RN Registered Nurse Full Time PAT Remote after Training
Remote job
*Employment Type:* Full time *Shift:* *Description:* Posting This RN position includes incorporating approved processes, systems, protocols and tools when screening incoming colleagues, providers, vendors and visitors entering Trinity Health facilities. These screening protocols follow CDC and other regulatory guidelines and internal procedures. This opportunity is located in our Preadmission Testing (PAT) department in the medical office building (MOB) on our main campus.
Documents and maintains compiled screening information as necessary within the scope of the RN role.
Reports to manager or identified escalation resources any issues or concerns and identifies person(s) who do not pass screening and/or compliance screening requirement guidelines per approved protocols.
A Registered Nurse (RN) is a licensed health care provider who provides nursing care under the direction of a physician, or other authorized health care provider. There is no independent component to the RN role.
The Nurse Practice Act defines the practice of a RN as "performing tasks and responsibilities within the framework of case finding, health teaching, health counseling, and provision of supportive and restorative care under the direction of a registered nurse or licensed physician, dentist, or other licensed health care provider legally authorized under this title and in accordance with the commissioner's regulations."
*ESSENTIAL FUNCTIONS*
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
As outlined in processes, practice guides and protocols and applying required systems and tools, performs specific health screening of persons entering Trinity Health facilities following established regulatory and Trinity Health guidelines and internal procedures.
May check temperature (no touch) and screens for symptoms by asking colleagues, providers, vendors and visitors a series of questions or ensuring that inquiry systems or electronic applications are used and that persons are approved for entry.
Provides masks as needed.
Educates those desiring to enter facilities on the practices and protocols for entry and re-entry.
Reports to manager or other identified escalation resources any person(s) who refuses and / or does not pass the screening and / or compliance screening requirement guidelines.
Monitors, organizes and keeps work areas sanitized and clean. Screenings may be required to take place outside the doors to Trinity Health facilities in order to maintain appropriate protection inside the buildings.
Ensures testing related supplies are properly maintained and available.
Maintains good rapport and cooperative relationships with colleagues, providers, vendors and visitors.
Approaches conflict in a professional, calm and constructive manner; escalates problem resolution to manager or other identified resources, as needed and according to protocols and processes. Creates a positive environment that promotes customer satisfaction.
Completes required training and sign off on usage of infrared thermometer and instructions needed to be followed.
Keeps abreast of updated internal instructions, processes, protocols and CDC and/or regulatory guidelines.
Performs other duties as assigned by the manager.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
*RESPONSIBILITIES:*
Ensures quality nursing care is rendered to all patients in accordance with the New York Nurse Practice Act, National Standards of Practice, and Nursing and Clinical Service standards of care and practice.
Utilizing the Nursing Process is involved in the provision of direct care of patients and families.
*PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS*
Operates in a healthcare, office or outdoor environment. Understands and follows infection control standards and complies with the use of personal protection equipment to prevent exposure and transmission of communicable disease.
Ability to stand or sit for long periods of time. Frequent walking, sitting, bending and stooping.
Must be able to hear and speak to those desiring to enter Trinity Health facilities and to communicate via phone, email and other electronic methods.
Must be able to adapt to frequently changing work priorities and be able to prioritize and balance the requirements of the job.
Ability to concentrate and pay close attention to details for over 90% of time
*Mission Statement:*
We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
*Vision:*
To be world-renowned for passionate patient care and outstanding clinical outcomes.
*Core Values:*
In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.
*Education, Training, Experience, Certification and Licensure:*
Graduation from an accredited school for Registered Nurse and current licensure, or eligibility for licensure, in the State of New York.
Maintains current BLS/CPR.
Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise.
*Work Contact Group:*
All services, medical staff, patients, visitors, and various regulatory and professional agencies.
*Supervised by:*
Team Leader, Clinical Coordinator, Unit Manager, and Clinical Services/Nursing Administration.
*Diversity and Inclusion*
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Pay Range: $33.00 - $43.58
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates.
*Our Commitment *
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Registered Nurse (Hybrid/Remote)- Albany, NY - Endocrinology- Full Time
Remote job
*Employment Type:* Full time *Shift:* Day Shift *Description:* **Registered Nurse - Endocrinology - Albany, NY** If you are looking for a Hybrid RN II position, full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will be located at 63 Shaker Road, Albany NY.
**Position Highlights:**
* **Quality of Life:** Where career opportunities and quality of life converge
* **Advancement: **Strong orientation program, generous tuition allowance and career development
* **Work/Life: **Monday - Friday Office Hours *(2 Remote Days a Week)*
**What you will do:**
The **Registered Professional Nurse** has the responsibility and accountability to utilize the nursing process to diagnose and treat human responses to actual or potential problems of individuals or groups. The Registered Professional Nurse works within and contributes to an environment where the St. Peter's Healthcare Services mission is actualized, patient outcomes are achieved, and professional practice is realized
**Responsibilities:**
* Brings patient to exam room, takes appropriate vital signs and documents in electronic medical record.
* Review and update medication list to ensure accurate and complete list in electronic medical record (EMR) available for provider review and submission.
* Complete referrals and tracks patients' compliance.
* Review prescriptions electronically and send prescriptions to providers for review and submission.
* Obtains patient consent for procedures as directed by provider.
* Performs pre-visit planning and reviews quality metrics.
* Retrieves telephonic clinical information from patients who call into the office.
* Monitors task list and completes tasks assigned by provider in a timely manner based on urgency.
* Educates patients regarding medication, testing procedures and home care techniques.
* Ensure proper labeling, handling and documentation for patient specimens.
* Follow up with patient regarding test results based on advice given by provider.
* Maintains a clean and safe work environment including disinfecting patient care areas and equipment.
* In conjunction with other nursing colleagues, maintains the medical supply cabinet and drug cabinet.
* Uses the electronic medical record to communicate effectively.
* Performs quality assurance duties as assigned.
* Provides a clinical visit summary (Patient Plan) to patient as requested including educational materials.
* Participates in daily Patient Care huddles as appropriate.
* Works cooperatively with all colleagues to ensure quality patient care at all times.
* Performs other duties as assigned.
**What you will need:**
* Associates or Bachelor's degree in Nursing preferred
* HS Diploma/equivalent required
* Current unencumbered NYS RN license
* Basic Life Support certification
* 6 months previous RN experience
* Must be able to lift 20 lbs.
*Pay Range: $30.00-$43.50*
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
*Our Commitment *
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Clinical Coding Educator - Full Time - Remote
Remote job
Clinical Coding Educator - Full Time - Remote - (25011466) Description Clinical Coding EducatorAre you looking for a rewarding career with an award-winning company? We're looking for a qualified Clinical Coding Educator like you to join our Texas Health family.
