience required. Salary Range: Minimum 43.61/hour - Maximum 67.59/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. The Hospital reserves the right to modify employee schedules as needed. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
careersprint
IntellaTriage provides after-hours nurse triage services for hospice and home health providers, delivering telephone-based clinical support via remote registered nurses; listing posted via CareerSprint.
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. 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. Learn more at www.intellatriage.com. Why Join Us • Base pay at $25 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $28 an hour within your first 6 months of hire • 3 weeks of paid remote training • Supportive clinical team • Work from home allows you to create a comfortable and personalized workspace • Shorter shifts that provide a better work-life balance and reduce potential for burnout • Working remotely gives you more time to spend with those you love! What do our nurses say? When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared “Helping people. That’s it. And knowing this team has your back—that makes all the difference. People say it takes a special kind of person to do hospice, and I think that’s true. You’re walking with people and their families through one of the most sacred times in life. It’s an honor to support them and guide them through that journey. I’m so grateful to have been chosen for this award.” At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients’ lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward https//intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/ • 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 Key responsibilities • 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. All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $28 an hour within your fist 6 months of hire. All nurses are eligible for a $1 shift differential for overnights and a $1 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances. Apply tot his job Apply To this Job
careersprint
Vitra Health is a healthcare organization providing home- and community-based services in Massachusetts, supporting aging adults and individuals with disabilities through nursing, case management, and Adult Foster Care programs.
About the position Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Responsibilities • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. Requirements • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in either good standing. • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Nice-to-haves • Bachelor’s degree in Nursing preferred or equivalent • Prior experience supervising LPNs strongly preferred. Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Apply To This Job Apply To This Job
careersprint
CopilotIQ (posting via CareerSprint) appears to provide telehealth and remote patient monitoring services focused on chronic disease management and virtual nursing support.
Role Description We are seeking nurses (LPN/LVN) to provide outstanding care to members with diseases such as hypertension, diabetes, and heart failure through remote patient monitoring. The Telehealth Nurse will support members through regular phone visits during which they will discuss how to make progress towards goals, medical and lifestyle education, and how to improve outcomes on chronic conditions. This position offers full-time hours (Monday through Friday 830am-5pm local time), benefits, and the ability to work from home. What you’ll be doing • Perform regular telehealth calls to a dedicated panel of members. • Accurately and confidently provide medical, diet, and wellness education to members. • Ensure accurate and timely documentation. • Maintain good member/nurse rapport. • Ability to perform high quality, high volume calls. • Drive clinical outcomes through member engagement and coordination. • Escalate members to our Provider team as needed. • Provide device support and troubleshooting in a professional, knowledgeable manner. • Provide support and encouragement as indicated. • Maintain a good rapport with members, nursing team, and providers. • As a member of our team, foster and grow a culture of kindness, compassion, and mutual respect. • Assist with special projects and other assignments as needed. Qualifications • Must have a current, active, unrestricted LPN/RN multi-state compact license in a nursing compact state and be in good standing with the Board of Registered Nurses. • A minimum of 2 years hands on nursing experience is required; telehealth and chronic care management experience is strongly preferred. • EHR experience, specifically AthenaHealth, is a plus. • Fluency in English and Spanish is highly preferred. • Comfortable working on a computer; experience navigating through multiple computer applications while on calls; Macbook experience is a plus. • Must have reliable high-speed internet. • Strong time management skills and self-motivation. • Must be a quick learner in a fast paced, changing environment. • Professional and effective communication style that translates across all members of the team and members. • An attitude and work ethic that meets the core values and goals of CopilotIQ. • Self-motivated and able to work well independently. • A willingness to jump in and help where needed to ensure team success. Apply To This Job
careersprint
Careersprint: A recruitment/career platform advertising remote healthcare and telehealth roles; this posting appears to recruit Malaysian RNs for home-based telehealth positions.
Job Summary The Elite Job is seeking dedicated and compassionate individuals for Home-Based Telehealth Nursing positions. As a telehealth nurse, you will provide virtual healthcare consultations and support to patients in Malaysia, offering professional advice and assistance through phone calls or video consultations. This role offers the flexibility of working from home while contributing to improving patient care and outcomes through remote healthcare services. Key Responsibilities • * Conduct virtual patient assessments, provide medical advice, and educate patients on health-related concerns via phone or video consultations. • * Review patient records and communicate with other healthcare professionals to ensure coordinated care. • * Assist in managing chronic conditions by providing follow-up care and monitoring patient progress remotely. • * Respond to patient inquiries, document patient interactions, and provide guidance on treatment plans and medications. • * Offer emotional support to patients and families during remote consultations. • * Maintain accurate records of patient communications, assessments, and outcomes. • * Stay updated on the latest healthcare practices and telemedicine tools to ensure efficient service delivery. • Required Skills and Qualifications • * Registered Nurse (RN) with a valid Malaysian nursing license. • * Proven experience in clinical nursing, preferably in telemedicine or telehealth. • * Strong communication skills, both verbal and written, with the ability to explain medical information clearly to patients. • * Proficiency in using telemedicine platforms, electronic health records (EHR), and basic computer software. • * Ability to work independently in a remote environment and manage a flexible schedule. • * Strong critical thinking, problem-solving, and decision-making skills. • * Compassionate, empathetic, and patient-focused attitude towards healthcare. • Experience • * Minimum of 2 years of nursing experience in a clinical or telehealth setting. • * Experience in telehealth nursing is a plus but not mandatory. • * Previous work in patient care, home health, or a similar remote healthcare setting is desirable. • Working Hours • * Flexible working hours, with the option to work part-time or full-time. • * Availability for evening, night shifts, or weekend hours may be required depending on patient needs. • * No specific commute required as this is a fully remote role. • Knowledge, Skills, and Abilities • * Knowledge of patient care, medical protocols, and telemedicine technologies. • * Ability to assess patient conditions remotely and provide accurate and timely recommendations. • * Skilled in managing multiple patient cases at once while maintaining quality care. • * Ability to build rapport with patients and provide a reassuring presence in virtual consultations. • * Strong organizational and documentation skills. • * Ability to work in a fast-paced environment while maintaining professionalism and attention to detail. • Benefits • * Competitive salary based on experience and qualifications. • * Flexible work schedule to promote a healthy work-life balance. • * Professional development opportunities and continuous education. • * Work-from-home convenience with the necessary telehealth tools and technology provided. • * Opportunities for career advancement in a growing and innovative healthcare field. • * Health and wellness benefits for full-time employees. • Why Join The Elite Job? • * Work in a supportive and inclusive work environment that values patient care and employee well-being. • * Enjoy the flexibility of working from home, reducing commute time and enhancing work-life balance. • * Be part of a leading company committed to offering innovative healthcare solutions that make a meaningful impact on patient care. • * Contribute to the development of telehealth services that provide access to quality healthcare to individuals across Malaysia. • How to Apply Interested candidates are invited to submit their resume, along with a cover letter detailing their relevant nursing experience and interest in telehealth. Please send your application to the email address provided or apply through our online portal. Only shortlisted candidates will be contacted for interviews. Apply tot his job Apply To this Job
St. Luke's Health System
St. Luke's Health System is a regional health system operating hospitals and ambulatory services, providing clinical care and community health services across its service area.
Description & Requirements The RPM Nurse Manager is responsible for managing staff, overseeing patient care and ensuring adherence to established policies and procedures. Directs a single nursing unit within a care area. • Be a strong liaison with our ambulatory team within St. Luke's system • Leadership oversight for Remote Patient Management team • Attend all safety huddles within St Luke's system and be a critical player and influencer • Have entrepenurial vision for future areas to support for St. Luke's system • Autonomy in leadership • Use cutting edge technology, including upcoming AI usage • Full-time (1.0 FTE), dayshift, M-F, rotating point leader on weekends • Continuing education scholarships - including conferences, certification, licensure Qualifications • Education: Bachelor's of Nursing Degree • Experience: 5 year's clinical experience in assigned area • Licenses/Certifications: Current RN licensure from the State of Practice AND Current Basic Life Support (BLS) Provider Certified through American Heart Association or American Red Cross What's In It For You At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
Medix™
Medix is a workforce solutions and staffing company serving healthcare and related industries, offering recruitment and workforce management services.
Job Title: Clinical Review RN (IDR/Appeals) Experience: Open to various clinical backgrounds/experience. Appeals experience not required. Must have 2+ years of clinical experience post graduation, must has critical thinking and problem solving skills. • **Must have BSN and New York State RN license*** Location: Remote (can sit anywhere in the US as long as you can work EST hours) Hours of Operation: M-F 7a-5:30p *flexible start between 7am-9am (40hrs/wk) Start date: ASAP Pay: $50-53/hr DOE GENERAL RESPONSIBILITIES: This individual will complete the full spectrum of activities related to State and Federal Independent Dispute Resolution (IDR) case determinations. They will conduct clinical level review, Prior Authorization, and disputed benefits review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. DUTIES: 1. Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, complete electronic worksheets and preparing final determinations. 2. Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles. 3. Training and mentoring new RNs as the project expands. 4. Claims assessment and adjudication. 5. Participate in collaborative training. 6. Other activities as may be deemed necessary. QUALIFICATIONS: 1. Knowledge and experience with electronic medical records. 2. Ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff. 3. Excellent written and verbal skills. 4. Ability to work independently with little supervision. 5. Ability and desire to be flexible, innovative, and creative. 6. Ability to meet deadlines in a time sensitive environment. EDUCATION AND EXPERIENCE: 1. Licensed, Registered Nurse in NYS, required. 2. BSN required OR bachelor's degree + ASN is acceptable 3. Minimum of two years’ experience in a clinical setting, required
careersprint
A healthcare/telehealth employer (listed as Career.zycto / CareerSprint in the posting) advertising remote nursing roles; limited public company details are provided in the job text.
About Company At Career.zycto, we are at the forefront of digital healthcare innovation, transforming patient care through advanced telehealth solutions. For a Telehealth Nurse, our environment offers unparalleled opportunities to leverage your clinical expertise in a flexible, remote setting. We foster a culture of empathy, continuous learning, and technological empowerment, ensuring you can deliver high-quality, impactful care from anywhere. Join us and be part of a team dedicated to making healthcare accessible and efficient for communities across Singapore, redefining the future of nursing through technology and compassionate service. Job Description Career.zycto is seeking a dedicated and compassionate Telehealth Nurse to join our innovative remote team in Yew Tee, Singapore. In this crucial role, you will be instrumental in delivering high-quality, patient-centered care through virtual platforms, ensuring accessibility and efficiency for our diverse patient population. This is an exciting opportunity for a registered nurse to leverage technology in a dynamic, forward-thinking healthcare environment, providing vital health assessments, education, and support from the comfort of your home. As a Telehealth Nurse, you will utilize secure video conferencing, phone calls, and digital messaging to assess patient conditions, provide medical advice, manage chronic diseases, and offer health education. You will work autonomously while being an integral part of a collaborative clinical team, ensuring seamless coordination of care. This position demands exceptional critical thinking skills, a deep understanding of nursing principles, and a strong commitment to patient advocacy, all delivered with empathy and professionalism in a remote setting. If you are passionate about transforming healthcare delivery and eager to contribute your expertise to a growing telehealth service, we encourage you to apply. You will be empowered to make a real difference in patients' lives, guiding them through their health journeys with expertise and compassion, irrespective of geographical barriers. Embrace the future of nursing with Career.zycto, where your skills will shape innovative care models. Key Responsibilities • Conduct comprehensive virtual health assessments, including symptom evaluation, medical history review, and mental health screenings. • Provide accurate and timely nursing advice, patient education, and health coaching on various medical conditions, medications, and preventive care. • Triage patient calls and virtual consultations to determine the appropriate level of care, referring to specialists or emergency services when necessary. • Document all patient interactions, assessments, interventions, and care plans accurately and thoroughly in the electronic health record (EHR) system. • Monitor and manage chronic disease patients remotely, ensuring adherence to treatment plans and tracking progress. • Collaborate effectively with interdisciplinary healthcare teams, including physicians, specialists, and administrative staff, to optimize patient outcomes. • Maintain strict patient confidentiality and adhere to all regulatory and ethical standards of nursing practice in Singapore. • Utilize telehealth technology proficiently to facilitate virtual consultations and manage patient communications. • Participate in ongoing professional development and training to stay current with best practices in telehealth and nursing. • Develop personalized care plans and follow-up strategies for patients based on their individual needs and health goals. Required Skills • Valid Registered Nurse (RN) license from the Singapore Nursing Board (SNB) • Minimum of 3 years of clinical nursing experience in acute care, primary care, or a related field • Proficiency in using electronic health record (EHR) systems and telehealth platforms • Excellent verbal and written communication skills in English • Strong critical thinking, problem-solving, and decision-making abilities • Ability to work independently and manage time effectively in a remote work environment • Demonstrated empathy, patience, and cultural sensitivity in patient interactions • Strong technical aptitude and comfort with virtual communication tools Preferred Qualifications • Prior experience in telehealth, telephone triage, or remote patient monitoring • Certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) • Experience with chronic disease management programs • Proficiency in additional languages relevant to Singapore's multicultural population (e.g., Mandarin, Malay, Tamil) • Familiarity with Singapore healthcare regulations and guidelines for telehealth services Perks & Benefits • Competitive salary and performance-based incentives • Comprehensive health, dental, and vision insurance coverage • Flexible remote work schedule and work-life balance initiatives • Generous paid time off and public holidays • Dedicated budget for continuous professional development and training • Home office setup allowance and technology support • Employee wellness programs and mental health resources • Opportunities for career advancement within a rapidly expanding company • Supportive and collaborative team environment focused on innovation How to Apply Interested candidates are invited to apply by clicking on the application link below. Please ensure your resume highlights your relevant experience in nursing and any previous exposure to telehealth or remote care. We look forward to reviewing your application and exploring how your skills can contribute to our mission. Apply tot his job Apply To this Job
Centene Corporation
Centene Corporation is a diversified national healthcare enterprise that provides managed care programs and services for government-sponsored and commercial health plans, serving Medicaid, Medicare, and other populations across the U.S.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Work Location This is a fully remote role. Candidates must hold active New York State Registered Nurse (RN) licensure and be willing to work Eastern Time (ET/EST) hours. Licensure Requirement Active and unrestricted New York State Registered Nurse (RN) licensure is strongly preferred for consideration. Schedule This position follows a Monday–Friday schedule from 8:30 AM to 5:00 PM Eastern Time (ET/EST), with a one‑hour assigned lunch break. Candidates must be able to work during these hours. Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. • Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria • Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care • Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member • Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care • Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities • Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines • Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members • Provides feedback on opportunities to improve the authorization review process for members • Performs other duties as assigned • Complies with all policies and standards Education/Experience: Requires a degree from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. • Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred. • Knowledge of Medicare and Medicaid regulations preferred. • Knowledge of utilization management processes preferred. License/Certification: • LPN - Licensed Practical Nurse - State Licensure required • For Fidelis Plan Only: A clinical degree as a healthcare professional is required along with the appropriate license. Examples include Nursing, PT and OT. Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Medix™
Medix is a healthcare staffing and workforce solutions company that connects clinical and non-clinical professionals with employers across healthcare and life sciences.
