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MDS Coordinator remote jobs

- 256 jobs
  • Lead MDS Coordinator

    Triedge Investments

    Remote job

    About Anthuria Anthuria is bringing AI innovation to senior living facilities, transforming how nurses and operators manage critical healthcare information. We use large language models to turn overwhelming volumes of clinical notes into clear, actionable insights that immediately improve patient care and operations. Founded only a few months ago and backed by a family office with deep healthcare expertise, we are already deployed in 250 facilities across 10+ states for initial trials. We're building a unified platform that streamlines cross-care team collaboration - something no competitor currently offers. Our understanding of our users' operations enables us to create products that become essential to their daily workflows in an industry where technological innovation has historically lagged. At Anthuria, we foster a culture of collaboration, support, and curiosity. We assume best intentions, pursue technical excellence, and remain focused on delivering client value. As a founding team member, you'll continuously shape not just our product direction but our culture and practices as well. This is a rare opportunity to make a massive impact from the ground floor as we build something transformative in healthcare. About the Chief Nursing Officer Role We're hiring a senior clinical leader to bridge hands-on nursing expertise with customer success and product development. This person will ensure customers realize maximum value from our platform while shaping internal workflows, PDPM strategy, and compliance standards. What You'll Do Serve as a clinical subject matter expert (SME), advising Product on MDS and PDPM-related workflows to ensure usability and alignment with real-world SNF practices Lead customer onboarding, training, and ongoing success, including solution engineering to adapt workflows to facility needs Act as a trusted advisor to facility staff, helping them optimize reimbursement, strengthen compliance, and capture PDPM opportunities Translate nursing and reimbursement expertise into actionable product feedback and feature requirements Partner closely with Engineering, Design, and AI teams to simplify complex clinical documentation and ensure accuracy in generated outputs Build educational programs and training content to elevate customer knowledge and adoption Who You Are 10+ years of experience as an MDS Coordinator, PDPM Consultant, Director of Nursing, or related clinical leadership role Deep knowledge of MDS assessments, PDPM reimbursement drivers, and SNF operations Strong communication skills with the ability to translate clinical expertise into product feedback and customer guidance Experience in training, solution engineering, or customer-facing advisory work is a plus Comfortable working in a fast-moving, early-stage environment where your impact is immediately visible LWhat We Offer Pay Transparency The annual base salary range for this position is $135,000-$165,000. Actual compensation offered to the successful candidate may vary from the posted hiring range based upon work experience, and/or skill level, among other things. This role is eligible for an annual performance bonus. Benefits $0 deductible and 100% employee covered health, vision, and dental benefit package 401(k) matching program of 50% up to 6% of annual salary. Unlimited PTO Beautiful custom-built office in NY with daily lunch Location Anthuria is headquartered in a brand new office space in New York's Hudson Yards. We've designed our workplace to foster the collaboration and spontaneous interactions that drive innovation. Our team works in-office four days per week, with flexibility to work remotely when needed. Please note: We are proud to be an equal opportunity employer, and we are committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, ethnicity, sex, age, national origin, citizenship status, disability, marital status, partnership status, sexual orientation, gender identity and expression, military or veteran status, or any other characteristic protected by federal, state or local law.
    $135k-165k yearly Auto-Apply 60d+ ago
  • MDS Coordinator (Remote)

    Radiant Medical Staffing

    Remote job

    Exciting MDS Coordinator positions in Seattle, Spokane, Olympia! Come work with a great team! Full Time Monday - Friday Day Shift For more information please contact:Katie Kettlety, Sr Executive RecruiterKKettlety@radiantmedstaff.com360-910-0965 JOB SUMMARY: As the Minimum Data Set Coordinator (MDS), you will aid in conducting and coordinating the development, completion, and transmission of the resident assessment in accordance with state requirements and the policies and goals of the facility. Your role will ensure that the MDS process is carried out effectively, supporting the overall care of residents and facilitating compliance with necessary regulations. RESPONSIBILITIES: Assisting in the completion of the Minimum Data Set (MDS) assessment for all residents. Coordinating the MDS process, ensuring accurate and timely submission in accordance with state and federal regulations. Collaborating with interdisciplinary teams to gather necessary data and support the resident's care planning process. Maintaining accuracy and integrity of resident information by ensuring all data is entered correctly. Monitoring resident status and changes that may require updates to MDS assessments. Assisting with compliance with the regulatory requirements governing MDS, including Medicare participation. Other Duties as Assigned QUALIFICATIONS: Current Oregon RN license in good standing (Required). 1-3 years of MDS experience. Knowledge of clinical standards of practice, regulations, and reimbursement governing long-term care and Medicare participation. Must be knowledgeable of nursing practices, procedures, terminology, laws, regulations, and guidelines that pertain to long-term care. Experience with PDPM (Patient-Driven Payment Model). Ability to work effectively in a team environment and manage multiple priorities.
    $73k-101k yearly est. 60d ago
  • Remote Vacation Planning Coordinator

