Licensed practical nurse work from home jobs - 384 jobs
Care Manager LPN LVN - Case and Disease Government Program *Remote*
Providence Non-RN-Oregon
Remote job
Care Manager LPN LVN Remote Candidates residing in Oregon are encouraged to apply.
The purpose of this position is to provide care coordination services to Providence Health Plans (PHP) members. Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease. Case management including: triage and referral, transition of care planning, end of life care planning, and other support to advocate for and assist the member in the achievement of optimal health, access to care, and appropriately utilizing resources. These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Certificate/Diploma from a state approved practicalnursing program (should go under education level) Major - Nursing
Associate's Degree Healthcare or healthcare related field
Upon hire: Oregon LicensedPracticalNurse
Upon request: Additional state licensure as assigned
Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver's license and auto insurance upon request.
5 years of clinical nursing experience
2 years of experience working with physicians in the collaboration and management of patient care
Preferred Qualifications:
Bachelor's Degree in Health education or healthcare related field
Experience in Care Management and/or Care Navigation in a healthcare setting.
Experience with Health Insurance, CMS, OHA and other governing healthcare entities
Salary Range by Location:
Oregon: Non-Portland Service Area: Min: $32.92, Max: $51.11
Oregon: Portland Service Area: Min: $32.32, Max: $54.82
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 407350
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 5018 HCS CASE AND DISEASE GOV PRGM OR REGION
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Remote
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Licensed Vocational Nurse (LVN), Location:Portland, OR-97204
$44k-64k yearly est. 1d ago
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Fintech Co-Founder / CEO (100 % remote) (m/f/d)
EWOR GmbH
Remote job
We are looking to hire ambitious entrepreneurs to start and scale their own startups.
We are serial entrepreneurs, for example Paul Müller (founder Adjust, €1.2B exit) and Petter Made (founder SumUp, €8B) who are eager to support outlier personalities and serial entrepreneurs to build €1B+ companies.
Our offer:
A salary while you build your startup as you will directly be employed by us. Alternatively, you can opt for up to €500k in funding.
1:1 sparring with unicorn founders on a weekly basis
Community: Access to the top 0.1% of founders, peers and investors
Team building: Hiring top notch talent supported through our network (over 50,000 professionals)
Distribution: Support in reaching product-market-fit and building up a sales force / marketing machine
Funding support for securing a multi-million euro funding round within 12 months (on average, EWOR Fellows raise > €2M after our Grand Pitch)
One of our fellows set a record for Europe's largest pre-seed round by a first-time founder, securing a €12M pre-seed investment.
Tasks
You will own, build, and run your startup in fields such as Fintech
You will embark on an extensive personal development journey crafted by unicorn founders and follow a fully customised programme enhancing your goal, time, and energy management
You will receive support in hiring through our network to over 50,000 professionals and advice as well as best practices from serial entrepreneurs
You will receive intensive coaching to make your startup ready to raise millions in funding
You will iterate your product with us until having reached product-market-fit and receive support in building up a sales force or creating a marketing engine respectively
Requirements
You are based in Europe or the Americas or open to relocate
You are willing to take full responsibility for your own startup and scale it to €100M+ in revenues
You have excellent communication skills in the English language
Join us and build a €1B+ company with us!
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$30k-40k yearly est. 4d ago
Remote Travel NP/PA Clinical Educator in Physiatry
Iconic Care Support Services
Remote job
A healthcare provider group is seeking a Clinical Educator NP/PA & Travel Nurse to enhance patient outcomes through education and clinical coverage. This role requires a strong background in Physiatry, a passion for teaching, and the ability to travel nationwide. The competitive compensation includes a salary of $155,000-$185,000, full benefits, and comprehensive travel support. Located remotely with necessary metropolitan area constraints, candidates must be residing in specified locales.
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$155k-185k yearly 19h ago
Service Care Coordinator RN - Remote in South Austin, TX
Unitedhealth Group 4.6
Remote job
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
This is a Field Based role with a Home-Based office. Must be open to traveling up to 50 miles from home office based on business need.