Appeals Nurse (Registered Nurse) – Remote (New York RN License Required) Position Summary We are seeking a dedicated and detail-oriented Appeals Nurse (RN) to join our team in a fully remote capacity. This role supports State and Federal Independent Dispute Resolution (IDR) programs through comprehensive clinical review and appeal determinations. The Appeals Nurse will perform clinical-level reviews, prior authorization assessments, and disputed benefits evaluations while collaborating closely with Medical Review Analysts and Physician Consultants to ensure accurate, timely, and compliant case outcomes. This is a remote position; however, candidates must possess and maintain an active, unrestricted New York State Registered Nurse (RN) license. The ideal candidate is an experienced Registered Nurse with strong clinical judgment, exceptional analytical skills, and the ability to thrive in a collaborative, fast-paced virtual environment. Key Responsibilities • Conduct clinical reviews through the appeal level, including chart screening, prior authorization reviews, and disputed benefits evaluations. • Compile applicable regulatory guidance and research payer-specific requirements to support accurate case determinations. • Complete electronic review worksheets and prepare well-documented final determinations. • Assess and adjudicate healthcare claims in accordance with established guidelines and regulatory standards. • Serve as a clinical resource for administrative and clinical staff by providing guidance, problem-solving assistance, and clarification of review determinations. • Provide technical support and actively participate in team huddles and collaborative discussions. • Train and mentor newly hired Registered Nurses as the project and team continues to expand. • Participate in collaborative training initiatives and ongoing quality improvement efforts. • Work closely with Medical Review Analysts, Physician Consultants, and interdisciplinary teams to facilitate efficient case resolution. • Perform additional duties and special projects as assigned. Required Qualifications • Active, unrestricted New York State Registered Nurse (RN) license required. • Bachelor's Degree in Nursing (BSN) or graduation from an approved Registered Professional Nursing program required. • Minimum of 2 years of recent clinical nursing experience in a healthcare setting. • Knowledge of and experience with electronic medical record (EMR) systems. • Strong clinical assessment, analytical, and critical thinking skills. • Excellent written and verbal communication skills. • Ability to collaborate effectively with medical, analytical, and administrative support teams. • Ability to work independently with minimal supervision in a remote environment. • Strong organizational skills with the ability to manage multiple priorities and meet deadlines in a fast-paced, time-sensitive setting. • Flexible, innovative, and solution-oriented approach to problem-solving. Preferred Qualifications • Experience with appeals, prior authorizations, utilization review, claims adjudication, or Independent Dispute Resolution (IDR). • Familiarity with state and federal healthcare regulations and payer guidelines. • Previous experience mentoring or training nursing staff. Why Join Our Team? Enjoy the flexibility of a fully remote position while leveraging your clinical expertise to support fair and accurate healthcare appeal determinations. As an Appeals Nurse, you'll play a vital role in ensuring quality outcomes while collaborating with a multidisciplinary team dedicated to excellence and regulatory compliance.
careersprint
CareerSprint (posting for CopilotIQ) is a healthcare staffing/technology organization advertising remote telehealth nursing roles focused on chronic care management.
Role Description We are seeking nurses (LPN/LVN) to provide outstanding care to members with diseases such as hypertension, diabetes, and heart failure through remote patient monitoring. The Telehealth Nurse will support members through regular phone visits during which they will discuss how to make progress towards goals, medical and lifestyle education, and how to improve outcomes on chronic conditions. This position offers full-time hours (Monday through Friday 830am-5pm local time), benefits, and the ability to work from home. What you’ll be doing • Perform regular telehealth calls to a dedicated panel of members. • Accurately and confidently provide medical, diet, and wellness education to members. • Ensure accurate and timely documentation. • Maintain good member/nurse rapport. • Ability to perform high quality, high volume calls. • Drive clinical outcomes through member engagement and coordination. • Escalate members to our Provider team as needed. • Provide device support and troubleshooting in a professional, knowledgeable manner. • Provide support and encouragement as indicated. • Maintain a good rapport with members, nursing team, and providers. • As a member of our team, foster and grow a culture of kindness, compassion, and mutual respect. • Assist with special projects and other assignments as needed. Qualifications • Must have a current, active, unrestricted LPN/RN multi-state compact license in a nursing compact state and be in good standing with the Board of Registered Nurses. • A minimum of 2 years hands on nursing experience is required; telehealth and chronic care management experience is strongly preferred. • EHR experience, specifically AthenaHealth, is a plus. • Fluency in English and Spanish is highly preferred. • Comfortable working on a computer; experience navigating through multiple computer applications while on calls; Macbook experience is a plus. • Must have reliable high-speed internet. • Strong time management skills and self-motivation. • Must be a quick learner in a fast paced, changing environment. • Professional and effective communication style that translates across all members of the team and members. • An attitude and work ethic that meets the core values and goals of CopilotIQ. • Self-motivated and able to work well independently. • A willingness to jump in and help where needed to ensure team success. Apply tot his job Apply To this Job
careersprint
RelateCare is a healthcare services company that provides nurse triage, post-discharge follow-up, care coordination, and wellness solutions to help organizations manage patient care journeys via telephonic and virtual services.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required Apply tot his job Apply To this Job Apply tot his job Apply To this Job
Healthmap Solutions
HealthMap Solutions is a healthcare organization providing remote care management and patient navigation services, focusing on coordinated, outcomes-driven programs.
Position Summary The 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 that are only located in New York State. This position is 100% remote for New York State residents. Responsibilities • 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 Requirements • Active, unrestricted RN license required • Bachelor’s degree required; 6+ years of RN experience including 3+ years in case management may be considered in lieu of degree • 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 Travel No Travel Compensation range: $80,000 - $105,000 (dependent on specific market/region as well as experience of the candidate selected). Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected. #LI-Remote
Virtual Vocations Inc
Virtual Vocations Inc is an online job board specializing in remote and telecommute job listings, connecting employers and jobseekers seeking virtual work opportunities.
To support a 24/7 Occupational Health triage call center, full-time Telephonic Registered Nurses will manage a high volume of incoming calls, provide assessments using proprietary algorithms, and document interactions while working remotely during designated shifts. Key responsibilities Manage and document a rapid flow of incoming telephone calls from clients Complete accurate assessments of symptoms using Medcor's Triage Algorithms Provide superior customer service while adhering to HIPAA compliance policies Required qualifications Valid RN license and current BLS (CPR) certification Ability to handle a high volume of consecutive calls Strong technological skills with a typing speed of at least 30 WPM Willingness to work every other weekend and major U.S. holidays Access to a private space at home for patient privacy and high-speed internet
University of Virginia
The University of Virginia (UVA Health) is an academic medical center and health system with a level 1 trauma center and a National Cancer Institute-designated cancer center, providing comprehensive inpatient and community care.
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients’ severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy. They provide guidance to the physicians nursing and ancillary staff on clinical documentation best practices. They must be self motivated and be adaptive to change. • Responsible for the day to day evaluation of inpatient documentation in accordance with the Clinical Documentation Program requirements. • Ensures the accuracy and completeness of clinical information which is used for measuring and reporting physician and hospital outcomes. • Communicate with members of the medical staff on an ongoing basis to assure the documentation in the medical record adequately reflects the diagnoses being treated and the procedure performed. • In addition to the above job responsibilities, other duties may be assigned. MINIMUM REQUIREMENTS Education: RN, graduate of accredited nursing program and Bachelor of Science in Nursing required within 5 years of hire. Experience: A minimum of three years of experience as a Clinical Documentation Specialist is required. Clinical experience in multiple areas, particularly in the ICU, is preferred. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia. Starting Rate: $73,444.80/year Reference Check Process- Reference Checks will be completed by UVA’s third-party partner, SkillSurvey, during the final phase of the interview process. Five references will be requested, with at least three responses required PHYSICAL DEMANDS This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs. The starting base rate for this role is $73,444.80 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education. Benefits • Comprehensive Benefits Package: Medical, Dental, and Vision Insurance • Paid Time Off, Long-term and Short-term Disability, Retirement Savings • Health Saving Plans, and Flexible Spending Accounts • Certification and education support • Generous Paid Time Off UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond. The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.
2.halvolink
Vitra Health is a Massachusetts-based healthcare organization delivering home- and community-based services for aging adults, people with disabilities, and individuals with complex care needs.
About Vitra Health Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Opportunity The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Key Responsibilities • Clinical Oversight and Documentation Review • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Assessment and Care Planning • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Quality Assurance and Compliance • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Staff Development and Training • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. What we are looking for • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in good standing. • Bachelor’s degree in Nursing preferred or equivalent • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Prior experience supervising LPNs strongly preferred. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Work Environment and Physical Requirements • Works in a clean, well-lit environment with fluctuating temperatures in close proximity to others. • Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse. • Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to navigate stairs; requires visual acuity and manual dexterity to operate equipment. Perks and Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status. Apply tot his job Apply To this Job
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Optum, part of UnitedHealth Group, is a health services and technology company that delivers care, pharmacy, data and administrative services to improve health outcomes.
Join to apply for the Preservice Review Nurse RN - Remote role at Optum Join to apply for the Preservice Review Nurse RN - Remote role at Optum 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. We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward. As a Telephonic Specialty Medication Preservice Review Nurse you will be performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination. Ready for a new path? Apply today! This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG) You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities • Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) • Validate that cases/requests for services require additional research • Identify and utilize appropriate resources to conduct non-clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources) • Prioritize cases based on appropriate criteria (e.g., date of service, urgent, expedited) • Ensure compliance with applicable federal/state requirements and mandates (e.g., turnaround times, medical necessity) • Review/interpret clinical/medical records submitted from provider (e.g., office records, test results, prior operative reports) • Identify missing information from clinical/medical documentation, and request additional medical or clinical documentation as needed (e.g., LOI process, phone/fax) • Review and validate diagnostic/procedure/service codes to ensure their relevance and accuracy, as applicable (e.g., PNL list, EPAL list, state grid, LCDs, NCDs) • Identify and validate usage of non-standard codes, as necessary (e.g., generic codes) • Apply understanding of medical terminology and disease processes to interpret medical/clinical records • Make determinations per relevant protocols, as appropriate (e.g., approval, denial process, conduct further clinical or non-clinical research) • Review care coordinator assessments and clinical notes, as appropriate • Identify relevant information needed to make medical or clinical determinations • Identify and utilize medically-accepted resources and systems to conduct clinical research (e.g., clinical notes, MCG, medical 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. Required Qualifications • Current, unrestricted RN license in your state of residence • Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses • 3+ years of recent RN experience • Computer proficiency, to include proficient data entry skills and the ability to navigate a Windows environment • Distraction free, Dedicated workspace with access to high-speed internet from home (Broadband cable, Fiber, or DSL) Preferred Qualifications • BSN • Compact RN license • Experience working with ICUE • Experience working with prior authorizations for medications • ICD Coding experience or solid knowledge of codes • Specialty medication experience • Background in preservice review/utilization review/utilization management/Prior Authorizations • Background in managed care • TN resident • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Hospitals and Health Care Referrals increase your chances of interviewing at Optum by 2x Get notified about new Registered Nurse jobs in Downers Grove, IL. Chicago, IL $61,300.00-$100,980.00 6 months ago Permanent Staff MICU RN job in Winfield, IL - Make $35 to $58 per hour School Registered Nurse - RN (All Grade Levels) Registered Nurse - Ambulatory Care Manager Chicago, IL $61,300.00-$100,980.00 1 month ago Certified School Nursing Opportunity 25/26 Registered Nurse (RN) | Education | 2000/Week Chicago, IL $61,300.00-$100,980.00 5 months ago Downers Grove, IL $79,040.00-$104,000.00 1 month ago Registered Nurse, RN - Day Shift - 20k Sign-on Bonus Virtual Registered Nurse - Advocate Health Hospital at Home (Lutheran General Hospital) .9 3rd Tinley Park, IL $75,000.00-$85,000.00 1 month ago Mobile In-Home RN, Advocate Health Hospital at Home (Lutheran General Hospital) .9 Days Mobile In-Home RN, Advocate Health Hospital at Home (Lutheran General Hospital) .9 Days LDR - Registered Nurse - $2,357 per week Chicago, IL $75,706.00-$98,422.00 5 days ago Prior Authorization/Clinical Review Nurse Hybrid Elk Grove Village, IL $70,000.00-$80,000.00 1 week ago Virtual Registered Nurse - Advocate Health Hospital at Home (Lutheran General Hospital) .9 Nights Registered Nurse - Pediatric Behavioral Health Chicago, IL $61,300.00-$100,980.00 3 months ago Hickory Hills, IL $45.00-$45.00 2 weeks ago RN, Registered Nurse - OBGYN - Part-time Tinley Park, IL $27.00-$38.50 7 months ago Registered Nurse (RN) - Full-Time 1st Shift We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 61300 - 100980 per year Experience 3 years required Apply tot his job Apply To this Job
careersprint
CareerSprint appears to be a staffing/recruiting organization advertising healthcare and telehealth nursing roles, listing remote nurse advice line opportunities.
About the Role This role is built for working nurses who want to put their clinical skills to use on their days off — without picking up a second job that demands a second schedule. As a Telehealth Triage RN on our nurse advice line, you'll assess patient symptoms, provide evidence-based guidance, and support safe clinical decision-making — all from home, on your own time. There are no mandatory hours, no shift minimums, and no schedule commitments you pick up available shift blocks when it works for you. Responsibilities • Conduct structured telephone and video triage assessments for patients presenting with a wide range of symptoms and concerns • Apply evidence-based clinical protocols and decision-support tools to guide appropriate care pathways • Advise patients on self-care, home management, or the appropriate level of care to seek (urgent care, ED, 911, etc.) • Provide clear, accurate patient education tailored to each caller's situation and health literacy level • Document all interactions thoroughly and accurately within the company's platform • Escalate calls appropriately and efficiently when a patient requires emergency intervention • Follow established escalation pathways and communicate with on-call clinical supervisors as needed • Maintain patient confidentiality and adhere to HIPAA standards on every call • Participate in required onboarding training and periodic protocol updates Requirements • Active Florida RN license in good standing — OR a multistate license (MSL) issued through an eNLC compact state (no additional Florida registration required for RNs under the enhanced Nurse Licensure Compact) • Minimum 2+ years of acute care, emergency, or similar clinical experience — you should be comfortable making independent clinical assessments with confidence • Tech-comfortable — able to learn and navigate a proprietary telehealth platform; onboarding and training are provided, but a baseline comfort with technology is expected • Reliable high-speed internet connection and a quiet, private home workspace suitable for patient calls • Active professional liability / malpractice insurance (required; as a 1099 contractor, you are responsible for maintaining your own coverage) • Excellent verbal communication skills — calm, clear, and effective with patients under stress Nice to Have • Prior telehealth, nurse advice line, or call center triage experience • AAACN Telehealth Nursing Certification (TNC) • Emergency Department (ED) or ICU background • Experience working with structured triage tools (e.g., Schmitt-Thompson protocols) Apply tot his job Apply To this Job
TRIAGE 4 PEDIATRICS
Triage 4 Pediatrics is an after-hours telephone triage service delivering pediatric health information and advice to pediatric practices nationwide.