Work location: RemoteWork hours: Monday through Friday (full time hours) HIMS/CCDI Department Highlights:100% remote work Flexible hours/scheduling Terrific work/life balance Qualifications Here's What you NeedEducationAssociate's Degree Healthcare related REQUIRED or Bachelor's Degree Healthcare related preferred or Bachelor's Degree Other (i.
e.
, business) 3 years experience in inpatient acute facility coding preferred orH.
S.
Diploma or Equivalent 7 years experience in inpatient acute facility coding in lieu of degree Experience3 years Acute Inpatient Hospital Coding REQUIRED1 year auditing inpatient acute facility coding REQUIRED1 Year providing formal education in adult learning REQUIREDLicenses and CertificationsRHIA - Registered Health Information Administrator Upon Hire REQUIRED or RHIT - Registered Health Information Technician Upon Hire REQUIRED or CCS - Certified Coding Specialist Upon Hire REQUIRED or CIC - Certified Inpatient Coder Upon Hire REQUIREDSkillsProficient in software applications (Excel, Word, Optum CAC, EPIC).
Thorough knowledge of ICD 10-CM, PCS.
Knowledgeable in APC and DRG methodologies and all regulatory/payer requirements as they relate to coding.
Demonstrated knowledge of coding conventions, guidelines and clinics including ability to apply and instruct on these, as well as THR coding policies and procedures for accurate record review.
Demonstrated time management and organizational skills.
Demonstrated clear and concise oral and written communication skills.
Demonstrated strong decision making and problem-solving skills.
Personal initiative to keep abreast of new developments in coding updates/technology/research/regulatory data.
Successful completion of ICD 10-AHIMA Academy training and certification (Preferred).
What you will do· Collaborates to develop planning, instruction, and evaluation tools for the Clinical Coding Apprenticeship Program in accordance with professional coding practices and guidelines.
· Creates tools for evaluation of apprentice progress to identify continued learning opportunities (i.
e.
, audit tools, competencies, and/or assessments)· Monitors individual apprentice progress and trends and provides summary reports to leadership as requested.
· Provides input into the development and updating of policies or procedures to maintain standards for correctcoding per formal coding resources.
· Quality Improvement· Technology/Use of Data· Professional Accountability Additional perks of being a Texas Health Clinical Coding Educator· Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
· A supportive, team environment with outstanding opportunities for growth.
· Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we've won and more.
Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.
org.
#LI-JT1 Primary Location: ArlingtonJob: Health Information ManagementOrganization: Texas Health Resources 612 E.
Lamar TX 76011Travel: NoJob Posting: Nov 4, 2025, 6:25:44 PMShift: Day JobEmployee Status: RegularJob Type: StandardSchedule: Full-time
Auto-ApplyClinical Documentation Integrity Educator
Remote job
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact ********************************. If you have questions while submitting an application, please review these frequently asked questions.
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:Clinical Documentation Integrity EducatorDepartment:University Hospital | Care Management Services
Scope of Position
Work with program leadership to plan, develop, and implement clinical documentation education programs for Clinical Documentation Integrity (CDI) specialists and providers. Educate members of the CDI team on the review functions within the CDI program in order to meet and maintain enterprise goals and objectives, regulatory compliance, policies and procedures and personnel management.
Position Summary The CDI Educator is a nurse who demonstrates expertise in staff education, CDI knowledge and Coding expertise. This position incorporates practical skills with ACDIS endorsed best practices to support the CDI team in learning. The CDI Educator will serve as the liaison with the Coding educators to build collaborative education sessions to enrich both team's practice, and will be the connector with the CDI physician advisors to build provider education that incorporates CDI compliant queries.
Minimum Qualifications
Required:
Bachelor's degree in nursing.
Must hold a valid, unrestricted RN license.
Minimum five (5) years of acute care nursing experience.
3 years or more years of relevant CDI experience required.
1 or more years of education experience required.
Current Certified Clinical Documentation Specialist (CCDS) certification required or must be obtained within one (1) year of hire.
Additional Information:Location:Remote LocationPosition Type:RegularScheduled Hours:40Shift:First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
Auto-ApplyClinical Educator
Remote job
Who We Are
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
What You'll Do:
As Clinical Educator with Imagine Pediatrics, you will play a critical role in supporting the clinical development and education of all clinical health professionals. This position involves developing, implementing, and evaluating training programs to ensure the delivery of high-quality, family-centered care. The Clinical Educator will collaborate with interdisciplinary teams to enhance the competencies of clinicians, improve patient outcomes, and ensure adherence to value-based care principles. You will support various learning programs through in-person and remote training. You will:
Develop and maintain new hire standards for onboarding and clinical orientation.
Collaborate with program and regional leaders to design and deliver robust clinical onboarding experience that focuses on care delivery models, process improvement, tailored services, value-based care, and SDOH.
Create, coordinate, and deliver training programs, workshops, and continuing education sessions for team members focusing on evidence-based practices, child/adolescent health, and our integrated care models.
Oversee preceptor training by collaborating with clinical staff on current practices, interpersonal skills and EMR training.
Create and present educational content with a focus on areas that support business objectives to include but not limited to transitions of care, disease management, and case management.
Provide clinical coaching and mentorship to clinical health staff, focusing on skill development, case consultation, and clinical supervision. Foster a culture of continuous learning and improvement.
Utilize clinical data, outcome measures, and performance metrics to assess the effectiveness of educational programs and make data-driven recommendations for program enhancements.
Assist in the development and revision of clinical policies, procedures, and protocols to ensure compliance with regulatory requirements and alignment with Imagine Pediatrics care model.
Create educational materials, guides, and resources for clinicians and families to support understanding of pediatric behavioral health conditions, treatments, and the value-based care model.
Provide training for various electronic medical records and software.
Design compelling training for wide audiences and skill levels for both online and instructor-led material.
Travel to Imagine Pediatrics' offices to train on various content or reinforce adherence to process. This position will require up to 20-30% travel.
What You Bring & How You Qualify
First and foremost, you're passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support, they deserve. You want an active role in building a diverse and value-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly to priorities. In this role, you will need:
You hold an unrestricted RN and/or NP state license, including board certification, or the ability to become board certified within 2 years.
You have strong comprehension of clinical standards of care and are focused on quality of life for your patients.
You have proficiency in Microsoft products and general technological savviness.
Experience with curriculum design platforms.
Experience leading training efforts or as a Clinical Educator.
Experience working with a pediatric population strongly preferred, virtual care experience a plus.