    Reed's Adventures

    Remote job

    Job Description About the Role: Join our team as a Remote Vacation Planning Coordinator, assisting couples in planning trips that balance relaxation, fun, and convenience. You'll recommend destinations, arrange bookings, and handle the details so couples can enjoy stress-free getaways. Responsibilities: Help couples choose vacation destinations, resorts, and activities. Coordinate bookings for accommodations, transportation, and excursions. Provide recommendations for family-friendly experiences. Manage reservations, documentation, and payment processes. Maintain clear and supportive communication with clients. Qualifications: Strong communication and customer service skills. Organized, detail-oriented, and reliable. Comfortable working remotely and independently. Interest in family-oriented travel planning. What We Offer: Comprehensive training for new coordinators. Flexible scheduling with remote work. Performance-based pay structure. Ongoing mentorship and professional support. Access to travel resources and perks.
    $44k-65k yearly est. 29d ago
  • Planning Coordinator (Work From Home)

    Feyer&Associates

    Remote job

    Overview: Are you a self-driven individual with a passion for planning and helping people achieve their travel dreams? We are looking for a Planning Coordinator to join our team and work remotely. This role involves coordinating travel plans for clients by connecting with suppliers, such as hotels, cruise lines, airlines, and other travel services. As a commission-based position, your income is entirely derived from the sales you generate-offering unlimited earning potential based on your efforts. Responsibilities: Client Consultation & Planning: Work closely with clients to understand their travel needs and preferences. Provide expert recommendations on destinations, accommodations, and experiences. Supplier Management: Establish and maintain relationships with suppliers, including hotels, cruise lines, airlines, tour operators, and other travel service providers. Negotiate rates, packages, and availability. Booking and Coordination: Manage all aspects of client travel bookings, from accommodations to transportation, ensuring every detail is confirmed and in place. Sales and Relationship Building: Drive sales by providing personalized travel plans that meet client expectations. Build long-term relationships with clients to encourage repeat business and referrals. Ongoing Support: Offer continuous support to clients, assisting with changes, cancellations, or additional bookings as needed. Sales Tracking: Keep track of your sales, commissions, and performance goals. Regularly report on progress and work towards meeting sales targets. Marketing and Outreach: Promote your services to potential clients through social media, referrals, and other marketing channels. Stay Informed: Stay updated on the latest travel trends, offers, and promotions from suppliers to provide the best options for clients. Requirements: Must be 18 years of age or older. Must have access to a reliable Wi-Fi connection to work from home. Strong interest in travel, and the ability to research and recommend travel destinations, hotels, cruises, and other travel services. Sales experience or the willingness to learn and grow in a sales-driven environment. Excellent communication skills (both written and verbal) to interact with clients and suppliers. Ability to build and maintain relationships with suppliers and clients. Strong organizational skills and attention to detail to handle multiple clients and bookings. Self-motivated, independent, and goal-oriented with a passion for achieving success. Computer proficiency with the ability to work in online booking systems, email, and social media platforms. Previous experience in travel planning or hospitality is a plus but not required. Compensation: This is a commission-only position, meaning your earnings are based solely on the sales you generate. All profits from your bookings (hotels, cruises, flights, packages, etc.) will be commission-based, and there is unlimited earning potential. The more clients you help and the more bookings you secure, the higher your income will be. Benefits of Joining Our Team: Work from Home Flexibility: Set your own schedule and work from anywhere with a reliable internet connection. Unlimited Earnings: With a commission-based structure, you have the potential to earn as much as you want based on the sales you make. Training & Support: Receive comprehensive training and ongoing support to help you succeed in the travel industry. Access to Top Suppliers: Build relationships with major suppliers, including hotels, cruise lines, and airlines, to offer competitive packages to your clients. Growth Opportunities: Build your own travel planning business with the freedom to expand your client base and increase your earnings. How to Apply: Ready to take the next step in your career and earn based on your performance? We'd love to hear from you! Please submit your resume along with a cover letter explaining why you are a great fit for the Planning Coordinator role.
    $35k-52k yearly est. 60d+ ago
  • Care Coordinator - Clinical

    Healthfirst 4.7company rating

    Remote job

    is 100% Remote** ****Prefer Bilingual Spanish or Bilingual Mandarin//Cantonese** **Duties and Responsibilities:** + **Receive incoming calls from members regarding benefit questions//issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical intervention** + **Contemporaneously and accurately documents call in designated PHI system.** + **Manages an assigned member caseload who require short term care coordination and health navigation** + **Works within the interdisciplinary care team to support timely communication of member issues or needs and monitors screening of members effectively to improve quality and cost outcomes** + **Performs outreach calls to members to confirm services are in place** + **Additional duties as assigned** **Minimum Qualifications:** + **Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training or work experience** + **HS diploma//GED** + **Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills** + **Experience working in a fast-paced environment that requires handling multiple priorities simultaneously** **Preferred Qualifications:** + **Associates degree** + **Prior work experience in a call center, care management, or healthcare environment or familiarity with medical terminology, Medicaid & Child health plus benefit products.** + **Bilingual Spanish or Bilingual Mandarin//Cantonese** + **Excellent telephone, organizational, and customer service skills** + **Team player who is organized and detail-oriented** **Hiring Range*:** + **Greater New York City Area (NY, NJ, CT residents): $47,403 - $62,400** + **All Other Locations (within approved locations): $41,101 - $60,320** **As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.** **In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.** **_*The hiring range is defined as the lowest and highest salaries that Healthfirst in good faith would pay to a new hire, or for a job promotion, or transfer into this role._** WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
    $47.4k-62.4k yearly 5d ago
  • Wound Care Nurse - Telehealth Coordinator

