Staff RN - Grant, Hybrid CCU stepdown, 24 hours, nights
Ohiohealth 4.3
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:
Provides general nursing care to patients and families throughout the continuum of care in diverse, acute health care settings. (Department has scheduled staff to operate 24/7/365).
The RN accountable for the practice of nursing as defined by the Ohio Board of Nursing.
The RN delegates nursing tasks to licensed practicalnurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the OhioNursePractice Act.
According to department policies and nursing care standards, provides professional nursing care services to patients.
Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients.
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:
Associate's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing
Additional Job Description:
MINIMUM QUALIFICATIONS
Current Registered Nurse license from the State of Ohio and/or current Registered Nurse license in good standing with a multi-state compact state.
BLS certification
BSN required at 5 years of employment
Work Shift:
Night
Scheduled Weekly Hours :
24
Department
Intensive Care Unit 2
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
$46k-75k yearly est. 4d ago
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Remote Travel NP/PA Clinical Educator in Physiatry
Iconic Care Support Services
Remote job
A healthcare provider group is seeking a Clinical Educator NP/PA & Travel Nurse to enhance patient outcomes through education and clinical coverage. This role requires a strong background in Physiatry, a passion for teaching, and the ability to travel nationwide. The competitive compensation includes a salary of $155,000-$185,000, full benefits, and comprehensive travel support. Located remotely with necessary metropolitan area constraints, candidates must be residing in specified locales.
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$155k-185k yearly 3d ago
LVN Nurse Consultant REMOTE
Actalent
Remote job
Remote LVN/LPN Nurse Coordintor
Schedule: Monday-Friday / 8:00 AM-5:00 PM or 7:30 AM-4:30 PM (Central Time)
Pay: $25hr-$29hr
Join a leading specialty pharmacy, and help patients stay on track with their therapy-all from the comfort of your home. We're looking for a compassionate, detail-oriented professional who thrives in a fast-paced, patient-focused environment.
What You'll Do
+ Engage with patients and caregivers to ensure therapy adherence
+ Assist patients in starting prescribed treatments
+ Address therapy-related concerns with empathy and accuracy
+ Communicate with charge nurses in nursing homes as needed
+ Handle 50-70 inbound and outbound calls daily
+ Maintain precise documentation and follow templates
+ Participate in audits to ensure compliance and quality
What We're Looking For
+ Active Compact LPN/LVN License Required
+ Prior experience working in a high volume setting meeting daily metrics
+ Prior experience working in a remote setting
+ Professional phone presence and patient-first mindset
+ Commitment to 98%+ accuracy in documentation and patient interactions
Ready to bring your expertise and compassion to a team that values excellence? Apply today and start making a difference-remotely!
Job Type & Location
This is a Contract to Hire position based out of Huntsville, AL.
Pay and Benefits
The pay range for this position is $29.00 - $29.00/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 Jan 17, 2026.
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 (%20actalentaccommodation@actalentservices.com) for other accommodation options.
$29-29 hourly 5d ago
1099 Contracted Nurse Assessor - Nationwide Need
Illumifin
Remote job
Registered Nurse - PRN visits
Leave Shift Work Behind
Consider our per diem opportunity to earn additional income as a Nurse Interviewer visiting clients at their place of residence. Complete questionnaires on their medical, functional and cognitive status.
Flexible scheduling - The nurses can schedule visits Monday - Sunday, mornings, afternoons or evenings based on the client's and nurse's schedule.
Flexible work - you can cover up to a 75 mile radius and work as little or as much as you want per month based on available cases in your area.
Extra income - Work with illumifin whenever you need a little extra money, even if you have another job.
No blood draws or specimen collections required.
About the Role:
As a RN with illumifin, you will utilize your critical thinking and assessment skills to complete the following:
Obtain thorough cognitive and health assessment information as required.
Comply with all assessment instructions and accurately complete assessments.
Communicate promptly with illumifin regarding file status and appointment times.
Return the assessment within 24 hours after the appointment.
Respond promptly to any follow-up and clarification questions on submitted assessments.
With E-Assessments training, you can complete assessments electronically using your cell phone, tablet, iPad or Laptop
$94k-173k yearly est. 3d ago
HEDIS Over Reader Nurse - Remote - Contract
Hireops Staffing, LLC
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.
$104k-173k yearly est. 60d+ ago
Wound Care Nurse - Telehealth Coordinator
Redesign Health 4.2
Remote job
We are seeking a dedicated and compassionate Wound Care Nurse, Telehealth Coordinator within the skilled nursing environment.
