Nurse Coordinator remote jobs - 524 jobs

TXDOT Utility Coordination Engineer PM (P.E.)
BGE 4.4
Remote job
BGE is looking to hire a TXDOT Utility Coordination Engineer PM (P.E.) for our Transportation systems dept. BGE, Inc. is a nationwide consulting firm that provides services in civil engineering, planning, landscape architecture, construction management, survey, and environmental services for public and private clients. Our employees enjoy a comprehensive benefits package such as outstanding health care, generous 401(k) match, career mapping and highly competitive time away from work programs to include remote work options, dependent care, and flexible Fridays. Locations: 2595 Dallas Pkwy #101, Frisco, TX 75034 777 Main St Ste. #1900, Fort Worth, TX 76102 Responsibilities: Project Manager for Utility Coordination/engineering projects. Direct responsibility for Subsurface Utility Engineering (SUE) and utility coordination/ engineering projects. Overseeing the preparation of existing SUE utility plans. Providing quality assurance/quality control (QA/QC) reviews of field data and deliverables. Conduct meetings, prepare agreements and/or cost estimates, review design plans, specifications and other submittals. Designs and reviews utility relocation plans to comply with federal, state, and local laws and regulations. Preferred: Designing and reviewing utility relocation plans in compliance with federal state and local laws and regulations, by becoming well versed with the interpretation of: TXDOT's Utility Accommodation Rules TXDOT's Utility Manual, TXDOT's Roadway Design Manual, TXDOT's Manual on Uniform Traffic Control Devices (TMUTCD), CRF 645 Subparts A & B (Code of Federal Regulations of Utilities) AREMA (American Railway Engineering and Maintenance Association) Requirements: Licensed Texas Professional Engineer (PE) Bachelor's Degree in Civil Engineering or related field 5+ years of experience preferred Proficient in MicroStation and MS Office, Knowledgeable of Geopak Position requires strong communication skills, scheduling, problem-solving skills and presentation skills Ability to simultaneously perform, track, prioritize, and coordinate challenges across multiple projects, multiple utility owners and professionals Situational problem-solving abilities with various utility engineering circumstances and with multiple stake holders Ability to train and lead less experienced utility EIT staff Benefits to name a few... Established company with a diverse range of projects we work on, a flexible work environment and a collaborative atmosphere. No Silos (ability to flex to other groups, share resources and learn their business) Best work life balance in the industry! Unlimited Sick Leave (9/80) schedule choice - have every other Friday off. 3% Safe Harbor contribution 4% 401k Match with immediate vesting Merit Based Bonus Compensation Medical, Dental, Vision 9 Holidays 6 Weeks of work from anywhere program. Personal time Allowances (no time deducted for Dr appointments, family care, 32 hour dependent care, etc) 240 Vacation carry over time. 0-5 years in industry 2 weeks' vacation, 5-10 gets 3 weeks, 10+ gets 4 weeks. Flex time - Start from the hours of 7a - 9a Mentorship Program - Mentoring Program is to provide our Mentors the opportunity to gain a sense of fulfillment and personal growth, and our Mentees with the opportunity to learn and receive guidance from seasoned professionals. Employee referral program for bringing great people into the BGE family Not accepting non-resident applicants or Sponsorships. BGE is an equal opportunity employer and values diversity. We prohibit discrimination and all employment is decided based on qualifications, merit and business need. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin or any other classification protected by federal, state or local laws. BGE, Inc. is a nationwide consulting firm that provides services in civil engineering, planning, landscape architecture, construction management, survey, and environmental services for public and private clients. Our employees enjoy a comprehensive benefits package such as outstanding health care, generous 401(k) match, career mapping and highly competitive time away from work programs to include remote work options, dependent care, and flexible Fridays. Locations: 2595 Dallas Pkwy #101, Frisco, TX 75034 777 Main St Ste. #1900, Fort Worth, TX 76102 Responsibilities: Project Manager for utility coordination/engineering projects. Experience with utility coordination of public and private utilities to include electric, telecom, pipelines, etc. Design and construction experience of roadway and highway projects Perform utility and Right of Way research Review utility construction plans and coordinate relocations to meet client schedules Represent BGE at client meetings Work in a safe and efficient manner Working on utility relocation/coordination projects within Texas for several agencies - DOT's, RMA's, Counties, Cities and major railroad companies Identifying and resolving utility conflicts in the most feasible and time sensitive manner Needs experience in utility relocation, roadway and drainage design Inputting utility information into MicroStation creating Utility Layouts, creating plans sheets for design of utility relocation Continual coordination with client and utility owners to ensure project schedules are met Preferred: Designing and reviewing utility relocation plans to be in compliance with federal state and local laws and regulations, by becoming well versed with the interpretation of TXDOT's Utility Accommodation Rules, TXDOT's Utility Manual, TXDOT's Roadway Design Manual, TXDOT's Manual on Uniform Traffic Control Devices (TMUTCD), CRF 645 Subparts A & B (Code of Federal Regulations of Utilities) and AREMA (American Railway Engineering and Maintenance Association) Requirements: Bachelor's Degree in Civil Engineering or related field 5+ years of experience preferred Licensed Texas Professional Engineer (PE) or ability to obtain a Texas certification within 6 months of hire Proficient in MicroStation and MS Office, Knowledgeable of Geopak Position requires strong communication skills, scheduling, problem-solving skills and presentation skills Ability to simultaneously perform, track, prioritize, and coordinate challenges across multiple projects, multiple utility owners and professionals Situational problem-solving abilities with various utility engineering circumstances and with multiple stake holders Ability to train and lead less experienced utility EIT staff Benefits Established company with a diverse range of projects we work on, a flexible work environment and a collaborative atmosphere. No Silos Best work life balance in the industry! Unlimited Sick (9/80) schedule choice - have every other Friday off. 3% Safe Harbor contribution 4% 401k Match with immediate vesting Performance Based Bonus Compensation Medical, Dental, Vision Employee referral program for bringing great people into the BGE family BGE is an equal opportunity employer and values diversity. We prohibit discrimination and all employment is decided on the basis of qualifications, merit and business need. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin or any other classification protected by federal, state or local laws.