What We Offer (Benefits + Perks)
The role offers a base salary range of $80,000 - $110,000 In addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks:
Competitive medical, dental, and vision insurance
Healthcare and Dependent Care FSA; Company-funded HSA
401(k) with 4% match, vested 100% from day one
Employer-paid short and long-term disability
Life insurance at 1x annual salary
20 days PTO + 10 Company Holidays & 2 Floating Holidays
Paid new parent leave
Additional benefits to be detailed in offer
What We Live By
We're guided by our five core values:
Our Values:
Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.
Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments.
Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale.
Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve.
One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together.
We Value Diversity, Equity, Inclusion and Belonging
We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
Auto-ApplyClinical Coding Educator - Full Time - Remote
Remote job
Clinical Coding Educator - Full Time - Remote - (25011466) Description Clinical Coding EducatorAre you looking for a rewarding career with an award-winning company? We're looking for a qualified Clinical Coding Educator like you to join our Texas Health family.
Work location: RemoteWork hours: Monday through Friday (full time hours) HIMS/CCDI Department Highlights:100% remote work Flexible hours/scheduling Terrific work/life balance Qualifications Here's What you NeedEducationAssociate's Degree Healthcare related REQUIRED or Bachelor's Degree Healthcare related preferred or Bachelor's Degree Other (i.
e.
, business) 3 years experience in inpatient acute facility coding preferred orH.
S.
Diploma or Equivalent 7 years experience in inpatient acute facility coding in lieu of degree Experience3 years Acute Inpatient Hospital Coding REQUIRED1 year auditing inpatient acute facility coding REQUIRED1 Year providing formal education in adult learning REQUIREDLicenses and CertificationsRHIA - Registered Health Information Administrator Upon Hire REQUIRED or RHIT - Registered Health Information Technician Upon Hire REQUIRED or CCS - Certified Coding Specialist Upon Hire REQUIRED or CIC - Certified Inpatient Coder Upon Hire REQUIREDSkillsProficient in software applications (Excel, Word, Optum CAC, EPIC).
Thorough knowledge of ICD 10-CM, PCS.
Knowledgeable in APC and DRG methodologies and all regulatory/payer requirements as they relate to coding.
Demonstrated knowledge of coding conventions, guidelines and clinics including ability to apply and instruct on these, as well as THR coding policies and procedures for accurate record review.
Demonstrated time management and organizational skills.
Demonstrated clear and concise oral and written communication skills.
Demonstrated strong decision making and problem-solving skills.
Personal initiative to keep abreast of new developments in coding updates/technology/research/regulatory data.
Successful completion of ICD 10-AHIMA Academy training and certification (Preferred).
What you will do· Collaborates to develop planning, instruction, and evaluation tools for the Clinical Coding Apprenticeship Program in accordance with professional coding practices and guidelines.
· Creates tools for evaluation of apprentice progress to identify continued learning opportunities (i.
e.
, audit tools, competencies, and/or assessments)· Monitors individual apprentice progress and trends and provides summary reports to leadership as requested.
· Provides input into the development and updating of policies or procedures to maintain standards for correctcoding per formal coding resources.
· Quality Improvement· Technology/Use of Data· Professional Accountability Additional perks of being a Texas Health Clinical Coding Educator· Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
· A supportive, team environment with outstanding opportunities for growth.
· Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we've won and more.
Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.
org.
#LI-JT1 Primary Location: ArlingtonJob: Health Information ManagementOrganization: Texas Health Resources 612 E.
Lamar TX 76011Travel: NoJob Posting: Nov 4, 2025, 6:25:44 PMShift: Day JobEmployee Status: RegularJob Type: StandardSchedule: Full-time
Auto-ApplyClinical Documentation Educator, Coding Experience Required - Remote
Remote job
Short Description
Reporting to the Supervisor of the Clinical Documentation Team the Clinical Documentation Educator, through diverse assignments, supports and participates in educational activities to improve of the quality, completeness and accuracy of clinical documentation for Cooper University Physicians (CUP.)
Experience Required
Physician coding and compliance experience with significant emphasis on/strong background in procedural, surgical and/or Evaluation and Management services.
Training and presentation experience with physicians and other clinicians both individually and in groups.
Accomplished in the preparation of PowerPoint presentations and other supplemental training materials.
Previous work experience in the auditing and coding of professional clinical documentation; both handwritten and electronic medical records.
Education Requirements
High School Diploma required
Some college or bachelor's degree preferred; Associate degree in nursing or other relevant associate degree also considered.
License/Certification Requirements
CPC and/or CCS-P; CRC or intent to sit/pass exam within 1 year of hire.
Nursing certification and/or Compliance certification a plus
Valid Driver's License (will need to travel to CUH satellite locations as necessary)
Salary Min ($) USD $33.00 Salary Max ($) USD $53.00
Auto-ApplyClinical Documentation Auditor/Educator (Remote)
Remote job
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
The Clinical Documentation Improvement (CDI) Auditor Educator will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis. The incumbent will be responsible for identification of patterns, trends, and opportunities for the entire CDI team, at all acute care facilities, to improve accuracy and outcomes. This position will also be responsible for assisting with large retrospective audits, at the request of hospital clients system-wide, and for educating physicians, if needed. Reports to the CDI Quality/Education Manager. The CDI Auditor reports to the Director as an individual contributor and provides recommendations on clinical documentation quality improvement and education programs.Job DescriptionMEMORIAL HERMANN CANNOT HIRE REMOTE WORKERS IN THE FOLLOWING STATES:
Arizona, California, Connecticut, Maryland, Massachusetts, Missouri, New Jersey, New York, Utah, Ohio, Pennsylvania, Washington, Alabama, Mississippi, Illinois, Oregon, Arkansas or Iowa
Please Note: We cannot consider MDs or doctors for this position
Minimum Qualifications
Education: Bachelor's of Nursing, required; Master's Degree in Nursing or Management preferred
Licenses/Certifications:
Current State of Texas license or temporary/compact license to practice professional nursing
Certified Clinical Documentation Specialist (CCDS) required; AHIMA ICD-10-CM/PCS Trainer preferred
Experience / Knowledge / Skills:
Minimum of three (3) to five (5) years of CDS experience
Previous CDIS auditing and education experience and/or CDIS supervisory/management background preferred
Strong computer proficiency including working knowledge of MS Office- Word, Excel and Outlook and 3M Coding and Reimbursement software; experience with Cerner EMR preferred
Excellent communication, analytical and problem solving skills are essential
Strong organizational skills and must be detail oriented
Highly analytical with strong risk assessment, impact analysis and problem solving skills
Highly self-motivated, yet demonstrate ability to be a team player and take direction
Flexible and able to multi-task and prioritize work load on a daily basis, performing concurrent chart reviews as needed
Principal Accountabilities
Audits case reviews and queries of Clinical Documentation Specialists (CDIS) to ensure quality and compliance, using audit tools developed.