The Wound Care Nurse, Telehealth Coordinator is the link between healthcare providers and patients while providing dressing changes to wounds, under direct supervision, utilizing real-time, imaging technologies.
If you are passionate about excellent wound care and recognize the role telehealth has for consistent, convenient attention to patients in need, we encourage you to apply for the Telehealth Coordinator position and join our dedicated team.
Responsibilities:
Act as the in-person, hands on assistant to conduct weekly virtual wound rounds using technology under the guidance of wound care specialists, nurses, or healthcare providers.
Photograph wounds using designated telehealth technology and ensure accurate documentation of images for clinical review.
Aid patients in navigating telehealth platforms, troubleshoot technical issues, and ensure a seamless virtual connection for appointments.
Facilitate patient telehealth scheduling, provide education on virtual visits to patients and staff as needed.
Administer all aspects of wound care as per evidence based practice and facility policies, including dressing changes and rounds.
Maintain strict adherence to patient confidentiality and privacy regulations, including HIPAA compliance, during all telehealth interactions and documentation processes.
Submit orders for wound care products.
Qualifications:
Graduate of an accredited school of nursing required. Must possess current CPR certifications. Minimum of one (1) year of Wound Care experience required, (2) years preferred. Wound care certification is preferred. Must possess a current, unencumbered, active license to practice as a RN or LPN in state of practice.
Excellent communication skills with the ability to convey medical information clearly to physicians, staff, patients and family
Empathy, patience, and a genuine desire to provide quality healthcare services to patients at the bedside as well as through telehealth technology.
Commitment to maintaining patient confidentiality, privacy, and data security in accordance with healthcare regulations (e.g., HIPAA).
Ability to multitask, and adapt to changing telehealth workflows, job requirements, and patient populations.
Prior experience in SNF, LTC, or Assisted Living preferred.
Travel to assigned facilities using your personal car, valid driver's license, and mileage reimbursement offered.
Role starts out Part-Time with the opportunity to be Full-Time.
$72k-93k yearly est. Auto-Apply 60d+ ago
Palliative Medicine Home-based Certified Registered Nurse Practitioner (CRNP)
Schuylkill 3.2
Remote job
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Specialty:
As the Division of Palliative Medicine and Hospice, we are a part of the fabric of care, with a fully integrated palliative care continuum to assure optimal patient experience. The clinician will be part of the OACIS (Optimizing Advanced Complex Illness Support)/Palliative Medicine practice, a nationally recognized, innovative palliative medicine service part of Lehigh Valley Health Network (LVHN) part of Jefferson Health.
Position Responsibilities:
In-home visits
Symptom management and care coordination of home-based census
Benefits:
Attractive work schedule
Highly competitive compensation with a superb benefits package
Low-cost health insurance for employees and their families
Generous CME allowance and time
Top-tier retirement programs
Malpractice insurance with tail coverage
Relocation assistance
Qualifications:
A network champion for Palliative Care and a passion for clinical work
A valid Pennsylvania license
Seeking an experienced, certified nurse practitioner
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Work Shift:
Day Shift
Address:
3435 Winchester Rd
Primary Location:
Winchester Building
Position Type:
Onsite
Union:
Not Applicable
Work Schedule:
Department:
1012-35137 LVPG-L OACIS Palliative Medicine Outpatient
$77k-108k yearly est. Auto-Apply 3d ago
Licensed Practical Nurse- Home Based Medicine
Healthpartners 4.2
Remote job
Park Nicollet is looking to hire an LPN to join our Home-Based Medicine and In Home Complex Care team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.
Position Summary:
Provides practicalnursing care to patients in accordance with the Minnesota NursePractice Act, recognized professional standards and PNHS policy. Provides safe and effective nursing care by promoting a safe, therapeutic environment and by advocating for the best interests of individual patients. Supports multiple areas within a clinic setting with strong interpersonal skill and flexibility while maintaining patient confidentiality and protecting patient rights.
This role will support our home-based medicine team, an exciting and innovative approach to providing primary care in the home. This role will provide both telephonic and in person support (home visits) to patients in partnership with clinicians, RNs, social workers and care managers.
Work Schedule:
Monday-Friday, daytime hours
40 hours per week.
Required Qualifications:
Graduate from an accredited school of practicalnursing.
Must maintain a current state license of practicalnursing.
Current BLS certification for health professionals through the American Heart Association or American Red Cross required and maintained.
On-line BLS certification is not acceptable.
Preferred Qualifications:
One or more years of healthcare experience is desirable (preferably in a related field of medicine).
Benefits:
Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!