    Redesign Health 4.2company rating

    Remote job

    We are seeking a dedicated and compassionate Wound Care Nurse, Telehealth Coordinator within the skilled nursing environment. The Wound Care Nurse, Telehealth Coordinator is the link between healthcare providers and patients while providing dressing changes to wounds, under direct supervision, utilizing real-time, imaging technologies. If you are passionate about excellent wound care and recognize the role telehealth has for consistent, convenient attention to patients in need, we encourage you to apply for the Telehealth Coordinator position and join our dedicated team. Responsibilities: Act as the in-person, hands on assistant to conduct weekly virtual wound rounds using technology under the guidance of wound care specialists, nurses, or healthcare providers. Photograph wounds using designated telehealth technology and ensure accurate documentation of images for clinical review. Aid patients in navigating telehealth platforms, troubleshoot technical issues, and ensure a seamless virtual connection for appointments. Facilitate patient telehealth scheduling, provide education on virtual visits to patients and staff as needed. Administer all aspects of wound care as per evidence based practice and facility policies, including dressing changes and rounds. Maintain strict adherence to patient confidentiality and privacy regulations, including HIPAA compliance, during all telehealth interactions and documentation processes. Submit orders for wound care products. Qualifications: Graduate of an accredited school of nursing required. Must possess current CPR certifications. Minimum of one (1) year of Wound Care experience required, (2) years preferred. Wound care certification is preferred. Must possess a current, unencumbered, active license to practice as a RN or LPN in state of practice. Excellent communication skills with the ability to convey medical information clearly to physicians, staff, patients and family Empathy, patience, and a genuine desire to provide quality healthcare services to patients at the bedside as well as through telehealth technology. Commitment to maintaining patient confidentiality, privacy, and data security in accordance with healthcare regulations (e.g., HIPAA). Ability to multitask, and adapt to changing telehealth workflows, job requirements, and patient populations. Prior experience in SNF, LTC, or Assisted Living preferred. Travel to assigned facilities using your personal car, valid driver's license, and mileage reimbursement offered. Role starts out Part-Time with the opportunity to be Full-Time.
    $72k-93k yearly est. Auto-Apply 60d+ ago
  • BILH Pharmacy Services - Field Based - In Home Nurse - Infusion RN Part Time 24 hrs. Days.

    Bilh

    Remote job

    When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The Registered Nurse creates & develops patient care plans to direct the safe and appropriate administration of medication in the home or alternate site setting. Working with Home Infusion staff the Registered Nurse helps identify patients capable of successful self-administration, educates patients & caregivers on proper administration techniques & methods, coordinates discharge activities, administers or supervises administration of medication, provides IV site dressing care and phlebotomy services as ordered. Job Description: Primary Responsibilities: 1. Practices in accordance with the state and federal laws, rules, and regulations, including but not limited to Massachusetts Board of Registration in Nursing, Department of Public Health, the Food and Drug Administration, the Drug Enforcement Administration, and the United States Pharmacopeia. 2. Assesses patient needs and capabilities for acceptance onto services for ordered therapies through physical assessment, chart review, patient interview. 3. Provides education with patient & caregiver as a condition of acceptance onto home infusion services (in person, via prerecorded videos or teleconference). 4. Collects necessary authorizations, paperwork, signatures when needed to support patient billing functions. 5. Effectively communicates with all members of patient discharge team (hospital based & pharmacy based). 6. Able to effectively manage patient census & demonstrate flexibility in scheduling to meet time sensitive patient needs. 7. Adheres to policies & procedures for medication handling, preparation, administration, disposal. 8. Advocates patient needs to prescribers or other clinicians through written or verbal communication. 9. Create patient specific care plan, documents patient progress towards goals. 10. Maintains accurate listing of all medications, supplements & diagnoses patient has. 11. Create discharge plan for patient upon completions of therapy as ordered, or if abrupt discontinuation is required. 13. Participates in continuous quality control exercises, policy & procedure review, performance improvement tasks. 14. Take part in clinical on-call rotation for after-hours patient support. Required Qualifications: 1. Current licensure from the Massachusetts Board of Registration in Nursing. 2. Flexibility with hours worked to provide support evenings/weekends/holidays. 3. Current BLS certification 4. 2 years of Infusion related experience required. 5. Valid Driver's license & auto insurance Preferred Qualifications: 1. CRNI certification 2. Current ACLS certification Competencies: Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers. Oral Communications: Ability to comprehend and converse in English to communicate effectively with staff, patients, families and external customers. Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. Adaptability: Ability to work in a fast paced environment and adapt to acute change. Social/Environmental Requirements: Health Care Status: HCW 3: Regular provision of service in a patient care area. Sensory Requirements: Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity feet, Conversation, Monitoring Equipment, Telephone, and Background Noise. Physical Requirements: Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. This job requires constant walking, Endurance-working up to 4-6 hours without a break, frequent sitting, standing, twisting neck, twisting waist, Keyboard use, Reaching-above shoulder height, Reaching-below shoulder height, Lifting and carrying items weighing up to 10 lbs, pushing items weighing up to 10 lbs. There may be occasional bending neck, bending waist, Fine Manipulation using both hands, Pushing/Pulling using both hands. Pay Range: $37.00 - $66.70 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled
    $37-66.7 hourly Auto-Apply 6d ago
  • Clinical Care Coordinator