Tracks, trends, and reports audit findings for each Clinical Documentation Specialist (CDIS), Hospital Region, and System-wide to Director/management team.
Identifies knowledge gaps and provides clear explanations and interpretations on missing, unclear, conflicting, or non-compliant information captured by the CDIS.
Researches, investigates and remains up to date on both clinical and coding guidelines in quarterly Coding Clinics as they relate to physician documentation improvement needed, in an ICD-10 coding environment.
Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication, and quality outcomes. Serves as a resource for appropriate clinical documentation.
Develops presentation material and provides training and education to physicians and CDIS staff as needed in an effort to strengthen documentation practices and ensure accurate coding that reflects the severity of illness (SOI) and risk of mortality (ROM) of patients they serve.
Responsible for using audit tools to conduct clinical quality audits
Develops and updates policies and procedures around the CDIS audit function; and refines audit tools as needed in collaboration with Director/management team.
Collaborates with leadership to conduct focused post-discharge documentation and coding audits as requested by hospital clients system-wide.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
Auto-ApplyClinical Nurse Educator (Hybrid)
Remote job
Be a part of a team dedicated to helping people build families!
Enjoy what you do while contributing to a practice that makes a difference in people's lives. The Reproductive Science Center of the San Francisco Bay Area continually seeks experience, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward.
RSC is now part of US Fertility! US Fertility is the largest physician-led partnership of top-tier fertility practices in the United States. The work we do building families offers stimulation, challenge, and personal reward.
We are looking for Full Time Nurse Educator to join our team! This position would travel to other RSC Bay sites. Work schedule M-F 8:00am -4:30pm.
Pay range is $74-$79 per hour.
This position is responsible for providing patient focused surgical care.
Responsibilities include,
but are not limited to
, the following:
Must be proficient in reproductive endocrinology and infertility (REI) nursing.
• Thorough and accurate training of newly-hired nurses and medical assistants.
• Knowledge of, and compliance with, RSC Bay standards, policies and procedures.
• Effective leadership skills.
• Actively role model and coach the behaviors associated with integrity, compassion, accountability, respect, and excellence.
• Maintain mature, professional, and effective working relationships with RSC Bay physicians, all levels of RSC Bay management and staff, and outside customers.
• Demonstrate leadership skills in problem-solving, decision-making, multi-tasking, and accountability.
• Demonstrate exceptional communication skills, a respectful demeanor, and a positive approach.
• Maintain personal knowledge of RSC Bay policies, procedures, goals and initiatives.
• Assume other responsibilities, aside from those outlined in this , as deemed necessary and
appropriate by Physicians, Executive Director, and/or Director of Medical Affairs.
Requirements:
• BSN or higher strongly preferred
• Five years' nursing experience preferred
What We Offer:
More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful.
What We Offer:
We are proud to provide a comprehensive and competitive benefits package tailored to support the needs of our team members across all employment types:
Full-Time Employees (30+ hours/week):
Medical, dental, and vision insurance, 401(k) with company match, tuition assistance, performance-based bonus opportunities, generous paid time off, and paid holidays
Part-Time Employees:
401(k) with company match and performance-based bonus opportunities
Per Diem Employees:
401(k) with company match
At Reproductive Science Center of the San Francisco Area, we promote and develop individual strengths in order to help staff grow personally and professionally. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team!
To learn more about our practice and culture, please visit our website at ******************
How To Get Started:
To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen.
Clinical Nurse Educator (Hybrid)
Remote job
Be a part of a team dedicated to helping people build families!
Enjoy what you do while contributing to a practice that makes a difference in people's lives. The Reproductive Science Center of the San Francisco Bay Area continually seeks experience, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward.
RSC is now part of US Fertility! US Fertility is the largest physician-led partnership of top-tier fertility practices in the United States. The work we do building families offers stimulation, challenge, and personal reward.
We are looking for Full Time Nurse Educator to join our team! This position would travel to other RSC Bay sites. Work schedule M-F 8:00am -4:30pm.
Pay range is $74-$79 per hour.
This position is responsible for providing patient focused surgical care.
Responsibilities include,
but are not limited to
, the following:
Must be proficient in reproductive endocrinology and infertility (REI) nursing.
• Thorough and accurate training of newly-hired nurses and medical assistants.
• Knowledge of, and compliance with, RSC Bay standards, policies and procedures.
• Effective leadership skills.
• Actively role model and coach the behaviors associated with integrity, compassion, accountability, respect, and excellence.
• Maintain mature, professional, and effective working relationships with RSC Bay physicians, all levels of RSC Bay management and staff, and outside customers.
• Demonstrate leadership skills in problem-solving, decision-making, multi-tasking, and accountability.
• Demonstrate exceptional communication skills, a respectful demeanor, and a positive approach.
• Maintain personal knowledge of RSC Bay policies, procedures, goals and initiatives.
• Assume other responsibilities, aside from those outlined in this , as deemed necessary and
appropriate by Physicians, Executive Director, and/or Director of Medical Affairs.
Requirements:
• BSN or higher strongly preferred
• Five years' nursing experience preferred
What We Offer:
More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful.
What We Offer:
We are proud to provide a comprehensive and competitive benefits package tailored to support the needs of our team members across all employment types:
Full-Time Employees (30+ hours/week):
Medical, dental, and vision insurance, 401(k) with company match, tuition assistance, performance-based bonus opportunities, generous paid time off, and paid holidays
Part-Time Employees:
401(k) with company match and performance-based bonus opportunities
Per Diem Employees:
401(k) with company match
At Reproductive Science Center of the San Francisco Area, we promote and develop individual strengths in order to help staff grow personally and professionally. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team!
To learn more about our practice and culture, please visit our website at ******************
How To Get Started:
To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen.
Clinical Nurse Educator- Northeast
Remote job
About the Company UroGen is a biotech company dedicated to developing and commercializing innovative solutions that treat urothelial and specialty cancers. We are fundamentally changing the way patients are treated for urologic cancers. Watch our New Horizons in Bladder Cancer event and discover why it's an exciting time to join UroGen Pharma. Join us and be part of the team that will redefine the future of urological cancer treatment. Behind every UroGen innovation is the inspiration to empower uro-oncology patients with life-changing treatments.
At UroGen, our people are our greatest asset. We cultivate a culture built on collaboration, creativity, and continuous growth. UroGen is a dynamic, rapidly expanding organization with an unwavering focus on improving the lives of patients because they deserve better.