Triage 4 Pediatrics is an after-hours telephone triage service providing health information and advice for over 2000 pediatricians nationwide. Due to growth in our company, we are looking for nurses willing to work 24 weekend hours (between 5pm CST on Fridays- 7am CST on Mondays) every 4 weeks. You can split these 24 hours up however you choose over the 4 week period. Additional hours are available beyond the weekend requirements. We are needing nurse who want to regularly work from 11pm CST-7am CST as well! We need experienced pediatric telephone triage registered nurses or registered nurses that have experience in general pediatrics (ex: pediatric med/surg, pediatric ICU, pediatric office nurse, school nurse). Please do not call Triage 4 Pediatrics for an interview. Submit your application through Indeed to be considered for this position. We are looking for friendly, knowledgeable, caring pediatric nurses with a pleasant phone voice that have at least 3 years of recent general hands-on bedside pediatric experience as an RN within the last 5 years. You MUST have a compact nursing license (eNLC) for this position, be able to multitask efficiently, be computer literate, and be able to type while talking. We use multiple computer programs/phone apps simultaneously in this position. We do not count home health, case management, or specialized pediatrics (ex: only cardiology, pulmonology, neurology, etc.) as experience towards this position. We only hire RN's; we do not have positions for RN's with a higher degree or any other nursing degrees/certifications. This is a remote position that allows you to work from home - nationwide. We offer flexible scheduling, weekends and holidays are required, there are available hours during the week if they are desired. We have several positions available. Benefits do not come with this position. Our minimum requirements are as follows: · Must be an RN with at least 3 years of recent general pediatric hands-on bedside experience in the last 5 years (pediatric phone triage is a plus) · Must have RN compact license (eNLC) with excellent pediatric and critical thinking skills · Must have great communication skills as well as a pleasant phone voice · Must be able to maintain a quiet work environment · Must be willing to work some evenings, weekends, and holidays Work Location: • Fully Remote Job Types: Full-time, Part-time, Contract Pay: $28.50 - $47.50 per hour Application Question(s): • What state issued your compact nursing license? • List the pediatric experience you have for the last 5 years including your role as a RN, ages of patients cared for, and type of clinic or hospital unit worked on. (Ex: last 2 years Hermann Memorial, Pediatric med/surg, all peds; 3 previous years St. Mary's ER, mix of adult and peds) Experience: • general pediatric RN: 3 years (Required) License/Certification: • Nurse Licensure Compact (NLC) (Required) Work Location: Remote
UnitedHealth Group
UnitedHealth Group is a large healthcare and health benefits company (parent of Optum) providing clinical services, insurance products, pharmacy benefits, and data-driven care solutions across the U.S.
Title: Discharge Care Management Nurse RN - Remote in Tennessee Location: Nashville, Tennessee, United States Job Description: Requisition number: 2368762 Job category: Nursing Primary location: Nashville, TN Additional locations: Memphis, Tennessee | Chattanooga, Tennessee Overtime status: Exempt Travel: No 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. As a Discharge Care Manager (Central or Eastern Region) at UnitedHealth Group, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. The Discharge Care Manager (DCM) will coordinate and document the discharge plan in collaboration with other key clinical care team members. The DCM will also follow the member while in the acute inpatient setting. If you are located in the State of Tennessee, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Evaluation of member discharge needs including delays in care and readmission prevention plan Collaboration with providers and members to coordinate care post discharge Participate in rounds with the Medical Director to discuss cases as needed Identification of internal or community-based program support or resources Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged Assist with coordination of difficult cases needing placement in an alternate level of care facility Documentation of discharge activities as outlined in standard operating procedures and data entry strategies Participate in team meetings, education discussions and related activities Works collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams 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. Required Qualifications: Bachelor of Science in Nursing Current, unrestricted Compact RN license in the State of Tennessee 5+ years of recent experience in the acute inpatient hospital setting 2+ years of experience of discharge planning and/or case management Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements Proficient in typing skills and software applications that includes, but is not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook Designated work space and access to install secure high speed internet via cable/DSL in your home Permanent residence in the State of Tennessee Preferred Qualifications: Case Management Certification InterQual/MCG Guidelines or other nationally recognized practice guidelines Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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RelateCare provides nurse triage, post-discharge follow-up, and wellness solutions, helping healthcare organizations coordinate patient care and deliver remote nursing advice and care management.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required Apply tot his job Apply To this Job
Molina Healthcare
Molina Healthcare is a national managed care organization that provides Medicaid, Medicare, and health insurance plans and related healthcare services to individuals and families across multiple states.
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Certified Professional in Healthcare Management (CPHM). Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $30.37 - $59.21 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Vitra Health is a Massachusetts-based healthcare organization providing home- and community-based services, including adult foster care, to support aging adults, people with disabilities, and individuals with complex care needs.
About the position Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Responsibilities • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. Requirements • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in either good standing. • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Nice-to-haves • Bachelor’s degree in Nursing preferred or equivalent • Prior experience supervising LPNs strongly preferred. Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Apply To This Job
Placements24
Placements24 appears to be a recruiting or staffing organization advertising healthcare positions, including remote telehealth nursing opportunities.
Our client, a cutting-edge digital health platform, is seeking a dedicated and experienced Remote Telehealth Registered Nurse specializing in Dermatology. This fully remote position allows you to leverage your clinical expertise to provide high-quality patient care from anywhere within the US. You will be instrumental in delivering virtual consultations, educating patients on dermatological conditions, and supporting treatment plans. The ideal candidate will possess a strong clinical background in dermatology nursing, excellent communication skills, and a passion for utilizing technology to improve healthcare access. You will work closely with board-certified dermatologists to assess patient needs, review visual information, and contribute to effective treatment strategies. This role requires a high degree of autonomy, excellent organizational skills, and the ability to provide compassionate care in a virtual setting. Your primary focus will be on patient education, symptom management, and facilitating appropriate follow-up care, ensuring a seamless and supportive patient journey. Responsibilities: Conduct virtual patient assessments and consultations for dermatological concerns via secure telehealth platforms. Educate patients on various skin conditions, treatment options, and preventative care measures. Review patient-submitted photos and medical histories to assist dermatologists in diagnosis and treatment planning. Monitor patient progress and provide follow-up care and support as directed by the dermatology team. Triage patient inquiries and concerns, escalating to physicians when necessary. Document patient interactions, assessments, and care plans accurately and thoroughly in electronic health records (EHR). Collaborate effectively with a multidisciplinary team of healthcare professionals. Ensure compliance with all telehealth regulations, HIPAA guidelines, and patient privacy standards. Assist in developing and refining telehealth protocols and patient education materials. Promote a positive and empowering patient experience through empathetic and clear communication. Qualifications: Valid RN license in the United States. Minimum of 3 years of experience as a Registered Nurse, with at least 2 years specifically in a dermatology setting. Experience with telehealth platforms and electronic health records (EHR) systems. Strong understanding of common dermatological conditions, treatments, and patient care principles. Excellent verbal and written communication skills, with the ability to explain complex medical information clearly. Proficient in digital communication tools and comfortable working in a remote environment. High level of organization, attention to detail, and time management skills. Ability to work independently with minimal supervision. A proactive approach to patient care and a commitment to continuous learning. Tech-savviness and adaptability to new technologies. This is a fantastic opportunity to join an innovative healthcare provider and contribute to the future of dermatology care, all while enjoying the benefits of a fully remote position. Make a difference in patients' lives from **Sacramento, California, US**, and beyond.
careersprint
CCMSI is a third-party administrator (TPA) that manages workers' compensation and disability claims and offers remote clinical and administrative roles.
Overview Part-Time Utilization Review Nurse – Remote (Nevada License Required) Location Remote (Reporting to Carson City, NV) Schedule Monday–Friday, 800 AM–1200 PM PST Compensation $40,000–$45,000 annually (part-time, 20 hours/week) Travel Once per year to Carson City, NV Reports To Utilization Review Nurse Supervisor Bring Your Nursing Expertise to a Flexible, Part-Time Role at CCMSI At CCMSI, we don’t just process claims—we support people. As one of the largest employee-owned Third Party Administrators in the nation and a certified Great Place to Work®, we offer meaningful work, manageable caseloads, and a culture where your expertise matters. As an employee-owner, you’ll directly contribute to our success and share in it too. Job Summary We’re seeking a Part-Time Utilization Review Nurse to conduct medical necessity reviews for treatment requests related to workers’ compensation claims. This role is fully remote (Nevada-based) and ideal for a nurse who thrives in a structured, detail-driven environment and enjoys applying clinical judgment to ensure quality, appropriate care. You will review provider-submitted treatment requests, apply evidence-based guidelines, and issue determinations in accordance with Nevada’s utilization review standards. Responsibilities • Utilization Review concerns the quality of care provided to injured employees, including whether the service is appropriate and effective and the quality of treatment. Appropriate service is health care service that is medically necessary and reasonable, and based on objective, clinical findings. • Pursuant to the NAC 616C.123 (1), the criteria or guidelines used in the UR Plan, are consistent with the ACOEM Practice guidelines adopted as standards for the provision of accident benefits to employees who have suffered industrial injuries or occupational diseases. • Other Medical Criteria utilized include but are not limited to • Official Disability Guidelines • The Medical Disability Guidelines • NCM/UR shall use the Guidelines as minimum standards for evaluating and ensuring the quality of programs of treatment provided the injured employee who is entitled to accident benefits. • Reports the diagnosis, ICD 9 code, medical appropriateness of the service, pertinent physical findings, diagnostic and therapeutic procedures, concurrent problems, follow‑up care and the injured employee's functional limitations. • Authorize a determination based on the health care service request reviewed; based on the information provided, meets or does not meet the clinical requirements for medical necessity and reasonableness of said service in accordance with appropriate medical guidelines. • The UR reviewer will process requests in accordance with the timelines specified in Nevada Revised Statute and Nevada Administrative Code. Qualifications Qualifications (Required) • Active, unrestricted Nevada nursing license (RN). • Nursing degree (Associate’s or Bachelor’s). • Prior Utilization Review experience. • Strong clinical background; ability to evaluate complex medical information. • Excellent written and verbal communication skills. • High attention to detail with the ability to shift priorities as needed. • Proficiency with Microsoft Office and electronic documentation systems. Nice to Have • Experience in trauma, orthopedics, occupational medicine, rehab therapy, med-surg, or workers’ compensation. • Exceptional organizational skills and the ability to work independently. How We Measure Success • Timely and accurate utilization review determinations. • Responsiveness to internal and external stakeholders. • Quality, clarity, and compliance of documentation. • Annual Performance Evaluation. What We Offer • 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship CCMSI does not provide visa sponsorship for this position. ADA Accommodations CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example—no matter their title We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #NurseJobs #NursingCareers #RemoteNurse #WorkFromHomeNurse #PartTimeNurse #UtilizationReviewNurse #HealthcareJobs #MedicalReview #WorkersCompensation #NurseLife #NevadaJobs #CarsonCityJobs #ClinicalReview #NurseHiring #NowHiringNurses #HealthcareCareers #RNJobs #NursingCommunity #HiringNow #WorkFromHomeJobs #PartTimeJobs #RemoteJobs #WorkInHealthcare #NursesOfLinkedIn #NursingProfessional #NurseRecruitment #NurseOpportunities #HealthcareAdministration #MedicalCaseManagement #ClinicalNurseSpecialist #NurseSupport #LI-Part Time #LI-Remote Apply tot his job Apply To this Job
careersprint
CareerSprint appears to be a recruiting/staffing organization advertising healthcare and nursing roles.
Triage RN - Remote- PART TIME Job Description We are hiring for a part-time Triage RN! This is a remote position, if you are interested in joining our team, we encourage you to apply today! Must reside in the state of MN, WI or CO. and be licensed in these states or willing to obtain. Triage RN Job Details • Hours - (12 hour shifts) • Schedule - Day Shirft 7 am-7pm, every other weekend • Pay - $36 - $38 / hour • REMOTE Triage RN Responsibilities • Take triage calls from the various AL and MC sites during nonbusiness hours and on weekends. • Document appropriately in the EHR any direction and necessary information for the site clinical team to follow up and through with • Prepare activity and incident reporting for the site Clinical Team(s) to use in order to analyze call volume and potential training necessary for site staff to work safely and efficiently. • Must be willing to participate in any investigations and or surveys where after-hours calls are involved. • Documents appropriately in the EHR. • Promotes a positive, team approach and a healthy work environment for those who rely on their expertise. Triage RN Qualifications • Maintains a current state license as a Registered Nurse per state regulations. • A minimum of 5 years’ experience in home health, assisted living or long-term care is preferred. • Good organizational skills with the ability to self-start and follow through with initiatives with a minimal amount of supervision. • Exhibits a caring heart with a passion to care for the elderly. • Possesses good judgment, problem-solving, and decision-making skills. • Exceptional verbal and written communication skills. • Experience using an HER specifically Eldermark and Point Click Care • Must have excellent communication skills, patience and empathy for onsite staff and residents. • Must be confident in clinical knowledge and decisive. • Have a good understanding of pharmacology, basic first aid and Blood Glucose monitoring. • Past supervisory experience a plus. Apply tot his job Apply To this Job
careersprint
RelateCare (posted via CareerSprint) provides telephonic nurse triage, post-discharge follow-up, and wellness solutions to help healthcare organizations coordinate patient care.