If you are located in or within commutable driving distance from South Austin, TX, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, at least restrictive level of care
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: uhgbenefits
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 and unrestricted Registered Nurselicense in the state of Texas
2+ years of experience working within the community health setting or in a healthcare role
Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications
Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Valid driver's license, access to reliable transportation and the ability to travel in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
Reside in or within commutable driving distance from South Austin, TX
Preferred Qualifications:
1+ years of experience with long-term care services and support, Medicaid or Medicare
Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations
Proven ability to create, edit, save and send documents, spreadsheets and emails
Reside in South Austin, TX
*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.
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.
$28.3-50.5 hourly 2d ago
Licensed Practical Nurse- Home Based Medicine
Healthpartners 4.2
Remote job
Park Nicollet is looking to hire an LPN to join our Home-Based Medicine and In Home Complex Care team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.
Position Summary:
Provides practicalnursing care to patients in accordance with the Minnesota NursePractice Act, recognized professional standards and PNHS policy. Provides safe and effective nursing care by promoting a safe, therapeutic environment and by advocating for the best interests of individual patients. Supports multiple areas within a clinic setting with strong interpersonal skill and flexibility while maintaining patient confidentiality and protecting patient rights.
This role will support our home-based medicine team, an exciting and innovative approach to providing primary care in the home. This role will provide both telephonic and in person support (home visits) to patients in partnership with clinicians, RNs, social workers and care managers.
Work Schedule:
Monday-Friday, daytime hours
40 hours per week.
This is a hybrid position that will require in person home visits in Minnesota.
Required Qualifications:
Graduate from an accredited school of practicalnursing.
Must maintain a current state license of practicalnursing.
Current BLS certification for health professionals through the American Heart Association or American Red Cross required and maintained.
On-line BLS certification is not acceptable.
Preferred Qualifications:
One or more years of healthcare experience is desirable (preferably in a related field of medicine).
Benefits:
Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!
Flexible Independent Contractor (1099) Opportunity
Current Unrestricted State Medical License in Minnesota or Oregon
Founded in 1983,
Medical Review Institute of America (MRIoA)
is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY
We're seeking Board-Certified physicians in PM&R with a Pain Fellowship with a current MINNESOTA to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 1-2 hours per week, could be more if you prefer.
ADDITIONAL INFORMATION:
Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US).
Covered under MRIoA's Errors and Omissions policy.
Independent Contractor (1099) opportunity.
Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at ************.
Must have a Medical Degree MD or DO
Must have a current state medical license in MINNESOTA or OREGON
Current Board Certification in PM&R and have a Pain Fellowship
Must have 5 years of clinical experience residency to be included
Daytime availability is required for peer-to-peer conversations
$44k-68k yearly est. Easy Apply 8d ago
Clinical Trial Liaison (Operating Room Nurse)
Psi Cro Ag
Remote job
PSI is a leading Contract Research Organization with more than 30 years in the industry, offering a perfect balance between stability and innovation to both clients and employees. We focus on delivering quality and on-time services across a variety of therapeutic indications.
Job Description
We are looking for an Operating Room (OR) Nurse to join PSI as a Clinical Trial Liaison!
In this role, a Clinical Trial Liaison:
Acts as a specialized liaison to assist sites with a protocol-tailored approach to increase efficiency of the patient identification and recruitment process
Assists sites in developing and implementing patient enrollment techniques
Coordinates site specific patient recruitment and retention plans observing the planned metrics
Provides information specific to the area of expertise to site team members involved in patient recruitment
Identifies, tracks, and reports patient enrollment progress throughout the study
Analyses the protocol in order to provide the site with the support needed to improve the patient pathway
Provides support to the project teams to ensure proper documentation of study-specific assessments related to patient enrollment
Assists and advises the site monitor in the area of patient enrollment
This role requires travel.
Qualifications
Registered Nurse (RN) Degree
A minimum of 5 years of experience as an OR Nurse
Experience in operation and QC procedures related to the equipment used in the specialized area
Additional Information
All your information will be kept confidential according to EEO guidelines.