Job Summary
The Clinical Nurse Educator will be an essential role within the UroGen field organization. The role of educator will be important to both internal and external audiences. The CNE will be responsible for educating HCPs and pharmacists regarding UroGen's product(s)' safety and efficacy profile, proper utilization and follow-up recommendations. The CNE will be part of the sales team and will coordinate with the Managers on determining priority accounts and pull through activities. The CNE will also assist the Managers in training new sales professionals. These individuals will be part of UroGen's sales leadership.
* Minimum requirement B.A./B.S. degree or equivalent
* Registered Nurse license required
* An active health care license in at least one state in the territory covered
* A minimum of 3 years clinical experience in critical care.
* Needs to have over 5 years of experience in CNE
* Qualified candidates must have solid interpersonal skills and must be able to lead without influence.
* A valid driver's license
* Ability to travel up to 4 nights/week
* Excellent written and oral communications skills
Preferred Qualifications:
* Prior pharmaceutical or nursing experience.
* Comfortable giving presentations to both small and large groups.
* Live near airport
Duties & Responsibilities
* The CNE will assist practices in understanding the safety and efficacy profile of company products, proper utilization of UroGen's product, i.e. handling all material related to the procedure, instillation procedure, instillation procedure education and training, patient selection criteria, and side effect management education.
* The CNE will provide non-CME educational programs (designed by UroGen) to practices and organizations.
* The CNE may be asked to assist with initial set-up of office-delivered patient education materials disseminated by UroGen (direct patient/CNE interactions are not anticipated with the CNE role at this time)
* The CNE will be the medical information expert on the sales team in each region
* The CNE will address issues and questions regarding UroGen's product(s).
* The CNE will keep accurate records of accounts visited and items discussed.
* Each CNE will collaborate with the Sales Managers to develop and maintain a targeted business plan and database for execution for that region.
* Up to 60 % travel will be required.
* There will be medical and nursing meetings the CNE will be required to attend on both a national and local level that will require coverage on weekends.
* Each CNE will be responsible for booking travel and hotel stays needed while in the field.
* Each CNE will be responsible for doing an expense report for all business-related expenses once every 2 weeks but no less than once a month.
We offer a competitive salary, employee benefits, and an excellent work environment.
* Medical
* Dental
* Vision
* 401k Match
* Paid Time Off
* Employee Assistance Program
We are an Equal Opportunity Employer
Wound Care Nurse - Telehealth Coordinator
Remote job
We are seeking a dedicated and compassionate Wound Care Nurse, Telehealth Coordinator within the skilled nursing environment.
The Wound Care Nurse, Telehealth Coordinator is the link between healthcare providers and patients while providing dressing changes to wounds, under direct supervision, utilizing real-time, imaging technologies.
If you are passionate about excellent wound care and recognize the role telehealth has for consistent, convenient attention to patients in need, we encourage you to apply for the Telehealth Coordinator position and join our dedicated team.
Responsibilities:
Act as the in-person, hands on assistant to conduct weekly virtual wound rounds using technology under the guidance of wound care specialists, nurses, or healthcare providers.
Photograph wounds using designated telehealth technology and ensure accurate documentation of images for clinical review.
Aid patients in navigating telehealth platforms, troubleshoot technical issues, and ensure a seamless virtual connection for appointments.
Facilitate patient telehealth scheduling, provide education on virtual visits to patients and staff as needed.
Administer all aspects of wound care as per evidence based practice and facility policies, including dressing changes and rounds.
Maintain strict adherence to patient confidentiality and privacy regulations, including HIPAA compliance, during all telehealth interactions and documentation processes.
Submit orders for wound care products.
Qualifications:
Graduate of an accredited school of nursing required. Must possess current CPR certifications. Minimum of one (1) year of Wound Care experience required, (2) years preferred. Wound care certification is preferred. Must possess a current, unencumbered, active license to practice as a RN or LPN in state of practice.
Excellent communication skills with the ability to convey medical information clearly to physicians, staff, patients and family
Empathy, patience, and a genuine desire to provide quality healthcare services to patients at the bedside as well as through telehealth technology.
Commitment to maintaining patient confidentiality, privacy, and data security in accordance with healthcare regulations (e.g., HIPAA).
Ability to multitask, and adapt to changing telehealth workflows, job requirements, and patient populations.
Prior experience in SNF, LTC, or Assisted Living preferred.
Travel to assigned facilities using your personal car, valid driver's license, and mileage reimbursement offered.
Role starts out Part-Time with the opportunity to be Full-Time.
Auto-Apply1099 Contracted Nurse Assessor - Nationwide Need
Remote job
Be your own boss!
As a member of illumifin's national network of Registered Nurses, you will visit local clients at their place of residence. Using your nursing skills these assessments will help to paint a picture of the client's needs. As an independent contractor, the amount of clients you visit and your schedule is up to you.
Responsibilities
Utilizing illumifin's proprietary questionnaires obtain thorough cognitive and health assessment information as requested
Comply with all assessment instructions and accurately complete assessment paperwork
Communicate promptly with illumifin regarding file status and appointment times
Return completed assessment within 24 hours after the appointment
Respond promptly to any follow-up and clarification questions regarding each submitted assessment
With easy E-Assessments you can complete assessments electronically using your cell phone, tablet, iPad, or Laptop
HEDIS Over Reader Nurse - Remote - Contract
Remote job
This is a contract assignment that will start right away and end on June 28th 2024
Remote in TX
Must Live in TX
SUMMARY DESCRIPTION: RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team. The team is responsible for obtaining and performing accurate comprehensive reviews of medical records in support of The HEDIS Effectiveness Data and Information Set project. HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications.
JOB REQUIREMENTS:
• Degree, Diploma or Certificate from a school of nursing with clinical experience.
• Licensed in the State of Illinois
• Knowledge of medical terminology
• Data entry and/or typing experience.
• Clear and concise written and verbal communication skills.
• PC proficiency to include Word, Excel and Lotus Notes.
• Auditing experience preferred.
DUTIES AND RESPONSIBILITIES:
• Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis according to HEDIS specifications and company training guidelines.
• Complete the IRR/over-read tool in the Software Application, including comments if errors are found. Correct errors identified through over-read process, including a re-review of charts that may contain similar errors.
• Identify and report abstraction errors and provide measure re-education with for the abstractor.
• Utilizes various software applications to support HEDIS operations by entering data and / or changing chase status for the identified chase(s).
• Meets with HEDIS Coordinator and / or QI Specialists to discuss HEDIS efforts, any open issues and can include IRR results.
• Maintains productivity level as determined by the HEDIS Coordinator/QI Department.
• Maintain compliance with all HIPPA and patient confidentiality requirements.
• All other duties as assigned.