$38k-48k yearly est. Auto-Apply 21d ago
Charge Nurse - Intermediate Care - FT - Day
Stormont Vail Health 4.6
Remote job
Full time
Shift:
12 Hour Day Shift (United States of America)
Hours per week:
36
Job Information Exemption Status: Non-Exempt Responsible for the daily to day operations of the Intermediate Care department. Promotes a strong team atmosphere through motivation, coaching, and conflict management. Prioritizes communication throughout the system and community to facilitate a multi-disciplinary approach to coordination of throughput and capacity management.
Education Qualifications
Bachelor's Degree Bachelors of Science: Nursing (BSN) Preferred
Experience Qualifications
2 years Current experience in related clinical field in acute care facility. Preferred
Supervisor experience. Preferred
Skills and Abilities
Demonstrates awareness and sensitivity to rights of patient/significant other, as identified within the institution. (Required proficiency)
Demonstrates awareness and application of safety issues as identified within the institution. (Required proficiency)
Demonstrates awareness of legal issues in all aspects of patient care and departmental functioning. Strives to manage situations in a manner, which minimizes risk to the patient and the institution. (Required proficiency)
Demonstrates competency in selected psychomotor skills. (Required proficiency)
Ability to communicate effectively using verbal, non-verbal and written methods. (Required proficiency)
Ability to perform mathematical calculations related to medication administration and equipment calibration. Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. (Required proficiency)
Licenses and Certifications
Registered Nurse - KSBN A multistate license with the ability to practice within the State of Kansas is also accepted. Required
What you will do
Provides strong leadership, able to motivate staff and respond to individual needs on assigned department and shift. Organizes workload effectively and delegates responsibilities appropriately. Acts as leader for Nurse Manager or Director as appropriate. Recruits, interviews, coaches and develops direct reports; applies corrective actions as appropriate. Performs staffing duties within scheduling guidelines.
Provides direct patient care as defined within the scope of the state's nursepractice act. Performs assessment/data collection in an ongoing and systematic manner, focusing on physiological and cognitive status. Administers prescribed medications and treatments in accordance with nursing standards.
Formulates a prioritized and goal directed plan of care, which is based on patient's presenting problems and projected outcomes.
Functions to establish priorities of patient care based on essential patient needs and available unit resources of time, personnel, equipment and supplies. Prepares equipment and aids provider during treatment, examination and testing of patients.
Evaluates the effectiveness of the health care process (self, systems, environment, and instrumentation) in meeting outcomes. Observes, records, and reports patient's condition and reaction to drugs and treatments to provider. Provides medication as directed.
Documents in patient and department records in a timely, accurate and concise manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information. Compiles tests and examination results.
Evaluates the patient's progress towards achieving outcomes.
Performs efficiently in emergency patient situations following established standards of care. Practices effective problem identification and resolution as a method of sound decision making.
Greets patients and prepares them for provider examination. Collects patient history information. Instruct patients in collection of samples and tests. Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions.
Participates in system wide/department patient care quality improvement activities as well as standards development.
Participates actively in clinical education activities, including orientation of new employees and teaching student nurses. Participates in nursing research activities.
Participates in development and attainment of system wide/department hospital goals.
Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions.
Delegates tasks and duties in the direction and coordination of health care team members, patient care and department activities in accordance with the Kansas State NursePractice Act.
Adheres to staffing and scheduling practices.
Seeks validation of knowledge base, skill level and decision making as necessary and assertively seeks guidance in areas of question.
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
Has 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: Frequently 3-5 Hours
Kneeling: Occasionally 1-3 Hours
Lifting: Frequently 3-5 Hours up to 50 lbs
Operate Foot Controls: Occasionally 1-3 Hours
Pulling: Occasionally 1-3 Hours up to 25 lbs
Pushing: Occasionally 1-3 Hours up to 25 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: Frequently 3-5 Hours
Standing: Frequently 3-5 Hours
Stooping: Frequently 3-5 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: Occasionally 1-3 Hours
Explosive: Rarely less than 1 hour
Extreme Temperatures: Rarely less than 1 hour
Infectious Diseases: Frequently 3-5 Hours
Mechanical: Rarely less than 1 hour
Needle Stick: Frequently 3-5 Hours
Noise/Sounds: Frequently 3-5 Hours
Other Atmospheric Conditions: Occasionally 1-3 Hours
Poor Ventilation, Fumes and/or Gases: Occasionally 1-3 Hours
Radiant Energy: Occasionally 1-3 Hours
Risk of Exposure to Blood and Body Fluids: Frequently 3-5 Hours
Risk of Exposure to Hazardous Drugs: Occasionally 1-3 Hours
Hazards (other): Occasionally 1-3 Hours
Vibration: Rarely less than 1 hour
Wet and/or Humid: Rarely less than 1 hour
Working Conditions Comments:
Majority of work time is spent in pleasant interior, well-lighted, climate controlled environment.