$55k-67k yearly est. 7d ago

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RN Clinical Supervisor - Hybrid Schedule
Aveanna Healthcare
Remote job
Salary:$65,000.00 - $70,000.00 per year Details Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an award-winning culture. We're committed to fostering diversity, collaboration, and providing support at every step. What Sets Aveanna Apart? Award-Winning Culture * Recognized in Indeed's Work Wellbeing Top 100 Companies of 2024 * Named Best Company for Work-Life Balance, Happiest Employees, Best Culture, and Best CEO by Comparably in 2024 Comprehensive Benefits Package Health, Dental, Vision, and Company-paid Life Insurance Paid Holidays, Vacation Days, and Sick Days Quarterly Bonus Opportunities Mileage Reimbursement 401(k) Savings Plan with Employer Matching Employee Stock Purchase Plan with a 15% Discount Tuition Discounts and Reimbursement Program (conditions apply) Nationwide Presence with Advancement Opportunities Employee Recognition Programs and Relief Fund Structured New Hire Orientation Employee Resource Groups for Community and Support Position Details Compensation: $65,000 base salary + quarterly bonuses + paid rotating on-call. Schedule: Monday-Friday, daytime hours; full-time with on-call rotations. Location: Houston, TX 77029, in-home visits and Potential Hybrid (varies based on branch need) This leadership position combines clinical expertise and administrative responsibilities, managing a caseload of medically fragile patients while ensuring that care delivered by field staff exceeds the Aveanna Clinical Standard of Excellence. Key components include internal case management, assisting with hospital discharges, coordinating start-of-care processes, and validating nurse competencies. This position offers the opportunity to mentor and guide field staff in patient homes while driving positive outcomes in a dynamic environment. Responsibilities Manage internal casework and evaluate nursing talent development. Perform "Start of Care Assessments" and "Re-evaluations" to transition patients from facilities to home care. Review physicians' orders and update care plans and documentation as needed. Assist in interviewing, selecting, training, and validating new clinical staff. Enhance the clinical expertise of field staff to ensure safe, high-quality nursing care. Collaborate with the operations and business development team. Ensure compliance with State, Federal, Local, and Aveanna policies and procedures. Qualifications Current, good-standing RN license in the state of practice. At least 1 year of hands-on nursing experience. Ability to travel to patients' homes within the designated territory. Reliable transportation, valid driver's license, and ability to pass MVR check. Current CPR certification (AHA or ARC). Willingness to supervise nurses providing in-home skilled nursing care to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements in applicable jurisdictions, including vaccinations and testing, subject to medical or religious exemptions. Take the Next Step in Your Career! Join a team where you can grow, lead, and make a meaningful difference in the lives of others. Apply today and become part of Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
$65k-70k yearly 2d ago
Registered Nurse (RN) Coordinator / Navigator (Hybrid SF, Digital Weight Loss)
Bariendo, Inc.
Remote job
Compensation: $85,000-$105,000 + equity This salary range reflects multiple experience levels and locations. Actual compensation within the range will be determined based on factors such as experience, skills, qualifications, and geographic location. Schedule: Full-time, 5 days a week, Tuesday-Saturday Location: Hybrid, 3 days in our San Francisco office, 2 days remote Role Type: Full-time | Bilingual Spanish preferred but not required About Bariendo Bariendo is on a mission to cure obesity. Founded by Harvard Medical School professors, we are pioneering quick, non-surgical weight loss procedures that are 7x safer than surgery and more effective and affordable than the best medications. Our digital health platform combines telehealth, distributed clinics, and an expert care team in endoscopic weight loss to deliver lasting, affordable results for the 40% of Americans struggling with obesity. We're growing rapidly-now in 8 cities after just 6 quarters of operations-with a vision to become the one-stop shop for obesity management, offering the most comprehensive set of interventions available online and via our distributed partner clinics. Join us to help patients reclaim their lives. About This Role We are looking for a people-centered, professional, and organized Nurse Patient Concierge to join our team and deliver Bariendo's signature 6-star care. You'll be the first point of contact for patients and a crucial part of making their weight loss journey feel smooth, supported, and stress-free. This is a role for someone who thrives in a fast-paced environment, has a concierge mindset, and finds joy in turning complex coordination into calm execution. In this role, you will: Deliver 6-Star Service: Be the warm, welcoming presence patients first encounter. Whether by phone, text, or email, you'll create a calm, organized, and exceptional experience that reflects Bariendo's high standards of care. Be a Trusted Clinical Guide: Act as a primary point of contact for patients on clinical and care-related questions, escalating appropriately to providers and ensuring clear, timely communication so patients feel confident and supported throughout their treatment. Ensure Clinical & Procedural Readiness: Partner closely with Bariendo's procedure centers to confirm accurate bookings, review patient charts for completeness and readiness, and coordinate outstanding requirements so every patient arrives fully prepared for their procedure. Be a Concierge for Every Concern: Monitor incoming communications, answer phone calls, and anticipate patient needs before they arise. You'll be a responsive, empathetic problem-solver who builds trust with every interaction. Drive Administrative Excellence: Maintain accurate records across our systems, ensure compliance with regulations like HIPAA, and support documentation workflows that enable smooth care delivery. What We're Looking For Clinical, Service-Driven Experience: Active RN license with 3+ years of patient-facing clinical experience, including experience delivering care or care coordination virtually (phone, text, telehealth). Ideally in procedural, ambulatory, or concierge-style settings where high-touch, white-glove support is the norm. Experience in Weight Management or Bariatric Care (preferred): Prior exposure to obesity medicine, bariatric surgery, endoscopy, or medical weight-loss clinics is a strong plus, particularly in patient education, pre-procedure readiness, or longitudinal care coordination. Fluent in Spanish (preferred, not required): Able to communicate clearly and professionally with Spanish-speaking patients across phone, email, and text. Detail-Oriented & Reliable: Comfortable juggling complex logistics with accuracy. You stay organized, catch errors before they happen, and keep things moving smoothly under pressure. Warm, Clear Communicator: You build trust quickly, make patients feel at ease, and bring empathy and professionalism to every interaction. Operationally Sharp & Adaptable: Confident discussing pricing and payment options in a direct-pay model, comfortable navigating EHRs and new software, and energized by fast-paced, ever-evolving environments where proactive problem-solving is key. What Makes This Job Amazing Mission: Join a team of Harvard Medical School professors and healthcare innovators transforming thousands of lives. Watch our patient's stories. Hybrid Environment: Work three days a week from our Market Street office and two days remotely, with some (infrequent) Saturday calls -all patient care is delivered virtually via telehealth. Foundational Role in a Growing Startup: Be part of a fast-growing, mission-oriented team. Collaborate closely with teams like Product to help shape and innovate our virtual care experience. Total Rewards Competitive salary with equity in a high growth, seed-stage startup Comprehensive health benefits (medical, dental, vision) 11 paid holidays, 15 personal vacation days, 10 wellness days Hybrid work, 3 days in-office 2 days remote
$85k-105k yearly 2d ago
RN Telephone Triage (Work from Home)
Accessnurse
Remote job