$50k-87k yearly est. 1d ago
Clinical Liaison (CL) - Full Time
Cottonwood Springs
Remote job
Facility Name: Kindred Hospital Bay Area - St. Petersburg
Schedule: Full Time
Please note: The title 'Clinical Rehabilitation Specialist is functionally equivalent to the Clinical Liaison role. Both titles refer to the same position and may be used interchangeably.
Your experience matters
Lifepoint Rehabilitation is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Clinical Rehabilitation Specialist 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.
How you'll contribute
A Clinical Rehabilitation Specialist who excels in this role:
Educate the community on rehabilitation to develop a census through face-to-face contacts
Develop business based on the strategic goals of the rehabilitation program
Face-to-face connections within territory to build relationships with referral sources to increase census
Identifies barriers to the admission process and creates solutions with the assistance of the program director
Ability to review patient medical charts and understand test results, therapy evaluations, pre-existing conditions, and have a general medical knowledge of the patient
Ability to clearly and professionally interact with patients, families, and healthcare providers while gathering additional clinical information and past history
Conduct thorough patient assessments to identify patients for potential admission into the rehabilitation program
Complete detailed Pre-Admission Screens, as applicable, according to facility policies and procedures, Lifepoint policies and procedures, and payer requirements, as applicable.
Schedules meetings and arrange in services for medical professionals including potential and existing referral sources, doctors, nurses, social workers and other health care professional.
Provide patient updates to physicians, payers, case managers, social workers and other relevant persons.
Maintain solid working relationships with new and existing referral sources by providing excellent after-sales service.
Other duties as assigned
Why join us…
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 & 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.
What we're looking for
Clinical experience is required
At a minimum, should be a graduate of a four-year college program with a bachelor's degree in a health related, business or marketing area of concentration, nursing or therapy preferred
Ability to travel in the community to meet clients/customers at hospitals, SNFs, physician offices and other nontraditional referral sources.
Valid driver's license and own reliable transportation required
Communicate and demonstrate a professional image/attitude for patients, families, clients, co-workers, and others, demonstrating great customer service and listening skills
Connect with a Recruiter
Not ready to complete an application, or have questions? Please contact Fomeika Ingram by emailing at **********************************.
EEOC Statement
“Lifepoint Rehabilitation is an Equal Opportunity Employer. Lifepoint Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”
$50k-87k yearly est. Auto-Apply 60d+ ago
MDS Nurse-RN/LPN Remote-Michigan Licensed
Concept Rehab 4.1
Remote job
Job DescriptionDescription:
Full Time MDS Nurse- Michigan License is required
The MDS Nurse supports Engage Consulting clients by providing a variety of tasks, such as MDS completion, case mix review, and auditing services that are related to CMS initiatives, regulatory compliance, MDS coding, billing, and reimbursement accuracy. The successful candidate will excel in critical thinking, accuracy, and MDS completion skills while thriving in an environment that supports the work being a hybrid of remote and in-person. This position reports to the Director of Clinical Consulting.
Essential Functions of the Job:
Responsible for the coordination, completion, and submission (including timing and scheduling) of mandated OBRA and Medicare
MDS assessments, as assigned.
Responsible for the development, review, and/or revision of resident specific care plans as a member of the interdisciplinary team, in coordination with the completion of MDS assessments following RAI Guidelines.
Responsible for contributing to and attending key meetings in the facility in-person and remotely including but not limited to morning meeting, Case Mix, Quality Measure, and Medicare/Utilization Review
Provide interim MDS completion services, as assigned focusing on accurate scheduling, completion, and submission of MDS following RAI Guidelines.
Provide technical review of audits with ability to focus on reimbursement accuracy/optimization, Case Mix Management, Quality
Measure Management, and MDS accuracy reviews.
Maintain clinical and regulatory knowledge in accordance with current geriatric care standards of practice, including but not limited to Federal Survey Requirements, MDS 3.0 RAI Manual, federal and state health regulations, CMS Requirements of Participation, and payor guidelines.
Consistently demonstrate sound judgement and provides ethical guidance to customers for SNF practices.
Provide direct assistance to the Senior Practice Manager and Director of Clinical Consulting as requested.