    Phamily

    Remote job

    Job Title: Clinical Care Coordinator (Remote) - Text-Based APCM Program Department: Clinical Operations Position Type: Full-Time Our team is growing! Jaan Health is seeking dynamic and motivated Licensed Practical Nurses (LPNs) Clinical Care Coordinators to join our care team and will report to the Clinical Operations Manager. This role requires strong clinical knowledge, adaptability, and the ability to thrive in a fast-paced, patient-centered environment. The LPN will support chronic care management (CCM) and advanced primary care models (APCM) by providing direct patient engagement, care plan support, and clinical triage. This position is remote and offers health benefits as well as a retirement plan and paid days off. Our company serves 90+ clients who care for over 50,000 patients. We are a rapid-growth B2b SaaS company that offers our clients a software platform called Phamily (********************* to provide connected care management to their patients. Phamily keeps patients in contact with their care manager, who regularly checks up on them and acts as a resource for any concerns they might have about their health in order to keep them happier and healthier for longer. About the Role We are seeking a compassionate, organized, and tech-savvy Clinical Care Coordinator to support patients with chronic conditions in our text-based Advanced Primary Care Management (APCM) program. This remote role focuses on delivering proactive, high-quality care through digital communication tools, driving better health outcomes for Medicare and older adult populations. This position is ideal for healthcare professionals who thrive in a virtual care setting, value patient engagement, and are skilled in critical thinking and care coordination. Candidates in other locations may apply, but applications will be held until there are additional resources needed outside of the initial target areas. Key Responsibilities Serve as the first line of communication for patients via a secure, text-based platform Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers Develop and update personalized care plans for patients with chronic conditions (e.g., hypertension, diabetes, COPD) Develop, implement, and revise care coordination workflows or protocols to support the evolution of the care model to improve efficiency and scalability Analyze patient data or trends to identify care gaps or improve outcomes Independently making decisions on patient outreach priorities, resource allocation, or escalation paths Lead quality improvement initiatives or case review meetings Serve as a liaison for payer utilization management, interpreting policy, and advising on compliance Track engagement, log care time, and document all communication per HIPAA and program guidelines Identify and troubleshoot issues that arise during new program iterations, escalating to leadership when there are critical impacts or opportunities for system-wide improvements Collaborate with RNs, NPs, and Social Workers to ensure timely escalation and follow-through Key Skills & Qualifications 2+ years of experience in a clinical or care coordination role (primary care, chronic care management, home health, etc.) LPN w/ compact license strongly preferred Strong critical thinking and problem-solving skills in a fast-paced environment Ability to independently manage a digital patient panel and prioritize escalations effectively Excellent written communication and documentation skills Comfort using EMRs, care coordination platforms, and digital messaging tools Knowledge of Medicare CCM/APCM programs a plus Bilingual (Spanish) is a bonus but not required Must be located within the continental United States and have access to reliable internet and ability to work in a specified time zone - either CST, EST, or PST depending on client and candidate location Access to Internet 5G Schedule & Work Environment Full-time, Monday-Friday Flexible remote schedule across CST, EST, or PST time zones 1-hour lunch break, daily huddles with manager/team Ongoing support from a multidisciplinary care team Why Join Us? Mission-driven organization focused on health equity and innovative digital care Collaborative, diverse, and growth-focused culture Opportunities for professional development and internal promotion Competitive compensation and benefits package Be part of redefining how care is delivered-one text at a time
    $37k-51k yearly est. Auto-Apply 41d ago
  • Member Care Coordinator, Clinical

