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Nurse work from home jobs - 451 jobs

  • RN Registered Nurse Full Time PAT Remote after Training

    St. Joseph's Health 4.8company rating

    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.
    $33-43.6 hourly 1d ago
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  • 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: February 16th - February 20th M-F 9:00 am-5:00 pm EST Week 2: February 23rd - February 27th M-F 9:00 am-5:00 pm EST Week 3: March 2nd - March 6th 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. 1d ago
  • Remote Travel NP/PA Clinical Educator in Physiatry

    Iconic Care Support Services

    Remote job

    A healthcare provider group is seeking a Clinical Educator NP/PA & Travel Nurse to enhance patient outcomes through education and clinical coverage. This role requires a strong background in Physiatry, a passion for teaching, and the ability to travel nationwide. The competitive compensation includes a salary of $155,000-$185,000, full benefits, and comprehensive travel support. Located remotely with necessary metropolitan area constraints, candidates must be residing in specified locales. #J-18808-Ljbffr
    $155k-185k yearly 5d ago
  • Nurses - Nationwide Opportunities (Remote & Bedside)

    Alediumhr

    Remote job

    About the job Nurses - Nationwide Opportunities (Remote & Bedside) AlediumHR is lining up high-caliber nurses for hospital, healthtech, and academic partners across the U.S. and Canada. We partner with top-tier hospitals, healthcare companies, and academic medical centers. If you're an LPN, RN, or NP (any specialty) who wants meaningful work without the runaround, read on. The work: bedside and telehealth. The formats: full-time, part-time, and 1099. The goal: put great clinicians where they can actually help patients fast. What's on the table Competitive pay; strong benefits; some roles include relocation. Schedules that fit real life (not the other way around). National reach, please tell us your preferred cities/states/provinces. Referral bonuses for talent you bring with you. You'll be a fit if You hold an active license (LPN, RN, or NP) and take pride in your craft. You're comfortable at the bedside or via telehealth, delivering high-quality care. You want the stability and reputation of top systems without sacrificing flexibility. Next move Send your resume and note your preferred locations and availability. We'll align you with roles that make sense and move quickly. Ready to turn your next shift into your next step? Join AlediumHR and help us raise the bar on patient care.
    $41k-67k yearly est. 1d ago
  • Care Management Coordinator/RN | 100% remote

    Alpha Business Solutions

    Remote job

    is remote - candidate must reside in the tri-state area (PA, DE, NJ) Must have an active PA license or a Nurse Licensure Compact to include PA. The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for patient's services based on advanced knowledge and independent analysis of those medical records and application of appropriate medical necessity criteria. If necessary, the Care Management Coordinator directly interact with providers to obtain additional clinical information. The Care Management Coordinator has the authority to commit the company financially by independently authorizing services determined to be medically necessary based on their personal review. For those cases that do not meet established criteria, the Care Management Coordinator provides relevant information regarding members medical condition to the Medical Director for their further review and evaluation. The Care Management Coordinator has the authority to approve but cannot deny the care for patients. The Care Management Coordinator is also responsible for maintaining regulatory compliance with federal, state and accreditation regulations. Additionally, the Care Management Coordinator acts a patient advocate and a resource for members when accessing and navigating the health care system. Key Responsibilities: Utilizes the medical criteria of InterQual and/or Medical Policy to establish the need for inpatient, continued stay and length of stay, procedures and ancillary services. Note: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when required. IQ criteria are objective clinical statements that assist in determining the medical appropriateness of a proposed intervention which is a combination of evidence-based standards of care, current practices, and consensus from licensed specialists and/or primary care physicians. IQ criteria are used as a screening tool to support a clinical rationale for decision making. Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services. Reviews treatment plans/plan of care with provider for requested services/procedures, inpatient admissions or continued stay, clarifying medical information with provider if needed. Identifies and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further evaluation determination. Performs early identification of members to evaluate discharge planning needs. Collaborates with case management staff or physician to determine alternative setting at times and provide support to facilitate discharge to the most appropriate setting. Reports potential utilization issues or trends to designated manager and recommendations for improvement. Appropriately refers cases to Case and Disease Management. Ensures request is covered within the member's benefit plan. Ensures utilization decisions are compliant with state, federal and accreditation regulations. Meets or exceeds regulatory turnaround time and departmental productivity goals when processing referral/authorization requests. Ensures that all key functions are documented via Care Management and Coordination Policy. Maintains the integrity of the system information by timely, accurate data entry. Performs additional duties assigned. Education: Active PA Licensed RN BSN Preferred Experience: Minimum of three (3) years of Neonatal Intensive Care clinical experience in a hospital or other health care setting. Prior discharge planning and/or utilization management experience is desirable. Medical management/precertification experience preferred. Knowledge, & Skills: Exceptional communication, problem solving, and interpersonal skills. Action oriented with strong ability to set priorities and obtain results. Team Player - builds team spirit and interdepartmental rapport, using effective problem solving and motivational strategy. Open to change, comfortable with new ideas and methods; creates and acts on new opportunities; is flexible and adaptable. Embrace the diversity of our workforce and show respect for our colleagues internally and externally. Excellent organizational planning and prioritizing skills. Ability to effectively utilize time management. Oriented in current trends of medical practice. Proficiency utilizing Microsoft Word, Outlook, Excel, SharePoint, and Adobe programs. Ability to learn new systems as technology advances. Please apply with your interest. You may also reach out to me Thank you, Ashu
    $61k-102k yearly est. 1d ago
  • Staff RN - Med/Surg Hybrid Unit