Nursing Administrator (RN), Full-time, Remote
Remote job
Nursing Administrator
The Center for Wound Healing & Hyperbaric Medicine, LLC (CFWH) provides management and consulting services to healthcare providers in the area of wound care and hyperbaric medicine. By focusing on the needs of the patients as well as the partners we serve, The Center for Wound Healing & Hyperbaric Medicine, LLC is able to bring advanced wound healing strategies to many communities around the country.
Our Core Values:
Compassion, Excellence, Passionate, Integrity, Dedication, Loyalty, Accountability, Enterprising.
Job Overview:
The Nursing Administrator assists with all patient care services, including but not limited to, case management, extensive chart reviews, utilization of services reviews and discharge planning. Ensures compliance with patient care quality standards as it relates to the care provided to all wound care and hyperbaric patients. Supports all clinical training initiatives for new and existing staff, which includes both hands-on and virtual training. This position reports to the Chief Nursing Officer (CNO).
What You'll be Doing:
Understands wound care and hyperbaric nursing protocols; ability to practice as required.
Participates in the chart review process to ensure patients qualify for treatment prior to appointment.
Communicates charting revisions to appropriate staff in a professional, helpful, and kind manner. Educate, as needed.
Partners with the HR & Training department on new hire training to provide educational assistance as needed. Requested clinical training from CA may be remote or in-person.
Works with the CNO to identify training needs for current staff. Creates appropriate training material/courses and educational aids. Provides training remotely or in-person.
Travels to wound centers across the U.S. to support on-going clinical education, coach and develop nursing staff, and to cover clinical shifts if/when required.
Supports new clinic openings as requested by the CNO. Support may be administrative, virtual and/or hands-on.
Works closely with clinic leadership to advise on patient scheduling, chart reviews, physician communication, and patient evaluations for HBO qualification.
Responsible for staying up to date on the standards of care related to wound care and hyperbaric oxygen therapy (local coverage determinations/LCDs) and education of such.
Partners closely with the Revenue Cycle Department on insurance verifications to get authorization in a timely and efficient manner.
Creates and/or updates clinical procedures for new and existing staff to adhere to. Communicates and trains on procedures as required.
Maintains close coordination with all departments to ensure continuity and collaboration of services.
Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) by safeguarding patient information and maintaining the highest level of confidentiality standards.
Maintains efficient and effective clinical operations while verifying compliance with all local, state and federal regulations, standards and protocols.
Consistently adheres to company, hospital, and accrediting body clinical, safety, and compliance standards.
Other duties as assigned.
Requirements for This Role:
Registered Nurse (RN) from an accredited school or college of nursing.
Current state licensure; no restrictions to obtain RN license in additional states.
Current Basic Life Support (BLS) from approved agency.
2+ years wound care experience required.
2+ years clinical training experience required.
Deep understanding of charting, billing and insurance authorizations.
Proficient in Microsoft Office or related systems.
Proficient in a minimum of one EMR system.
Strong verbal and written communication skills.
Ability to treat others with compassion and patience.
Ability to work in a fast-paced team-oriented environment.
Must possess excellent interpersonal skills.
All employees are required to comply with HIPAA policies and procedures.
Desired Qualifications for This Role:
Bachelor's Degree preferred.
CWS, WCC, WOCN and/or CHRN certification preferred.
Knowledge of Hyperbaric Oxygen Therapy preferred.
Experience in outpatient clinic and/or hospital operations preferred.
Proficiency with Microsoft 365 tools, particularly SharePoint preferred.
Travel:
This position requires frequent ground and/or air travel. This may result in travel up to 75% of the employee's time with occasional weekend travel.
Physical Demands:
The physical demands described are representative of those that must be met by a Nursing Administrator to successfully perform the essential competencies, duties, and requirements of this position. These include standing, walking, driving, lifting up to 50 pounds and sitting for extended periods of time and looking at a computer screen for extended periods of time. In addition, pushing, pulling, stooping, squatting and shifting heavy objects, as well as air travel, may be required. Employees should ask for assistance if needed.
Equal Employment Opportunity:
The Center for Wound Healing & Hyperbaric Medicine, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
As an organization, we are committed to offering reasonable accommodation to job applicants with disabilities. If you need assistance or an accommodation due to disability, please contact us at ***********************************.
Auto-ApplyNursing Administrator (RN), Full-time, Remote
Remote job
Job Description
Nursing Administrator
The Center for Wound Healing & Hyperbaric Medicine, LLC (CFWH) provides management and consulting services to healthcare providers in the area of wound care and hyperbaric medicine. By focusing on the needs of the patients as well as the partners we serve, The Center for Wound Healing & Hyperbaric Medicine, LLC is able to bring advanced wound healing strategies to many communities around the country.
Our Core Values:
Compassion, Excellence, Passionate, Integrity, Dedication, Loyalty, Accountability, Enterprising.
Job Overview:
The Nursing Administrator assists with all patient care services, including but not limited to, case management, extensive chart reviews, utilization of services reviews and discharge planning. Ensures compliance with patient care quality standards as it relates to the care provided to all wound care and hyperbaric patients. Supports all clinical training initiatives for new and existing staff, which includes both hands-on and virtual training. This position reports to the Chief Nursing Officer (CNO).
What You'll be Doing:
Understands wound care and hyperbaric nursing protocols; ability to practice as required.
Participates in the chart review process to ensure patients qualify for treatment prior to appointment.
Communicates charting revisions to appropriate staff in a professional, helpful, and kind manner. Educate, as needed.
Partners with the HR & Training department on new hire training to provide educational assistance as needed. Requested clinical training from CA may be remote or in-person.
Works with the CNO to identify training needs for current staff. Creates appropriate training material/courses and educational aids. Provides training remotely or in-person.
Travels to wound centers across the U.S. to support on-going clinical education, coach and develop nursing staff, and to cover clinical shifts if/when required.
Supports new clinic openings as requested by the CNO. Support may be administrative, virtual and/or hands-on.
Works closely with clinic leadership to advise on patient scheduling, chart reviews, physician communication, and patient evaluations for HBO qualification.
Responsible for staying up to date on the standards of care related to wound care and hyperbaric oxygen therapy (local coverage determinations/LCDs) and education of such.
Partners closely with the Revenue Cycle Department on insurance verifications to get authorization in a timely and efficient manner.
Creates and/or updates clinical procedures for new and existing staff to adhere to. Communicates and trains on procedures as required.
Maintains close coordination with all departments to ensure continuity and collaboration of services.
Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) by safeguarding patient information and maintaining the highest level of confidentiality standards.
Maintains efficient and effective clinical operations while verifying compliance with all local, state and federal regulations, standards and protocols.
Consistently adheres to company, hospital, and accrediting body clinical, safety, and compliance standards.