Shift pattern We are looking for Registered Nurses with active Compact Licenses who are able to work evenings and weekends . Shifts available • Alternating weekends (8 hour shifts Sat and Sun) plus 1-2x 2-4 hour shifts per week • Part time, 16-24 hours per week The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Experience working remotely preferred • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred • Peds experience an advantage but not a necessity About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Job Types Part-time, Permanent Pay $29.00 per hour Benefits • 401(k) • Dental insurance • Health insurance • Vision insurance Application Question(s) • For which states do you currently hold RN licensure? • Do you hold a BSN? • How many years experience do you have as an RN? Experience • Triage 1 year (Preferred) • Telehealth 1 year (Preferred) Work Location Remote Apply tot his job Apply To this Job
IntellaTriage
IntellaTriage provides after-hours nurse triage services for hospice and home health providers, operating a remote team of registered nurses using client-customized protocols to support patients and families during 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. 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. Learn more at www.intellatriage.com. Why Join Us • Base pay at $27 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $30 an hour within your first 6 months of hire • 3 weeks of paid remote training • Supportive clinical team • Work from home allows you to create a comfortable and personalized workspace • Shorter shifts that provide a better work-life balance and reduce potential for burnout • Working remotely gives you more time to spend with those you love! What do our nurses say? When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared: “Helping people. That’s it. And knowing this team has your back—that makes all the difference. People say it takes a special kind of person to do hospice, and I think that’s true. You’re walking with people and their families through one of the most sacred times in life. It’s an honor to support them and guide them through that journey. I’m so grateful to have been chosen for this award.” At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients’ lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/ • 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 Key responsibilities • 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. Every Weekend Hospice Triage RNs, once trained to their originally assigned team are paid $27 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $30 an hour within your fist 6 months of hire. All nurses are eligible for a $2 shift differential for overnights and a $2 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances.
careersprint
A healthcare organization posting telehealth nursing opportunities, focused on remote patient monitoring and virtual care services.
The Telehealth Nurse (RN/LVN) is responsible for providing remote clinical support, patient monitoring, triage, education, and care coordination for home health patients through telehealth and remote patient monitoring (RPM) programs. This role serves as the primary clinical contact for patients enrolled in telehealth services and plays a critical role in early identification of health concerns, intervention, prevention of hospitalizations, and improving patient outcomes. The Telehealth Nurse conducts virtual patient interactions, reviews RPM alerts and vital signs, documents all encounters in the EMR, escalates clinical concerns appropriately, and collaborates closely with field clinicians, physicians, and care coordination teams. Salary $80,000-$95,000 Key Responsibilities Remote Patient Monitoring & Virtual Care • Monitor daily patient biometric data including • Blood pressure • Pulse oximetry • Weight • Blood glucose • Heart rate • Temperature • Review and respond to RPM alerts in a timely manner based on established clinical protocols. • Conduct scheduled and as-needed telehealth calls/video visits with patients and caregivers. • Identify early signs of clinical deterioration and intervene appropriately. • Provide ongoing chronic disease management support for conditions such as • CHF • COPD • Diabetes • Hypertension • Post-hospital recovery • Reinforce physician orders, medication compliance, diet, and care plans during telehealth interactions. Patient Triage & Escalation • Perform remote nursing assessments and symptom triage. • Escalate urgent or worsening patient conditions to • Physicians • Field Clinicians • Clinical managers • Emergency services when appropriate • Coordinate interventions to prevent avoidable ER visits and hospital readmissions. • Document all patient interactions, assessments, and escalations in the EMR. Patient Engagement & Education • Educate patients and caregivers on • Use of telehealth/RPM equipment • Disease management • Medication adherence • Symptom monitoring • When to seek medical attention • Support patient engagement and encourage compliance with daily monitoring requirements. • Assist patients experiencing technology or connectivity challenges. • Build therapeutic relationships with patients through consistent communication and follow-up. Clinical Coordination • Collaborate with • Home health nurses • Therapists • Physicians • Branch leadership • Intake and scheduling teams • Communicate significant patient status changes promptly to the care team. • Support continuity of care between hospital discharge and home recovery. • Participate in interdisciplinary case conferences as needed. Documentation & Compliance • Maintain accurate and timely EMR documentation for all telehealth encounters. • Ensure compliance with • HIPAA regulations • Medicare and Medicaid guidelines • Home health documentation standards • Organizational telehealth policies • Follow established telehealth workflows and escalation protocols. Quality & Performance • Support organizational goals related to • Reduction in hospital readmissions • Reduce LUPAs • Reduce missed visits • Improved patient satisfaction • Increased patient engagement • Better clinical outcomes • Meet productivity and responsiveness expectations for telehealth encounters and alert management. • Participate in quality improvement initiatives and telehealth program optimization efforts. Qualifications Education • Graduate of an accredited nursing program required. • Associate or Bachelor of Science in Nursing (ASN/BSN) preferred. Licensure/Certifications • Active and unrestricted RN or LVN/LPN license in the applicable state required. • BLS certification required. • Telehealth, case management, or chronic care management certifications preferred. Experience • Minimum 1–3 years of nursing experience required. • Experience in one or more of the following preferred • Home health • Telehealth • Remote patient monitoring (RPM) • Care management • Chronic disease management • Post-acute care • Familiarity with EMR/EHR systems required. • Knowledge of Medicare home health regulations preferred. Required Skills • Strong clinical assessment and triage skills • Excellent phone and virtual communication skills • Ability to recognize early warning signs of patient decline • Strong documentation and organizational skills • Ability to multitask and manage high call volumes • Comfortable using telehealth platforms and digital health technology • Compassionate and patient-centered communication style KPIs / Performance Metrics • RPM alert response times • Patient call completion rates • Telehealth adherence and patient engagement • Reduction in avoidable hospitalizations/readmissions • Documentation accuracy and timeliness • Patient satisfaction scores • Escalation and intervention effectiveness • Decrease in LUPA rates • Decrease in missed visits • Productivity metrics (daily calls, monitored patients, completed follow-ups) Physical & Work Requirements • Prolonged periods of sitting and computer use. • Ability to work in a fast-paced remote monitoring environment. • May require evening/weekend rotation depending on patient coverage needs. • Remote or hybrid work environment may be available based on organizational needs. 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IntellaTriage
IntellaTriage is a company that provides after-hours nurse triage services for hospice and home health providers, offering remote nurse call management and care coordination using client-customized protocols.
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. 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. Learn more at www.intellatriage.com. Why Join Us • Base pay at $25 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $28 an hour within your first 6 months of hire • 3 weeks of paid remote training • Supportive clinical team • Work from home allows you to create a comfortable and personalized workspace • Shorter shifts that provide a better work-life balance and reduce potential for burnout • Working remotely gives you more time to spend with those you love! What do our nurses say? When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared: "Helping people. That's it. And knowing this team has your back—that makes all the difference. People say it takes a special kind of person to do hospice, and I think that's true. You're walking with people and their families through one of the most sacred times in life. It's an honor to support them and guide them through that journey. I'm so grateful to have been chosen for this award." At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients' lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/ Requirements • 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 Key Responsibilities • 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. Benefits All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $28 an hour within your fist 6 months of hire. All nurses are eligible for a $2 shift differential for overnights and a $2 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances.
Meta
Meta is a global technology company (formerly Facebook) that develops social media platforms and virtual reality products; not primarily a healthcare employer.
The Telehealth Nurse (RN/LVN) is responsible for providing remote clinical support, patient monitoring, triage, education, and care coordination for home health patients through telehealth and remote patient monitoring (RPM) programs. This role serves as the primary clinical contact for patients enrolled in telehealth services and plays a critical role in early identification of health concerns, intervention, prevention of hospitalizations, and improving patient outcomes. • The Telehealth Nurse conducts virtual patient interactions, reviews RPM alerts and vital signs, documents all encounters in the EMR, escalates clinical concerns appropriately, and collaborates closely with field clinicians, physicians, and care coordination teams. • Salary $80,000-$95,000 Key Responsibilities • Remote Patient Monitoring & Virtual Care • Monitor daily patient biometric data including: • Blood pressure • Pulse oximetry • Weight • Blood glucose • Heart rate • Temperature • Review and respond to RPM alerts in a timely manner based on established clinical protocols. • Conduct scheduled and as-needed telehealth calls/video visits with patients and caregivers. • Identify early signs of clinical deterioration and intervene appropriately. • Provide ongoing chronic disease management support for conditions such as: • CHF • COPD • Diabetes • Hypertension • Post-hospital recovery • Reinforce physician orders, medication compliance, diet, and care plans during telehealth interactions. • Patient Triage & Escalation • Perform remote nursing assessments and symptom triage. • Escalate urgent or worsening patient conditions to: • Physicians • Field Clinicians • Clinical managers • Emergency services when appropriate • Coordinate interventions to prevent avoidable ER visits and hospital readmissions. • Document all patient interactions, assessments, and escalations in the EMR. • Patient Engagement & Education • Educate patients and caregivers on: • Use of telehealth/RPM equipment • Disease management • Medication adherence • Symptom monitoring • When to seek medical attention • Support patient engagement and encourage compliance with daily monitoring requirements. • Assist patients experiencing technology or connectivity challenges. • Build therapeutic relationships with patients through consistent communication and follow-up. • Clinical Coordination • Collaborate with: • Home health nurses • Therapists • Physicians • Branch leadership • Intake and scheduling teams • Communicate significant patient status changes promptly to the care team. • Support continuity of care between hospital discharge and home recovery. • Participate in interdisciplinary case conferences as needed. • Documentation & Compliance • Maintain accurate and timely EMR documentation for all telehealth encounters. • Ensure compliance with: • HIPAA regulations • Medicare and Medicaid guidelines • Home health documentation standards • Organizational telehealth policies • Follow established telehealth workflows and escalation protocols. • Quality & Performance • Support organizational goals related to: • Reduction in hospital readmissions • Reduce LUPAs • Reduce missed visits • Improved patient satisfaction • Increased patient engagement • Better clinical outcomes • Meet productivity and responsiveness expectations for telehealth encounters and alert management. • Participate in quality improvement initiatives and telehealth program optimization efforts. Qualifications • Education • Graduate of an accredited nursing program required. • Associate or Bachelor of Science in Nursing (ASN/BSN) preferred. • Licensure/Certifications • Active and unrestricted RN or LVN/LPN license in the applicable state required. • BLS certification required. • Telehealth, case management, or chronic care management certifications preferred. • Experience • Minimum 1–3 years of nursing experience required. • Experience in one or more of the following preferred: • Home health • Telehealth • Remote patient monitoring (RPM) • Care management • Chronic disease management • Post-acute care • Familiarity with EMR/EHR systems required. • Knowledge of Medicare home health regulations preferred. • Required Skills • Strong clinical assessment and triage skills • Excellent phone and virtual communication skills • Ability to recognize early warning signs
Montu
Montu is an Australian healthtech company focused on alternative healthcare services, operating the Alternaleaf clinic, the SAGED clinician education platform, and pharmacy dispensing solutions.
Company Description Montu is Australia's largest healthtech business with a focus on alternative healthcare. Founded in 2019, it supports patients, doctors and pharmacies through its Alternaleaf clinic, offers accredited healthcare education to clinicians via its SAGED platform, and dispensing solutions to pharmacies across Australia through Leafio. Montu is also the founding member of Cannabis Council Australia, a non-for-profit advocacy body that advances legislative change across the healthcare landscape. Our mission is to make alternative healthcare more affordable and accessible for the millions who could benefit. Montu has been recognised as Australia’s fastest-growing tech company in the Deloitte TechFast 50 for two consecutive years (#1 in 2022 and 2023), achieving remarkable revenue growth of 26,000% and 9,000%. Named #1 on LinkedIn’s Top Startups Australia 2024, Montu has cemented its position as the largest business of its kind outside North America and continues to evolve on its journey. This role is an Australia-based, fully work-from-home position. Job Description We are looking for passionate Registered Nurses who are based in Western Australia to join Montu to support patients through their medical journey at our Alternaleaf Clinic. In this fully remote role, your main role will be to conduct structured assessment consultations, gathering key clinical insights and guiding patients through treatment expectations. Your work ensures each patient receives safe and timely care. The role requires a commitment to a structured 3-day workweek (0.6 FTE) (roster details including days / times outlined below). Please note there is no flexibility with this roster. If you're dedicated to providing quality care from the comfort of your own home, we want to hear from you. Key Responsibilities: - Conduct high-volume telehealth assessment consults daily - Provide empathetic, non-judgmental care while maintaining clear emotional boundaries - Accurately document consult outcomes to support safe and effective prescribing - Respond to patient enquiries, provide follow-up support, and escalate issues as needed - Liaise with prescribers and the wider Patient Care team to ensure continuity of care - Deliver care from your desk in a highly structured, fast-paced environment with scheduled breaks - Support the team with general admin tasks and contribute to a collaborative, remote-first culture Roster: The role requires a commitment to a structured 3-day workweek (0.6 FTE): All times are in WAST: - Mon to Wed - 11am to 7pm - Wed to Fri - 11am to 7pm Please note there is no flexibility with this roster. If you're dedicated to providing quality care from the comfort of your own home, we want to hear from you. Qualifications We’re looking for emotionally intelligent, adaptable nurses who thrive in fast-paced, structured environments. If you're a strong communicator with exceptional emotional regulation and a commitment to patient care, this role offers the chance to make a real impact while working from the comfort of home. Key Requirements: - Commitment to working part-time hours 3 days per week - Located in Western Australia - Current AHPRA registration as a Registered Nurse, with no practice restrictions - Minimum 3 years post-grad clinical nursing experience - Skilled in patient assessments, care planning, and risk screening - Experience with chronic disease management - Mental health nursing and/or medicinal cannabis experience is highly regarded - Previous telehealth or virtual care experience - Confident in conducting remote consultations - Strong IT proficiency is essential - Flexible and adaptable to shifting patient needs and tech updates - Emotionally resilient and able to maintain professionalism under pressure Additional Information You will be joining a high-performing, fast-paced team where your work drives meaningful impact in a leading tech company at the intersection of healthcare. We take pride in our driven and results-focused culture, where ambitious individuals can push the boundaries of innovation and contribute to better outcomes for Australians. Other benefits include: - Gaining access to SAGED courses and more through the Greenhouse learning platform fosters continuous growth and development. - Enjoying discounts with over 450 retailers through our Reward and Recognition platform. - Full-time, work-from-home role. - Mental health support through our wellbeing platform, Unmind. - Private health insurance discount through Medibank. - Up to 8 weeks of paid parental leave. - Swag kits to celebrate key milestones in your journey with us. - Enhance your home office with our work from home equipment allowance benefit. - Being part of one of the fastest-growing industries in Australia, improving the lives of hundreds of thousands of patients. #LI-GQ1 #LI-Remote We are committed to facilitating a barrier-free recruitment process and work environment. If you require any accommodations, we welcome you to let us know so we can work with you to participate fully in our recruitment experience.
Virtual Vocations Inc
Virtual Vocations Inc is a remote-job marketplace and job board that aggregates and lists telecommuting opportunities, including remote healthcare and nursing roles.