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! AccessNurse is the premier provider of medical call center solutions, including 24/7 telephone nurse triage, and answering services. In business since 1996, AccessNurse serves more than 20,000 clinicians and practices, along with healthcare systems, health plans and Federally Qualified Health Centers (FQHCs) across the country. AccessNurse is a TeamHealth Company. The Telephone Triage Nurse role is a great alternative to bedside nursing working 12-hour shifts. This is an opportunity to work remote from home! Training and equipment are provided. Training classes are starting soon. Overview The Telephone Triage Nurse will take phone calls and help patients across the lifespan of the call and determine the best way to address their medical issues and concerns. Essential Duties and Responsibilities Assesses patient's symptoms utilizing a physician-written algorithms When appropriate, provide home care instructions using the approved, written guidelines as well as approved reference material provided Utilize all resources and guidelines to effectively assess, prioritize, advise, schedule classes or physician appointments, or refer calls when necessary to the appropriate medical facility, personnel or specialized community service Completes all documentation in the appropriate software Provides guidance recommending a variety of levels of care (e.g. home care, an office visit, emergency room) Responds to patient's questions Provides and documents health education to help patients manage their symptoms when indicated Consults with physicians as needed Job Requirements: Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job offer 2+ years of nursing experience Proficiency using computers and type a minimum of 25 wpm Excellent listening and comprehension skills to determine key information by patient Professional, courteous telephone voice Ability to defuse conversations Ability to handle confidential information; HIPAA compliance is mandatory Flexibility with scheduling Remote Workstation / HIPAA Requirements Must have a high-speed internet connection Workstation must be in a room where door can be locked Desk should be large enough to hold 2 monitors, computer, accessories + hands-free headset REMOTE: Training Class Dates 100% ATTENDANCE IS REQUIRED 4-week Remote Training over Zoom Video Week 1: March 9th - March 13th M-F 9:00 am-5:00 pm EST Week 2: March 16th - March 20th M-F 9:00 am-5:00 pm EST Week 3: March 23rd - March 27th M-F 2:00 pm-10:00 pm EST Week 4: Shift days/times with a preceptor will be discussed with education manager
$43k-64k yearly est. 4d ago
Care Coordinator (Bilingual Spanish, Medical Assistant, California)
Alignment Healthcare 4.7
Remote job
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking an compassionate, customer service oriented, and organized, bilingual Spanish care coordinator in California to join the remote Care Anywhere team. The Care Coordinator is responsible for supporting the Care Anywhere Program field providers, scheduling, outreach, and managing all care coordination needs for high-risk members enrolled with the program. If you're looking for an opportunity to learn and grow, be part of a collaborative team, and make a difference in the lives of seniors - we're looking for YOU! Individuals with front office medical assistant experience, experience supporting multiple providers, and high call volume experience are highly encouraged to apply. Schedule: Mondays - Fridays - Option 1: 8:00 AM - 5:00 PM Pacific Time (with 1-hour lunch) - Option 2: 8:30 AM - 5:30 PM Pacific Time (with a 30- minute lunch) General Duties / Responsibilities Manage (4) provider schedules to ensure schedules are filled. Prepare charts for upcoming home visit appointments (check member eligibility, gather records needed by the provider prior to the home visit) Conduct outreach for scheduling, appointment confirmation calls, wellness checks for high risk members, and to providers / pharmacies for member needs. Handle inbound / outbound Call (60 - 80 calls / day) Obtain medical records from provider offices, hospitals and skilled nursing facilities (SNF) and upload medical records to the electronic medical records (EMR). Submit referral authorizations to independent physician association (IPA) / medical groups for specialty, durable medical equipment (DME), and home health (HH) services. Coordinate lab orders, transportation for high-risk members. Documentation via EMR for Inbound / Outbound calls. Support short message service (SMS) and member outreach campaigns. Assist nurse practitioner (NP) team with visit preparation needs Appointment reminders to members Assign members to NP in EHR Provide needed documentation to NP for visits each day Direct inbound calls from members / family related to medication refills Assist with maintaining and updating members' records Assist with mailing or faxing correspondence to primary care physicians (PCP), specialists, related to, as needed. Attend Care Anywhere meetings / presentations and participates, as appropriate. Recognize work-related problems and contributes to solutions. Work with outside vendors to provide appropriate care needs for members Job Requirements: Experience: Required: Minimum (1) year experience entering referrals and prior authorizations in a healthcare setting. Preferred: 2 years' healthcare experience. Education: Required: High School Diploma or GED. Preferred: Completion of medical assistant program from an accredited school of training Training: • Preferred: Medical Terminology Specialized Skills: • Required: Able to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Knowledge of ICD9 and CPT codes Knowledge of Managed Care Plans Able to type by 10-key touch minimum of 40 words per minute (WPM) Proficient with Microsoft Outlook, Excel, Word Effective written and verbal communication skills; able to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Language Skills: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Able to write routine reports and correspondence. Communicates effectively using good customer relations skills. Mathematical Skills: Able to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Able to perform these operations using units of American money and weight measurement, volume, and distance. Reasoning Skills: Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Bilingual English / Spanish required. • Preferred: Knowledge working in Athena Licensure: • Required: None • Preferred: Medical assistant certificate Medical terminology certificate Essential Physical Functions: 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. Pay Range: $41,472.00 - $62,208.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
$41.5k-62.2k yearly Auto-Apply 3d ago
Home-Based Medicine Care Coordinator/Nurse Practitioner
Healthpartners 4.2
Remote job
HealthPartners is looking for a Certified Adult/Geriatric or Family Nurse Practitioner to join our Home-Based Medicine Team. Being a part of our team means you will have an impact on the care that our patients receive every day. As a Home-Based Medicine Nurse Practitioner/Care Coordinator, you will be part of the largest multi-specialty care system in the Twin Cities. This position will provide both telehealth and fieldwork with seeing patients in their homes. Local travel required. This individual will provide the primary health care for patients at home. * Provide care coordination to achieve patient centered, high quality and cost-effective care across the continuum * Provide nursing leadership in defining and achieving program goals in a changing healthcare environment * Utilizes principals of quality of life, maintenance of optimal function and the patient's advanced directives in developing plan of care * Supportive, patient-centered practice * MN RN and APRN licensure required along with prescriptive authority * Home Based Medicine experience (NP or RN) preferred * Must be able to provide own transportation for local travel. You will be joining a team that is supportive and respectful of one another and deeply committed to the mission of HealthPartners. Here, you'll become a partner for good, helping to improve the health and well-being of our patients, members and community. Our commitment to excellence, compassion, partnership and integrity is behind everything we do. It's the type of work that makes a difference, the kind of work you can be proud of. We hope you'll join us. WORK SCHEDULE: 8am - 5:00 pm BENEFITS: HealthPartners benefit offerings (for 0.5 FTE or greater) include medical insurance, dental insurance, 401k with company contribution and match, 457(b) with company contribution, life insurance, AD&D insurance, disability insurance, malpractice insurance for work done on behalf of HealthPartners as well as a CME reimbursement account. Our clinician well-being program provides a wealth of information, tools, and resources tailored to meet the unique needs of our health care professionals, including physicians, advanced practice clinicians (APCs) and dentists. HealthPartners is a qualified non-profit employer under the federal Public Service Loan Forgiveness program. TO APPLY: For additional information, please contact Judy Brown, Sr. Physician and APC Recruiter, *********************************. For immediate consideration, please apply online.