    Calibrate 4.4company rating

    Remote job

    OUR MISSION Calibrate is on a mission to change the way the world treats weight by redefining obesity care as a matter of biology, not willpower. Designed by world leaders in metabolic health, our program combines clinical research, personalized coaching, and lifestyle intervention to deliver lasting weight loss and improved metabolic outcomes. With obesity as America's largest chronic condition, impacting 175mm adults in a $600B market, we're closing the care gap by offering the first value-based model in obesity treatment. Since launching DTC in 2020, we've expanded into enterprise channels to improve access, and our app-based experience supports members with coaching, tailored education, daily tracking, and community engagement across the four pillars of metabolic health: food, sleep, exercise, and emotional wellbeing. ABOUT THIS ROLE A Member Care Coordinator sits at the intersection of Member Experience and Clinical Operations. The role of a Member Care Coordinator is to ensure that members receive timely, coordinated, and high quality care; acting as the “glue” between the Clinical, Coaching, and Operational teams. They ensure smooth handoffs between teams, including but not limited to, tracking lab results, medication approvals, and any necessary clinical follow up to ensure members proceed through their journey seamlessly. KEY RESPONSIBILITIES Execute critical clinical administrative workflows focusing on resolving readiness barriers to accelerate members toward provider review and medication access. Facilitate provider workflow efficiency by preparing clinical documents and proactively triaging member needs for specialty support. Facilitate structured handoffs of critical information to Clinical and Coaching teams to ensure timely follow-up regarding changes in medication, denials, or approved exception paths. Engage in cross-functional meetings and work collaboratively with others departments to improve and maintain a high level of member care. Identify and formally report recurring systemic issues, submission errors, or trends that contribute to operational friction. Manage the end-to-end medication access workflow with complete ownership, including the proactive gathering of relevant clinical data, coordinating with clinicians for additional necessary information, complex Prior Authorization (PA) submission, denial investigation, appeal documentation, final determination and overrides when applicable. Proactively contact members via phone and secure message to request necessary information (e.g., previous prescription history, documentation) and deliver clarity regarding complex PA status changes or delays. Conduct outbound calls to insurance carriers, PBMs, and pharmacies to obtain specific case statuses, track documentation, and secure approvals. Ensure all communication, investigation notes, and PA statuses are accurately logged in the case management system (e.g., Zendesk, MJD) to maintain a complete and auditable member record. Initiate and resolve pharmacy-level rejections (e.g., refill too soon, insurance coding errors, wrong dose dispensed) by conducting outbound calls to dispensing pharmacies and PBM help desks. Troubleshoot technical or administrative insurance issues that prevent successful claims processing. BACKGROUND AND EXPERIENCE Completion of a formal medical assisting program is highly valued. Preference will be given to candidates who hold a national certification, such as Certified Medical Assistant (CMA) awarded by the AAMA or Registered Medical Assistant (RMA) awarded by the AMT. Familiarity with case management systems (e.g., Zendesk), Electronic Health Records (EHR), and PA/e-prescribing platforms is highly desirable. 2+ years of high-volume customer service, call center, or patient advocacy experience, preferably in a healthcare, pharmacy, or PBM setting. Demonstrated track record of managing complex, multi-step processes where follow-up and persistence are critical to success (i.e., comfortable making multiple calls to solve a single problem). Exceptional verbal and written communication skills with the proven ability to handle challenging, escalated calls/messages with professionalism and empathy. Demonstrated proficiency in medical terminology and clinical documentation to accurately interpret patient charts, understand treatment plans, and effectively communicate with clinical providers and payers. Strong organizational skills and meticulous attention to detail in documentation. Proficiency in interpreting and translating complex insurance terminology for the member. Proactive problem solver with a self-starter mentality. Ability to work independently and manage case load effectively. The rate for this role is $20-$22 per hour. OUR VALUES We're in it together: We have an audacious mission, and we're building a lot of things for the first time - from the first DTC pharma business within the healthcare ecosystem to the data infrastructure for providing real-world evidence in the largest category of chronic disease. It takes superpowers to build something simple and intuitive within the complex healthcare market, so we identify and work as a team from our individual points of strength. Not everyone has to be good at everything, but we know that when we harness what we're each great at, we're unstoppable. Small wins create big wins: We ground every experience in optimism, recognizing and celebrating successes along the way. We break projects down into smaller components. And we focus on where we have momentum. We always plan for larger goals with the knowledge that our plans will evolve as we achieve smaller milestones. You're in control: We don't let location stand in the way of the best talent - and from coaches to engineers, we are a remote-first team. Our business is multi-faceted, so each Calibrater is hired to be an expert in their piece of it - in control of their own initiatives, in control of their own impact, and in control of driving their own (real) results. Real results matter: We're obsessed with outcomes because when our members win, we win, and the data proves that we've built the best metabolic health program on the market. We're purposeful, optimistic, and relentlessly confident that we can solve the biggest medical issue of the 21st century. Calibrate is proud to be an equal opportunity workplace, providing equal employment and advancement opportunities to all team members. To achieve our mission of changing the way the world treats weight, we are building an environment where every Calibrater can thrive, feel a sense of belonging, and do the best work of their careers. We value diversity and recruit, hire, and promote individuals solely based on talent, qualifications, competence, and merit. We evaluate candidates without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics as required by law and as a matter of our company values. #LI-REMOTE
    $20-22 hourly Auto-Apply 10d ago
  • Bilingual Nurse Care Coordinator

    Imagine Pediatrics

    Remote job

    Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The primary location for this position is remote (CST required). Expected schedule will be 3x12s (Monday-Wednesday or Wednesday-Friday) 7:00am-7:00pm CST. What You'll Do As a Pediatric Nurse Care Coordinator at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem. You leverage an integrated technology platform and are complimented by an entire interdisciplinary team including MDs, APPs, social workers, navigators, pharmacists, and dietitians. You will: Provide professional and friendly proactive care and triage for clinical issues. Embed a family centered care philosophy in care delivery. Demonstrate cultural competence and sensitivity as ability to work with culturally diverse populations and seek out additional resources when needed. Transition of care for ED/IP/UC care coordination with clinical providers following discharge. Perform a comprehensive assessment of a patient's clinical, psychosocial, discharge planning and financial needs. Establishes clinical milestones and goals related to these issues. Establish rapport and a relationship with the patient and family in order to understand their needs and expectations and to assist them in setting realistic and mutual goals. Integrate an awareness of cultural factors in the patient/family interview process and elicit clinically relevant cultural information. In conjunction with the physician, the patient and interdisciplinary team, establishes a comprehensive plan of care to appropriately address clinical milestones. Communicate plan of care, including changes and issues related to plan of care to patient/family, physicians and other members of the healthcare team. Gather sufficient information from all relevant sources to determine the effectiveness of the plan of care to assure it is done in an accurate, safe, timely and cost-effective manner. Document all care management assessments and interventions. Refer to Social Worker or Behavioral Health for complex psychosocial and discharge planning issues (per criteria) and ensures appropriate follow-up. Consults with other members of the interdisciplinary team (dietary, pharmacy, etc.) to provide safe discharge as appropriate. Perform other duties as assigned What You Bring & How You Qualify First and foremost, you're passionate and committed to reimagining pediatric health care and creating a world where every child with special health care needs gets the care and support they deserve. You will need: Licensed RN in at least one state with eligibility to register for other state licensures. Bachelor's in nursing from an accredited university required. Pediatrics experience required in outpatient (primary care and/or subspecialty), home health, complex care, pediatric ICU, emergency medicine, etc. Minimum 1 year care coordination or case management experience preferred. Bilingual Spanish preferred Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We're guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
    $40-47 hourly Auto-Apply 24d ago
  • Remote Health Plan Nurse Coordinator