Must be familiar with Electronic Medical Record (EMR) programs including Point Click Care, Matrix Care, and therapy software systems.
Ability to work a hybrid schedule of remote as well as in-person facility representation.
Consistently portray the mission, vision, core values, cornerstones and professional image of Engage Consulting, exercise good judgement in the performance of the job.
Special projects and other duties as assigned.
Requirements
Required Qualifications:
Registered Nurse (RN) or LicensedPracticalNurse (LPN) with active Nursinglicensure.
Minimum two years of experience performing MDS completion in a SNF.
AAPACN Resident Assessment Coordinator Certification (RAC-CT) preferred.
Intermediate knowledge of SNF Reimbursement and Billing Regulations, including but not limited to RAI guidelines, PDPM Reimbursement, Case Mix Management, and specific state nursing documentation guidelines.
Intermediate knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook).
Core Competencies
Healthcare Billing Expertise, Relationship Management, Project Management, Excellent Interpersonal Skills, Care Plan Development, Technological Skills, Problem-Solving and Analytical Skills, Critical Evaluation, Cultural Awareness, Ethical Practice, Ability to Exercise Independent Judgement and Discretion, Maintain Confidentiality.
Requirements:
$45k-74k yearly est. 12d ago
1099 Contracted Nurse Assessor - Nationwide Need
Illumifin
Remote job
Registered Nurse - PRN visits
Leave Shift Work Behind
Consider our per diem opportunity to earn additional income as a Nurse Interviewer visiting clients at their place of residence. Complete questionnaires on their medical, functional and cognitive status.
Flexible scheduling - The nurses can schedule visits Monday - Sunday, mornings, afternoons or evenings based on the client's and nurse's schedule.
Flexible work - you can cover up to a 75 mile radius and work as little or as much as you want per month based on available cases in your area.
Extra income - Work with illumifin whenever you need a little extra money, even if you have another job.
No blood draws or specimen collections required.
About the Role:
As a RN with illumifin, you will utilize your critical thinking and assessment skills to complete the following:
Obtain thorough cognitive and health assessment information as required.
Comply with all assessment instructions and accurately complete assessments.
Communicate promptly with illumifin regarding file status and appointment times.
Return the assessment within 24 hours after the appointment.
Respond promptly to any follow-up and clarification questions on submitted assessments.
With E-Assessments training, you can complete assessments electronically using your cell phone, tablet, iPad or Laptop
$94k-173k yearly est. 8h ago
HEDIS Review Nurse - Remote - Contract
Hireops Staffing, LLC
Remote job
This is a contract assignment that will start right away and end on April 30th 2024
Review Nurse
SUMMARY DESCRIPTION:
The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract relevant clinical data during HEDIS. HEDIS abstractions are completed in accordance with NCQA guidelines and technical specifications. Additional responsibilities include but not limited to folder and file management, annotating medical records and saving completed documents with correct naming conventions on a shared drive as well as data entry into QSHR.
ESSENTIAL FUNCTIONS:
Abstract medical records
Apply product/plan specific abstraction criteria/requirements during medical record review process
Maintain defined productivity volumes
Sustain accuracy rate of 95% during abstraction and data entry throughout the HEDIS survey
Perform quality reviews of abstracted medical records as assigned
Ensure open and honest communication with management/designee regarding development or assistance needed throughout project
Escalate work related challenges/issues to Senior Director or designee
Attend scheduled daily and ad-hoc meetings with HEDIS Project Manager, and /or Quality Management Specialist/ designee to discuss project status, open issues and productivity
Comply with HIPAA, PHI, patient confidentiality, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies
Other duties as assigned
JOB REQUIREMENTS:
Registered Nurse (RN)/
LicensedPracticalNurse
(
LPN
) with unrestricted license
2 years' HEDIS abstraction/over-reading experience
Data entry proficiency
Working knowledge PDF, Word and Excel
Excellent written and communication skills
Database management
Preferred Skills:
Experience in Pediatrics, Cardiology, Endocrinology and/or Obstetrics
QSHR proficiency
$104k-171k yearly est. 60d+ ago
MDS Coordinator
Aicota Health Care Center 3.2
Remote job
Aicota Health Care Center is seeking a full-time registered nurse (RN) to serve as an MDS coordinator. The successful candidate will assure seamless transitions for residents of our building along with timely and accurate completion of the MDS that focuses on case mix maximization and regulatory compliance. This person will be responsible for supervising the nursing team in the coordination of the MDS and admissions processes. Preferred qualities would include being detail oriented, organized, self-sufficient, and excels in roles that require research, problem-solving and discovery.