To support a growing Clinical Consultation team, four full-time RN Telehealth Triage Nurses will triage calls, assess patient needs, and provide care advice in a remote work environment. Key responsibilities Apply the nursing process to triage calls, assessing and planning appropriate care interventions Identify caller needs and evaluate the necessity for alternative treatment options through telephonic assessment Refer patients to appropriate levels of care, including emergency services, while adhering to quality assurance standards Required qualifications Bachelor's degree in nursing (BSN) preferred Active unrestricted RN compact licensure required Two years of recent clinical practice experience Proficiency in multiple computer applications and screens
TAMMIRA
TAMMIRA is a mobile wellness livestream platform connecting nurses with adolescents for virtual wellness, health education, and mentorship through a secured iOS app.
Remote, Gig Part-Time 1099 contractor work- Telehealth Registered Nurse (RN). Virtual livestream mobile app for Adolescents. Looking for an RN comfortable educating on livestreamed events about our wellness modules for students (10-22 years old). There will always be 1-2 nurses and/or health care professional hosting/moderating during each livestreamed event. You can work a few hours on the weekends as needed based on students schedules and for training purposes. Due to the negative influences of social media, adolescents can feel insecure about their appearance with risks for eating disorders and poor mental and physical health. We’re a wellness and beauty livestream platform focused on providing our youth a safe space to feel comfortable with personalized digital spaces co-habited by responsible yet relatable nurses who can offer real-time accurate information about wellness, health and beauty-related topics. This is remote, virtual role is to provide wellness support to our pediatric users in their mental health and wellness journeys through education (e.g., self-awareness, self-esteem) in a supportive environment. Role Summary Our Virtual Wellness RNs provides virtual, professional nursing care to the platform’s adolescents as referred by the school districts; school nurse, school counselors, social workers and/or requested by the adolescent/family, and in compliance with the state’s Nurse Practice Act, any applicable licensure/certification requirements, and the organization’s policies and procedures. The RN is fully responsible for the virtual assessment, care planning, telephonic intervention, and overall virtual care remote monitoring and follow up. Provides triage/on-call support with referrals to behavioral health medication support as needed. Makes appropriate referrals for evaluation/care to other disciplines and services if need identified, and coordinates care with office care manager to ensure effective and efficient care is provided. Utilizes interview, evaluation in assessing clients and applies nursing judgment, consistent with practice standards, in formulating interventions & making recommendations to the physician, agency, and client. Duties may include but are not limited to: • Conduct TAMMIRA Wellness Program via our virtual livestreamed secured platform • Provide mental health early prevention screenings, psychoeducation, counseling, mentorship and emotional support • Accurately assessing needs, delivering or directing the appropriate level of care • Identify potential health problems and influence adolescents to make better, healthier decisions • Utilize evidence-based practice to provide best in class virtual care • Serves as liaison between adolescents, parents, and TAMMIRA nurse staff • Observe, recognize, report and respond appropriately to physical, emotional and behavioral changes by our adolescent users • Actively participate in interdisciplinary team meetings to discuss about the care, address challenges and develop future collaborative Wellness Program plans • Provide education on preventative care, lifestyle modifications and self-management strategies • Provide feedback about opportunities to improve the quality of care and operational processes • Contributes to the development, implementation, and evaluation of the Wellness Program • Demonstrates the knowledge, skills and ability to recognize emergency situations and seeks assistance and initiates appropriate intervention • Properly triage for depression, crisis, and suicide issues • Demonstrated strong nursing, nutrition, exercise, chronic disease and health promotion, and customer service skills. • Well-developed communication and interpersonal skills to provide effective interface with wellness team, parents and adolescents, and other related customers. • Demonstrated ability to effectively use health coaching and motivational interviewing techniques to assist patients in achieving health goals. Health Coach Certification a plus. • Preferred by not required: Analyze clinical data and prepare reports to identify trends, measure outcomes, and support continuous quality improvement efforts. Requirements • You must have an iOS iPhone (we're only in the Apple App Store) • You must be a U.S. Citizen to apply for this job • Experience working in a virtual or telehealth setting is a plus • Care and compassion, and a desire to build rapport with patients • Pediatric experience preferred • Behavioral health experience preferred • Reliable high-speed internet service • Provide 2-3 professional references that you report to upon request Education Requirements • Associates Degree in Nursing required; Nursing Diploma or by endorsement • Bachelors Degree in Nursing preferred • Graduate of a school of practical or vocational nursing approved by the appropriate State, agency, and/or accredited School of Nursing or by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Experience Requirements • 3 years of nursing or case management experience required. • Working knowledge of regulatory requirements and accreditation standards strongly preferred. Licenses/Certification Requirements • RN License required; Current state nursing licenses or valid RN license from a participating state in the National Licensure Compact This is freelance, remote-work only Prefer licensed nurses in California or willing to get CA licensed, USA candidates only apply Please no agencies Please (1) submit your resume via LinkedIn to this job post Please submit your resume via LinkedIn portal here and check into your spam/junk folders in case we send you an interview invitation. TAMMIRA® is an interactive mobile app with a holistic approach to wellness that adapts to each user’s wants and needs. The TAMMIRA® app virtually connects a Personalizer™ Nurse with self-care enthusiasts (Learners) for customized, real-time interaction and services.
Braze
WelbeHealth is a healthcare organization focused on providing care services for seniors, including remote care and care coordination programs.
Role Description • The WelbeHealth Advocate Nurse provides outstanding continuity of care when the PACE center is closed within their scope of practice. Responsibilities include: • Answering phones after hours (evening, nights, weekends, and holidays). • Resolving logistical issues that arise both over the phone and during visits to participants’ residences or acute care settings. • Consulting with other clinical staff on call, as needed. • This role is different because WelbeHealth Advocate Nurses at WelbeHealth: • Work a fully remote, flexible schedule. • Build relationships with participants rather than providing short-term care. • On the day-to-day, you will: • Handle calls (inbound/outbound) as assigned, responding as appropriate within their scope of practice, and consulting with other clinicians, including on-call providers. • Coordinate telehealth meetings between participants and clinicians. • Ensure timely care delivery, as well as resolve basic issues, escalating to management as necessary. • Troubleshoot and effectively resolve logistical care delivery issues relating to aspects such as transportation, medication delivery, and hospital discharge when daytime care teams or responsible central teams are not available. • Support the clinical care and home health teams to manage smooth care transitions between settings (hospitals, skilled nursing facilities, etc.), escalating changes in participants’ conditions as appropriate. • Qualifications • Graduate of an Accredited School of Nursing with an unencumbered RN license. • Nursing knowledge and skills necessary to treat frail, elderly participants and manage complex clinical situations. • Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations. • Excellent clinical, organizational, and communication skills in settings with seniors, their families, and interdisciplinary team members. • Able to work assigned shift which may include days, evenings, nights, weekends, holidays, and overtime. • Requirements • Seeking a WelbeHealth Advocate Nurse that ideally has triaging experience. • Benefits • 401k savings + match. • 1 hour of sick time accrued for every 30 hours worked. • Compensation consists of base salary plus bonus. • Competitive total rewards package that includes comprehensive healthcare coverage. • Broad range of additional benefits for team members who work 20 or more hours per week. • PT Compensation: $47.74 — $63.02 USD. COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com.
WellSpan Health
WellSpan Health is an integrated health system serving central Pennsylvania and northern Maryland, operating hospitals, medical practices, and community health services.
Schedule Full-Time: 40 hours/week Monday - Friday, 8:30am-5:00pm This position will support our OBGYN practices. General Summary Provides virtual nursing care to a diverse population of patients by using remote monitoring technology software and related electronic health record. Works in partnership with the Clinical Nurse and in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Coordinates care planning with other disciplines. Coaches and mentors novice nurses. WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest. WellSpan Medical Group The WellSpan Medical Group is comprised of almost 5,000 employees and growing fast! We have medical practices that represent 51 specialty areas of medicine across 77 locations throughout Central Pennsylvania and Northern Maryland. Wherever your patient care interests fall - whether it’s caring for babies, to end of life care, or anywhere in between to include urgent care - join our amazing team and learn for yourself why WellSpan was just recognized in the Forbes’ list of the 100 best employers in Pennsylvania, with a ranking of No. 24! Working together, our goal is to improve lives through exceptional care for all, lifelong wellness and healthy communities. Our culture is one of respect, diversity and inclusion.
Webflow
Webflow is a company that provides a visual web design and hosting platform for building responsive websites. (Listing may be misattributed if related to a healthcare role.)
• Part-Time / Flexible Schedule | Estimated up to 20 hours per week • We are seeking a compassionate and reliable Nurse Practitioner to provide telehealth services for patients receiving Home Health care. This role is ideal for an NP who is comfortable working independently, coordinating with clinical support staff, and providing high-quality patient care through virtual visits. • Position Summary • The Telehealth Nurse Practitioner will conduct virtual visits with Home Health patients while a Medical Assistant is present with the patient. The NP will assist with establishing care, follow-up visits, ongoing clinical management, review and signing of appropriate Home Health orders, and coordination with the care team throughout the patient’s Home Health episode. Responsibilities: Conduct telehealth visits with Home Health patients, with a Medical Assistant present. Complete initial evaluations/establish care visits for patients admitted to Home Health services. Provide follow-up visits and ongoing clinical oversight while patients are receiving Home Health care. Review, complete, and sign appropriate Home Health orders and related documentation within the scope of practice. Coordinate with the Medical Assistant to schedule appointment times that work for the patient, provider, MA, and care team. Communicate patient needs, updates, and clinical concerns to the appropriate Home Health team members. Document visits accurately and timely in the designated medical record system. Support continuity of care by helping manage changes in patient condition, medication updates, care plan needs, and other clinical concerns as appropriate. Maintain compliance with applicable clinical, regulatory, and documentation standards. Schedule and Patient Load Flexible patient load based on provider availability. Estimated workload is up to approximately 20 hours per week on the high end. Appointment times will be coordinated with the Medical Assistant and scheduled based on availability of all parties involved. Qualifications: Active Nurse Practitioner license in good standing. Board certification as an NP, such as FNP, AGNP, or related specialty. Experience with adult, geriatric, primary care, chronic care, or Home Health patients preferred. Comfortable providing care via telehealth. Strong documentation and communication skills. Ability to collaborate with Medical Assistants, Home Health staff, and other members of the care team. Must be able to review and sign clinical orders within applicable scope of practice and state/federal requirements. • Ideal Candidate: • The ideal candidate is dependable, patient-focused, organized, and comfortable managing Home Health patients remotely. They should be able to communicate clearly with patients and staff, complete documentation promptly, and coordinate effectively with the MA to ensure smooth telehealth visits. Work Setting: Remote telehealth role. Visits are conducted virtually with Home Health patients. Medical Assistant will be present with the patient during visits. Pay: From $62.00 per hour • Benefits: • Flexible schedule Work Location: Remote
Cohere Health
Cohere Health provides clinical intelligence and AI-powered solutions to health plans and providers to streamline prior authorization, utilization management, and payment integrity across the care continuum.
Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes. What you’ll do: • Consult with Medical Directors on clinical determinations, medical necessity decisions, and related clinical correspondence • Prepare clear, accurate, and compliant member and provider communications in alignment with regulatory and organizational requirements • Understand regulatory requirements governing utilization management decisions and ensure appropriate application to clinical determinations and communications • Understand when and why member and provider notifications are required, including regulatory and clinical triggers for written communication • Support verbal notification workflows when timely communication of clinical determinations is required • Document clinical information completely, accurately, and in a timely manner • Consistently meet or exceed productivity, quality, and turnaround time expectations • Maintain a thorough understanding of accreditation and regulatory requirements and ensure utilization management decision-making and timeliness standards remain in compliance • Perform other duties as assigned What you’ll need: • Registered Nurse with active, unencumbered license in the state of residence • Experience developing member and provider correspondence within a health plan environment • Minimum of 3 years of clinical experience • Utilization Management experience required • Knowledge of NCQA and CMS standards and requirements • Thrive in a fast paced, self-directed environment • Understand how utilization management and case management programs integrate • Strong communication skills, able to effectively communicate in a positive and engaging manner and able to remain calm and professional under pressure • Comprehensive thinker/planner with understanding of clinical algorithms, care pathways, and how to effectively manage utilization across the care continuum to achieve optimal patient outcomes • Highly organized with excellent time management skills • Thrives on continuous process improvement, always actively seeking out practical solutions • Demonstrated ownership mentality with a willingness to take on new challenges and contribute beyond defined responsibilities when needed. • Bachelor’s degree in Nursing • Utilization Review/Utilization Management experience • Proficiency in using a Mac • Experienced with G suite applications Important to know about this role: • This is a 100% remote role, and requires robust internet speeds (above 50 megabytes/second), including the ability to utilize zoom meeting software and to stream video • The department is staffed seven days per week, 8am-8pm EST and shifts will be assigned based on need • This is a full time, 40 hour per week opportunity Pay & Perks: 💻 Fully remote opportunity with about 5% travel 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program 📈 401K retirement plan with company match; flexible spending and health savings account 🏝️Up to 184 hours (23 days) of PTO per year + company holidays 👶 Up to 14 weeks of paid parental leave 🐶 Pet insurance The salary range for this position is $31.00 - $35.00/hour; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Interview Process*: • Internet Speed Test • Behavioral Interview(s) with your Hiring Manager! *Subject to change About Cohere Health: Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone. We can’t wait to learn more about you and meet you at Cohere Health! Equal Opportunity Statement: Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal. #LI-Remote #BI-Remote
Fonemed
Fonemed is a telehealth company offering remote clinical services and virtual nursing roles, including telephone triage and patient advice.
A leading telehealth company is seeking a Telehealth Triage Nurse to provide remote nursing care and telephone advice to patients across the United States. Candidates must have a compact nursing license and a minimum of 3 years of clinical experience, preferably in areas such as ER, Pediatric, or ICU. The role requires strong clinical assessment and communication skills, as well as a private HIPAA-compliant home office setup. Join us to practice your nursing skills while making a difference from home.
TalentLNX
TalentLNX appears to be a staffing or recruitment firm posting healthcare roles; this listing recruits a telehealth RN for specialty pharmacy patient support.