    Actalent

    Remote job

    Job Title: Health Plan Nurse CoordinatorJob Description The Health Plan Nurse Coordinator is a Registered Nurse assigned to various Health Services operational units. These units include Utilization Management, Case Management, Enhanced Care Management, Disease Management, Pediatric-Whole Child Model, and Population Health programs. The role involves performing utilization management activities, including telephonic or onsite clinical reviews, case or disease management, care coordination, transition activities, or population health activities. The position requires working with a specific member population and may require bilingual skills in Spanish for certain roles. Responsibilities * Comply with HIPAA, Privacy, and Confidentiality laws and regulations. * Adhere to Health Plan, Medical Management, and Health Services policies and procedures. * Stay informed about clinical knowledge related to disease processes. * Communicate effectively, both verbally and in writing, with providers, members, vendors, and other healthcare providers. * Function as a collaborative member of the multi-disciplinary medical management team. * Identify and report quality of care concerns to management and appropriate departments. * Support and collaborate with team members in implementing and managing Utilization Management, Case Management, Disease Management, Population Health, Care Coordination, and Care Transition activities. * Participate in the implementation, assessment, and evaluation of quality improvement activities. * Adhere to mandated reporting requirements and comply with regulatory standards. * Be positive, flexible, and open to operational changes. * Attend and actively participate in department meetings. * Participate in the development and evaluation of department initiatives aimed at improving member quality of care. * Stay updated on healthcare benefits and limitations, regulatory requirements, disease processes, treatment modalities, community standards, and professional nursing standards. Essential Skills * Utilization management and review experience. * Strong multi-tasking, organizational, and time-management skills. * Clinical knowledge of adult or pediatric health conditions and disease processes. * Ability to work both individually and collaboratively in a cross-functional team environment. * Excellent interpersonal and communication skills. * Ability to compose clear, professional correspondence. * Understanding of quality improvement theory and strategy. * Experience with HEDIS medical record abstraction. Additional Skills & Qualifications * Registered Nurse (RN) license. * Bilingual skills in Spanish may be required for certain roles. * Experience in case management and working with health plans and providers. Work Environment The role is based in an office setting where the services team works collaboratively. The team includes Case Management, Pharmacy, UM, and Pediatrics. It is a supportive and helpful environment with a mission-driven company that values its employees, offering catered lunches weekly. Job Type & Location This is a Contract position based out of Santa Barbara, CA. Pay and Benefits The pay range for this position is $47.00 - $47.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 20, 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.
    $47-47 hourly 4d ago
  • Licensed Practical Nurse- Home Based Medicine

    Healthpartners 4.2company rating

    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 practical nursing care to patients in accordance with the Minnesota Nurse Practice 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. Required Qualifications: Graduate from an accredited school of practical nursing. Must maintain a current state license of practical nursing. 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!
    $38k-48k yearly est. Auto-Apply 7d ago
  • Utilization Review Nurse- LVN

    Virginpulse 4.1company rating

    Remote job

    Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future. Responsibilities Ready to Make Critical Decisions That Ensure Appropriate Patient Care? Under the supervision of a registered nurse the Utilization Review Nurse will provide professional assessment and review for the medical necessity of treatment requests and plans. Evening and weekend availability will be required. What You'll Actually Do Provide first level review for all outpatient and ancillary pre-certification requests for medical appropriateness; all inpatient hospital stays including mental health, substance abuse, skilled nursing and rehabilitation for medical necessity; and all post claim or post service reviews. Ensure proper referral to medical director for denial authorizations through independent review organizations (IRO). Work with hospital staff to prepare patients for discharge and ensure a smooth transition to the next level of care. Refer requests that fall outside of established guidelines to advance review or senior care consultants. Process appeals for non-certification of services; complete non-certification letters when appropriate. Review plan document for benefit determinations; attempt to redirect providers and patients to PPO providers. Identify and refer potential cases to case management, wellness, chronic disease and Nurturing Together program. Complete documentation for all reviews in Eldorado/Episodes; maintain confidentiality. Utilize MCG guidelines, medical policies, Medscape, and NCCN. Ability to meet productivity, quality, and turnaround times daily. Qualifications What You Bring to Our Mission The clinical foundation: Current LVN license in the United States or U.S. territory. 1+ years of clinical experience required. The professional competencies: Knowledge of medical claims and ICD-10, CPT, HCPCS coding. Proficiency in software applications including, but not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Outlook Excellent verbal and written communication skills Ability to speak clearly and convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others. Why You'll Love It Here We believe in total rewards that actually matter-not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) Mental health support and wellness programs designed by experts who get it Flexible work arrangements that fit your life, not the other way around Financial security that makes sense: Retirement planning support to help you build real wealth for the future Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: Professional development opportunities and clear career progression paths Mentorship from industry leaders who want to see you succeed Learning budget to invest in skills that matter to your future A culture that energizes: People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: Competitive base salary that rewards your success PTO policy because rest and recharge time is non-negotiable Benefits effective day one-because you shouldn't have to wait to be taken care of Ready to create a healthier world while building the career you want? We're ready for you. No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this role, we'd love to learn more about you. Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $28 to $30 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for benefits. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to **************************. All of our legitimate openings can be found on the Personify Health Career Site.
    $28-30 hourly Auto-Apply 5d ago
  • MDS Nurse-RN/LPN Remote-Michigan Licensed