Starting wage: $50/Hour
Current Minnesota NursingLicensure.
Prior experience in a long-term care is preferred but not needed.
Job Type: Full-time
Standard shift:
Day shift
Weekly schedule:
8-Hour Shift
Monday-Friday
On-Call as necessary
Days/hours can be flexible
Part-time remote option
Benefits:
401(k)
Continuing education credits
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Referral program
Tuition reimbursement
Vision insurance
Scholarship Opportunities
Ability to commute/relocate:
Aitkin, MN 56431: Reliably commute or planning to relocate before starting work (Required)
License/Certification:
NursingLicense
Work Location: In person/Off-site
QUALIFICATIONS:
· Graduate from an accredited school of nursing and has current licensure by the State of Minnesota Board of Nursing as a Registered Nurse.
· Experience in long term care facility, preferred
· Commitment to quality care
· Strong team building and interpersonal skills desired
Our Mission
To provide personalized care through high quality services to our community.
Our Vision
To be the recognized provider and employer of choice in the markets we serve.
Our Core Values
Customer Service
Our team shows up each day inspired to make an impact on those we serve, within Aicota and our community, by going above and beyond expectations.
Attitude
Our teams leads with empathy, passion, and professionalism.
Respect
Our team respects the values of others.
Excellence
Our team believes that through continuous quality improvement, we can aspire to excellence.
Stewardship
Our team will use our talents and resources wisely, with honesty and integrity.
Aicota Health Care Center is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Aicota Health Care Center is an EEO Employer - M/F/Disability/Protected Veteran Status Aicota Health Care Center is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company
$50 hourly 43d ago
Chronic Care Management LVN - REMOTE (California License Required)
Orb Health 4.1
Remote job
*FULL TIME REMOTE POSITION* $25hr Who We Are:
Orb Health's Enterprise Virtual Care™ enables the high-performance delivery of Chronic Care, Patient Support, and Outbound Campaigns as a virtual extension of the health system or center without requiring additional staff, applications, or office space. Orb Health's mission is to empower a new healthcare paradigm where integrated virtual care creates the economies of scale necessary to drive effective and proactive patient engagement that maximizes outcomes and wellbeing over time while lowering the cost curve of healthcare.
About the Opportunity:
Orb Health in Richardson, Texas is currently seeking a licensed LVN, LPN, or RN to join their growing remote staff as a new Care Management Nurse. In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic care management services to identified chronic patients under direction of the patient's healthcare provider.
Responsibilities:
The Care Management Nurse (LVN, LPN, or RN) will:
· Cooperatively develop an integrate patient centered care plan and goals with the client/family and other providers.
· Work collaboratively with team members to provide outreach and engagement with the patient.
· Provide patient assistance through advocacy to client and family for entitlements and other community services.
· Work closely with in-office providers/staff members to manage day to day calls with enrolled patients involving symptom control, medication management, patient and family education, health maintenance reminders, medication refills, referral coordination, etc.
· Receive and respond to telephone calls from patients. Triaging and providing medical guidance as instructed by the patient's provider.
· Documents calls according to established guidelines.
· Connects patient's care team together with updated information as received.
· Participates in education & in-service programs.
· Performs on call for clinic that you are assigned to.
Required Qualifications:
· Minimum of 1-2 Years of experience in a clinical or telehealth setting.
· Ability to work full-time (40 hours minimum)
· Demonstrates progressive proficiency with the utilization of available computer technology, including typing skills.
· 60 + WPM typing · Demonstrated customer service, leadership, communication, interpersonal and problem-solving skills, required.
· Ability to plug computer directly into internet router.
· High speed internet Education and Certifications:
· Graduate from an accredited School of Nursing.
