County Nurse remote jobs - 275 jobs

As an RN - MICU you will assess, plan, perform, document, and evaluate professional independent nursing practice at Lakeview Hospital; to provide work direction for and oversight of the nursing care provided by unlicensed personnel; to perform and document functions such as carrying out the provider's medical orders; to assist providers with diagnostic and treatment procedures; to provide a safe and therapeutic environment; to coordinate, communicate, interpret, and explain patient care services to the patient ,his/her family, health professionals and important others; to perform related duties as assigned. Work Schedule: 24 hrs weekly / .6 FTE; Day/Eve shifts. 7am-3:30pm & 3-11:30pm every other weekend rotation Required Qualifications: Associate Degree in Nursing. Licensed as a RN by Minnesota Board of Nursing or has a Wisconsin RN License and Minnesota Boarder State Registry. Current BLS certification from American Heart Association or American Red Cross (CPR/AED for Professional Rescuer & Health Care Provider) Current ACLS certification. If not present at start, must obtain within 6 months of start date. Stroke Care (NIHSS) required within 6 months of start date. Minimum one year RN critical care (ICU or ED) experience required Preferred Qualifications: Baccalaureate or Master's degree in Nursing Associate Degree prepared nurses enrolled in Baccalaureate in Nursing program Charge nurse experience preferred. Telemetry experience.

Full time Shift: 12 Hour Day Shift (United States of America) Hours per week: 36 Job Information Exemption Status: Non-Exempt Responsible for the daily to day operations of the Intermediate Care department. Promotes a strong team atmosphere through motivation, coaching, and conflict management. Prioritizes communication throughout the system and community to facilitate a multi-disciplinary approach to coordination of throughput and capacity management. Education Qualifications Bachelor's Degree Bachelors of Science: Nursing (BSN) Preferred Experience Qualifications 2 years Current experience in related clinical field in acute care facility. Preferred Supervisor experience. Preferred Skills and Abilities Demonstrates awareness and sensitivity to rights of patient/significant other, as identified within the institution. (Required proficiency) Demonstrates awareness and application of safety issues as identified within the institution. (Required proficiency) Demonstrates awareness of legal issues in all aspects of patient care and departmental functioning. Strives to manage situations in a manner, which minimizes risk to the patient and the institution. (Required proficiency) Demonstrates competency in selected psychomotor skills. (Required proficiency) Ability to communicate effectively using verbal, non-verbal and written methods. (Required proficiency) Ability to perform mathematical calculations related to medication administration and equipment calibration. Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. (Required proficiency) Licenses and Certifications Registered Nurse - KSBN A multistate license with the ability to practice within the State of Kansas is also accepted. Required What you will do Provides strong leadership, able to motivate staff and respond to individual needs on assigned department and shift. Organizes workload effectively and delegates responsibilities appropriately. Acts as leader for Nurse Manager or Director as appropriate. Recruits, interviews, coaches and develops direct reports; applies corrective actions as appropriate. Performs staffing duties within scheduling guidelines. Provides direct patient care as defined within the scope of the state's nurse practice act. Performs assessment/data collection in an ongoing and systematic manner, focusing on physiological and cognitive status. Administers prescribed medications and treatments in accordance with nursing standards. Formulates a prioritized and goal directed plan of care, which is based on patient's presenting problems and projected outcomes. Functions to establish priorities of patient care based on essential patient needs and available unit resources of time, personnel, equipment and supplies. Prepares equipment and aids provider during treatment, examination and testing of patients. Evaluates the effectiveness of the health care process (self, systems, environment, and instrumentation) in meeting outcomes. Observes, records, and reports patient's condition and reaction to drugs and treatments to provider. Provides medication as directed. Documents in patient and department records in a timely, accurate and concise manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information. Compiles tests and examination results. Evaluates the patient's progress towards achieving outcomes. Performs efficiently in emergency patient situations following established standards of care. Practices effective problem identification and resolution as a method of sound decision making. Greets patients and prepares them for provider examination. Collects patient history information. Instruct patients in collection of samples and tests. Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions. Participates in system wide/department patient care quality improvement activities as well as standards development. Participates actively in clinical education activities, including orientation of new employees and teaching student nurses. Participates in nursing research activities. Participates in development and attainment of system wide/department hospital goals. Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions. Delegates tasks and duties in the direction and coordination of health care team members, patient care and department activities in accordance with the Kansas State Nurse Practice Act. Adheres to staffing and scheduling practices. Seeks validation of knowledge base, skill level and decision making as necessary and assertively seeks guidance in areas of question. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability On-Site; No Remote Scope Has Supervisory Responsibility No Budget Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Occasionally 1-3 Hours Climbing (Ladders): Rarely less than 1 hour Climbing (Stairs): Occasionally 1-3 Hours Crawling: Rarely less than 1 hour Crouching: Occasionally 1-3 Hours Driving (Automatic): Rarely less than 1 hour Driving (Standard): Rarely less than 1 hour Eye/Hand/Foot Coordination: Frequently 3-5 Hours Feeling: Frequently 3-5 Hours Grasping (Fine Motor): Frequently 3-5 Hours Grasping (Gross Hand): Frequently 3-5 Hours Handling: Frequently 3-5 Hours Hearing: Frequently 3-5 Hours Kneeling: Occasionally 1-3 Hours Lifting: Frequently 3-5 Hours up to 50 lbs Operate Foot Controls: Occasionally 1-3 Hours Pulling: Occasionally 1-3 Hours up to 25 lbs Pushing: Occasionally 1-3 Hours up to 25 lbs Reaching (Forward): Occasionally 1-3 Hours up to 25 lbs Reaching (Overhead): Occasionally 1-3 Hours up to 25 lbs Repetitive Motions: Occasionally 1-3 Hours Sitting: Frequently 3-5 Hours Standing: Frequently 3-5 Hours Stooping: Frequently 3-5 Hours Talking: Frequently 3-5 Hours Walking: Frequently 3-5 Hours Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Combative Patients: Occasionally 1-3 Hours Dusts: Rarely less than 1 hour Electrical: Occasionally 1-3 Hours Explosive: Rarely less than 1 hour Extreme Temperatures: Rarely less than 1 hour Infectious Diseases: Frequently 3-5 Hours Mechanical: Rarely less than 1 hour Needle Stick: Frequently 3-5 Hours Noise/Sounds: Frequently 3-5 Hours Other Atmospheric Conditions: Occasionally 1-3 Hours Poor Ventilation, Fumes and/or Gases: Occasionally 1-3 Hours Radiant Energy: Occasionally 1-3 Hours Risk of Exposure to Blood and Body Fluids: Frequently 3-5 Hours Risk of Exposure to Hazardous Drugs: Occasionally 1-3 Hours Hazards (other): Occasionally 1-3 Hours Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Working Conditions Comments: Majority of work time is spent in pleasant interior, well-lighted, climate controlled environment. Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical records to ensure accurate documentation of patient care. Educate healthcare providers on the importance of accurate and complete clinical documentation. Utilize clinical knowledge and expertise to identify opportunities for documentation improvement. Ensure compliance with regulatory requirements and guidelines. Participate in multidisciplinary team meetings to discuss documentation improvement strategies. Provide feedback to healthcare providers on documentation practices and areas for improvement. Maintain up-to-date knowledge of clinical documentation standards and best practices. Responsibilities * Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. * Perform concurrent and retrospective reviews of medical records to ensure accurate documentation of patient care. * Educate healthcare providers on the importance of accurate and complete clinical documentation. * Utilize clinical knowledge and expertise to identify opportunities for documentation improvement. * Ensure compliance with regulatory requirements and guidelines. * Participate in multidisciplinary team meetings to discuss documentation improvement strategies. * Provide feedback to healthcare providers on documentation practices and areas for improvement. * Maintain up-to-date knowledge of clinical documentation standards and best practices. Qualifications * Registered Nurse (RN) with a current license from any state. * Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) certification. * Certified Coding Specialist (CCS) certification if they have the CCDS 2 certification. * Minimum of 3 years of clinical nursing experience. * Strong knowledge of clinical documentation standards and regulatory requirements. * Excellent communication and interpersonal skills. * Ability to work collaboratively with healthcare providers and multidisciplinary teams. * Proficiency in electronic health record (EHR) systems. Additional Skills * Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) certification. * Certified Coding Specialist (CCS) certification if they have the CCDS 2 certification. Work Environment Fully remote role. Schedule: Monday-Friday 9am-5pm with potential for flexibility as long as 40-hour weeks are maintained. Pay and Benefits The pay range for this position is $70000.00 - $120000.00/yr. Health, Vision, Dental, 401k If we find a local candidate (CT RN license in CT, they will receive Middlesex Health Benefits, If we find someone national w/o CT RN License then they will receive benefits through 3rd party organization- Mindlance (have been told this is very expensive so they prefer local). Have all the benefit info in a PDF when needed Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on May 9, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