    Ohiohealth 4.3company rating

    Remote job

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: State Driver's License. RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0 Work Shift: Night Scheduled Weekly Hours : 36 Department Medical Unit 3 Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
    $19k-60k yearly est. 1d ago
  • RN for Trach and Vent Home Based Hospital Care

    Bayada Home Health Care 4.5company rating

    Remote job

    Job Description Come for the Flexibility, Stay for the Culture A variety of soft skills and experience may be required for the following role Please ensure you check the overview below carefully. BAYADA Home Health Care was founded on the principle that health care gets better when clients get better care at home-the place they most want to be. Delivering care is our highest priority and greatest joy. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore and put your skills to work. Many clients require advanced care such as tracheostomy and ventilator management. We offer paid training to prepare you for the unique and rewarding environment you will provide care in, prioritizing your skillset confidence and knowledge. We are looking for nurses to help take care of our infant and pediatric trach and vent clients near Browns Mills, NJ. Training is offered for pediatrics and for pediatric trach and vent. Apply today to develop your skills to high-acuity, hospital-level care, in the home setting. BAYADA Offers Our RNs: One on one care Electronic documentation In-depth paid training and shadowing with award-winning simulation labs Short commute times - we match you with cases near your home 24/7 on call clinical support Available RN Shifts: 8-hour shifts 1st or 3rd shift PRN, Part-Time, or Full-Time RN Field Benefits Include: Weekly pay every Thursday PTO & sick time Medical, Dental, and Vision benefits Company-paid life insurance Employee Assistance Program Public Service Loan Forgiveness Partner 401K Preventive Care Coverage for ALL employees (PRN included) Pay: $34 to $36 per hour Apply now to join our team! NER-SJ-RX As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. xevrcyc Remote working/work at home options are available for this role.
    $34-36 hourly 1d ago
  • Service Care Coordinator RN - Remote in South Austin, TX

    Unitedhealth Group 4.6company rating

    Remote job

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together This is a Field Based role with a Home-Based office. Must be open to traveling up to 50 miles from home office based on business need. If you are located in or within commutable driving distance from South Austin, TX, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: uhgbenefits You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted Registered Nurse license in the state of Texas 2+ years of experience working within the community health setting or in a healthcare role Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Valid driver's license, access to reliable transportation and the ability to travel in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices Reside in or within commutable driving distance from South Austin, TX Preferred Qualifications: 1+ years of experience with long-term care services and support, Medicaid or Medicare Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations Proven ability to create, edit, save and send documents, spreadsheets and emails Reside in South Austin, TX *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $28.3-50.5 hourly 2d ago
  • Rheumatology (MD/DO) Utilization Review - Remote-Contract (1099)