Job Summary We are hiring a full-time Registered Nurse to join the patient services team at an established specialty pharmacy organization. In this telehealth-based role, you will provide one-on-one clinical support to patients prescribed complex specialty medications, helping them start and stay on therapy with confidence. Your day-to-day will include virtual consultations, personalized coaching, benefits and insurance guidance, and ongoing follow-up to ensure patients feel supported throughout their treatment. This role is best suited for a nurse who is energized by meaningful patient relationships, comfortable working independently in a remote setting, and experienced navigating the specialty medication landscape. Duties • Conduct virtual one-on-one consultations with patients to provide education on their prescribed specialty therapy, expected outcomes, and how to manage their treatment at home • Coach patients on adherence strategies and self-management techniques using supportive, motivational communication • Help patients understand their insurance coverage, work through prior authorization processes, and connect them with financial assistance programs when needed • Serve as a consistent, trusted point of contact throughout the patient's treatment journey • Collaborate with physician offices, specialty pharmacies, and clinical teams to remove barriers and keep patients on track • Document all patient interactions accurately and in full compliance with HIPAA requirements • Recognize and report safety concerns, adverse reactions, and product issues following established procedures Requirments: • Active, unrestricted RN license in good standing (ASN or BSN required) • Minimum 2 to 3 years of nursing experience • Comfortable conducting patient consultations in a virtual environment • Strong communication skills with the ability to simplify complex clinical information for patients • Experience working alongside physician offices, pharmacies, or other clinical stakeholders • Organized, self-directed, and able to manage a patient caseload without direct supervision • Proficient in Microsoft Office Suite Preferred Requirements: • Background in telehealth nursing, case management, or a patient support program • Experience with specialty medications, biologics, or patients managing complex chronic conditions • Knowledge of insurance verification, prior authorization, or patient assistance programs • Familiarity with adverse event and product complaint reporting processes • Bilingual in English and Spanish a plus Pay: $70,000.00 - $90,000.00 per year Benefits: • 401(k) matching • Dental insurance • Health insurance • Health savings account • Life insurance • Paid time off • Parental leave • Retirement plan • Vision insurance Application Question(s): • Do you have experience working in a telehealth, remote patient support, or call center nursing role? • Have you worked with patients managing specialty medications, biologics, or complex chronic conditions outside of a hospital setting? • Do you have experience navigating insurance processes such as prior authorizations, benefits verification, or patient financial assistance programs? Language: • Spanish (Preferred) Work Location: Remote
All Together Recovery
All Together Recovery LLC provides substance use disorder and behavioral health services including recovery housing, education, job training, and related recovery supports in both for-profit and non-profit settings.
Role Description All Together Recovery LLC (ATR) provides multiple levels of ASAM SUD/BHSO care, including recovery housing, education, job training, employment, and other recovery-related extensions to the family in for-profit and non-profit environments. The Advanced Practice Registered Nurse (APRN) is responsible for general medical oversight of clients while participating in ATR. The APRN is a licensed independent practitioner who is responsible for managing health issues and coordinating health care for clients in accordance with local, state, and federal rules and regulations and the nursing standards of care. • Assessment of health status • Diagnosis • Development of plan of care and treatment • Implementation of treatment plan • Evaluation of client status The APRN will also provide evidenced-based treatment modalities for substance abuse through group therapy sessions. We are looking for a telehealth APRN to be scheduled every other weekend to provide coverage for the medical team at ATR. Qualifications • Must have a minimum of a master’s degree in nursing • Current APRN with 2 years in license • Must possess a current valid unrestricted license from the Kentucky Licensing Board • Prefer medical SUD experience • Prefer experience working with various funding streams and ability to collaborate with internal grant and billing departments • Experience in crisis intervention and conflict resolution skills • Experience in residential SUD treatment setting preferred Requirements • Must have a valid Kentucky driver’s license • Participate in all necessary staff meetings and hold weekly medical team meetings • Be proficient in all ATR rules, policies, and procedures • Model servant leadership • Operate with integrity in all circumstances • Communicate effectively and be responsive to verbal and written correspondences • Prescribing treatment for detoxification including comfort measures, hydration, prescription medications as needed for severe symptoms • Management of chronic medical issues including referral to appropriate medical care providers; maintaining and adjusting medications; obtaining appropriate diagnostic studies • Assess and treat acute illnesses or injuries • Monitor and evaluate medical progress and modify treatment as needed • Perform assessments on new intakes to determine medical conditions that may impact recovery • Participate as a therapeutic team member for staff and clients in appropriate counseling situations • Educate clients and staff regarding disease processes and self-management of chronic conditions • Ensure that all staff are current in CPR/first aid and communicable diseases/blood borne pathogens education as well as any medical related CEUs • Maintain relationships with local pharmacies, medical/dental care providers, and medical facilities • Provide appropriate screening of clients and staff such as TB skin testing or immunizations • Provide mandatory on-call coverage as needed • Provide direct oversight of all medical staff • Assume PCP role for clients in 2.1 level of care and manage their medical care while within the program • Lead group therapy sessions as directed by program manager • Create notes in EHR system • Initiate necessary policies/procedures related to medical processes and medication management, infection control, etc. • Medical evaluations and treatments guided by national standards of care established for specific illnesses or conditions • Serve as on-call contact for ATR a whole month twice a year and on an as-needed basis • Maintain all required professional licenses • All other duties assigned Company Description
Humana Inc
Humana Inc. is a large health insurance and health services company offering medical insurance products, Medicare plans, and care coordination services.
A leading healthcare services provider is looking for a dedicated Registered Nurse to join as a Care Manager. In this remote role, you will be responsible for assessing patients' needs, developing care plans, and providing education through telephonic interactions. The ideal candidate will have a Bachelor's in Nursing and 3-5 years of clinical experience. Competitive compensation and benefits are included.
Alight Solutions
Alight Solutions is a global provider of benefits administration, human resources and cloud-based employee well-being and health navigation services for employers.
Come make a difference and consider this unique opportunity to step into a rewarding career. About the Role This role will be responsible for providing health coaching, information and support to My Medical Ally/Alight participants by phone and other channels. The Nurse works within a physician-led team to coordinate educational content and other services to meet each participant’s needs. Responsibilities • Informing and supporting participants to seek the best clinical outcomes; not engaging in the practice of nursing or medicine. Educating callers regarding clinical services that are available to them. • Assessing and identifying opportunities to support the patient along their health care journey via a conversational approach. Engaging caller and building rapport. • Educating and supporting patients virtually on complex disease with a focus on cancer diagnoses. • Providing immediate assistance with symptomatic callers and referral, if necessary. • Communicating patient preferences to a physician led team to provide the patient with pertinent health information. • Adhering to all confidentiality and HIPAA requirements as outlined within Alight’s Operating Policies and Procedures. Upholding this regard to any aspect of the data handled or services rendered in the undertaking of the position. • Managing assigned workload, including ongoing client follow-up and customization of report materials with ease. Maintaining timely accurate entry of all case notes and client interactions in database. • Participating in physician conference calls with patients and their families, including in some cases, scheduled calls outside of usual shift. • Conducting feedback surveys with clients to evaluate satisfaction, utilization of services provided and impact of clinical services. Assisting with developing and maintaining policies and procedures. • Maintaining knowledge of all educational materials, web tools, and other corporate employers benefit programs. This ensures providing current informational and navigational support to assigned clients. Requirements • Be a Registered Nurse with a BSN and equivalent experience. The ideal candidate will have a compact state license. • Possess experience in a clinical setting providing direct support to patients and their families from diagnosis through treatment. • Have ability to convey medical information to non-medical audiences. • Possess experience working with a variety of digital/internet media and interest in exploring new information technology. • Be proficient in computer and internet navigation skills. • Provide high quality, professional, customer service. • Be enthusiastic, must enjoy working independently and in a team environment. • Be adaptable to a busy, evolving environment while displaying excellent customer service skills. • Have excellent interpersonal communications skills both written and verbal. Application and Interview By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position. Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations. Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units. We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. Salary Pay Range Minimum : 80,000.00 USD Maximum : 90,000.00 USD Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight DISCLAIMER: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.
CareXM
CareXM is a healthcare organization providing remote nursing support and telephonic triage services to home health and hospice partners.
CareXM is looking for a remote Registered Nurse (RN) to provide after-hours telephone triage care for hospice and home health partners. The role requires 4+ years of clinical nursing experience, an RN license in a compact state, and the ability to work flexible hours. Responsibilities include communicating with patients, assessing needs, and documenting care in the EHR. The position offers a competitive hourly pay and the potential for paid training, along with benefits for full-time employees.
Centene Corporation
Centene Corporation is a large diversified healthcare company that provides managed care and services for government-sponsored and commercial health programs, including Medicaid and Medicare beneficiaries.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Registered Nurse Strongly Preferred Compact RN License Required Schedule: Monday - Friday, 8:00a - 5p CST Position Purpose: Drafts correspondence letters based on review outcomes in accordance with National Committee for Quality Assurance (NCQA) standards. Works with senior management to identify and implement opportunities for improvement. • Performs clinical review of outcomes including creating and editing denial letters with the correspondence team based on denial determinations in accordance with National Committee for Quality Assurance (NCQA) standards • Contributes to correspondence letter template creation and maintenance with the correspondence team • Investigates denials through comprehensive review of clinical documentation, clinical criteria/guidelines, and policy, including insurance rejections due to coding issues and provides supplemental information to resolve denial claims • Assists with issues and/or questions related to correspondence with the state, local, and federal agencies including third party payer to ensure issues are resolved in a timely manner • Maintains and monitors cases to ensure timely resolution and logs of actions and/or decisions are appropriately documented • Coordinates with interdepartmental teams on training needed within the utilization management team based on trends • Provides feedback to leadership to improve clinical processes and procedures to prevent recurrences based on industry best practices • Performs other duties as assigned • Complies with all policies and standards Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: • LPN - Licensed Practical Nurse - State Licensure required and • For Superior Plan: RN license Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
@Orchard LLC
Orchard LLC (also known as Talent Orchard) is a staffing and talent acquisition firm; this posting supports a not-for-profit client that conducts medical claims review, fraud/waste investigations, utilization review, and program quality oversight.
Nurse Specialist – Medical Claims Review Work from Home within the Continental United States @Orchard LLC is supporting a not-for-profit corporation that partners with public and private sectors to create high-quality, safe, and efficient delivery of health care and human services programs. Our client has multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our client is also a national leader in fighting fraud, waste, and abuse for large organizations across the country. In addition, our client operates a foundation providing grant opportunities to those with programs for under-served communities. Our client is seeking an experienced Medical Review RN (Nurse Specialist) to join their Investigation clinical team. The role requires superior analytical skills and a proven ability to evaluate medical claims data. If you love digging into the data, this is the perfect job for you! The nurses on this team perform 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. Essential Duties and Responsibilities: • 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. • 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. Your background will include. • Minimum Bachelor’s Degree required • 2 - 4 years of experience required in medical review and/or utilization review; 5 - 7 years preferred • Medicare or Medicaid experience preferred Certificates, Licenses, Registrations • Current, active and non-restricted RN licensure required. If you match the requirements for this opportunity and believe you have the experience and talent to succeed in the role, we need to hear from you! Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at www.atOrchard.com. Option 1: Create a New Profile Create Profile and Apply to Job Option 2: Login and Apply Username Password Submit
Alight Solutions
Alight Solutions provides cloud-based HR and benefits administration, workforce wellbeing, and benefits navigation services to employers, offering digital health, absence management, and related employee support solutions.
Come make a difference and consider this unique opportunity to step into a rewarding career. Amazing Opportunity and Great Place to Work! Our story At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.” We are passionate about connecting purpose with impact. Alight empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management. Our Benefits With a comprehensive total rewards package, Alight offers programs and plans that support your mind, body, wallet, and life. Benefits include health, dental and vision coverages starting Day One. Additionally, Alight colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities – all within a thriving global organization. Flexible Working So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 6 years in a row. Great Place to Work Thanks to the work of every colleague, Alight has received multiple awards of recognition including “Great Place to Work” for the past 7 years and Fortune’s “Best Companies to Work For.” To learn more about our company culture and awards Click Here. If you, Champion People, seek to Grow with Purpose, and embody the meaning of Be Alight – We invite you to join our team! Learn more at careers.alight.com . About The Role This role will be responsible for providing health coaching, information and support to My Medical Ally/Alight participants by phone and other channels. The Nurse works within a physician-led team to coordinate educational content and other services to meet each participant’s needs. Responsibilities • Informing and supporting participants to seek the best clinical outcomes; not engaging in the practice of nursing or medicine. Educating callers regarding clinical services that are available to them. • Assessing and identifying opportunities to support the patient along their health care journey via a conversational approach. Engaging caller and building rapport. • Educating and supporting patients virtually on complex disease with a focus on cancer diagnoses. • Providing immediate assistance with symptomatic callers and referral, if necessary. • Communicating patient preferences to a physician led team to provide the patient with pertinent health information. • Adhering to all confidentiality and HIPAA requirements as outlined within Alight’s Operating Policies and Procedures. Upholding this regard to any aspect of the data handled or services rendered in the undertaking of the position. • Managing assigned workload, including ongoing client follow-up and customization of report materials with ease. Maintaining timely accurate entry of all case notes and client interactions in database. • Participating in physician conference calls with patients and their families, including in some cases, scheduled calls outside of usual shift. • Conducting feedback surveys with clients to evaluate satisfaction, utilization of services provided and impact of clinical services. Assisting with developing and maintaining policies and procedures. • Maintaining knowledge of all educational materials, web tools, and other corporate employers benefit programs. This ensures providing current informational and navigational support to assigned clients. Requirements • Be a Registered Nurse with a BSN and equivalent experience. The ideal candidate will have a compact state license. • Possess experience in a clinical setting providing direct support to patients and their families from diagnosis through treatment. • Have ability to convey medical information to non-medical audiences. • Possess experience working with a variety of digital/internet media and interest in exploring new information technology. • Be proficient in computer and internet navigation skills. • Provide high quality, professional, customer service. • Be enthusiastic, must enjoy working independently and in a team environment. • Be adaptable to a busy, evolving environment while displaying excellent customer service skills. • Have excellent interpersonal communications skills both written and verbal. Application and Interview By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position. Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations. Our commitment to Inclusion We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful. At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future. As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com . Equal Opportunity Policy Statement Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans. Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations/modifications by contacting their recruiter. Authorization to work in the Employing Country Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight. Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units. We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. Salary Pay Range Minimum : 80,000.00 USD Maximum : 90,000.00 USD Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight DISCLAIMER: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units. Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.
Annapolis Pediatrics
Annapolis Pediatrics is a Maryland-based pediatric healthcare provider offering clinical services for children. This posting seeks nursing support for telephone triage and patient guidance.
A pediatric healthcare provider in Maryland is seeking a Telephone Triage Nurse (RN) to provide remote care and advice for pediatric patients. The ideal candidate will have an active Maryland RN license, BLS certification, and possess excellent communication and organizational skills. This role supports families by ensuring high-quality care and education, requiring 1-2 years of pediatric nursing experience. Full-time and part-time positions are available, offering a flexible work schedule. J-18808-Ljbffr
SSM Health
SSM Health is a nonprofit Catholic health system operating hospitals, outpatient services, home health and hospice across the U.S. Midwest, providing clinical care and health system services.