WHO WE ARE: SimpliFed, a 100% virtual telehealth maternal health company, was founded with the mission to democratize access to baby feeding support. Recognizing the significant connection between feeding and maternal mental and physical health, SimpliFed has since developed a Maternal Health Operating System (mOS). This system provides virtual care models and support to families throughout the peri and postnatal periods, addressing what can be one of the most difficult and isolating aspects of new parenthood. POSITION: SimpliFed is growing and looking to add a remote Clinical Provider (NP/IBCLC) in FLORIDA to the team who is committed to the constant pursuit of excellence and teamwork in improving maternal health by leading with empathy and compassion. The Clinical Provider will deliver evidence-based direct patient care in line with SimpliFed's maternal health program. This includes, but is not limited to conducting lactation-related clinical assessments, remote patient monitoring assessments, postpartum clinical assessments, screenings for perinatal mental health disorders, and administering orders. Providers are expected to uphold the highest standards of care for SimpliFed and its patients while engaging in telehealth, virtual video appointments. POSITION SPECIFICS: This position is a 100% Remote Telehealth Full Time Provider at 40 hours per week SimpliFed providers will see patients for a variety of matters in the maternal health and perinatal space. Services provided may include, but not limited to: Lactation and Infant Feeding Services provided by IBCLC and CLC credentialed professionals. Remote Patient Monitoring for Blood Pressure and Gestational Diabetes Virtual postpartum visits for low risk patients Perinatal Mental Health provided by all SimpliFed providers and Credentialed Perinatal Mental Health Counselors (PMHC) Signing breast pump prescriptions for patients of SimpliFed and its partners Other issues in the maternal vacuum of care such as, but not limited to, nutrition, anemia, thyroid issues. Review and completion of patient's intake forms provided by SimpliFed. Complete a history and virtual physical evaluation of the pregnant or postpartum patient. Conduct Perinatal Mental Health Assessment using standardized assessment instruments and tools provided as well as general observation of a patient's current mental state. Provide education on topic(s) associated with the patient's need(s). Complete Exam Forms in full, including, but not limited to A record of the start and end times of the visit Relevant medical history Intake Baby wellness Diagnosis and procedure codes for the visit by checking the appropriate boxes on the exam form Complete timely daily documentation of all events, observations, evaluations, assessments, and instructions relevant to the visit. Develop an Individual Care Plan for each patient which includes written instructions, resources, and a plan for follow up. Complete Referrals/Coordination of Care (if necessary) and send to the proper entity. Scheduling subsequent appointments with patients prior to completing the current appointment. Maintain compliance with SimpliFed's policies and prevailing Federal security and privacy regulations. Other duties as assigned. REQUIREMENTS: Master's or Doctoral degree in respective clinical field (Nurse Practitioner) Professional licensure in respective clinical field (Nurse Practitioner), in good standing with the governing board in the state of FLORIDA. Professional certification as an International Board Certified Lactation Consultant (IBCLC) or Certified Lactation Counselor (CLC), in good standing with the governing board. Active MMIS (State Medicaid) Credentials Preferred. 3 years of direct clinical experience in hospital, clinic, or other healthcare setting with a minimum of 2 years experience as a CLC/IBCLC. Ability to work independently with minimal supervision and maintain a high degree of communication with supervisors while making sound decisions aligned with SimpliFed's policies. Comply with SimpliFed's availability requirements. Work within the scope of practice and remain compliant with the execution of clinical protocols, licensure, and credentialing. Strong active listening skills and sound judgment. Demonstrated written and oral communication skills, as well as strong charting skills. Knowledge of clinical workflows, healthcare quality and compliance standards, EHR data management, clinical documentation, HIPAA, and related regulations. Ability to accept constructive feedback and make improvements to better serve SimpliFed patients, partners, and mission. Successfully complete background check COMPENSATION AND BENEFITS: 2 Weeks Paid Time Off 7 Paid Holidays New Year's Day MLK Jr. Day Memorial Day Independence Day Labor Day Thanksgiving Day Christmas Day Market Competitive Compensation: $90,000 - $100,000 annual salary commensurate to experience Benefits for Individual and/or family medical/dental/vision Should the company expand, there is a potential for additional licensure cost coverage. Note: Minimum 2-year commitment required. Failure to complete the 2-year commitment will result in repayment of license costs, prorated for the unfulfilled portion of the commitment from the last license issuance date. Costs can be anywhere from $5,000-$15,000.

Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly to communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow. With programs like Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers , which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all. To learn more about Care Access, visit ******************* How This Role Makes A Difference The Registered Nurse, Clinical Delivery (RN) in this role will manage the communication of critical and abnormal lab results to patients, ensuring compliance with state licensure requirements. This includes contacting patients, documenting communications, following up on lab escalations, and collaborating with providers to ensure all patient interactions are appropriately managed and documented. This role is also responsible for patient education, ensuring patients understand their lab results and any necessary next steps in their care, as well as providing study specific information that is tailored to the patient. Furthermore, they serve as a point of escalation for the Member Services team, addressing complex inquiries related to lab results and assisting in the resolution of patient concerns by providing clinical insights and ensuring patients receive accurate information and appropriate follow-up. The RN will liaise with the Clinical Conduct Team to investigate and resolve issues related to duplicate lab results or other concerning findings, as advised by the Medical Director. Lastly, they will assist in training and educating the Member Services team to improve patient interactions and enhance service quality. This role is critical in ensuring timely patient communication and maintaining compliance with clinical and legal standards. How You'll Make An Impact Receive and Review Lab Results from Pre-screening Program: Autonomously evaluate flagged abnormal, urgent, or critical lab findings to prepare them for patient communication, ensuring accuracy and timeliness. Patient Communication: Proactively contact patients to discuss abnormal and critical lab outcomes. Ensure focused and uninterrupted communication, adhering to protocols while delivering only legally permissible information within the RN scope of practice. Use communication techniques to convey complex medical information clearly in a way non-medical patients will understand. Understand that the results shared with the patients may have serious health implications for them and relay them in a compassionate manner. Patient Education: Develop and implement patient education initiatives to enhance understanding of lab result significance and promote informed decision-making. Ensure patients understand their lab results and any necessary next steps in their care. Critical Thinking: Independently utilize critical thinking to assess the urgency and implications of abnormal and critical lab results, prioritizing patient communication based on clinical significance. Documentation: Maintain comprehensive and precise documentation of communications in patient progress notes. Record abnormal and critical results, patient concerns, and subsequent actions. Ensure compliance with regulatory signature requirements. Time Management: Exhibit exceptional time management skills to efficiently manage multiple lab results and patient communications, prioritizing urgent cases promptly. Problem Solving Expertise: Apply advanced problem-solving abilities using medical training and experience to troubleshoot issues related to lab result discrepancies or data integrity. Data-Driven Decision Making: Leverage data analytics to identify patterns and trends in lab results, contributing to evidence-based practice and enhanced patient outcomes. Regulatory Knowledge: Maintain up-to-date knowledge of healthcare regulations and compliance standards to ensure all communications adhere to legal and ethical guidelines. Escalation to Providers: For questions beyond the RN's medical scope, escalate to a licensed, on call provider (NP/PA/MD/DO) and manage the completion of result delivery and accompanying required documentation. Member Services Team Escalations: Address lab-related escalations from the Member Services Team, such as result clarifications, data discrepancies, or additional test requests, and communicate resolutions back to the patient, documenting the outcome. The Expertise Required Strong analytical capabilities, exceptional communication skills, and a commitment to fostering a patient centered environment. Strong attention to detail and ability to manage multiple patients efficiently. Ability to work independently while collaborating with a larger clinical team. This role is pivotal in upholding clinical and legal standards through meticulous communication and patient care management. Precision in data analysis and documentation to ensure accuracy in lab results and reporting. Certifications/Licenses, Education, and Experience: Education: Active RN licensure with a commitment to compliance and regulatory standards. Compact Licensure required. Additional licenses may be required in addition. BSN or equivalent degree preferred. Experience: Minimum of 3 years of experience as a working nurse, clinical research, medical communications, and/or related field. Proficiency in Salesforce or other EMR systems for documenting patient interactions. Licensure Requirement: Compact licensure required, non-compact state license preferred. Willingness to maintain and obtain additional state licenses as needed. Must hold all licenses in good standing. Compact States [42]: RNs with compact licenses can practice in all 42 states in the compact, including Alabama, Arizona, Arkansas, Colorado, Florida, Texas, and more. Non-Compact States [8]: California, Nevada, Illinois, Hawaii, Alaska, Oregon, Minnesota, New York. How We Work Together Location: Remote within the United States. This role requires 100% of work to be performed in a remote office environment. Travel: This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role. Physical demands associated with this position Include: The ability to use keyboards and other computer equipment. PTO and On-Call Coordination: Work within a structured on-call system to ensure coverage when team members are on leave. The expected salary range for this role is $70,000 - $100,000 USD per year for full time team members. Benefits & Perks (US Full Time Employees) Paid Time Off (PTO) and Company Paid Holidays 100% Employer paid medical, dental, and vision insurance plan options Health Savings Account and Flexible Spending Accounts Bi-weekly HSA employer contribution Company paid Short-Term Disability and Long-Term Disability 401(k) Retirement Plan, with Company Match Diversity & Inclusion We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, 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. Care Access is unable to sponsor work visas at this time. If you need an accommodation to apply for a role with Care Access, please reach out to: ********************************