    Concept Rehab 4.1company rating

    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 Licensed Practical Nurse (LPN) with active Nursing licensure. 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. 9d ago
  • Remote RMA or LPN Spanish/English (Registered Medical Assistant or Licensed Practical Nurse)

    Mdexam

    Remote job

    Who we are MD Exam offers Telehealth services for patients that are interested in losing weight and feeling great. We are looking for fluent Spanish/English speaker with a positive attitude and who is wants to impact hundreds of patients in meaningful ways. We believe weight loss is the single most effective mental health treatment. Your Responsibilities You will work under one of our managing providers and have a variety of day to day tasks: Run video consultations that will be scheduled for each patient Review patient charts and documents Support patients on their journey to weight loss success Immediate openings for all days, 8 hour shifts and 10 hour shifts available. Schedules are set a month in advance. You must be comfortable working from your home office 100% of the time. You must have a current computer/webcam with reliable high speed internet. Job Details Job Type: Full-time and Part Time Weekly schedule: Day, Nights and/or Weekends Education: Associate (Preferred) Experience: RMA or LPN: 3 years (Preferred) License/Certification: RMA or LPN (Preferred) Languages: English/Spanish (Required) Work Location: Remote
    $42k-61k yearly est. 60d+ ago
  • LPN / LVN - Remote Nurse (FT)

    Flagler Health 4.7company rating

    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
  • Licensed Practical Nurse (LPN) - Primary Care

    Inova Health System 4.5company rating

    Remote job

    Inova Primary Care is looking for a dedicated LPN to join the team. This role will be full-time, Monday- Friday, day shift hours. Sign on bonus and relocation assistance available for eligible candidates. Schedule: M-F: 8:00 am - 5:00 pm 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. The Licensed Practical Nurse (LPN) - Outpatient provides basic therapeutic nursing care according to established standards of practice under the direction and supervision of the Registered Nurse (RN). Provides care to patients whose care requirements are routine/standardized and with predictable outcomes. Assists the healthcare team in achieving desired patient outcomes. Participates in quality and performance improvement initiatives. Job Responsibilities Provides direct patient care utilizing the nursing process under the direction and supervision of the RN. Maintains and reviews patient medical records, notes and physician orders while documenting all patient care activities in accordance with documentation standards. Participates on unit teams, work groups and/or committees. Participates in quality and performance improvement initiatives. Performs other duties as assigned. Requirements Certification - Basic Life Support upon start Licensure - Licensed Practical Nurse or eligible for licensing in the commonwealth of Virginia as a Licensed Practical Nurse upon start Experience - None Required Education - Vocational/Technical Nursing KSAs - Technology use; Effective relationships/Interpersonal skills; Collaboration; Effective communication Preferred Qualifications: 1-2 years of experience in ambulatory setting as Medical Assistant.
    $41k-56k yearly est. Auto-Apply 60d+ ago
  • Ambulatory Registered Nurse or LPN (Remote) - Diabetes & Endocrinology Center - FT - Day

    Stormont-Vail Healthcare 4.6company rating

    Remote job

    Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information - Ambulatory RN Exemption Status: Non-Exempt Endocrinology nursing is a specialty within the nursing profession that encompasses the care of individuals who suffer from endocrine disorders. Diabetes and Endocrinology department nurses provide episodic and chronic nursing care to patients by telephone or web portal to include assessing patients, refilling medications per standing orders, evaluating the patient's understanding of their medication regime, and providing education and advocacy to patients and their families. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Education Qualifications Bachelor's of Science in Nursing (BSN) Preferred Experience Qualifications 1 year Nursing experience. Preferred Skills and Abilities Skill in applying and modifying the principles, methods and techniques of professional nursing to provide on-going patient care. (Required proficiency) Skill in establishing and maintaining effective working relationships with patients, medical staff and the public. (Required proficiency) Ability to maintain quality control standards. (Required proficiency) Ability to react calmly and effectively in emergency situations. (Required proficiency) Licenses and Certifications Registered Nurse - KSBN Required What you will do Triage of all incoming phone calls by evaluating the physical and psychosocial health status of patients. Follows nursing protocols and guidelines for answering and directing calls. Record and reports patient's condition and reaction to drugs and treatments to interdisciplinary team. Provide instruction to patients/family regarding treatment. Maintains and reviews patient records, charts, and other pertinent information. Oversee appointment bookings and ensure preferences are given to patients in emergency situations. Arranges for patient testing and admissions. Refill prescribed medications per standing orders. Clarify medication orders and refills to pharmacies as directed by providers. Perform medication prior authorizations as needed by providing needed clinical information to insurance. Maintain timely flow of patient to include scheduling of follow up appointments if needed. Working of in-basket medication refill requests for providers. Provide education to patient and family on medications, treatments and procedures. Record and report patient's condition and reaction to drugs and treatments to interdisciplinary team, reviewing patient records and other pertinent information. Ensure patients receive appointments that align with triage disposition and that maintain timely flow of patients. Coordinate patient testing, referrals, and admissions Work collaboratively with on-site staff to provider coordinated patient care 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 Not 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 Full-Time Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Rarely less than 1 hour Carrying: Rarely less than 1 hour Eye/Hand/Foot Coordination: Occasionally 1-3 Hours Feeling: Rarely less than 1 hour Grasping (Fine Motor): Occasionally 1-3 Hours Grasping (Gross Hand): Rarely less than 1 hour Handling: Rarely less than 1 hour Hearing: Occasionally 1-3 Hours Kneeling: Rarely less than 1 hour Sitting: Frequently 3-5 Hours Standing: Rarely less than 1 hour Stooping: Rarely less than 1 hour Talking: Frequently 3-5 Hours Walking: Rarely less than 1 hour Working Conditions Combative Patients: Rarely less than 1 hour Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Noise/Sounds: Rarely less than 1 hour 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.
    $34k-47k yearly est. Auto-Apply 60d+ ago
  • LPN Remote Chronic Care Manager