Other duties as assigned.
Requirements for This Role:
Registered Nurse (RN) from an accredited school or college of nursing.
Current state licensure; no restrictions to obtain RN license in additional states.
Current Basic Life Support (BLS) from approved agency.
2+ years wound care experience required.
2+ years clinical training experience required.
Deep understanding of charting, billing and insurance authorizations.
Proficient in Microsoft Office or related systems.
Proficient in a minimum of one EMR system.
Strong verbal and written communication skills.
Ability to treat others with compassion and patience.
Ability to work in a fast-paced team-oriented environment.
Must possess excellent interpersonal skills.
All employees are required to comply with HIPAA policies and procedures.
Desired Qualifications for This Role:
Bachelor's Degree preferred.
CWS, WCC, WOCN and/or CHRN certification preferred.
Knowledge of Hyperbaric Oxygen Therapy preferred.
Experience in outpatient clinic and/or hospital operations preferred.
Proficiency with Microsoft 365 tools, particularly SharePoint preferred.
Travel:
This position requires frequent ground and/or air travel. This may result in travel up to 75% of the employee's time with occasional weekend travel.
Physical Demands:
The physical demands described are representative of those that must be met by a Nursing Administrator to successfully perform the essential competencies, duties, and requirements of this position. These include standing, walking, driving, lifting up to 50 pounds and sitting for extended periods of time and looking at a computer screen for extended periods of time. In addition, pushing, pulling, stooping, squatting and shifting heavy objects, as well as air travel, may be required. Employees should ask for assistance if needed.
Equal Employment Opportunity:
The Center for Wound Healing & Hyperbaric Medicine, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
As an organization, we are committed to offering reasonable accommodation to job applicants with disabilities. If you need assistance or an accommodation due to disability, please contact us at
***********************************
.
Remote Health Plan Nurse Coordinator
Remote job
Job Title: Health Plan Nurse CoordinatorJob Description The Health Plan Nurse Coordinator is a Registered Nurse assigned to various Health Services operational units. These units include Utilization Management, Case Management, Enhanced Care Management, Disease Management, Pediatric-Whole Child Model, and Population Health programs. The role involves performing utilization management activities, including telephonic or onsite clinical reviews, case or disease management, care coordination, transition activities, or population health activities. The position requires working with a specific member population and may require bilingual skills in Spanish for certain roles.
Responsibilities
* Comply with HIPAA, Privacy, and Confidentiality laws and regulations.
* Adhere to Health Plan, Medical Management, and Health Services policies and procedures.
* Stay informed about clinical knowledge related to disease processes.
* Communicate effectively, both verbally and in writing, with providers, members, vendors, and other healthcare providers.
* Function as a collaborative member of the multi-disciplinary medical management team.
* Identify and report quality of care concerns to management and appropriate departments.
* Support and collaborate with team members in implementing and managing Utilization Management, Case Management, Disease Management, Population Health, Care Coordination, and Care Transition activities.
* Participate in the implementation, assessment, and evaluation of quality improvement activities.
* Adhere to mandated reporting requirements and comply with regulatory standards.
* Be positive, flexible, and open to operational changes.
* Attend and actively participate in department meetings.
* Participate in the development and evaluation of department initiatives aimed at improving member quality of care.
* Stay updated on healthcare benefits and limitations, regulatory requirements, disease processes, treatment modalities, community standards, and professional nursing standards.
Essential Skills
* Utilization management and review experience.
* Strong multi-tasking, organizational, and time-management skills.
* Clinical knowledge of adult or pediatric health conditions and disease processes.
* Ability to work both individually and collaboratively in a cross-functional team environment.
* Excellent interpersonal and communication skills.
* Ability to compose clear, professional correspondence.
* Understanding of quality improvement theory and strategy.
* Experience with HEDIS medical record abstraction.
Additional Skills & Qualifications
* Registered Nurse (RN) license.
* Bilingual skills in Spanish may be required for certain roles.
* Experience in case management and working with health plans and providers.
Work Environment
The role is based in an office setting where the services team works collaboratively. The team includes Case Management, Pharmacy, UM, and Pediatrics. It is a supportive and helpful environment with a mission-driven company that values its employees, offering catered lunches weekly.
Job Type & Location
This is a Contract position based out of Santa Barbara, CA.
Pay and Benefits
The pay range for this position is $47.00 - $47.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Dec 20, 2025.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
UM Clinical Specialist RN - Physical Health (Full Time, Remote, North Carolina Based)
Remote job
The Utilization Management (UM) Clinical Specialist RN for physical health (PH) independently assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services, monitors consumer treatment through ongoing and continuous review to ensure that services are delivered based on consumer need and established clinical guidelines, and identifies and follows-up on clinical cases of concern and high-risk/special needs consumers to ensure enrollees are linked to appropriate treatment resources. The UM Clinical Specialist RN - PH may represent the unit in cross agency collaborative needs.
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties
Assesses the medical necessity of services
Independently conduct medical necessity reviews of service requests submitted by service providers against developed clinical guidelines within contractually mandated turn-around times
Ensure authorized services address appropriate service needs, intensity of service outcomes, and alternatives for consumers
Provide a consistent application of medical necessity criteria for physical health services that promotes a holistic review of the member's needs
Conduct pre-certification, concurrent, and retrospective reviews to ensure compliance with medical policy, member eligibility, benefits, and contracts
Conduct utilization reviews to monitor adherence to clinical practice guidelines and best practice standards
Notify members of adverse benefit determinations while preserving members' Due Process rights
Ensure compliance with performance measures outlined within all accrediting body standards
Perform other related duties as required by the immediate supervisor or other designated Alliance Health administrators
Compliance
Comply with utilization management and quality improvement policies and procedures, utilization review laws and regulations, state standards
Comply with Utilization Management Department focus on timeliness, effectiveness, quantity, quality, and cost of services for eligible enrollees
Coordinate and Implement UM Processes
Participate in the integration of the department and its functions into the organization's primary mission
Take part in the Utilization Management Department collaboration to ensure an integrated department with Physical Health and Behavioral Health
Collaborate with other departments
Monitor for undesirable performance or deviations of practice standards that may have a negative impact on consumers.
Respond through additional follow-up with consumer and providers, provider technical assistance and/or referral to other departments within the MCO.
Maintain open, timely communication with staff, providers, community agencies and other stakeholders
Minimum Requirements
Education & Experience
Graduation from a State accredited school of nursing or an Associate's Degree in Nursing from an accredited and five years of experience with five (5) years nursing experience
OR
Bachelor's degree in Nursing from an accredited college/university and three (3) years of nursing experience
Special Requirement
Current, active, and unrestricted North Carolina clinical license as a Registered Nurse, or a compact license
Preferred Experience:
Experience in Utilization Management
Knowledge, Skills, & Abilities
Knowledge of physical health and co-morbid health conditions
Knowledge of diagnostic treatment guidelines/protocols, level of care criteria
Proficient in the use of computer and multiple software programs.