Are you a skilled, compassionate nurse looking for flexible work in clinical research? As a Clinical Research Nurse - Home Visits (PRN), you'll provide high-quality nursing care directly in patients' homes while supporting important research studies. This role is ideal for nurses who value flexibility, independence, enjoy local travel, and want to supplement their income with meaningful work. Key Points to Know: • You'll use your own vehicle to visit patients in their homes, typically within 1-2 hours of your location. • Shifts are PRN / per diem, meaning you'll work only when projects are available in your area; project frequency may vary. • Orientation, training, and project-specific instructions are provided before each assignment. • You will be compensated for all time spent on training, travel, and patient visits, including documentation. We are posting this role now and will be reviewing applications on a rolling basis between now and Christmas. Interviews will begin in the New Year , so you may experience a brief delay in hearing back from us during the holiday period. Thank you in advance for your patience - we look forward to connecting in January. Position: Clinical Research Nurse - Home Visits (PRN) Job Type: Contract, PRN, Per Diem Hourly Rate: $55/hr onsite and $50/hr travel time Work Location: Portland, Maine; Drive up to 1-2 hours to patient homes in your area (travel time compensated!) Job Description: As a Clinical Research Nurse - Home Visits (PRN), you will play a crucial role in ensuring the successful execution of research studies in patient homes. You will be responsible for administering investigational medications/products, conducting patient assessments, collecting vital information, and adhering to study protocols with utmost accuracy and ethics. Your expertise and caring nature will help us maintain compliance with each study's protocol and safeguard the well-being of study patients. Principal Duties and Responsibilities: Deliver competent, high-quality nursing care to study patients in their homes. Accountable for the competent and confident delivery of high-quality clinical care to patients/participants. Ensure compliance with each study's protocol by providing thorough review and documentation at each subject study visit. Administer investigational medications/products as needed; Perform patient assessments to determine presence of side effects; notify Principal Investigator of findings/issues. Perform medical tests as outlined in protocol, including, but not limited to: vital signs, specimen collection, electrocardiograms; Process specimens and ship specimens per protocol. Provide patient education and medical information to study patients to ensure understanding of proper medication dosage, administration, and disease treatment. Responsible for adherence to clinical research policies to ensure ethical conduct and protect vulnerable populations. Communicate effectively, promoting open and trusting relationships. Qualifications: Relevant Nurse Licensure CH-GCP Certificate Graduate from an accredited BSN or Associate Degree in Nursing or Nursing Diploma program Minimum 2 years' post qualification acute care experience Clinical Research experience preferred BLS certification required Experience and knowledge of working in clinical research trials with ICH-GCP (Good Clinical Practice) Certification - (training can be provided) Good basic IT skills, utilizing mobile devices and Microsoft systems Trained in Handling and Transport of Hazardous Substances (training can be provided) A flexible schedule is essential Unencumbered driver's license, reliable car Benefits: Competitive hourly pay rate, including compensation for travel time. Flexible schedule to maintain work-life balance. Mileage reimbursement for travel expenses. Ongoing training and support to growth your clinical research skills Opportunity to make a meaning impact on patients' lives while contributing to cutting-edge medical research. Join our team and contribute to groundbreaking medical advancements through clinical research!

Job DescriptionCLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a dynamic and well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review. ESSENTIAL DUTIES & RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. 90% of time will be spent on one or more of the following activities depending on assignments: Review and analyze pre and post pay complex health care claims from a medical perspective, inclusive of prior authorization: Perform clinical review work as assigned; may provide guidance to other team members and accurately interpret and apply broad CMS guidelines to specific and highly variable situations. Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care per national and local policies, as well as accepted medical standards of care. Review provider practices and identify issues of concern, overpayment and need for corrective action as necessary; includes surfacing potential fraud and abuse or practice concerns. May develop recommendations for further corrective action based on medical review findings. May refer for review, or implement, corrective action related to medical review activities. May process claims and complete project work in the appropriate computer system(s). The remaining 10% of time will be spent on the following activities depending on assignments: Identify providers needing education and individually educate providers who are subject to medical review processes: Initiate or participate in provider teaching activities, creating written teaching material, providing one on one education or education to a group as a result of a medical review (e.g., probe, progressive corrective action, consent, etc.) or appeal. This may involve discussion with CMS leaders and leaders in the provider community. Participate in special projects as assigned. REQUIRED QUALIFICATIONS * Valid nursing degree * 2 years' clinical experience * Excellent written and oral communication skills * Demonstrated experience with evaluating medical and health care delivery issues (e.g., Inpatient Rehab Facility) * Strong computer skills to include Microsoft Office proficiency * Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS * Inpatient Rehabilitation Facility Experience * Bachelor of Science in Nursing (BSN) * Insurance industry experience * Certified Coder ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Job DescriptionDescription: Join Life Care Home Health Family! Serving Texas, Florida, Nevada, and Georgia, we provide skilled nursing, therapy, homecare, hospice, palliative care, and private duty services. Why Work With Us? Nestmed AI Scribe: Less charting, more caring! Competitive pay, 401k, health & life insurance Flexible schedules & career growth opportunities Continuing education & recognition programs Supportive, family-like team culture Make a difference in patients' lives while enjoying work-life balance. Apply today and grow with us! General Summary: The Clinical Manager maintains the quality of client care in accordance with the Agency's objectives and policies, through planning, coordination, and implementation and evaluation of the home health services provided. This position also directs and manages the field staff of the Agency while coordinating care with the interdisciplinary team, patient/family and referring Agency. Patient Population: All patients assigned to the provider numbers in the employee's area of responsibility. Essential Functions: Promote /exemplify Company mission, vision and values at all times. Coordinate and schedule the daily work load of the office while utilizing Agency personnel to their fullest capacity. Provide daily supervision of field nurses and Home Health Aides to ensure the quality of services and maintenance of standards. Review and investigate the clinical content, diagnoses, medical history, medications, fee status and other procedures from the records of clients. Direct staff toward the appropriate use of community resources. Appraise staff performance during their probationary period and annually with the Director of Clinical Services, provides the teaching and counseling necessary to enhance the delivery of services and the professional development of nursing and health aide staff. Identify and evaluate client needs and appropriateness of home care by reviewing the initial intake screening form before assignment of direct care staff. Participate in community related functions as necessary. Assist with the orientation of new professional staff to familiarize them with Agency policies and procedures. Take client visits in the home setting as needed. Participate in audits, U.R. interdisciplinary team conferences and represents Agency in the community as requested. Review each clinician's schedule for recertification, discharges, and aide supervisory visits. Review weekly schedule submitted by clinician for changes or updates. Perform other duties as directed by Area DOCS/ DOCS. May be requested by Area DOCS/ DOCS to backup other clinical staff when necessary. This description is a general statement of required essential functions performed on a regular and continuous basis. It does not exclude other duties as assigned. Supervises: Designated Field Staff #HighLC1 Requirements: Experience: Minimum 2 years of experience as a registered nurse in a Home Health Agency. 1 year of management experience. Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate verbally and in writing effectively. Demonstrates proven decision making skills. If required to make visits, Hepatitis profile. Must read, write and comprehend English. Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing. Licensure/Certification: Current driver's license in good standing. It is the responsibility of the employee to renew their driver's license before it expires in order to continue employment. Current State professional license as an RN in any/all applicable states. Current CPR Physical Requirements: Prolonged sitting required in an office environment which involves minimal and occasional lifting of medical supplies and charts. If visiting patients, prolonged standing and walking required, with the ability to bend, stoop, reach and move client weight up to 250 pounds as well as carry up to 30 pounds. The ability to access clients' homes which may not be routinely wheelchair accessible is required. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the client's condition and to perform client care. Ability to handle stressful situations in a calm and courteous manner at all times. Requires working under some stressful conditions to meet deadlines and Agency needs. Environmental/Working Conditions: Performs duties in an office environment during Agency operating hours. Ability to work flexible schedule. Ability to travel locally. Some exposure to unpleasant weather. If required to make patient visits, may work in patients home in various conditions; possible exposure to blood and bodily fluids and infectious diseases.