$42k-53k yearly est. Auto-Apply 10d ago
Coordinator, Individualized Care
Cardinal Health 4.4
Remote job
Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Together, we can get life-changing therapies to patients who need them-faster. Responsibilities Responsible for handling inbound and outbound calls, with ability to determine needs and provide one call resolution Responsible for reporting adverse events within the required timeframe Create and complete accurate referrals and applications and keep updated on policy or procedural changes Investigate and resolve patient/physician inquiries and concerns in a timely manner Enter detailed information into company proprietary software while conversing via telephone Place outbound phone calls for patient follow ups or confirmations Demonstrate superior customer support talents Interact with the patient referral sources to process new applicants Steward patient accounts from initial contact through final approval/denial Prioritize multiple, concurrent assignments and work with a sense of urgency Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes Qualifications High School diploma or equivalent, preferred Previous customer service experience, preferred Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred Ability to use well-known and company proprietary software for maximum efficiencies, preferred Maintain a high level of productivity, preferred Ability to multitask while conversing, preferred What is expected of you and others at this level Applies acquired job skills and company policies and procedures to complete standard tasks Works on routine assignments that require basic problem resolution Refers to policies and past practices for guidance Receives general direction on standard work; receives detailed instruction on new assignments Refers to policies and past practices for guidance Receives general direction on standard work; receives detailed instruction on new assignments Consults with supervisor or senior peers on complex and unusual problems TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have ability to work the scheduled shift of Monday-Friday, 10:00am- 7:00pm CT. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) Upload speed of 5Mbps (megabyte per second) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issued equipment Anticipated hourly range: $18.10 per hour - $25.80 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 3/22/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here
$18.1-25.8 hourly Auto-Apply 3d ago
Senior Home Base Coordinator
Prometheus Real Estate Group
Remote job
OUR PURPOSE We are focused on Good Living for the Greater Good. This means providing a true sense of home and belonging for our Neighbors and Prometheans and giving our time and resources to bring positive change locally and beyond. It also means supporting you in your career goals with the very best working experience, and that starts with us having fun in the work we do together. YOUR ROLE AND IMPACT Some companies call them “Property Administrators”, but at Prometheus our Home Base Coordinators do so much more. Our Senior Home Base Coordinators focus on the administration of multiple properties, and your role is a constant blend of: Financial Administration - Whether it is managing rent collections, reviewing ledgers, processing final account statements, or tracking invoices, you are on top if it all. You make every detail count and count every detail. Leasing Administration - You will provide support to the leasing team in qualifying future Neighbors - verifying applications, performing credit investigations, creating all associated documentation accompanying the rental agreements, and recertifications specifically related to Below Market Rate Housing or similar. Customer Service - You are a problem solver that makes renting easy. When Neighbors have questions about policies or deposit charges, you help them find the answers. When the office gets busy, you are the first one to jump in and answer the phones and provide support to the leasing team in qualifying future Neighbors. JOB QUALIFICATIONS Your Experience - Prometheans come from all walks of life and from all over the globe. We're also very diverse in that we hire talent with experience in other industries and who bring different skill sets and ideas to our company. You should bring a passion for working in a customer service, working knowledge of housing rental laws & ordinances, and enjoy solving problems. Your Cultural Traits - Although we're a highly dispersed organization by the nature of our business, our Prometheans are strongly united by our Purpose, Mission and our Cultural Traits. These are the defining characteristics of a Promethean: Team Oriented, Communicator, Entrepreneurial, Passionate, Self-Starter, Creative, Principled, and Brand Ambassador. Your Education - A Bachelor's degree is preferred and a High school diploma or general education degree (GED) is required. COMPENSATION & BENEFITS We offer a variety of benefits that take compensation well beyond a paycheck. This includes traditional benefits and benefits you might not expect or know about. The provided salary range is based on a number of factors, including location, job-related skills, experience and qualifications. Compensation Pay Range: $33.25 to 40.25 per hour Discretionary Semi-Annual Bonus Plan Benefits & Perks Medical; Vision; Dental:100% Company-paid plans (including eligible dependents) and affordable buy-up options Life insurance; Accidental Death & Dismemberment Insurance; Long Term Disability Behavioral Health Program Accessible 24/7 Tax-Free Flexible Spending Accounts 401(K) Retirement Plan with Employer Matching Recognition & Rewards Program (Torch) Vacation: 10 days per year with accrual increasing over time Anniversary Vacation: 40-hour Vacation Granted at Tenured Milestones Sick Leave: 9 days per year 12 paid holidays, including your birthday! Paid Volunteer Time Tenured-based Housing discounts Educational Assistance, Tuition Reimbursement Learn more about these and other perks of being a Promethean by exploring our full Benefits Guide. Prometheus is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other status protected under federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you'd like more information about your EEO rights as an applicant under Federal Employment Laws, please check out these FMLA, EEO, and EPPA pages.
$33.3-40.3 hourly Auto-Apply 14d ago
Care Coordinator (Remote US)
Maximus Health 4.3
Remote job
is Remote (US/Canada) No agencies please Maximus (****************************** is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize their health, wellness, and hormones. Maximus has achieved profitability, 8-figure ARR, and is doubling year over year - with a strong cash position. We have raised $15M from top Silicon Valley VCs such as Founders Fund and 8VC as well as leading angel investors/operators from companies like Bulletproof, Tinder, Coinbase, Daily Stoic, & Shopify. Position Summary In this role as a Care Coordinator supporting Maximus patients, you will be instrumental in delivering a seamless care experience. Your primary responsibilities include managing provider video conferencing schedules, coordinating with lab and pharmacy partners, and overseeing patient messaging queues. You will also serve as a key contributor to our patient concierge experience. The ideal candidate is driven by a passion for lifestyle, wellness, and fitness, constantly seeks innovative approaches to their work, and is eager to shape the overall patient journey. Key Responsibilities Video Conferencing & Scheduling Coordinate and maintain provider schedules for video consultations, ensuring efficient appointment booking and minimizing scheduling conflicts. Monitor upcoming telehealth appointments, confirm patient/provider availability, and troubleshoot any technical issues that may arise. Lab & Pharmacy Coordination Liaise with laboratory partners to manage test orders, track results, and ensure timely communication of lab outcomes to providers and patients. Collaborate with pharmacy partners to facilitate prescription orders, refills, and medication-related inquiries. Messaging Queue Management Oversee and triage patient messages in digital platforms, ensuring inquiries are addressed promptly and directed to the appropriate clinical team member. Escalate urgent or complex issues to the appropriate care team members, keeping patients informed of next steps. Patient Communication & Support Provide friendly and empathetic support to patients, answering questions related to appointments, lab tests, prescriptions, and follow-ups. Educate patients on the use of telehealth platforms, including troubleshooting basic technical issues and sharing best practices for virtual visits. Digital Healthcare Administration Maintain accurate and up-to-date electronic health records (EHR), ensuring data integrity and confidentiality. Identify opportunities to streamline workflows and enhance patient experiences, bringing recommendations to leadership. Quality Assurance & Compliance Ensure compliance with all relevant healthcare regulations and company policies, including HIPAA and data privacy laws. Participate in team meetings to review patient feedback, address operational challenges, and discuss quality improvement initiatives. Qualifications Experience: 1-3 years of experience in a care coordinator, healthcare administration, or telehealth support role. Education: Associate's or Bachelor's degree in Healthcare Administration, Public Health, or a related field preferred. Technical Skills: Familiarity with EHR systems, telehealth platforms, scheduling software, and basic troubleshooting of common technical issues. Communication Skills: Excellent verbal and written communication skills to effectively coordinate with patients, providers, and partners. Organizational Skills: Strong attention to detail and ability to manage multiple tasks efficiently in a fast-paced, digital environment. Interpersonal Skills: Empathetic, patient-focused approach with a commitment to delivering high-quality care and exceptional patient experiences. Compliance Knowledge: Understanding of healthcare regulations, especially HIPAA and data privacy guidelines. What We Offer (Benefits): Full Suite: Medical, Dental, Vision, Life Insurance Flexible vacation/time-off policies Fully remote work environment Maximus is an equal opportunity employer, which not only includes standard protected categories, but the additional freedom from discrimination against your free speech and beliefs, as long as they are aligned with company values. We celebrate intellectual diversity. Note: We utilize AI note-taking technology during our interview sessions to ensure we capture all answers and details accurately. Candidates are also encouraged to use AI note-takers for their own records if they wish.
$34k-47k yearly est. Auto-Apply 21d ago
Primary Care Coordinator
Mayo Clinic 4.8
Remote job
This role provides essential operational and technical support for Primary Care in Rochester and Kasson by managing digital content, organizing key documents, and maintaining web-based resources. This role ensures that providers, staff, and patients have access to accurate, up‑to‑date information across internal and external platforms. Requires strong organizational skills, attention to detail, ability to manage multiple priorities, excellent communication and problem-solving abilities. Manages and maintains Primary Care internet and intranet sites, ensuring all pages, documents, and resources remain current, accurate, and user‑friendly. Creates, updates, and optimizes web content using appropriate web languages, content management tools, and software platforms. Oversees the structure, layout, and navigation of SharePoint sites and subsites; organizes libraries, permissions, and document workflows to support operational efficiency. Ensures timely loading, formatting, and lifecycle management of digital documents, policies, protocols, and reference materials. Preferred experience with SharePoint site administration, website content management, or digital resource organization. Other duties and responsibilities assigned as needed. Work will primarily be performed remotely but at times will require incumbent to be on site. Therefore, the individual must live within driving distance of any Mayo Clinic Health System. High school diploma or equivalent required. Formal education or experience with web development languages/software or two years administrative experience including web development required. Previous supervision experience beneficial. Experience with database software such as Access and Excel desired. Prefer experience working in a healthcare environment. Excellent time management, team facilitation, and team building skills required. Ability to coordinate multiple projects, provide attention to detail, ability to follow through on assignments/tasks and ability to work with others to ensure consistency, validity, and accuracy. Ability to exercise independent problem solving.