    Mrioa

    Remote job

    Flexible Independent Contractor (1099) Opportunity Required State Medical License in Florida or Oregon Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Rheumatology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment. ADDITIONAL INFORMATION: Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US). Covered under MRIoA's Errors and Omissions policy. Independent Contractor (1099) opportunity. Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information. California Consumer Privacy Act (CCPA) Information (California Residents Only): Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number. Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at ************. Must have a Medical Degree MD or DO Must have a current STATE unencumbered medical license in Florida or Oregon Current Board Certification in Rheumatology Must have 5 years of clinical experience residency to be included Daytime availability is required for peer-to-peer conversations
    $75k-106k yearly est. Easy Apply 13d ago
  • Utilization Review Nurse - Remote

    Martin's Point Health Care 3.8company rating

    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 6d ago
  • Home Infusion Nurse, 32 Hours - Accredo - Eugene, OR

    The Cigna Group 4.6company rating

    Remote job

    Home Infusion Registered Nurse - Accredo Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes. As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team. For more than 30 years, Accredo by Evernorth has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others. How you'll make a difference and improve lives: Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health. Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes. Provide follow-up care and manage responses to ensure their well-being. Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey. Requirements: Active RN license in the state where you'll be working and living 2+ years of RN experience 1+ year of experience in critical care, acute care, or home healthcare Strong skills in IV insertion Valid driver's license Willingness to travel to patients' homes within a large geographic region Ability to work 32 hours a week (can include days, evenings, and weekends, per business need) Flexibility to work different shifts on short notice and be available for on-call visits as needed If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ...@cigna.com for support. Do not email ...@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $82k-117k yearly est. 9d ago
  • Utilization Review Nurse - Remote - Contract

    Hireops Staffing, LLC

    Remote job

    , however, candidates must reside in the State of TX or State of IL is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To Correspondence From Providers Or Members Concerning Medical Determinations. Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims processing systems. PC proficiency to include Microsoft Word and Excel and health insurance databases. Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. Organizational skills and prioritization skills. :Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience. Needs to be able to navigate MCG and Medical policies with the reviews.
    $41 hourly 60d+ ago
  • Nurse Liaison - Remote

    Gateway Rehabilitation Center 3.6company rating

    Remote job

    Job DescriptionDescription: Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and coordination of admission to care for substance use disordered patients referred from a hospital setting. To be considered for the position, you must live within the Pittsburgh, PA area or surrounding counties. Responsibilities Assesses admission candidates' medical and psychiatric appropriateness for treatment. Determines level of care placement based on ASAM criteria. Pre-certifies admissions as required. Discusses treatment options with referral sources. Acts as liaison between Gateway and outside referral sources. Coordinates patient transfers from other facilities to Gateway Aliquippa/Westmoreland. Responds to needs of referral sources and managed care representatives. Interacts with the physician through coordination of patient assessments. Attends GRC mandatory training and in-services. Other duties as required. Knowledge, Skills, and Abilities Strong communication skills required. Able to work independently with minimal oversight. Knowledge of skilled nursing Requirements: Pennsylvania RN or LPN licensure 3+ years nursing experience preferred. Experience identifying/treating drug and alcohol addictions. Experience in conducting assessments and evaluations. Additional Requirements Pass PA Criminal Background Check Obtain PA Child Abuse and FBI Fingerprinting Clearances. Pass Drug Screen TB Test Access to reliable and dependable internet connection. Work Conditions Favorable working conditions. Minimal physical demands Significant mental demands include those associated with working with patients with addictive disorders and managing multiple tasks. GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.
    $60k-75k yearly est. 2d ago
  • Clinical Review Nurse - Remote