    Phamily Staffing

    Remote job

    Chronic Care Manager (LPN) - Fully Remote Sweeten Health (via Phamily) We are seeking a compassionate and patient-centered Licensed Practical Nurse (LPN) to join our care team as a Chronic Care Manager. This fully remote position plays a key role in supporting patients with chronic conditions by providing proactive, ongoing care coordination and education. Ideal candidates are highly organized, strong communicators, and committed to making a difference in patients' day-to-day lives. Position Details: Position Type: Full-time, 40 hours/week Schedule: Monday-Friday, no evenings or weekends Compensation: $22.00/hour (non-negotiable starting rate) Work Environment: Fully remote (see tech requirements below) Qualifications: Active LPN license (required) Own Windows-based computer with webcam (tablets/iPads not supported) Reliable home Wi-Fi connection Previous remote work experience preferred Strong interpersonal and organizational skills Benefits: Paid Time Off (PTO) & Paid Holidays Fully remote role with weekday-only schedule 401(k) eligibility after 1 year of full-time employment Key Responsibilities: Conduct comprehensive patient assessments to develop individualized care plans Collaborate with interdisciplinary care teams, including hospitals and primary care providers Monitor patient health status and facilitate follow-up care Educate patients and families about self-management, medications, and available resources Maintain accurate and timely documentation in compliance with regulatory standards Advocate for patient needs and coordinate services to ensure continuity of care Application Requirements: To be considered, applicants must: Acknowledge the starting rate is $22/hour Confirm use of a personal Windows computer with webcam (no tablets/iPads)
    $22 hourly Auto-Apply 60d+ ago
  • Care Transitions Nurse - Atrium Remote PT Weekends 8a-8:30p

    Advocate Health and Hospitals Corporation 4.6company rating

    Remote job

    Department: 39733 Enterprise Corporate - Care Transitions Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional Information: Preferred qualifications: 3+ years RN: experience in case management, triage, with prior telephonic/remote experience. This is a weekend position, hours of operation 8am to 8:30pm. This is a remote work from home position. Must have high speed internet. Must live within 1 hour of Mint Hill Primary Care office. Potential to include holidays. Pay Range $37.50 - $56.25 Must live within an hour of Mint Hill 5 years of inpatient experience in the Med Surg area with additional experience in the ED/Clincic setting is a plus. Having experience talking with patients on the phone is also a plus, since all their work will be done via phone Job Summary Facilitates a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs. The Care Manager assesses needs, plans, coordinates, and evaluates services of patients with the goal of equipping and empowering individuals and their families to easily access resources and adopt healthy lifestyles that will increase their ability to remain in the most appropriate care setting. Care Managers focus on five primary areas: 1) population management, 2) patient self-management support, 3) transitions in care, 4) resource connection, and 5) appropriate resource utilization. Works collaboratively and maintains active communication with the multidisciplinary care team including providers, pharmacists, social workers, behavioral health specialists, and nurses to achieve timely, appropriate patient management. Essential Functions Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies. Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings. Conducts or participates in comprehensive “all-system” needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population. Develops and maintains accurate case records of each referred customer/patient. Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems. Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care. Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. Physical Requirements Work requires walking, standing, lifting, reaching, bending, and stooping. Must lift a minimum of thirty-five pounds' shoulder high. Ability to travel/drive between various locations is required for this position. Requires frequent verbal and written communication in English. Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate. Must be able to respond quickly to changes in assignments. Occasional intermittent noise and exposure to conditions such as dust, fumes, and chemicals. Education, Experience and Certifications BSN required. Masters preferred. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state ofresidency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Two years' experience required in health care. Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company. Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol. Clinical competence in disease management and case management principles. Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team. Requires demonstrated knowledge and proficiency in appropriate tools.BLS required per policy guidelines . Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $26k-56k yearly est. Auto-Apply 11d ago

Learn more about mds coordinator jobs

Top companies hiring mds coordinators for remote work

Most common employers for mds coordinator

RankCompanyAverage salaryHourly rateJob openings
1Schuyler Hospital$77,709$37.360
2Key Rehabilitation$76,938$36.990
3Link Staffing$70,687$33.980
4The Briarwood$68,036$32.710
5Altoona Center for Nursing Care$62,426$30.011

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