$43k-55k yearly est. Auto-Apply 7d ago
Clinic Coordinator - RHC (15346)
Schoolcraft Memorial Hospital 3.8
Remote job
The Clinic Coordinator plays a key role in providing exceptional nursing care and support through phone interactions. This position involves assessing patient inquiries and managing messages to ensure that patients receive timely follow-up and comprehensive care. This is a fully remote position. While day-to-day work is performed remotely, the employee may be required to attend onsite meetings or trainings on an occasional basis Duties & Responsibilities: Manages incoming clinical phone calls, which may include routing to appropriate personnel or initiating messages to practices via Cerner. Assess patient symptoms and concerns over the phone to determine urgency and need for follow-up care. Document patient information and care interactions accurately in the electronic health record (EHR) system. Assist in responding to messages, ensuring that patients receive accurate information and timely support. Assist with managing Cerner pools by reviewing and responding to patient-related tasks, such as lab results, medication refills, and patient inquiries within the Cerner system. Provides clinical guidance for the scheduling of patients. Notify patients of test results, medication refills, and other necessary follow-ups as directed by physicians. Assists with Transitions of Care Program when needed. Performs other duties as assigned Qualifications Current MI LPN or CMA Certification required. Recent experience in a professional office setting. Experience with phone triage, call center nursing, or patient care coordination preferred. Strong communication and interpersonal skills, with the ability to listen, empathize, and clearly explain medical information. Critical thinking and problem-solving skills to assess and prioritize patient needs effectively. Working knowledge of modern professional office practices and procedures. Working knowledge of public relations and telephone etiquette. Ability to establish and maintain effective working relationships with doctors, other employees, and patients. Ability to deal with people tactfully and courteously.
$39k-58k yearly est. 19d ago
Care Coordinator
Honeydew
Remote job
Mission 💪 Our mission is to ensure that no one in the world has to suffer from a treatable skin disease because of an access issue ever again. 👋 Honeydew is building a platform for hundreds of millions of people globally to access expertise and science-backed skin treatments, from prescription to retail. Our tech-forward dermatology experience helps people with chronic skin conditions access licensed specialists, FDA-approved treatment, and ongoing support in record time (24 hours vs an industry average of 6 months). Honeydew is the future of skin health - digitally native, scientifically rooted, integrated end-to-end (evaluation + treatments + lab tests), and powered by AI. About the Role Start Being The Reason Someone Finally Feels Seen. As a Care Coordinator at Honeydew, you'll be the thoughtful voice during someone's treatment - the person who crafts messages that make patients feel heard, supported, and confident in their skincare journey. This isn't just customer service, it's healthcare. You know that feeling when someone actually listens to your healthcare concerns? When you're not just another ticket number or appointment slot? That's what you'll create every single day at Honeydew - one message at a time. If you join us, you'll be central to our mission as a trusted guide helping people navigate one of the most frustrating parts of modern life: getting healthcare that works. Your Day-to-Day You'll be the empathetic problem-solver behind the screen: Master the art of written communication - crafting clear, warm, professional messages via app chat that make patients feel supported (this is 99% of your patient interaction) Turn healthcare chaos into clarity through thoughtful, detailed written responses that anticipate questions before they're asked Coordinate directly with pharmacies and labs via phone to troubleshoot prescription issues, insurance hiccups, and delivery problems Connect with dermatology providers as needed to ensure care plans stay on track Keep meticulous records because details matter when it's someone's health on the line Bridge the gap between patients, providers, and insurance companies through strategic communication across channels Partner with medical teams to communicate care plans that actually fit into people's real lives Monitor patient progress through ongoing messaging, troubleshoot obstacles, and celebrate wins along their journey Important to Keep in Mind about the Schedule Honeydew is open, serving patients between 9am and 10pm Eastern every day, and Care Coordinators can choose the structure of their workday on their own. However, Care Coordinators have a responsibility to respond to patients within 4 hours on weekdays and within 6 hours on weekends. Abiding by these response times is crucial to success. As part of the initial onboarding and training process, Care Coordinators are expected to be available 7 days a week in order to ramp up to a full-time (35+ hours/week) schedule. You Might Be Our Person If… You genuinely like people, even when they're frustrated and it's coming through in ALL CAPS You're comfortable with async communication You can read tone and emotion in written messages and respond appropriately You find satisfaction in solving problems that don't have obvious solutions You like to be proactive in offering advice, rather than just following a template You believe healthcare should be accessible to everyone, not just the privileged few You find joy in doing work that matters What We're Looking For... The Non-Negotiables: High school diploma or equivalent You're an exceptional writer and speaker - clear, warm, professional across every channel You type at least 40 WPM You're comfortable with Gmail and Chrome (or similar) Rock-solid internet and a private workspace - HIPAA compliance isn't optional, and dropped connections aren't an option You have a customer service mentality but understand healthcare isn't retail - empathy and professionalism are your baseline, not your ceiling You thrive working independently - no one's looking over your shoulder, and you don't need them to You're coachable and collaborative - you take feedback as fuel, not criticism, and communicate openly with the team We're Looking For At Least Two Of These: Customer service experience - you've turned "difficult customers" into your happiest ones Healthcare or clinical support background - you speak the language and understand the stakes Remote work experience - you've already figured out how to stay focused when Netflix is two clicks away The Nice-to-Haves (But Honestly, You'll Pick These Up Fast): Comfortable with Slack and Zoom - if you're not, no stress, you'll be fluent in a week What You Get Full remote flexibility Direct impact you can measure Ability to grow within the company $100 monthly tech stipend Free Honeydew membership Direct access to new dermatology treatments 20% off Honeydew products Bi-monthly get togethers Peer-to-peer recognition through Motivosity Full-time employees also get: Health insurance & HSA match 401(k) retirement savings with employer match Unlimited time off Hourly pay: $15/hour (or the applicable state or local minimum wage, if higher) Our Process Application Skills assessment (async) - max 30 minutes Screening interview - 20-30 minutes Team Lead interview - 30 minutes CEO interview - 30 minutes Offer Candidates must be authorized to work for any employer in the US. This role is not eligible for visa sponsorship. Candidates residing in the following states will be considered for this role: AL, AZ, DC, FL, GA, ID, MD, MI, MO, NJ, NY, NC, OH, PA, TX, UT, VA, WA, WI
$15 hourly Auto-Apply 20d ago
Pharmacy Clinical Coordinator (Temporary 9 months)
Careoregon 4.5
Remote job