· Current license to practice as an LVN/LPN/RN with compact license. Physical Requirements:
· Ability to sit and work in front of a computer for long periods of time.
· Ability to speak on the phone for long periods. Nice to Have:
· Bilingual in Spanish · Experience working with the adult population.
· Experience working as telecommuter or call center setting.
· Experience in clinical telephone triage
· Experience working with Electronic Health Record (EHR) Diversity creates a healthier atmosphere:
Orb Health is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Orb Health is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$25 hourly 60d+ ago
LPN / LVN - Remote Nurse (FT)
Flagler Health 4.7
Remote job
Flagler Health is a fast-growing healthtech company transforming how healthcare organizations deliver care through AI-powered workflow automation, remote patient engagement, and chronic care programs. Our platform has already served over 1.5 million patients and is trusted by providers and payers to improve efficiency, lower costs, and drive better outcomes. With a unique freemium model and minimal direct competition, we are poised to capture a large share of the $4.5T U.S. healthcare industry.
Location: Fully Remote Schedule: Full Time (40 hours/week)
Job Summary:
We are seeking a dedicated and compassionate LPN/LVN to join our remote team for delivery of RTM & CCM Services as a contractor. These services provide a personalized mobility for the patients outside the clinic and help to better document their health. You will be conversing with the patients to ensure that they are improving every single day.
Responsibilities:
● Facilitate patient enrollment into our RTM (Remote Therapeutic Monitoring) or Chronic Care Management (CCM) programs using Flagler's portal.
● Make daily calls and text messages to patients to document patient health status and keep them engaged.
● Assist in the collection and documentation of patient health information, including histories, health status and new symptoms.
● Support patients by sending health pointers (stretches, meditation videos, light exercises).
● Maintain strict confidentiality in handling patient information, adhering to HIPAA regulations and company policies.
● Participate in ongoing company training and check-ins.
Expectations:
● Punctuality and reliability.
● Access to laptop with working microphone, camera, and reliable internet connection.
● Access to a quiet space to work full time.
Requirements:
● Certification as an LPN
● 3+ years of experience working in office or remote
● Proficiency with technology such as Zoom, Slack, and online enrollment platforms.
● Strong organizational skills and the ability to manage multiple tasks efficiently.
● Excellent communication skills, both verbal and written, with a focus on empathy and patient support.
● Ability to work independently in a remote setting, showing initiative and self-motivation.
● Familiarity with HIPAA regulations and a commitment to maintaining patient privacy.
Preferred Medical Specialty:
● Neurology
● Orthopedics
● Physical & Rehabilitation Medicine
● Sports Medicine
What We Offer:
● A fully remote work environment, allowing for flexibility and work-life balance.
● Opportunities for professional growth and development within a rapidly growing tech-driven company.
● A supportive and inclusive culture that values different opinions and fosters innovation.
Pay: $22.00 - $24.00 per hour (negotiable).
Join us in transforming healthcare and making a real difference in patients' lives!
Our values
This is what you can expect of your teammates at Flagler:
Persistence + ownership of outcomes: We wear many hats and aren't afraid to run through walls to solve hard problems.
Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.
Don't take things personally: We value and react quickly to constructive feedback.
Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.
Be Right: We are highly detailed oriented and try to be right, a lot.
$22-24 hourly Auto-Apply 60d+ ago
Care Manager LPN LVN - Case and Disease Government Program *Remote*
Providence Health & Services 4.2
Remote job
Care Manager LPN LVN _Remote_ Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plans (PHP) members. Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease. Case management including: triage and referral, transition of care planning, end of life care planning, and other support to advocate for and assist the member in the achievement of optimal health, access to care, and appropriately utilizing resources. These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
+ Certificate/Diploma from a state approved practicalnursing program (should go under education level) Major - Nursing
+ Associate's Degree Healthcare or healthcare related field
+ Upon hire: Oregon LicensedPracticalNurse
+ Upon request: Additional state licensure as assigned
+ Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver's license and auto insurance upon request.