    Arc Group 4.3company rating

    Remote job

    Job DescriptionCLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a dynamic and well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review. ESSENTIAL DUTIES & RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. 90% of time will be spent on one or more of the following activities depending on assignments: Review and analyze pre and post pay complex health care claims from a medical perspective, inclusive of prior authorization: Perform clinical review work as assigned; may provide guidance to other team members and accurately interpret and apply broad CMS guidelines to specific and highly variable situations. Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care per national and local policies, as well as accepted medical standards of care. Review provider practices and identify issues of concern, overpayment and need for corrective action as necessary; includes surfacing potential fraud and abuse or practice concerns. May develop recommendations for further corrective action based on medical review findings. May refer for review, or implement, corrective action related to medical review activities. May process claims and complete project work in the appropriate computer system(s). The remaining 10% of time will be spent on the following activities depending on assignments: Identify providers needing education and individually educate providers who are subject to medical review processes: Initiate or participate in provider teaching activities, creating written teaching material, providing one on one education or education to a group as a result of a medical review (e.g., probe, progressive corrective action, consent, etc.) or appeal. This may involve discussion with CMS leaders and leaders in the provider community. Participate in special projects as assigned. REQUIRED QUALIFICATIONS * Valid nursing degree * 2 years' clinical experience * Excellent written and oral communication skills * Demonstrated experience with evaluating medical and health care delivery issues (e.g., Inpatient Rehab Facility) * Strong computer skills to include Microsoft Office proficiency * Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS * Inpatient Rehabilitation Facility Experience * Bachelor of Science in Nursing (BSN) * Insurance industry experience * Certified Coder ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.
    $48k-67k yearly est. 7d 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 1d ago
  • Master of Science in Adult Gerontology and Acute Care Nurse Practitioner Adjunct Faculty- Remote

    South College 4.4company rating

    Remote job

    Job DescriptionDescription: Master of Science in Adult Gerontology and Acute Care Nurse Practitioner Adjunct Faculty South College - We are one of the nation's fastest growing institutions of higher learning … come grow your career with us.? In order to fully meet our Mission to our students, we require a diverse combination of perspectives, backgrounds, life experiences, and ideas from our faculty and staff and will provide them with an equitable and inclusive work environment -where respect and open interchange of ideas are at the heart of that culture. Almost 20,000 Students 10 Campuses? Competency Based Education Online Master of Science in Adult Gerontology and Acute Care Nurse Practitioner Adjunct Faculty Description South College Online seeks candidates for an adjunct Adult Gerontology and Acute Care Nurse Practitioner (AGACNP) faculty member. The position is online remote and will report directly to the Program Coordinator of the AGACNP program. Responsibilities Provide quality instruction in each assigned course within the approved academic program curriculum. Respond, in a timely manner, to specific and general information requests from the institution and administrative officials, prospective employers, professional organizations, public agencies, civic organizations, private foundations, general public, and students, as appropriate. Promote appropriate standards of linguistic expression in both written and oral communications. Ensure that all academic program requirements and forms of documentation (e.g., clinical evaluations, competency documentation) are completed as required for each student and submitted per established deadlines. Ensure all faculty expectations are met on a weekly basis. Appropriately manage all classroom activities. Be reasonably accessible to students for questions and assistance. Monitor educational and professional literature for the best practices in areas related to courses taught. Requirements: Education Applicants must have a minimum of a doctorate degree in nursing practice with a certification in AGACNP and successful completion of at least 18 hours of directly related graduate coursework. Experience Preference will be given to applicants with prior successful online teaching. Licensure Must have PA, LA, TN, and GA APRN License.
    $75k-106k yearly est. 2d 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 15d ago
  • Utilization Review Nurse (Remote)