--------------------------------------------------------------- This position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed to improve pharmaceutical use. Responsibilities include formulary management; assisting with management of specific patients in the multidisciplinary case management/medication therapy management program, P&T, developing and conducting educational initiatives to improve prescribing patterns; develop and conduct quality improvement programs related to the pharmacy program; evaluating medication authorization requests and providing oversight to the medication PA process; and other pharmacy program activities as assigned. NOTE: This is a temporary position expected to last 9 months. Estimated Hiring Range: $151,965.00 - $185,735.00 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Prepare drug utilization reports and analyses for the Pharmacy & Therapeutics Committee. Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee. Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans. Provide medication therapy management services. Develop and conduct retrospective drug use reviews. Review medication prior authorization requests and appeals. Develop and implement clinical educational programs to improve drug utilization and quality. Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others. Develop and conduct quality improvement programs related to the pharmacy program. Monitor functions provided by the plans' Pharmacy Benefit Manager including pharmacy benefit coding, customer service guidelines, prior authorization activities, and other delegated services. Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives. Assess, review, and respond to federal and state regulatory requirements/audits of the pharmacy benefit. Consult with clinicians and pharmacists to resolve pharmacy benefit issues. Review and refine pharmaceutical reimbursement and purchasing procedures. Develop materials to communicate pharmacy benefit or other information to members, clinicians, and pharmacists. Experience and/or Education Required Graduate of an accredited pharmacy program Current, unrestricted license as a pharmacist in Oregon Advanced pharmacy training (PharmD, residency, fellowship, or master's degree in related discipline) Practical experience as a clinical pharmacist in formulary management or ambulatory care or other clinical setting Preferred Previous experience in managed care Experience with reviewing Prior Authorization requests against plan criteria and making approval or decline decisions Knowledge, Skills and Abilities Required Knowledge Must have comprehensive, clinical pharmaceutical knowledge base Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization Skills and Abilities Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine Ability to design and review pharmacy claims analysis/reports according to specific project requirements Must be highly motivated and have the ability to work independently Excellent organizational, project management, and time-management skills Excellent written and verbal communication skills Excellent customer service skills Ability to manage multiple tasks Ability to negotiate, problem-solve, and consensus-build Basic word processing, spreadsheet, and database skills Ability to work effectively with diverse individuals and groups Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day Ability to lift and carry for at least 1-3 hours/day Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used. Work Location: Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
$48k-62k yearly est. Auto-Apply 15d ago
CHOICES Care Coordinator- Giles and Lawrence Counties
Bluecross Blueshield of Tennessee 4.7
Remote job
Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities. You will be a great match for this role if you have: • 3 years of experience in a clinical setting • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following counties: Giles and Lawrence Counties • Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year. Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid Driver's License. TB Skin Test (applies to coordinators that work in the field). Position requires 24 months in role before eligible to post for other internal positions. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 2 years - Clinical experience required Skills\Certifications PC Skills required (Basic Microsoft Office and E-Mail) Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills License Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 0 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
$37k-49k yearly est. Auto-Apply 10d ago
Remote Triage Nurse (Full-Time)
Diana Health
Remote job
Diana Health is a network of modern women's health practices working in partnership with hospitals to reimagine the maternity and women's healthcare experience. We are restructuring the traditional approach to care to create an experience that is good for patients and good for providers. We do that by combining a tech-enabled, wellness-focused care program that women love with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team. We work with clients across all life stages to empower and support them to live happier, healthier, more fulfilling lives. With strong collaborative care teams; passionate administrators and a significant investment in operational support, Diana Health providers are well-supported to bring their very best to the work they love. We are an interdisciplinary team joined together by our shared commitment to transform women's health. Come join us! Description We are looking for a full-time LPN passionate about all aspects of women's health to provide direct patient care as part of an interdisciplinary care team and to serve as the first line of communication with patients in our clinical phone and messaging triage during office hours. The ideal candidate thrives in a busy practice, loves women's health and building relationships with patients, is an excellent problem-solver and communicator, and is able to multi-task easily. Bilingual skills preferred with a preference for Spanish language, open to other languages. What you'll do Patient Care Act as the first line of call in clinical communications for patients, within guidelines/protocols Administer injections and medications Provide direct clinical care as needed for minor check in visits or lab draws Provide supporting paperwork and education for patients Support clinic visits as appropriate and per training when needed Administrative Support the everyday flow of clinic acting as back up support for MA Maintaining logs Cleaning of rooms as needed and sterilization of instruments Obtaining and transcribing patient medical records Additional workflow items as the need arises Qualifications Current certification as a Tennessee Licensed Practical Nurse 2+ years of experience in an outpatient preferred Excellent communication, interpersonal, and organizational skills Strong computer skills and familiarity with EMRs Lactation certification (IBCLC, CLC, CLE) preferred, but not required Bilingual, Spanish skills preferred Benefits Competitive compensation Health; dental & vision, with an HSA/FSA option 401(k) with employer match Paid time off Paid parental leave Diana Health Culture Having a growth mindset and striving for continuous learning and improvement Positive, can do / how can I help attitude Empathy for our team and our clients Taking ownership and driving to results Being scrappy and resourceful
$52k-79k yearly est. Auto-Apply 9d ago
Bilingual Triage Nurse
Firsthand Part Time Nurse Practitioner
Remote job
firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job-it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is primarily a day-shift role (8 hours/day, 8:30-4:30 PST or 8:30-4:30 PST), with occasional potential for nights or weekends. When not managing acute issues, Triage Nurses focus on care coordination, training, and related administrative tasks. Responsibilities of a Triage Nurse include: Triage and Escalation: Manage inbound clinical issues from firsthand staff and patients via phone; triage appropriately and escalate emergencies immediately. Collaboration: Work closely with peer mental health workers, social workers, and APPs to address acute issues comprehensively. Coordination: Coordinate care with patients' other providers to ensure seamless health management. Training: Develop and deliver training on basic medical topics for peer mental health workers and social workers Triage Nurses should have: Strong triage and prioritization skills, with the ability to rapidly assess and determine the appropriate level of care. Problem-solving expertise with a creative, patient-centered approach. Ability to provide condition-specific patient education and self-management guidance. Adaptability to varying team cultures and processes. Empathy, compassion, and approachability in patient and team interactions. Required experience includes: Active RN license through a Nurse Licensure Compact (NLC) state and willingness to obtain licensure in non-compact states. Bachelor of Science in Nursing (BSN). At least 3 (three) years of clinical care experience in an Emergency Department. Experience working with populations facing challenges such as behavioral health and/or substance use disorders. Care management and coordination experience. Bilingual in Spanish Bonus Points for: Certification in Psychiatric-Mental Health Nursing (PMH-BC) Washington state RN license Base salary range:$75,000-$75,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time.