It's more than a career, it's a calling IL-REMOTE Worker Type: Regular Job Highlights: We are looking for nurse who possesses leadership and oversight of documentation quality processes for home health and hospice services. This role ensures consistent, high-quality clinical documentation and works collaboratively across teams to maintain compliance and support billing integrity. In this role you will be responsible for • Oversee quality review of clinical documentation processes across home health and hospice • Monitor front-end documentation workflows to ensure consistency, accuracy, and adherence to standards • Lead and manage the coding team responsible for evaluating documentation for coding accuracy and billing integrity • Partner with cross-functional stakeholders to identify risks and recommend process improvements impacting documentation and billing • Support compliance initiatives and uphold organizational standards for documentation quality and integrity Qualifications • Experience in clinical documentation quality review, coding, or related healthcare operations • Strong understanding of documentation standards, coding practices, and billing integrity • Demonstrated ability to lead teams and manage performance in a complex healthcare environment • Experience collaborating across departments to drive process improvement and risk mitigation • Knowledge of home health and/or hospice operations Pay Range: $82,867.20 - $132,579.20 Pay Rate Type: Salary SSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting. SSM Health may ultimately pay more or less than the posted range as permitted by law. Job Summary: Provides oversight and leadership of the daily operations of the quality review and coding team. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES • Identifies areas for process improvement and participates in the development, implementation, evaluation and monitoring of new processes for quality review and coding. Leads others during implementation of changes. • Coordinates and communicates key issues, status, or other information with regional operational and system leaders. • Collaborates with providers to promote quality outcomes for operations. Supports operations by problem identification and resolution, cost containment, implementation of new services, and systems/performance measures. Uses evidence-based research and best practice for improvement of patient care outcomes and clinician efficiency. • Supports the review of Outcome and Assessment Information Set (OASIS) assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy. Utilizes OASIS variation or alert report when reviewing OASIS data and ensures applicable OASIS files are uploaded and shared to Center for Medicare and Medicaid Services (CMS) portal. • Notifies organizational leadership of opportunities resulting from the OASIS reviews. • Serves as subject matter expert for evaluation, management, procedural quality review and coding in assigned areas. Interacts with quality reviewers, coders, physicians, and other health care practitioners to ensure common understanding of coding and documentation, guidelines/principles, government and commercial payer rules and regulations. • Acts as a resource to physicians, information technology, and quality review and coding teams regarding electronic health record templates and tools. Assists with template development and ongoing review to ensure templates facilitate streamlined workflow for physicians while also ensuring accurate code selection. Provides support to physicians as requested or deemed necessary, may be required to travel to provider. • Provides oversight to ensure coders can abstract code and work charge/claim review, queues, and coding-related denials. • Recruits, engages, develops, leads, and manages assigned staff. • Performs other duties as assigned. EDUCATION • Bachelor’s degree in nursing required or equivalent years of experience and education EXPERIENCE • Five years' experience in home health, hospice, post-acute, or other health related organization, with demonstrated leadership responsibility PHYSICAL REQUIREMENTS • Constant use of speech to share information through oral communication. • Constant standing and walking. • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. • Frequent sitting, reaching and keyboard use/data entry. • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. • Frequent use of smell to detect/recognize odors. • Frequent use of hearing to receive oral communication, distinguish body sounds and/or hear alarms, malfunctioning machinery, etc. • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. • Occasional lifting/moving of patients. • Occasional bending, stooping, kneeling, squatting, twisting, gripping and repetitive foot/leg and hand/arm movements. • Occasional driving. • Rare crawling and running. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Driving Record - Motor Vehicle Report (MVR) • And • Driver License – State Issued • And • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Driving Record - Motor Vehicle Report (MVR) • And • Driver License – State Issued • And • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Missouri Division of Professional Registration State of Work Location: Oklahoma • Driving Record - Motor Vehicle Report (MVR) • And • Driver License – State Issued • And • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Driving Record - Motor Vehicle Report (MVR) • And • Driver License – State Issued • And • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8444000114 Hospice-HH Coding Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. • Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. • Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
UnitedHealth Group
UnitedHealth Group is a large health care and insurance company; its Optum division provides clinical services, data, technology and population health management solutions.
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. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Schedule will vary to include some weekend requirements based off the business needs. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria) • Discuss cases with facility healthcare professionals to obtain plans-of-care • Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management • Participation in discussions with the Clinical Services team to improve the progression of care to the most appropriate level • Consult with the Medical Director, as needed, for complex cases and make appropriate referrals to downstream partners • Apply clinical expertise when discussing case with internal and external Case Managers and Physicians • Identify delays in care or services and manage with MD • Follow all Standard Operating Procedures in end-to-end management of cases • Obtain clinical information to assess and expedite alternate levels of care • Facilitate timely and appropriate care and effective discharge planning • Participate in team meetings, education, discussions, and related activities • Maintain compliance with Federal, State and accreditation organizations • Identify opportunities for improved communication or processes • Participate in audit activities and meetings 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. Required Qualifications: • Active, unrestricted RN license in state of residence • 1+ years of clinical nursing experience in a Hospital setting • Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms • Designated workspace and access to install secure high-speed internet via cable / DSL in home Preferred Qualifications: • Bachelor’s degree • Compact RN license • 2+ years of acute inpatient case management experience/utilization review • 1+ years of experience in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company • Managed care experience • Experience performing discharge planning • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Vindara Health
Vindara Health is a telehealth clinic focused on diagnosing and treating complex chronic illnesses such as long COVID, ME/CFS, POTS, MCAS, dysautonomia, and tick-borne infections, emphasizing specialist-quality remote care and clinician-focused workflows.
At Vindara Health, we're building a new kind of clinic for complex chronic illness — long COVID, ME/CFS, POTS, MCAS, dysautonomia, and tick-borne infections. Our co-founder and CMO is Dr. David Kaufman, one of the world's foremost specialists in these conditions. You'd be working directly with Dr. Kaufman and our clinical team from day one. We've built an intelligent clinical system that handles the non-clinical work — record assembly, data synthesis, documentation, coordination. Our clinicians focus on patients, not paperwork. The result is specialist-quality care at a fraction of the typical cost. We're opening our doors to the first patients and starting to grow our clinical network. This is an opportunity to be part of the early rollout, shape how care is delivered, give feedback on our platform, and work closely with the founding team. THE ROLE This is an early hire. You'll be joining a small clinical team, working closely with our CMO during a formative period. You'll have real input into how we deliver care, how we build the platform, and how we grow. Extensive training and ongoing mentorship from our clinical leadership included. What you'll do: - Carry a panel of patients with complex chronic illness (long COVID, ME/CFS, POTS, MCAS, dysautonomia) - Deliver care via telehealth, with time to actually listen and investigate - Help shape clinical protocols and training as we scale the team - Give feedback on our clinical platform Details: - Full-time, W-2, fully remote - WA, AZ, and CO licenses are preferred but we're happy to license you in the states needed - No on-call responsibilities WHO YOU ARE Required: - DNP graduate of an accredited school of nursing - Current AANP or ANCC board certification (FNP or AGPCNP / AGACNP) - Active, unrestricted state APRN license (2+ states preferred) - 3+ years of post-certification clinical experience in primary care or internal medicine - Clinical experience with MCAS, POTS, ME/CFS, Long COVID, EDS, dysautonomia, or tick-borne infections - Telehealth experience - A warm, unhurried encounter style — these patients have often been dismissed elsewhere; they need someone who listens - Reliable internet connection and secure, private workspace Preferred: - IFMCP certification or functional / integrative medicine training - Compact RN license - Background in immunology, allergy, rheumatology, cardiology, or neurology - Personal lived experience with one of the conditions we treat You'll thrive here if you: - Are passionate about complex chronic illness and frustrated by how these patients are treated in conventional care - Want to practice medicine with more time and the right tools, not fight insurance and charting systems - Are curious, open to feedback, and want to keep learning - Enjoy building things — protocols, processes, a clinical team - Are comfortable in a small, early-stage environment with evolving workflows This might not be for you if you: - Prefer a highly structured environment with established processes (you'll be helping build ours) - Want a lot of guidance and management - Don't like ambiguity - Are looking for a large clinical team around you from day one - Aren't comfortable giving direct feedback WHAT WE OFFER Compensation & Benefits: - Competitive salary commensurate with experience - Monthly health insurance stipend - Eligibility to contribute to 401(k) - Paid time off - 9 paid federal holidays - No on-call Clinical support: - White-glove licensing and credentialing service - Malpractice insurance including tail coverage - UpToDate and Epocrates subscriptions - Annual CE stipend with paid days for conferences Remote setup: - Laptop, monitor, and peripherals provided - Monthly work-from-home internet stipend HOW TO APPLY Send the following to contact@vindarahealth.com with the subject "Application: Clinical Team": - Your resume/CV - LinkedIn profile link - Current state licenses and license type - A short note on why this role interests you If you don't hear back within 7 days, it means it's not the right fit for this role at this time. We'll be growing the clinical team significantly over the next two years, so if you have an interest, we'd still love to hear from you. Pay: $120,000.00 - $150,000.00 per year Benefits: • 401(k) • Paid time off Work Location: Remote
UnitedHealth Group
UnitedHealth Group is a large diversified health and well-being company; Optum is its health services and care delivery arm providing clinical services, technology, and population health solutions.
About the position ProHealth Physicians (CT), part of the Optum family of businesses, is seeking a Remote Registered Nurse RN to join our team in Farmington, CT. 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. 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. Are you ready to make a positive impact in health care? If so, you're the missing piece in our care team. As part of the Optum and UnitedHealth Group family, ProHealth Physicians offers new opportunities for growth. Here, you'll experience: Exceptional teamwork, Robust medical resources, Passionate professionals with a focus on patient-centered care. Responsibilities • Collects subjective and objective health status information from multiple sources such as; patients, caregivers, members of the health care team, documented records and other relevant sources • Prioritizes activities based on the patient’s immediate health need or the nurse’s judgment of anticipated patient needs • Documents the information and data collected in a retrievable understandable and readable format in the EHR • Employs nursing knowledge and evidence nursing practice in caring for patients in the office and over the phone • Includes the patient, appropriate caregivers, and other health professionals in making shared decisions about plans and strategies • Considers the patient or population needs in terms of age, gender, race, cultural values and practices, ethical and legal considerations and environmental factors as well as the anticipated risks and benefits of interventions for individualized plan development • Implements the plan of care in partnership with the patient, caregivers and other healthcare professionals in a timely manner • Performs interventions supported by evidence-based ambulatory care nursing practice during clinical visits, telephone encounters and electronic communications according to regulations, standards and organizational policy and procedure • Provides age appropriate, population specific care in a compassionate, caring, culturally and ethically sensitive manner • Other duties as assigned Requirements • Graduate of an accredited School of Nursing • Currently licensed as a RN in the State of Connecticut • 3+ years of RN experience • Proficient computer knowledge and aptitude Nice-to-haves • BLS/CPR certification • Experience with various software applications such as Microsoft Word, Excel, and Outlook, etc. • Experience with EMR systems (EPIC) • Phone triage experience • Pediatrics experience Benefits • a comprehensive benefits package • incentive and recognition programs • equity stock purchase • 401k contribution
Medcor Inc
Medcor is a national occupational health services company offering telephonic triage, workplace injury management, and employer-facing medical services, employing remote nurses for 24/7 triage and care coordination.
Medcor is looking to hire full-time Telephonic Registered Nurses for our remote 24/7 Occupational Health triage call center! The hours for this position include 8 or 10 hour shifts between the hours of 9am CST - 7p CST. For example, shifts could include 11a-7p or 9a-5p. The start date for this triage class will be 7/6/2026. Job Type: Full-time - 40 hours per week Salary: $28 per hour with additional shift differential pay available for evenings, nights & weekends By joining our nursing team, you will be helping thousands of employers better manage their workplace injuries and improve the quality of healthcare for their employees. Nurses who are successful in this position must be able to talk on the phone for long periods while typing and navigating through various software applications simultaneously. Our nurses must be able to visualize an injury while on the phone and clarify details about the injury while following our propriety algorithms to guide the triage of the injured worker. Training: Training for this role will last 5-6 weeks, with 2.5 weeks of classroom instruction and 2.5 weeks of precepting. These first 5-6 weeks of training are held Monday through Friday, from 8a-4p CST. The training schedule is non-negotiable, and all training must be successfully completed within a 6-week time frame. Following training, you will transition to your permanent schedule between the hours of 9a and 7p CST with an every-other-weekend requirement and holiday rotation. Changes to the permanent schedule are not allowed within the first 12 months of employment as these are based on our business needs. A typical day in the life of a Medcor Triage RN: • Manage a rapid flow of incoming telephone calls from Medcor customers in a call center environment • Document each call efficiently and accurately • Monitor and track individual as well as call center goals, productivity metrics, and statistics • Reflect all shift activities using the phone system and be responsible for personal schedule adherence • Provide superior customer service to Medcor’s clients and employees • Complete accurate assessment of symptoms and/or concerns utilizing Medcor’s Triage Algorithms • Follow HIPAA Compliance Policies You Must • Have a valid RN license and current BLS (CPR) certification • Be able to handle a high volume of consecutive calls • Have strong technological skills as well as a typing speed of at least 30 WPM • Work a major U.S. holiday rotation • Work every other weekend • Have effective written, verbal, and interpersonal communication skills. Ability to read, analyze, and interpret triage tools and information along with care instructions to injured employees and their managers. • Be able to talk and/or hear. You are required to sit and use your hands. Specific vision abilities required by this job include close vision for computers and written work with the ability to adjust focus • Be able to work on a computer for long periods • Have a private space in your home with 4 walls and a door for patient privacy • Have access to high-speed internet (no satellite) within your primary residence • Be able to receive and apply feedback It's a Plus If • You have call center experience • You have occupational health experience At Medcor, we’re passionate about caring for our advocates as much as you are passionate about caring for your patients! Join our team and receive the support you need to be successful in your practice and to focus on your patients. In addition to a collaborative work environment, we offer great pay and benefits and emphasize your wellness. Here’s why people love working for Medcor: • Stability! We’ve been around since 1984. • Potential for retention and performance incentives • Opportunities galore! Medcor has a lot more to offer than just this job. There are opportunities to move vertically, horizontally, and geographically. Annually, 20% of our openings are filled by internal employees. The fact is, opportunity exists here! • Training! We believe in it and we’ll train and support you to be the best you can be. We feel we offer more training than most other companies. • We have an open-door policy. Do you have something to say? Speak your mind! We encourage it and we look forward to how you can help our organization. Benefits We don’t just advocate for our clients and our patients; we also advocate for ourselves. Our benefits include paid time off, health and dental insurance, 401K with match, education reimbursement, and more. To learn more about Medcor’s Culture click here. Medcor Philosophy Medcor embraces a set of simple, interconnected practices that everyone can tailor to their own life and work. To preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. Medcor is a tobacco-free and smoke-free workplace! EOE/M/F/Vet/Disability We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. #indeedsponsored
Cigna Healthcare
Evernorth Health Services, a division of The Cigna Group, provides pharmacy, care and benefit solutions and operates telehealth services (MDLIVE) as part of Cigna's healthcare offerings.