Raleigh General Hospital Registered Nurse (RN), Clinical Instructor Job Type: PRN About our Health System Raleigh General is a 300 bed hospital located in Beckley, WV, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. Your experience matters At Raleigh General Hospital, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a registered nurse (RN) joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. Job Summary Responsible for planning and presenting education programs as directed and for assisting the in-house patient education programs. Job Requirements Minimum Education Graduate of a Program in Discipline - Required Registered nurse graduated from a school of nursing. BSN and/or MSN preferred. Required SkillsRequires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Certifications: Basic Life Support (BLS) Advanced Cardiovascular Life Support (ACLS) - required if teaching course Pediatric Advanced Life Support (PALS) - required if teaching course - to be obtained within 6 months Evidence of proficient skills in teaching ability, creativity, communication, and in nursing procedure administration. Demonstrated ability to work with persons of diverse backgrounds and training experience. Demonstrated evidence of effective nurse-patient relationships with emphasis on patient teaching. Basic knowledge of Personal Computer. Required Licenses Current licensure by the State Board of Nursing Essential Functions Participates in and conducts orientation and education programs for hospital staff and community. Assists with planning, developing and implementing educational programs for hospital staff. Provides patient instruction and education. Assists in coordinating educational activities (conferences, seminars) within the hospital. Coordinating and/or teaching scheduled Childbirth classes. Delivers direct patient care appropriate to the age of patient served. Serves as primary contact between The Training Center and the hospital

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. Summary The Clinical Outcomes Quality Assurance Nurse will be responsible for the quality of the Outcomes program's documentation, implementing clinical best practices, and facilitating the efficient operation of the assigned department by performing a variety of clerical and administrative tasks. Salary Range: $72,000 - $87,000/yr (DOE) Schedule: (Remote) Monday - Friday, 8:30am - 4:30pm CST Travel: (Optional) Occasional travel for training, team get-togethers, conferences, etc. if willing Essential Duties and Responsibilities include the following. Other duties may be assigned, as necessary. Reviews/Approves all CSI outcomes forms Works with CSI nurses regarding outcome forms; edits/corrects as needed. Assists in outcomes charting, tracking, reporting, and updates. Communicates and responds to administrative inquiries. Communicates with patients via telecommunications to obtain necessary outcomes forms. Collects and records data obtained via telecommunications, mailed in forms, and electronic health care records system. Tracks and uploads outcomes forms to patient's scheduled visits. Attends designated meetings or Teams/Zoom calls as needed. Maintains effective working relationships with all members of CSI. Tracks prescriber partners who desire outcomes and/or are involved in research. Sends patient specific outcomes data to pharmacy via Monday.com research board as requested. Monitors outcomes data for trigger points to notify outcomes manager and/or pharmacy. Provides weekly status updates to leadership on Outcomes Management Team goals and accomplishments. Uploads outcomes and research forms into Monday.com research board. Performs other related duties as assigned or requested. QUALIFICATION REQUIREMENTS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent verbal and written communication skills. Excellent interpersonal and customer service skills. Proficient in Microsoft Office or related software. Excellent organizational skills and attention to detail. Ability to work independently. Provide the highest level of professionalism, responsiveness, and communication. Must possess the ability to multi-task and frequently change direction. Education and/or Experience Associate degree in nursing or Bachelor of Science in nursing RN license, unencumbered Experience in home-infusion of chronic disorders preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions. COMMENTS This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. CSI Pharmacy is an Equal Opportunity Employer

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Summary: The Clinical Auditor 2 performs audits of medical records on behalf of hospital clients for denials review, defense audits, disallowed charges, and utilization reviews. This position requires critical thinking and judgment and must demonstrate the ability to appropriately use standard criteria such as InterQual and Milliman (MCG) in addition to criteria established by state Medicaid programs or hospital policy. Audit and analysis must be accurate and consistently ensure a high level of quality, knowledge of laws, rules, regulations and guidelines necessary to ensure compliance and protection of information. Primary / Essential Functions: The Primary/ essential job duties may not be exhaustive. Clinical Staff Responsibilities: Performs audits of medical records to identify and/or defend charges, including: o Defense Audits o Patient Inquiry Audits o Disallowed Charges o Biller Requested Audits Completes analysis of records against established criteria, (e.g., InterQual, MCG, Medicare, Medicaid criteria), to determine if patient condition and/or care meets that criteria, including: o Avoidable day studies o Managed care, Medicare or Medicaid reconsiderations/appeals o Medicare or Medicaid RAC appeals or other specialized Audit Appeals (e.g. CERT, ZPIC, SMRC) Determine, request, and obtain appropriate supporting documentation from hospital, physicians, current medical literature and patient. Will compose appeal letters addressing and appealing both contract issues and medically related issues Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution. Enter audit findings and/or data into Client's computer based system. Proficiently utilize multiple computer based systems to complete and document work (both Savista and client) Client based billing, Internal based billing, medical record and quality systems Microsoft Outlook, Word and Excel Function in a professional, efficient and positive manner Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession Will help identify issues or challenges in the department, and come up with solutions or ideas to improve Maintain confidentiality of patient information and abide by all HIPAA related guidelines Competencies: · Puts Clients First · Drives for Results · Understands our Business · Thinks Innovatively · Values Differences · Builds Teamwork · Gains Trust · Communicates Effectively · Shows Accountability · Takes Action · Embraces Change · Makes Quality Decisions Physical / Mental Demands, Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to use hands to finger, handle or feel, sit, stand, walk, lift up to 20 pounds, stoop, clean, bend, and reach with hands and arms. Must communicate clearly in English. Requires the ability to speak, read, write, see, and hear to perform essential duties of the job. Effective and positive human relations skills are required, including confidentiality, in order to appropriately interface with staff and clients. Must be able to perform multiple tasks and detailed work, problem solve, reason, and perform basic mathematical calculations. Equipment Used: Telephone, fax, calculator, computer, monitor, printer, hardware and software packages, computer peripheral equipment i.e. mouse and keyboard; and Microsoft software. Minimum Qualifications: Must be RN/Case Management /Utilization Review/Coding clinical certification with a BS/BA preferred otherwise equivalent years of technical experience 3 to 5 years of clinical experience or 3 to 5 years of clinical auditing experience in either case management, Medicare appeals, utilization review or denials management Knowledge of Milliman (MCG) or InterQual criteria preferred Experience in medical records review, claims processing or utilization/case management in a clinical practice or managed care organization Fundamental knowledge of Medicare/Medicaid Guidelines Proficiency in navigating the internet and multi-tasking with multiple electronic documentation systems simultaneously (toggling) Skilled with Microsoft Outlook, Word, Excel and EMR Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $28.00 to $38.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice

Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM - 4:30 PM (flexible). Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. Registered Nurse (RN) Clinical Documentation Denials Auditor Job Responsibilities: Evaluates specificity and completeness of physician documentation to ensure optimal coding (e.g. mortality outcomes using APR-DRG, SOI and ROM, appropriate reduction of complications based on PSI and HAC, revenue assurance outcomes based on reimbursement DRG (MS-DRG), documentation of significant chronic conditions affecting resource utilization based on HCC). Summarizes audit findings for individual records along with specific documentation guidelines to improve expected clinical outcomes for an individual physician, physician practice, or specialty. Conducts follow-up audits (i.e. concurrent or post-discharge) with routine feedback until documentation practice comes into line with expected clinical outcomes. Works with Clinical Documentation Improvement (CDI) Director and Lead Auditor on other work related to physician audits and education programs. Demonstrates proficiency with Cobius to access external audit work, record summary results and upload appeal letters. Demonstrates proficiency with Encompass 360 and HDM audit functions to review electronic medical records with advanced functions (i.e. ex, auto-suggest and search) and record detail coding audit results. Showcases proficiency in reviewing records in Epic electronic medical records - which may be the only option for audits of older records. Demonstrates proficiency in writing effective appeal letters that include appropriate coding guidelines and medical references. Identifies trends in external audit findings related to coding quality and physician documentation. Prepares educational communications related to these findings. Evaluates physicians' documentation, diagnostic reports, and clinical findings for validation of diagnoses. Processes the requests for second opinion reviews when clinical validity is not supported or in question. May perform additional duties as assigned. Minimum Qualifications: Certification: Certified Coding Specialist / Certified Clinical Documentation Specialist; ACDIS/AHIMA certification, CCDS or CDIP Licensure: Current RN license and eligible to practice in VA Experience: Seven years of recent CDI, DRG validation or coding audit experience in an acute hospital setting with clinician training as RN, BSN, NP, PA or MD; Coding certification CCS and CDI certification CCDS or CDIP Education: Associate Degree in Nursing or Medicine. Preferred Qualifications: Experience: Recent coding experience. Clinical background and coding + denials knowledge. Experience writing denials & appeals. Outpatient and/or inpatient experience. Knowledge to identify clinical indicators (example: sepsis). EPIC experience. Certifications: CCDS Skills: presenting Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

The incumbent in this role is expected to float based on the needs of the organization determined by the Home Therapies Operations Excellence Team. The expected geography may include Illinois and all states east of Illinois. In addition, floating assignments are at least six (6) weeks and require overnight stays. The incumbent is expected to perform all duties of the role as outlined in the job description (e.g. opening, closing, working weekends, etc.). The Home Therapy Registered Nurse -- Traveler, as qualified by federal and state regulations, travels to various U.S. Renal Care locations to provide patient training and ongoing support for all patients choosing a home dialysis modality. This position provides nursing relief/support for assigned programs on a temporary or short-term basis. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Participate in and support corporate initiatives that promote improved care and increase growth of the home department. · Understand vendor product delivery methods and associated fees. Teach patients the importance of proper and timely order placement. Ensure patients receive all supplies in timely manner to not disrupt care. · Assist with clinic and patient supply inventory, ensuring usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. · May assist with equipment management including equipment tracking and retrieval as needed. · Perform duties as assigned to meet the patient care or operational needs of the program. OUTCOMES · May assist with improving patient outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. May assist in obtaining data for the continuous quality improvement activities. · Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. · May complete and document monthly review of patient medication profiles as directed. Administer medications as ordered by the physician. · Provide patient education and follow up as needed. · Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS OPERATIONAL READINESS (cont.) · Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. · Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. · Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. · May conduct home visits to assess the patient's home environment per policy and as needed to improve care. · Inform (Direct Supervisor) and program Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. · Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. · May assist with developing and implementing the patient plan of care with the interdisciplinary team. · Participate in infection control monitoring, implementation, and recording as requested. · Use personal protective equipment as necessary. · Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. · Communicate on-call system to patients and ensure patients have access to nursing support at all times. Teach patients the importance of timely communication. · May perform on call nursing services, nights and weekends, on a rotational basis as needed or assigned. · Flexible with staffing locations and hours to accommodate patient and USRC home program needs. · Regular and reliable attendance is required for the position. Home Hemodialysis Only: · May coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. · May assist with ensuring required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results. PARTNERSHIPS · Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. · Maintain a positive/collaborative working relationship with physicians, state agencies and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION · Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. · May delegate tasks to competent licensed and unlicensed staff per applicable state practice act. · Assist with staff training as requested. · Lead staff in team concepts and promote a team effort.

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The purpose of this position is to review medical records against appropriate criteria in conjunction with contract requirements to determine medical appropriateness. Shift hours will be 8:00am to 4:30pm EST including weekend and holiday rotations Job Responsibilities: * Assures accuracy and timeliness of all applicable review type cases within contract requirements. * Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. * In collaboration with Supervisor, responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas. * Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns. * Functions as providers' liaison and contact/resource person for provider customer service issues and problem resolution. * Performs all applicable review types as workload indicates. * Fosters positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process. * Attends training and scheduled meetings and for maintenance and use of current/updated information for review. * Cross trains and perform duties of other contracts to provide a flexible workforce to meet client/customer needs. * Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications Required Qualifications/Experience: * Active unrestricted RN or, or other applicable State and/or Compact State clinical license per contract requirements. * Requires a Bachelor's Degree from an accredited college or university in a related field. * Must be able to work a schedule of 8:00am to 4:30pm EST including a weekend and holiday rotation. Preferred Qualifications/Experience: * Knowledge of the organization of medical records, medical terminology, and disease process required. * Strong clinical assessment and critical thinking skills required. Medical record abstracting skills required. * Requires excellent written and verbal communication skills. * Medical record abstracting skills required. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below. "Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at ******************************** EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Pay Range USD $28.00 - USD $32.00 /Hr.