Written and oral communication skills
Ability to interact with a wide variety of individuals and handle complex and confidential sensitive situations.
Knowledge of Utilization Management managed care principles and strategies
Ability to analyze effectiveness of processes and adjust developed processes.
Knowledge of and experience in acute clinical utilization review
Knowledge of Authorization/re-authorization Utilization Management standards
Knowledge of related duties in the delivery of patient care, management of patient care providers, or project management in a healthcare environment
Ability to lead, delegate and problem solve
Ability to develop and document workflows
Ability to assist appeal efforts when medical care is denied by various payor entities in a timely fashion.
Knowledge of and experience with NCQA
Salary Range
$68,227 - $86,990/Annual
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Call Center Nurse (RN-BSN) - Remote - Nov Dec 2025
Remote job
Ready to Bring Your Acute Care Skills Home? Join Our Remote RN Team Supporting Our Military Communities!
Are you a seasoned ER or Med-Surg nurse looking for a meaningful, mission-driven role that lets you care for others
without
the scrubs and long drives to the hospital?
MPF Federal is hiring Remote Telehealth Triage Nurses (RNs) to join our 24/7 Nurse Advice Line-supporting veterans and their families-all from the comfort of your home.
This isn't just a job; it's your chance to use your clinical expertise, empathy, and critical thinking skills to guide patients through their toughest moments-all while achieving better work-life balance.
Pay & Perks
$35.00/hr base rate
Evening, night, and weekend differentials may apply
100% Remote - Work From Home
Most schedules include Saturday and Sunday and do not rotate
Shifts Available (Share Your Schedule Preference!)
Day Shifts
Evening Shifts
Night Shifts
Training
Approximately 6 Weeks Paid Training | Monday-Friday, 8:00 AM - 4:30 PM
Start Date:
December 1, 2025 - You will be required to also work
BOTH
Christmas and New Years.
What You'll Do
Triage Symptoms: Assess callers using evidence-based protocols
Deliver Immediate Care Advice: Recommend next steps, from self-care to urgent care, calmly and confidently
Offer Health Education: Counsel patients on medications, test results, and chronic condition management
Crisis Triage: Handle behavioral health, emergency, and complex calls with empathy and grace
Document Interactions: Accurately chart calls in our EHR and follow compliance protocols
Team Collaboration: Work closely with a supportive leadership team and fellow remote RNs
If you're an experienced nurse with a calm voice, a critical mind, and a heart for service-this is your moment to make a real difference.
Apply now and be the steady hand guiding military families when they need it most-right from your home.
Requirements
You're a Great Fit If You Have:
5+ Years of Recent Hands-On Acute Care RN Experience
ER or Med-Surg strongly preferred
Current Compact RN License in good standing from the state you are physically in
BSN Degree from an accredited American university
Confidence with phone-based care and multi-screen computer systems
Strong clinical judgment, emotional intelligence, and documentation skills
A mission-first mindset and passion for serving military-connected communities
Bonus Points If You Also Have:
Experience with behavioral health, mother-baby, and/or peds
Past work in telehealth, triage, or call center nursing
Familiarity with military healthcare systems or VA patients
Tech & Work Environment:
Must have a hard-wired Ethernet internet connection (Wi-Fi only, satellite, or radio internet is not acceptable)
Quiet, distraction-free home office space with a door for HIPAA compliance
Metrics-driven environment - you'll need to meet quality, handle time, and documentation goals
Federal Requirements:
Must be a U.S. Citizen
Ability to pass a Public Trust Background Check & Drug Screening per federal guidelines
Must be willing and able to obtain licenses in all 50 states (we support you here!)
Benefits
For nurses on our advice line, we will assist with licensure in all 50 states within the first 90 days of hire.
MPF Federal is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status or on the basis of disability. We offer a competitive compensation package including a competitive salary, medical benefits, PTO, holiday pay and more.
Auto-ApplyRegistered Nurse (RN) Clinical Documentation Denials Auditor
Remote job
Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM - 4:30 PM (flexible).
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience.
We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits:
Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.
Registered Nurse (RN) Clinical Documentation Denials Auditor Job Responsibilities:
Evaluates specificity and completeness of physician documentation to ensure optimal coding (e.g. mortality outcomes using APR-DRG, SOI and ROM, appropriate reduction of complications based on PSI and HAC, revenue assurance outcomes based on reimbursement DRG (MS-DRG), documentation of significant chronic conditions affecting resource utilization based on HCC).
Summarizes audit findings for individual records along with specific documentation guidelines to improve expected clinical outcomes for an individual physician, physician practice, or specialty.
Conducts follow-up audits (i.e. concurrent or post-discharge) with routine feedback until documentation practice comes into line with expected clinical outcomes.
Works with Clinical Documentation Improvement (CDI) Director and Lead Auditor on other work related to physician audits and education programs.
Demonstrates proficiency with Cobius to access external audit work, record summary results and upload appeal letters.
Demonstrates proficiency with Encompass 360 and HDM audit functions to review electronic medical records with advanced functions (i.e. ex, auto-suggest and search) and record detail coding audit results.
Showcases proficiency in reviewing records in Epic electronic medical records - which may be the only option for audits of older records.
Demonstrates proficiency in writing effective appeal letters that include appropriate coding guidelines and medical references.
Identifies trends in external audit findings related to coding quality and physician documentation. Prepares educational communications related to these findings.
Evaluates physicians' documentation, diagnostic reports, and clinical findings for validation of diagnoses.
Processes the requests for second opinion reviews when clinical validity is not supported or in question.
May perform additional duties as assigned.
Minimum Qualifications:
Certification: Certified Coding Specialist / Certified Clinical Documentation Specialist; ACDIS/AHIMA certification, CCDS or CDIP
Licensure: Registered Nurse Upon Start Current RN license and eligible to practice in VA or MD
Experience: Seven years of recent CDI, DRG validation or coding audit experience in an acute hospital setting with clinician training as RN, BSN, NP, PA or MD; Coding certification CCS and CDI certification CCDS or CDIP
Education: Associate Degree in Nursing or Medicine.
Preferred Qualifications:
Experience: Recent coding experience. Clinical background and coding + denials knowledge. Experience writing denials & appeals. Outpatient and/or inpatient experience. Knowledge to identify clinical indicators (example: sepsis). EPIC experience.
Certifications: CCDS
Skills: presenting
Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV
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