Position Description The Registered Nurse is an integral member of the Telehealth Clinical Team, delivering high‑quality patient care in a fast‑paced virtual environment. This full‑time role consists of 40 hours per week, scheduled in 10‑hour shifts. The hours for this role are 4:00pm-2:00am EST and requires flexibility in scheduling, including the ability to begin shifts up to two hours earlier as operational needs require. Weekday schedules vary and include rotating weekends. While the organization will do its best to keep you in your scheduled shifts, schedules are subject to change, or you may be required to ‘float’ to other service lines based on business needs. The RN supports MD Live providers through telephone triage, assessment, care coordination, and patient education. This role requires strong clinical judgment, exceptional communication skills, and proficiency in navigating digital health platforms to ensure safe, efficient, and patient‑centered care Essential Job Functions • Apply Professional Standards: Utilize current evidence‑based nursing practices and the ANA Code of Ethics in all aspects of patient care. • Provide Telehealth Support: Use MDLIVE technology to assess patient needs, determine telehealth appropriateness, and coordinate care with providers. • Triage & Assess: Conduct comprehensive telephone triage, gather pertinent information, and recognize escalation cues. • Coordinate Patient Care: Serve as a liaison between patient and provider; address post‑consultation questions and concerns. • Resolve Medication Issues: Assist with pharmacy questions or medication‑related concerns in partnership with providers. • Ensure Quality Documentation: Accurately document and maintain the patient’s electronic medical record. • Promote Safety: Identify, report, and help resolve patient safety or quality issues. • Advocate for Patients: Support optimal health outcomes through education, guidance, and empathetic communication. • Manage Difficult Interactions: De‑escalate challenging situations while maintaining professionalism and patient focus. • Other Duties: Perform additional responsibilities as assigned. Required Knowledge/Skills/Abilities • Critical thinking and data synthesis. • Empathetic • Triage and assessment skills. • Knowledge of Primary Care, Urgent Care, and ER settings. • Effective communication skills over various mediums. • Multi-tasking in a fast-paced environment. • Strong interpersonal skills with that encompass cultural, ethical, economic and access to health care resource understanding when interacting with the patient. • Knowledge of electronic medical records and e-prescribe. • Maintain competencies for telehealth nursing. • Demonstrates proficiency with the following software: Microsoft Word, Excel, PowerPoint, and Outlook. Education and Experience • Must have a Compact Nursing license with the ability to obtain licensure in all US states and territories. • RN Licensure with at least two year of experience working in Urgent Care, Primary Care, or ER setting. Physical Demands While performing the duties of this job, the employee is required to stand, walk, or sit; use a keyboard and computer mouse; reach with hands and arms; balance, stoop, kneel, bend talk, and hear. The employee must occasionally lift and/or move up to 25 pounds. The physical demands described herein 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. Work Environment Remote at‑home work environment requiring a quiet, professional, HIPAA‑compliant space. Travel Requirements None/Minimal Position Location Remote Security Roles and Responsibilities MD Live employees may have access to Protected Health Information and/or Personally Identifiable Information that is subject to privacy regulations by state and federal statutes. All employees must comply with all applicable regulations and all MD Live policies and procedures for the security and privacy of such information. EEO Statement MD Live is proud to be an equal opportunity employer committed to hiring a diverse and inclusive workforce. MD Live provides equal employment opportunities to all employees and employment applicants without regard to unlawful considerations of sex, sexual orientation, gender (including gender identity and/or expression), pregnancy, race, color, creed, national or ethnic origin, citizenship status, religion, disability, marital status, age, genetic information, veteran status or any personal attribute or characteristic that is protected by applicable local, state or federal laws. 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. For this position, we anticipate offering an hourly rate of 31 - 47 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services 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. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
ViaQuest, Inc.
ViaQuest, Inc. is a healthcare organization that provides community-based services and support for individuals with intellectual and developmental disabilities, behavioral health, and long-term care programs.
Virtual DODD RN Trainer (Med Cert 1) Part Time Wednesday-Friday 9-am-5pm OHIO RESIDENTS ONLY Must be RN Trainer Certified Position Summary ViaQuest is seeking a Part-Time Virtual RN Trainer to deliver the Ohio Department of Developmental Disabilities (DODD) Medication Administration Certification Category 1 (Med Cert 1) curriculum. This position is responsible for providing virtual instruction, evaluating participant competency, maintaining training records, and ensuring compliance with DODD training standards. The RN Trainer will serve as a clinical educator and resource to support safe medication administration practices while promoting regulatory compliance and quality services across IDD programs. Essential Responsibilities • Deliver DODD-approved Medication Administration Certification Category 1 (Med Cert 1) training in a virtual format. • Facilitate participant learning through engaging instruction and discussion. • Evaluate trainee competency and successful completion of course requirements. • Maintain accurate training and certification documentation. • Ensure all training activities comply with DODD regulations and organizational policies. • Serve as a resource regarding medication administration standards and best practices. • Collaborate with nursing leadership to support training initiatives and workforce development. • Participate in ongoing professional development and maintain trainer qualifications. Qualifications Required • Current, unrestricted Ohio Registered Nurse (RN) license. • Graduate of an accredited nursing program. • Strong communication, presentation, and teaching skills. • Proficiency with virtual training platforms and technology. • Ability to work independently and manage multiple priorities. Preferred • Experience working with individuals with Intellectual and Developmental Disabilities (IDD). • Experience teaching, training, or facilitating adult learning programs. • Knowledge of DODD Medication Administration Certification requirements and regulations. Why Join ViaQuest? • Flexible remote schedule. • Opportunity to impact the quality of care across Ohio. • Collaborative and supportive leadership team. • Meaningful work that supports individuals with intellectual and developmental disabilities. ViaQuest is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace.
WelbeHealth
WelbeHealth operates PACE (Program of All-Inclusive Care for the Elderly) centers delivering comprehensive medical and community-based services to help seniors remain safely in their homes and communities.
**LOCATION: REMOTE ** SCHEDULE: 4, 10hr shifts per week **SHIFT: details regarding shift/schedule will be discussed further, as they are based on current needs. WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model. The WelbeHealth Advocate Nurse provides outstanding continuity of care when the PACE center is closed within their scope of practice. The WelbeHealth Advocate Nurse is accountable for answering phones after hours (evening, nights, weekends, and holidays), resolve logistical issues that arise both over the phone and during visits to participants’ residences or acute care settings, and consulting with other clinical staff on call, as needed. This role is different because WelbeHealth Advocate Nurses at WelbeHealth: • Work fully remote and are not on call • Build relationships with participants rather than providing short-term care We care about our team members. That’s why we offer: • Medical insurance coverage (Medical, Dental, Vision) • Work/life balance - We mean it! 17 days of personal time off (PTO), paid holidays observed annually, and 6 sick days • 401k savings + match • Comprehensive compensation package including base pay and bonus • And additional benefits On the day-to-day, you will: • Handle calls (inbound/outbound) as assigned, responding as appropriate within their scope of practice, and consulting with other clinicians, including on-call providers • Coordinate telehealth meetings between participants and clinicians • Ensure timely care delivery, as well as resolve basic issues, escalating to management as necessary • Troubleshoot and effectively resolve logistical care delivery issues relating to aspects such as transportation, medication delivery, and hospital discharge when daytime care teams or responsible central teams are not available • Support the clinical care and home health teams to manage smooth care transitions between settings (hospitals, skilled nursing facilities, etc.), escalating changes in participants’ conditions as appropriate Qualifications and Requirements: • Graduate of an Accredited School of Nursing with an unencumbered RN license • Nursing knowledge and skills necessary to treat frail, elderly participants and manage complex clinical situations • Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations • Excellent clinical, organizational, and communication skills in settings with seniors, their families, and interdisciplinary team members • Able to work assigned shift which may include days, evenings, nights, weekends, holidays, and overtime We are seeking a WelbeHealth Advocate Nurse that ideally has triaging experience. If you’re ready to join a holistic care team that values both its participants and providers, we’d love to hear from you! Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications. Compensation Offering $47.74—$63.02 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com
UnitedHealth Group
UnitedHealth Group is a large diversified healthcare company; Optum is its health services and technology business delivering care, data, and administrative services across the healthcare system.
ProHealth Physicians (CT), part of the Optum family of businesses, is seeking a Remote Registered Nurse RN to join our team in Farmington, CT. 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. 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. Are you ready to make a positive impact in health care? If so, you're the missing piece in our care team. As part of the Optum and UnitedHealth Group family, ProHealth Physicians offers new opportunities for growth. Here, you'll experience: • Exceptional teamwork • Robust medical resources • Passionate professionals with a focus on patient-centered care Position Details: • Location: Remote position • Department: Nursing Call Center • Schedule: 40 hours/weekly, Monday through Friday 3:00PM - 11:30PM. Fully remote. This position includes every other weekend and every other holiday. The RN is responsible for delivery of patient care to individuals, and families through telephone calls with patients with varying levels of acuity and medical concerns. RN addresses patients’ wellness, acute illness, chronic disease, disability and end of life needs while maintaining the standards of professional nursing practice. The RN assists with patient inquires including questions related to medication, medical conditions and diagnostic testing. Under the direction of the physician the RN delivers messages related to medical care. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Collects subjective and objective health status information from multiple sources such as; patients, caregivers, members of the health care team, documented records and other relevant sources • Prioritizes activities based on the patient’s immediate health need or the nurse’s judgment of anticipated patient needs • Documents the information and data collected in a retrievable understandable and readable format in the EHR • Employs nursing knowledge and evidence nursing practice in caring for patients in the office and over the phone • Includes the patient, appropriate caregivers, and other health professionals in making shared decisions about plans and strategies • Considers the patient or population needs in terms of age, gender, race, cultural values and practices, ethical and legal considerations and environmental factors as well as the anticipated risks and benefits of interventions for individualized plan development • Implements the plan of care in partnership with the patient, caregivers and other healthcare professionals in a timely manner • Performs interventions supported by evidence- based ambulatory care nursing practice during clinical visits, telephone encounters and electronic communications according to regulations, standards and organizational policy and procedure • Provides age appropriate, population specific care in a compassionate, caring, culturally and ethically sensitive manner • Other duties as assigned ProHealth Physicians is Connecticut's leading community-based medical group. Formed in 1997, we have primary care offices in every county. Our 300+ doctors and advance practice clinicians care for children and adults of all ages. We also have in-house imaging and clinical lab services. Traditional medicine treats people when they're sick. Instead, we focus on preventing diseases. Our goal is to give our patients — and their communities — the tools they need to be and stay well. This is how we help people live healthier lives. 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. Required Qualifications: • Graduate of an accredited School of Nursing • Currently licensed as a RN in the State of Connecticut • 3+ years of RN experience • Proficient computer knowledge and aptitude Preferred Qualifications: • BLS/CPR certification • Experience with various software applications such as Microsoft Word, Excel, and Outlook, etc. • Experience with EMR systems (EPIC) • Phone triage experience • Pediatrics experience • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
UnitedHealthcare
UnitedHealthcare is a large U.S. health benefits company offering health insurance, care management, and related services through a nationwide network of providers and managed-care programs.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. ***For consideration you must be available to work Saturday and Sunday 8am until 5pm as well as three additional work weekdays 8am until 5pm and reside within the state of VA.*** If you are located in Virginia, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Authorization review and entry for HCBS authorizations using Virginia specific criteria • Review of state specific documents required for HCBS services • Communication with HCBS Providers • Gather clinical information to assess and expedite care needs • Consult with the Care Manager and/or Medical Director as needed to troubleshoot difficult or complex cases 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. Required Qualifications: • Unrestricted, active RN license • 3+ years of RN experience in an acute setting • Utilization management, prior authorization, and case management experience • Managed care experience • Ability to create, edit, save and send documents utilizing Microsoft Word. Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches • Reside within Virginia Preferred Qualifications: • HCBS authorization experience • Working knowledge of ICUE and CAT Launchpad • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
WelbeHealth
WelbeHealth provides coordinated care services for older adults through PACE programs, offering clinical care, care management, and support services to help seniors remain safely in the community.
Role Description The WelbeHealth Advocate Nurse provides outstanding continuity of care when the PACE center is closed within their scope of practice. Responsibilities include: • Answering phones after hours (evening, nights, weekends, and holidays) • Resolving logistical issues that arise both over the phone and during visits to participants’ residences or acute care settings • Consulting with other clinical staff on call, as needed This role is different because WelbeHealth Advocate Nurses at WelbeHealth: • Work a fully remote, flexible schedule • Build relationships with participants rather than providing short-term care On the day-to-day, you will: • Handle calls (inbound/outbound) as assigned, responding as appropriate within their scope of practice, and consulting with other clinicians, including on-call providers • Coordinate telehealth meetings between participants and clinicians • Ensure timely care delivery, as well as resolve basic issues, escalating to management as necessary • Troubleshoot and effectively resolve logistical care delivery issues relating to aspects such as transportation, medication delivery, and hospital discharge when daytime care teams or responsible central teams are not available • Support the clinical care and home health teams to manage smooth care transitions between settings (hospitals, skilled nursing facilities, etc.), escalating changes in participants’ conditions as appropriate Qualifications • Graduate of an Accredited School of Nursing with an unencumbered RN license • Nursing knowledge and skills necessary to treat frail, elderly participants and manage complex clinical situations • Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations • Excellent clinical, organizational, and communication skills in settings with seniors, their families, and interdisciplinary team members • Able to work assigned shift which may include days, evenings, nights, weekends, holidays, and overtime Requirements • Seeking a WelbeHealth Advocate Nurse that ideally has triaging experience Benefits • 401k savings + match • 1 hour of sick time accrued for every 30 hours worked • Competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits for team members who work 20 or more hours per week Compensation PT Compensation: $47.74 — $63.02 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. Please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses.
UnitedHealth Group
UnitedHealth Group is a large diversified healthcare company. Optum is its care delivery and health services division providing clinical services, technology, and population health management.
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. 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. 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 7am-7pm, Mon 7am-7pm, Tues 7am-7pm, Wed Off, Thurs Off, Fri Off, Sat Off = 32 hours Week 2: Sun 7am-7pm, Mon 7am-7pm, Tues 7am-7pm, Wed Off, Thurs Off, Fri Off, Sat Off = 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. Position Highlights & Primary Responsibilities: • 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. 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 7am-7pm, Mon 7am-7pm, Tues 7am-7pm, Wed Off, Thurs Off, Fri Off, Sat Off = 32 hours, Week 2: Sun 7am-7pm, Mon 7am-7pm, Tues 7am-7pm, Wed Off, Thurs Off, Fri Off, Sat Off = 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 Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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