$75k-75k yearly Auto-Apply 24d ago
Clinical Coordinator (Hybrid)
Samuel Merritt University 4.6
Remote job
The Clinical Coordinator coordinates the clinical and/or community placement activities of the pre-licensure or graduate nursing programs within the College of Nursing for an assigned campus. Assists the team to develop, coordinate, assigns, and maintain clinical and/or community site relationships. Collects and/or maintains documentation required by the clinical and/or community sites to be compliant with policies and standards. Collaborates with the specific placement director for program-specific needs. Duties and Responsibilities: I. Coordinate Clinical Placements 1. Work with CCT leadership and Clinical Directors of pre-licensure to ensure adequate clinical/community placements (sites, preceptors, and required hours) are available. 2. Communicate effectively with the relevant individuals and groups (internally and externally) reporting any concerns to the Director(s) of Clinical Affairs for follow-up. 3. Provide guidance and support for students to prepare for onboarding and progression through the entire clinical/community placement process. 4. Maintain ongoing communication with the Clinical Coordinators and Placement Directors regarding updates (e.g., new policies, new trainings) from clinical partners that may have an impact on student placement. 5. Participate in meetings with clinical partners locally and/or regionally as requested by CCT leadership. 6. Maintain, or have immediate access to, the documents required by clinical partners to demonstrate student and faculty compliance during audits. 7. Develop and maintain proficiency in multiple applications for all clinical placement activities. II. Procurement and Management of Clinical Sites 1. Maintain relationships with existing sites/preceptors to ensure a positive relationship. 2. Represent the Samuel Merritt University School of Nursing in a positive and professional manner. 3. Prepare, and review for accuracy, the clinical contract request forms and submit to the SMU Contract Specialist for processing. 4. Monitor contract status of all clinical sites (new and existing contracts) and notify Directors when contracts expire or need renewal. 5. Maintains an accurate database to document status of student displacements and the resolution. III. Compliance A. CLINICAL SITES 1. Maintain a current repository of all SMU required preceptor documents and manage the distribution of these documents to clinical sites as necessary. 2. Submit required clinical/community documents to the sites in a timely and complete manner. 3. Submit course syllabi and objectives to clinical/community partners/preceptors prior to the start of the course at their requests. 4. Communicate with the hospital partners regarding Preceptorship and provide necessary paperwork/documentation for the student rotation. 5. Submit to the clinical/community sites student rosters, contact information and other required information prior to clinical rotations. B. STUDENTS 1. Ensure students have submitted all required documents for their specific clinical site assignments in a timely manner. 2. Assist AA to confirm all student compliance requirements are complete and uploaded into the SMU system as required by Samuel Merritt University programs and various clinical sites. 3. Ensure students are aware of required documents and/or logs they need to maintain during their clinical/community rotations. This includes providing students with instructions on how to access, complete and submit. 4. Maintain access to My Clinical Exchange and other similar systems (i.e., accounts) are up to date; monitor for account expirations 5. Confirm access for students to site specific systems, i.e., OAR (Sutter) and UC Davis. Identity; monitor for expiration dates and need for renewal. C. FACULTY 1. Ensure clinical faculty have submitted all required documents for their specific clinical site assignments in a timely manner. 2. Assist AA to ensure all faculty compliance requirements are met and uploaded into the SMU system as required by Samuel Merritt University programs and various clinical sites. 3. Ensure access to My Clinical Exchange and other similar systems (i.e., accounts) are up to date; monitor for account expirations 4. Confirm access for faculty to site specific systems, i.e., OAR (Sutter,) UC Davis and NUIDs Identity; monitor for expiration dates and need for renewal. IV. General Administrative Support 1. Receive and direct inquiries from clinical/community sites, preceptors, and students to appropriate administrators, faculty, and staff, as needed 2. Assist AA with scheduling on campus electronic health record training for faculty (PL) and students prior to start of clinical/community rotation 3. Participate in new student orientation, as appropriate for each program, to provide clinical/community overview and unique requirements 4. Assist AA to schedule/arrange new faculty orientation at the clinical/community site; maintain documentation of completion date. 5. Collaborate with Program Chair/Course Managers to ensure clinical/community faculty are appropriate for each clinical setting. MINIMUM QUALIFICATIONS Self-starter that takes initiative and independently develops solutions. Strong leadership and evaluation skills. Excellent communication, written, oral and negotiation skills. Excellent interpersonal skills that would support optimal public relations for CCT and the SoN. Good judgement and creative critical thinking to solve problems and to develop alternative solutions. Handle privileged information in a confident manner. Ability to organize and prioritize workload. Effective project planning and implementation skills. Excellent organizational and operational skills. Excellent concentration and attention to details required for an extended period of time Extensive computer experience and the ability to use the Microsoft Office Suite (Word, Excel, PowerPoint). Ability to speak effectively with public, co-workers, faculty and student populations. Ability to receive and interpret detailed information through written and verbal communication. Ability to read and write clear documents PHYSICAL REQUIREMENTS Considerable time is spent at a desk using a computer. Physical ability to lift, bend and flex the upper body. Ability to lift up to 20-30 pounds; Ability to push and pull carts. May be required to attend conference and training sessions within Bay Area. May be required to travel occasionally to offsite campuses and agency locations. EDUCATION, QUALIFICATIONS AND/OR EXPERIENCE Bachelor's Degree Required SUPERVISORY RESPONSIBILITIES Assist with supervising/managing student employees and work-study projects Employee Status:RegularExemption Status:United States of America (Non-Exempt) Time Type:Full time Job Shift: Pay Range: $29/hr to $35/hr ( non exempt/hourly) Samuel Merritt University currently provides base salary ranges for all positions-on job advertisements-in the United States based on local requirements. Individual compensation will ultimately be determined based on a variety of relevant factors including but-not limited to qualifications, geographic location, and other relevant skills.
$29 hourly Auto-Apply 43d ago
Remote Triage Nurse
Medcor 4.7
Remote job
Medcor is looking to hire a full-time Registered Nurse for our remote 24/7 Occupational Health triage call center! The hours for this position include 8-hour or 10-hour shifts between the hours of 12pm and 2am CST. Job Type: Full-time - 40 hours per week Salary: $28 per hour with additional shift differential pay available for evenings, nights & weekends. By joining our nursing team, you will be helping thousands of employers better manage their workplace injuries and improve the quality of healthcare for their employees. Nurses who are successful in this position must be able to talk on the phone for long periods while typing and navigating through various software applications simultaneously. Our nurses must be able to visualize an injury while on the phone and clarify details about the injury while following our propriety algorithms to guide the triage of the injured worker. Training: Training for this role will last 5-6 weeks, with 2.5 weeks of classroom instruction and 2.5 weeks of precepting. These first 5-6 weeks of training are held Monday through Friday, from 8a-4p CST. The training schedule is non-negotiable, and all training must be successfully completed within the 6-week time frame. Following training, you will transition to your permanent schedule between the hours of 12p and 2a CST with an every-other-weekend requirement and holiday rotation. Changes to the permanent schedule are not allowed within the first 12 months of employment. A typical day in the life of a Medcor Triage RN: Manage a rapid flow of incoming telephone calls from Medcor customers in a call center environment Document each call efficiently and accurately Monitor and track individual as well as call center goals, productivity metrics, and statistics Reflect all shift activities using the phone system and be responsible for personal schedule adherence Provide superior customer service to Medcor s clients and employees Complete accurate assessment of symptoms and/or concerns utilizing Medcor s Triage Algorithms Follow HIPAA Compliance Policies You Must Be bilingual, fluent in both the English and Spanish language Have a valid RN license and current BLS (CPR) certification Be able to handle a high volume of consecutive calls Have strong technological skills as well as a typing speed of at least 30 WPM Work a major U.S. holiday rotation Work every other weekend Have effective written, verbal, and interpersonal communication skills. Ability to read, analyze, and interpret triage tools and information along with care instructions to injured employees and their managers. Be able to talk and/or hear. You are required to sit and use your hands. Specific vision abilities required by this job include close vision for computers and written work with the ability to adjust focus Be able to work on a computer for long periods Have a private space in your home with 4 walls and a door for patient privacy Have access to high-speed internet (no satellite) within your primary residence Be able to receive and apply feedback It's a Plus If You have call center experience You have occupational health experience At Medcor, we re passionate about caring for our advocates as much as you are passionate about caring for your patients! Join our team and receive the support you need to be successful in your practice and to focus on your patients. In addition to a collaborative work environment, we offer great pay and benefits and emphasize your wellness. Here s why people love working for Medcor: Stability! We ve been around since 1984. Potential for retention and performance incentives Opportunities galore! Medcor has a lot more to offer than just this job. There are opportunities to move vertically, horizontally, and geographically. Annually, 20% of our openings are filled by internal employees. The fact is, opportunity exists here! Training! We believe in it and we ll train and support you to be the best you can be. We feel we offer more training than most other companies. We have an open-door policy. Do you have something to say? Speak your mind! We encourage it and we look forward to how you can help our organization. Benefits We don t just advocate for our clients and our patients; we also advocate for ourselves. Our benefits include paid time off, health and dental insurance, 401K with match, education reimbursement, and more. To learn more about Medcor s Culture click here . Medcor Philosophy Medcor embraces a set of simple, interconnected practices that everyone can tailor to their own life and work. To preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. Medcor is a tobacco-free and smoke-free workplace! EOE/M/F/Vet/Disability We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