+ 5 years of clinical nursing experience
+ 2 years of experience working with physicians in the collaboration and management of patient care
Preferred Qualifications:
+ Bachelor's Degree in Health education or healthcare related field
+ Experience in Care Management and/or Care Navigation in a healthcare setting.
+ Experience with Health Insurance, CMS, OHA and other governing healthcare entities
Salary Range by Location:
Oregon: Non-Portland Service Area: Min: $32.92, Max: $51.11
Oregon: Portland Service Area: Min: $32.32, Max: $54.82
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 407350
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 5018 HCS CASE AND DISEASE GOV PRGM OR REGION
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Remote
Pay Range: $See Posting - $See Posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$43k-69k yearly est. Auto-Apply 17d ago
Clinical UM Nurse
Centerwell
Remote job
Become a part of our caring community and help us put health first
The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Use your skills to make an impact
Required Qualifications
Must be a licensed Registered Compact Nurselicense (RN) with no disciplinary action and ability to obtain non compact licensure
No less than 3 - 5 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience required
Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
Comprehensive knowledge of Microsoft Word, Outlook and Excel)
Ability to work independently under general instructions and within a team
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must be willing to be in weekend rotation and possible holiday coverage.
Preferred Qualifications
3 or more years' experience in a high volume and fast paced environment
Previous experience in utilization management
Education: BSN or bachelor's degree in a related field
Health Plan experience
Previous Medicare/Medicaid Experience a plus
Call center or triage experience
Bilingual is a plus
Additional Information
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 02-12-2026
About us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$71.1k-97.8k yearly Auto-Apply 4d ago
Entry Level
Deep Well Services 4.1
Remote job
Entry Level - Oil and Gas Full Time with Benefits, Bonuses, and Advancement! Work Location: This position requires 100% travel. Work locations will vary between the Midland, TX and Zelienople, PA offices, and neighboring states and basins including North Dakota and Wyoming. Severe weather conditions may apply. All new hire training will be based in Zelienople, PA. Wage: Hourly
Greenhat (Entry Level): $20.45
Benefits: Health, Dental, Vision, Life and Voluntary Insurance Options; 401k Program
Per Diem, Bonuses, Company Provided Lodging and Paid Travel*
Competency and Training Programs for Career Path Advancements
Qualifications
Education: High school diploma or GED
Experience: 1+ years labor type position
Work Schedule: Due to the nature of the business, weekend and evening hours are necessary. Rotational schedules out of town for weeks at a time is required. Other Requirements: Must successfully pass a pre-employment background check, drug screen, and physical.
Work Environment is non-traditional. Frequent trips to remote job sites will require working in a variety of potentially harsh weather conditions.
A greenhat is an entry level position with the following job duties. This job requires 100% travel for approximately one month at a time.
Maintain 100% fall protection at all times when performing elevated work.
Inspect rigging before each shift and as necessary during use.
Ensure hands, fingers, feet and other body parts are kept from between the load line or sling and the load.
Ensure all tools are cleaned, inspected and returned to their proper storage locations after use.
Inspect all fuel supply equipment, including hoses, fittings and valves prior to transfer.
Use clear communication when handling pipe.
Ensure the correct size elevators are used when picking up or laying down pipe.
Constant standing, walking and lifting of tools and pipe.
Other duties as assigned by management.
Disclaimer
The Company has reviewed this to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the Company reserves the right to change this job description and/or assign tasks for the employee to perform, as the Company may deem appropriate.
EOE Statement
Deep Well Services is an Equal Opportunity Employer. Deep Well Services does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other status protected under federal, state, or local law. All employment is decided on the basis of qualifications, merit, and business need.
$27k-34k yearly est. 7d ago
Clinical Outcomes QA Nurse
CSI Pharmacy
Remote job
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
$72k-87k yearly Auto-Apply 2d ago
Clinical Review Nurse - Remote
Arc Group 4.3
Remote job
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.
$48k-67k yearly est. 2d ago
Clinical Research Nurse - Home Visits (PRN)
WEP Clinical
Remote job
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.
Position: Clinical Research Nurse - Home Visits (PRN) Job Type: Contract, PRN, Per Diem Work Location: 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 NurseLicensure
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!