    Nexus 3.9company rating

    Remote job

    Full-time Description The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive summaries. These reports must follow client-specific and evidence-based guidelines, incorporating clear rationales for determining medical necessity. The role involves prospective, concurrent, and retrospective review of inpatient and outpatient treatment, certifying medical necessity, and recommending appropriate lengths of stay. Reports must be thorough, accurate, and tailored to the specific requirements of each case and client. Essential Job Functions: • Analyze and interpret clinical documentation for medical-legal reviews • Evaluate patient records to determine medical necessity and appropriateness of care using pre-approved guidelines (e.g., ODG, MTUS, InterQual, MCG) • Draft clear, concise, and professional executive summaries that: o Outline patient demographics and clinical course o Summarize and assess treatment plans and physician orders o Apply relevant evidence-based criteria o Provide clear rationale and recommendations • Ensure all reports are grammatically correct, free of spelling errors, and professionally formatted • Dictate and finalize report content using designated systems • Collaborate with physicians and clinical staff to clarify documentation or resolve discrepancies • Amend reports as new clinical information becomes available • Perform moderate research on a case-by-case basis to support findings • Participate in interdisciplinary teams to support high-quality patient care outcomes • Maintain a consistent caseload of 20 cases per day post-training • Achieve and maintain a Quality Assurance (QA) score of 97% or higher • Demonstrate consistent, reliable attendance and meet established deadlines • Perform additional duties as assigned Requirements Knowledge and Abilities Requirements: • In-depth understanding of anatomy, medical/surgical modalities, and imaging techniques • Strong knowledge of utilization review processes and criteria application • Excellent written communication skills, with a strong focus on grammar, spelling, clarity, and organization • Proven ability to analyze complex clinical information and apply critical thinking • Familiarity with medical necessity guidelines (ODG, MTUS, MCG, InterQual) • Ability to read and interpret clinical reports, technical documentation, and regulations • High proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) • Strong attention to detail and ability to meet high standards for accuracy • Effective time management and multitasking skills in a deadline-driven environment • Strong customer service orientation with the ability to communicate professionally with clients and providers • Ability to maintain confidentiality and demonstrate sound judgment • Ability to type a minimum of 45 WPM • Excellent verbal and written communication skills in English Qualifications: • Active, unrestricted Registered Nurse (RN) license required • Minimum of 2-3 years of relevant clinical experience required • Prior experience in workers compensation, utilization review, case management, or medical-legal review required License and Certification: Current RN licensure, without restrictions Driving Essential: No Position Demands: This position requires sitting, bending, and stooping for up to 8 hours per day in an office setting. Ability to lift and move objects weighing up to 10 lbs. Ability to learn technical material. The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc. Must be able to operate a computer and other office productivity machinery such as a calculator, copy machine, printer, etc. The person in this position frequently communicates with guests, team members, and vendors and must be able to exchange accurate information. Equal Employment Opportunity (Our EEO Statement): The Company is a veteran-owned Company and provides Equal Employment Opportunities (EEO) to all Team Members and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender (including gender identity), pregnancy, childbirth, or a medical condition related to pregnancy or childbirth, national origin, age, disability, genetic information, status as a covered veteran in accordance with applicable federal, state, and local laws, or any other characteristic or class protected by law and is committed to providing equal employment opportunities. The Company complies with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, promotion, discharge, pay, fringe benefits, membership, job training, classification, and other aspects of employment. Team Members who believe they are the victims of discrimination should immediately report the concern to their Supervisor and Human Resources Department. Discrimination and harassment will not be tolerated. We are committed to creating an inclusive environment for all Team Members and applicants. We value the unique skills and experiences that veterans bring to our team and encourage veterans to apply. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of our personnel. All company team members may be required to perform duties outside of their normal responsibilities from time to time, as needed.
    $64k-79k yearly est. 60d+ ago
  • Remote Triage Nurse

    Medcor 4.7company rating

    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 41d ago
  • Student Nurse Intern - Variable Shifts