Grow With Us! At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Benefits Clinical Nurse Advocate to join our team. This position will report to our agency located in Cranston, RI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a remote position. Responsibilities: Review of a variety of health plan data and the ability to develop clinical findings and projections of future spend. Use of clinical knowledge to work with health insurance carriers to ensure appropriate clinical care coordination. Work with employer to develop an appropriate a health risk management plan. Work closely with our Account Management Team to develop a cohesive plan to control costs within the health plan. Assist members in identifying participating providers that meet nd when appropriate, assist members in obtaining appointments with the provider. Assist members with access to medically necessary, quality healthcare in a cost-effective setting Assist member in answering their complex medical questions. Assist members in locating available community resources. Development of a variety of health care education topics for represented membership. Assist members with appealing health carrier's denial of medically appropriate care. Qualifications: Must be a Registered Nurse Certified Case Manager a plus At least 5 years of clinical experience preferably with an insurance company or Managed Care Company. Demonstrated proficiency using Microsoft Office applications Dynamic personality with excellent presentation skills. Comfortable working with various data analytics platforms to identify gaps in care and mitigatable risk. Excellent written and verbal communication skills Excellent time management and project management skills Ability to articulate thoughts and speak clearly and professionally Benefits: Company Paid Life Insurance, Long-Term and Short-Term Disability. Medical, Dental, Vision and FSA/HSA plans. 401(k) with company match. Additional voluntary benefits including Critical Illness, Accident Insurance, Hospital Indemnity and Supplemental Life Insurance, Legal and Identity Protection, and Pet benefits. Generous PTO. An awesome team of professionals! The Hilb Group is an equal opportunity employer, and we actively support and comply with all applicable federal, state, and local laws prohibiting all forms of discrimination in employment. Additionally, we have a zero-tolerance policy for all forms of harassment in violation of federal, state, and local laws.

Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous Earned Time Off program). ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Quality Improvement and Patient Safety RN REPORTS TO POSITION: Manager of Risk Management & Patient Safety DEPARTMENT: Quality Management DATE LAST REVIEWED: May 3, 2023 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring, Teamwork and Safety DEPARTMENTAL SUMMARY: The Quality Management (QM) department provides essential services to St. Charles Health System (SCHS) including: quality improvement expertise and support; data analysis; regulatory affairs, accreditation and licensing expertise and support; environment of care safety programming, expertise, and support; emergency preparedness; policy and document library management and support; data abstraction; integrity of clinical documentation; the patient experience and grievance program; and risk management and patient safety program. POSITION OVERVIEW: The Quality Improvement and Patient Safety RN (QIPS-RN) is responsible for facilitating quality improvement initiatives within their assigned service lines and committees in alignment with the organization's True North objectives. The QIPS-RN also supports the Patient Safety program across assigned facilities and service areas within St. Charles Health System and serves as a Subject Matter Expert for Root Cause Analysis, Safety Culture, National Patient Safety Goals and other evidence-based programs as needed. The QIPS-RN works collaboratively with a diverse array of stakeholders to assist with data analysis, goal selection, process improvement, and the development of sustainment plans and develops, coordinates, and facilitates implementation of effective systems for risk identification, investigation, and mitigation of both potential and actual patient safety concerns and risks. The QIPS-RN works in close partnership with the Quality and Safety teams to meet regulatory and accreditation requirements, as well as the Lean Improvement Office to ensure that all work is approached with a Lean mindset. A successful Caregiver in this role will have the capacity to maintain focus in a fast-paced environment, while staying flexible enough to adapt to quickly changing environments and priorities. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Utilizes quality and safety improvement principles, such as PDSA and A3 thinking, to design, develop, implement and sustain True North initiatives for their respective service lines and committees. Works collaboratively with a diverse array of Caregivers, leadership, and support services to assist with data collection, analysis, goal selection and the development of various auditing tools, such as: standard work, Epic bundles and performance scorecards. Participates in development and maintenance of numerous quality and safety dashboards and scorecards for their respective service lines and committees. Supports System Safety Quality Council (SSQC), Clinical Leadership Council, and other committee meetings. Supports continuous survey readiness in coordination with Accreditation Manager including regular rounding, mock (and actual) survey participation, CAREboard support, and auditing. Completes quality and patient safety reports as needed, including analysis of data, identification of trends, and recommendations for improvement. Works with the Patient Safety and Risk Management Team to review Safety Alert System (SAS) reporting and response process, including severity rating and evaluation of all safety events, RCA and apparent cause analysis; Stops the line to mitigate potential patient safety conditions and maximize learning. Uses trends obtained from safety reports, patient safety rounds and other sources of patient safety data to focus on areas for further analysis, risk management, patient safety and loss prevention activities. Identifies potential and actual sentinel events with prompt notification and debrief to key stakeholders including senior leadership, and site administration for conducting investigation of event and root cause analysis. Leads investigation for a Sentinel or serious harm event investigation and analysis. Leads RCA process and failure effect mode analysis (FMEA) to identify opportunities for system and process improvements. Supports the preparation of documents for reporting serious harm events to State and accreditation agencies. Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities, service areas and affiliated joint ventures. Provides caregiver and provider guidance and support for patient care issues with patient safety/risk or legal implications, i.e., consent issues. Works in collaboration with the compliance department for potential EMTALA and HIPAA violations. Reviews and supports the completeness of patient complaint and grievance response letters. Provides guidance to caregivers and providers for disclosure of unanticipated events to patient and their families. Proactively conducts failure mode and effect analysis for high risk or problematic care processes across System facilities and joint venture businesses, at minimum as required by The Joint Commission for continued accreditation. Collaborates with Subject Matter Experts to develop and spread learnings via Safety Alerts, Advisories, and key learnings based on bets practices and evidenced based medicine. Supports the vision, mission and values of the organization in all respects. Partners with the Lean Improvement Office on a variety of process improvement initiatives as indicated by project type and scope. Supports Lean Improvement Office by functioning as a “champion of change” and consistently leading with humble inquiry to unearth quality gaps, lead improvement initiatives, create sustainment plans and monitor for variation. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of every patient and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides and maintains a safe environment for caregivers, patients and guests. EDUCATION Required: Bachelor Science in Nursing, Registered Nurse. Preferred: Master's degree in nursing, public health, healthcare management, data analytics, statistics LICENSURE/CERTIFICATION/REGISTRATION Required: Current RN License. Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites. Certified Professional of Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) within 1 year of hire. Preferred: Lean, Lean Sig Sigma Green/Black Belt, MINT, CQIA, CQE, or other industry-recognized quality certification EXPERIENCE Required: Two years' experience in healthcare field, data analytics, public health or other closely related field. Preferred: Two years' experience facilitating quality improvement and safety initiatives using Lean or other process improvement framework. Experience with Joint Commission standards and other standards such as CMS and OSHA. Experience facilitating groups through complex and sensitive issues and teaching process improvement principles. Experience working with medical staff on performance improvement. eExperience using Excel, manipulating data sets, creating pivot tables and other visual forms of data analysis. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: Is Exempt Position? Yes Job Family: NON CONTRACT RN SPECIALIST Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 8-5

Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $30.32 - $41.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.

Our Mission To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. Schedule: Full Time About Us - Physician Reimbursement Center (PRC) Located inside the Freeman Business Center Vital part of our revenue cycle Our team consists of over eighty professionals that assure reimbursement for the valued services our clinicians provide What You'll Do Performs a variety of duties in coordination of the coding accuracy, quality assurance, compliance functions, and charge appropriateness for Freeman Health System. Performs chart reviews to ensure medical record accurately reflects the patient's level of service based on Evaluation and Management (E/M) service guidelines. Works closely with physicians to clarify, assist, and educate with documentation. Assignments include teaching, coaching, and championing staff assigned to achieve departmental goals. Requirements Attends all required educational seminars related to coding/reimbursement as requested by supervisor. Coding certification (AHIMA or AAPC) Current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse's state of residence. If homebound, must reside in one of the following states: Arkansas, Kansas, Missouri, or Oklahoma. Minimum of 3 years of clinical experience in an acute care or office setting Preferred Requirements Experience in ICU, Medical/Surgical or Office preferred Experience in Meditech and/or Group Management Freeman Perks and Programs For eligible full time and part time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one! Health, vision, dental insurance Retirement with employer match Wellness program with discounts to Health Insurance or Cash Bonus with Participation Milestone payments with longevity of employment Paid Time Off (PTO) or Flex time off (FTO) Extended sick pay Learning Center designated only for Freeman Family members Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc #LI-DNI

Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support. The position of the Nurse Chronic Care Coordinator, Remote will perform telephonic encounters with patients on behalf of our partners each month and develops detailed care plans within our care plan templates in the electronic health record. This begins as an Independent 1099 Contractor position but offers the potential to reach full-time W2 employment (with employee benefits). Esrun Health is seeking Nurses to work part-time from their home office while complying with HIPAA privacy laws. You will set your own hours and will not be held to a daily work hour schedule. You will be contracted to work a minimum of 20hrs/wk. Esrun Health wants its team members to have the flexibility to balance their work-life with their home life. Part-time team members will typically need to dedicate an average of 20-30 hours per week to care for their assigned patients. This unique business model allows you to choose what days and what hours of the day you dedicate to care for your patients. The Care Coordinator will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 100 patients per calendar month. Care Coordinators will be expected to complete encounters on 90 percent of the patients they are assigned. Esrun Health utilizes a productivity-based pay structure and pays $10.00 per completed patient encounter up to 99 encounters/month, $10.25/encounter from 100-149 encounters/month, $12/encounter from 150-199 encounters/month, $14/encounter from 200-249 encounters/month, and $16/encounter for >250 encounters/month. Payment tier increases require 2 months consistency to achieve. A patient encounter will take a minimum of 20 minutes (time is cumulative including chart review, call times/attempts/texts, care plan development, care coordination, and documentation time). What your impact will be: The role of the Care Coordinator is to abide by the plan of care and orders of the practice. Ability to provide prevention and intervention for multiple disease conditions through motivational coaching. Develops a positive interaction with patients on behalf of our practices. Improve revenue by creating billable CCM episodes, increasing visits for management of chronic conditions. Develops detailed care plans for both the doctors and patients. The care plans exist for prevention and intervention purposes. Understand health care goals associated with chronic disease management provided by the practice. Attend regularly scheduled meetings (i.e., Bi-Monthly Staff Meetings, monthly one on one's, etc.). These “mandatory” meetings will be important to define the current scope of work. What we are looking for: Graduate from an accredited School of Nursing. (LPN, LVN, RN, BSN, etc.) Current license to practice as an RN/ LVN/LPN with no disciplinary actions noted A minimum of two (2) years of clinical experience in a Med/Surg, Case Management, and/or home health care. Hands-on experience with Electronic Medical Records as well as an understanding of Windows desktop and applications (Microsoft Office 365, Teams, Excel, etc.), also while being in a HIPAA compliant area in home to conduct Chronic Care Management duties. Ability to exercise initiative, judgment, organization, time-management, problem-solving, and decision-making skills. Skilled in using various computer programs (If you don't love computers, you won't love this position!) High Speed Internet and Desktop or Laptop computer (Has to be operation system of Windows 10 or higher or Mac) NO Chromebooks and no iPad. Excellent verbal, written and listening skills are a must. What will make you stand out: Quickly recognize condition-related warning signs. Organized, thorough documentation skills. Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills. Clear diction. Applies exemplary phone etiquette to every call. Committed to excellence in patient care and customer service. What we offer: Contract position with opportunity to become a full-time position, to include benefit options (Medical, Dental, Vision, 401K, Life). Streamline designed technology for your Chronic Care operations. Established and secure company since 1976, providing critical software solutions for many verticals in countries ranging from North America, Europe, Asia, and Australia Core Values that unite and guide us. Autonomous and Flexible Work Environments Opportunities to learn and grow. Community Involvement and Social Responsibility About us: Esrun Health, a division of Harris Computer, is on a mission to redefine remote care. Our program offers a customized model of remote care services that blends Chronic Care Management (CCM), Remote Therapeutic Monitoring (RTM), Remote Physiologic Monitoring (RPM), Behavioral Health Integration (BHI), and/or Transitional Care Management (TCM) for each client based on their specific practice needs. As a Harris healthcare business, we are able to maintain a people-focused, small company experience with the financial security of a large organization.