$28 hourly 49d ago
Workers Compensation Telephonic Nurse Case Manager (Remote)
Berkley 4.3
Remote job
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people and good for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology to deliver the best outcome for injured workers and Berkley's operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers' compensation cases. To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management. Responsibilities As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers. Coordinate and implement medical case management to facilitate case closure Timely and comprehensive communication with with employers, adjusters and the injured workers. Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction Acquire and maintain nursing licensure for all jurisdictions as business needs require Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services Document activities and case progress using appropriate methods and tools following best practices for quality improvement Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work. Engage and participate in special projects as assigned by case management leadership team Occasionally attend on site meetings and professional programs Foster a teamwork environment Maintaining and updating evidence based medical guidelines (such as Official Disability Guidelines, MD Guidelines and all required state regulated guidelines) in reference to the injured worker treatment plan and work status. Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed. Obtain case management professional certification (CCM) within 2 years of hire Qualifications Minimum 2 years of experience in workers compensation insurance and medical case management preferred Minimum of 4 years medical/surgical clinical experience required Ability to work standard business hours in the either Central Standard Time, Mountain Standard Time or Pacific Time Zone (Monday through Friday, 8:00 AM to 5:00 PM CST/MST/PST). Exhibit strong communication skills, professionalism, flexibility and adaptability Possess working knowledge of medical and vocational resources available to the Workers' Compensation industry Demonstrate evidence of self-motivation and the ability to perform case management duties independently Demonstrate evidence of computer and technology skills Oral and written fluency in both Spanish and English a plus Education Graduate of an accredited school of nursing and possess a current RN license. A Compact Nursing License is strongly preferred. A California license is ideal but not mandatory. Candidates must be willing and able to obtain a California license within 90 days of their start date. Additional Company Details ****************** The Company is an equal employment opportunity employer We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees • Base Salary Range: $80,000 - $88,000 • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Additional Requirements • Domestic U.S. travel required (up to 10% of time) Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.
$80k-88k yearly Auto-Apply 52d ago
Utilization Review Nurse - Remote
Martin's Point Health Care 3.8
Remote job
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with a need for inpatient/ outpatient authorizations. This position receives and reviews prior authorization requests for specific inpatient and outpatient medical services, notification of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care, makes referrals for care management programs, and performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as specified clinical guidelines/criteria to guide medical necessity reviews and will use effective relationship management, coordination of services, resource management, education, patient advocacy and related interventions to ensure members receive the appropriate level of care, prevent or reduce hospital admissions where appropriate. Job Description PRIMARY DUTIES AND RESPONSIBILITIES Employees are expected to work consistently to demonstrate the mission, vision, and core values of the organization. Key Outcomes: Review prior authorization requests (prior authorization, concurrent review, and retrospective review) for medical necessity referring to Medical Director as needed for additional expertise and review. Utilize evidenced-based criteria, governmental policies, and internal guidelines for medical necessity reviews. Manage the review of medical claims disputes, records, and authorizations for billing, coding, and other compliance or reimbursement related issues Collaborates with other members of the team, the MPHC Medical Directors, healthcare providers, and members to promote effective utilization of resources. This collaboration includes timely communications with in and out of network hospitals, post-acute care facilities, other providers, and internal departments to authorize services, establish discharge plans, assist to coordinate effective, efficient transitions of care. Coordinates referrals to Care Management, as appropriate. Manages health care within the benefits structures per line of business and performs functions within compliance, contractual and accreditation regulations, e.g. Department of Defense, Centers for Medicaid and Medicare, NCQA, Employer contracts and state insurance regulations, as applicable. Maintains knowledge of applicable regulatory guidelines. Completes all documentation of reviews and decisions, in appropriate systems, according to process/ compliance requirements and within timeliness standards. Participates as a member of an interdisciplinary team in the Health Management Department May be responsible for maintaining a caseload for concurrent cases/ assisting in caseload coverage for the team Establishes and maintains strong professional relationships with community providers. Acts as a liaison to ensure the member is receiving the appropriate level of care at the appropriate place and time Mentors new staff as assigned. Meets or exceeds department quality audit scores. Meets or exceeds department productivity standards. Assists in creation and updating of department policies and procedures. Participates in quality initiatives, committees, work groups, projects, and process improvements that reinforce best practice medical management programming and offerings. Participates in the review and analysis of population data and metrics to inform development of programs and improved health outcomes. Demonstrates flexibility and agility in working in a fast-paced, team-oriented environment, able to multi-task from one case type to another. Assumes extra duties as assigned based on business needs Responsible for weekend coverage on a rotating basis. POSITION QUALIFICATION Education/Experience There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position. Education Associate's degree in nursing Bachelor's degree in nursing preferred Licensure/certification Compact RN license Experience 3+ years of clinical nursing experience as an RN, preferably in a hospital setting 2+ years Utilization Management experience in a health plan UM department Certification in managed care nursing or care management (CMCN or CCM) preferred Coding/CPC preferred Knowledge Demonstrates an understanding of and alignment with Martin's Point Values. Maintains current licensure and practices within scope of license for current state of residence. Maintains knowledge of Scope of Nursing Practice in states where licensed. Thorough understanding of healthcare policies, insurance guidelines, and regulatory standards (e.g., Medicare, NCQA, TRICARE) Familiarity with coding systems like ICD-10 and CPT preferred Skills Proficiency in conducting prospective, concurrent, and retrospective reviews using standardized criteria and guidelines like MCG Ability to review and interpret medical records, treatment plans, and clinical documentation, with a keen eye for detail and compliance with healthcare standards Technically savvy and can navigate multiple systems and screens while working cases Excellent interpersonal, verbal, and written communication skills. Critical thinking: can identify root causes and understands coordination of medical and clinical information. Computer proficiency in Microsoft Office products including Word, Excel, and Outlook. Abilities Ability to analyze data metrics, outcomes, and trends. Ability to prioritize time and tasks efficiently and effectively. Ability to manage multiple demands. Ability to function independently. This position is not eligible for immigration sponsorship. We are an equal opportunity/affirmative action employer. Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact ***************************** Do you have a question about careers at Martin's Point Health Care? Contact us at: *****************************
$57k-67k yearly est. Auto-Apply 15d ago

Learn more about nurse coordinator jobs

Top companies hiring nurse coordinators for remote work

Most common employers for nurse coordinator

Rank	Company	Average salary	Hourly rate	Job openings
1	Mountain Pacific Bank	$85,131	$40.93	0
2	Memorial Sloan Kettering Cancer Center	$83,661	$40.22	11
3	UPMC	$80,538	$38.72	628
4	CVS Health	$79,568	$38.25	360
5	Spectrum Healthcare Resources	$78,427	$37.71	16
6	University of Pittsburgh	$66,772	$32.10	209

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Nurse Coordinator
Nurse Coordinator Remote Jobs

Updated January 28, 2026

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Nurse Coordinator remote jobs - 524 jobs

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