    Stormont Vail Health 4.6company rating

    Remote job

    Part time Shift: Variable Less than 12 hour shift (United States of America) Hours per week: 0 Job Information Exemption Status: Non-Exempt This experienced student team member is in their last semester of an accredited nursing program. Nurse Interns are team members typically work exclusively with their preceptors to bridge the gap from learner to perform as they end their practicum prior to begining their career as a Registered Nurse at Stormont Vail Health. They are a part of the care delivery team under the direction of and be assistive to, a Registered Nurse to provide delegated, direct patient care intervention, including the performance of non-sterile procedures. Responsible to provide a safe environment for their assigned patients; to complete the assigned work; to monitor the patient for changes in condition and to report those changes to the RN/LPN. Education Qualifications A current nursing student in good standing and would start in this role no more than 4 weeks prior to starting their last semester. Required Experience Qualifications Intent to continue nursing career after graduation at Stormont Vail Health and has accepted an offer for a RN position. Required Experience in an office or clinic setting. Preferred Skills and Abilities Knowledgeable of and follows proper technique for patient care. (Required proficiency) Communicates pertinent patient information to appropriate staff in a timely manner. (Required proficiency) Functions with an awareness and application of safety issues as identified within the institution. (Required proficiency) Participates actively in educational activities for department. (Required proficiency) Demonstrates competency in selected psychomotor skills. (Required proficiency) Licenses and Certifications First Responder - RQI Required within 90 days. What you will do Knowledgeable of and follows correct techniques in the collection and labeling of specimens; assists in appropriate procedures under the guidance of a preceptor. Will spend the majority of time directly with the RN Preceptor observing direct patient care duties. Student Nurse Interns will perform expanded skills under the direct supervision of their nurse preceptor (see RN Student Nurse Intern - Learn While you Work Document). Implements identified plan through coordination of care with interdisciplinary care team to employ strategies to promote health and wellness. Collaborative with interdisciplinary care team encompassing strategies to achieve expected outcomes. Assumes responsibility for patient safety by utilizing appropriate channels to communicate patient safety and patient care issues to appropriate bodies. Communicate pertinent data and information relative to the patient, situation, or setting in a timely manner. Applies proper techniques with hand washing, care and cleaning of exam rooms and equipment and determination of when and how to use personal protective clothing/equipment. Maintains cleanliness of equipment, examination and patient rooms. Promote infection prevention through use of standard precautions, proper procedure in dressing changes, wound care, hand hygiene and cleanliness of the patient rooms/department Provide assistance with activities of daily living (ADL'S), accurate measurement and recording of weight, height, vital signs and report any changes to assigned nurse. Obtains vital signs, medication list, allergies, and patient questionnaires, screenings and history information accurately. Applies appropriate technique while performing EKG, and vital signs. Performs other related nursing tasks and duties under the supervision of a preceptor at all times. Delivers care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect. Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice. Demonstrates advocacy in all roles and settings. Practices Diversity, Equity and Inclusion principles in their daily work by respecting others' uniqueness, perspectives, backgrounds or beliefs. Communicates effectively in all areas of professional practice. Supports students to enhance their knowledge, skills, and abilities. Commits to lifelong learning through critical thinking, self-reflection, and inquiry for personal growth and development. Demonstrates willingness to participate in process of evolution the scope of the Stormont Vail Health professional practice model Responsible for understanding and showing respect for patients' rights including confidentiality of patient information. Utilizes appropriate resources to provide, and sustain evidence-based nursing services that are safe, effective, and financially responsible, and used judiciously. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability On-Site; No Remote Scope No Supervisory Responsibility No Budget Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Occasionally 1-3 Hours Climbing (Ladders): Rarely less than 1 hour Climbing (Stairs): Occasionally 1-3 Hours Crawling: Rarely less than 1 hour Crouching: Occasionally 1-3 Hours Driving (Automatic): Rarely less than 1 hour Driving (Standard): Rarely less than 1 hour Eye/Hand/Foot Coordination: Frequently 3-5 Hours Feeling: Frequently 3-5 Hours Grasping (Fine Motor): Frequently 3-5 Hours Grasping (Gross Hand): Frequently 3-5 Hours Handling: Frequently 3-5 Hours Hearing: Occasionally 1-3 Hours Kneeling: Rarely less than 1 hour Lifting: Occasionally 1-3 Hours up to 50 lbs Operate Foot Controls: Rarely less than 1 hour Pulling: Frequently 3-5 Hours up to 50 lbs Pushing: Frequently 3-5 Hours up to 50 lbs Reaching (Forward): Occasionally 1-3 Hours up to 25 lbs Reaching (Overhead): Occasionally 1-3 Hours up to 25 lbs Repetitive Motions: Occasionally 1-3 Hours Sitting: Occasionally 1-3 Hours Standing: Frequently 3-5 Hours Stooping: Occasionally 1-3 Hours Talking: Frequently 3-5 Hours Walking: Frequently 3-5 Hours Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Combative Patients: Occasionally 1-3 Hours Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Infectious Diseases: Frequently 3-5 Hours Mechanical: Rarely less than 1 hour Needle Stick: Occasionally 1-3 Hours Noise/Sounds: Occasionally 1-3 Hours Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour Hazards (other): Rarely less than 1 hour Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
    $19k-27k yearly est. Auto-Apply 60d+ ago

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