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.
$71k-93k yearly est. Auto-Apply 60d+ ago
Nurse Coordinator (Remote, Digital Weight Loss)
Bariendo
Remote job
Compensation: $80,000-$95,000 + equity
This salary range reflects multiple experience levels and locations. Actual compensation within the range will be determined based on factors such as experience, skills, qualifications, and geographic location.
Schedule: Full-time, 5 days a week, Tuesday-Saturday
Location: Remote
Role Type: Full-time | Bilingual Spanish preferred but not required
About Bariendo
Bariendo is on a mission to cure obesity. Founded by Harvard Medical School professors, we are pioneering quick, non-surgical weight loss procedures that are 7x safer than surgery and more effective and affordable than the best medications. Our digital health platform combines telehealth, distributed clinics, and an expert care team in endoscopic weight loss to deliver lasting, affordable results for the 40% of Americans struggling with obesity.
We're growing rapidly-now in 8 cities after just 6 quarters of operations-with a vision to become the one-stop shop for obesity management, offering the most comprehensive set of interventions available online and via our distributed partner clinics. Join us to help patients reclaim their lives.
About This Role
We are looking for a people-centered, professional, and organized Nurse Patient Concierge to join our team and deliver Bariendo's signature 6-star care. You'll be the first point of contact for patients and a crucial part of making their weight loss journey feel smooth, supported, and stress-free. This is a role for someone who thrives in a fast-paced environment, has a concierge mindset, and finds joy in turning complex coordination into calm execution.
In this role, you will:
Deliver 6-Star Service: Be the warm, welcoming presence patients first encounter. Whether by phone, text, or email, you'll create a calm, organized, and exceptional experience that reflects Bariendo's high standards of care.
Be a Trusted Clinical Guide: Act as a primary point of contact for patients on clinical and care-related questions, escalating appropriately to providers and ensuring clear, timely communication so patients feel confident and supported throughout their treatment.
Ensure Clinical & Procedural Readiness: Partner closely with Bariendo's procedure centers to confirm accurate bookings, review patient charts for completeness and readiness, and coordinate outstanding requirements so every patient arrives fully prepared for their procedure.
Be a Concierge for Every Concern: Monitor incoming communications, answer phone calls, and anticipate patient needs before they arise. You'll be a responsive, empathetic problem-solver who builds trust with every interaction.
Drive Administrative Excellence: Maintain accurate records across our systems, ensure compliance with regulations like HIPAA, and support documentation workflows that enable smooth care delivery.
What We're Looking For
Clinical, Service-Driven Experience: Active RN license with 3+ years of patient-facing clinical experience, including experience delivering care or care coordination virtually (phone, text, telehealth). Ideally in procedural, ambulatory, or concierge-style settings where high-touch, white-glove support is the norm.
Experience in Weight Management or Bariatric Care (preferred): Prior exposure to obesity medicine, bariatric surgery, endoscopy, or medical weight-loss clinics is a strong plus, particularly in patient education, pre-procedure readiness, or longitudinal care coordination.
Fluent in Spanish (preferred, not required): Able to communicate clearly and professionally with Spanish-speaking patients across phone, email, and text.
Detail-Oriented & Reliable: Comfortable juggling complex logistics with accuracy. You stay organized, catch errors before they happen, and keep things moving smoothly under pressure.
Warm, Clear Communicator: You build trust quickly, make patients feel at ease, and bring empathy and professionalism to every interaction.
Operationally Sharp & Adaptable: Confident discussing pricing and payment options in a direct-pay model, comfortable navigating EHRs and new software, and energized by fast-paced, ever-evolving environments where proactive problem-solving is key.
What Makes This Job Amazing
Mission: Join a team of Harvard Medical School professors and healthcare innovators transforming thousands of lives. Watch our patient's stories.
Hybrid Environment: Work three days a week from our Market Street office and two days remotely, with some (infrequent) Saturday calls -all patient care is delivered virtually via telehealth.
Foundational Role in a Growing Startup: Be part of a fast-growing, mission-oriented team. Collaborate closely with teams like Product to help shape and innovate our virtual care experience.
Total Rewards
Competitive salary with equity in a high growth, seed-stage startup
Comprehensive health benefits (medical, dental, vision)
11 paid holidays, 15 personal vacation days, 10 wellness days
Hybrid work, 3 days in-office 2 days remote
$80k-95k yearly Auto-Apply 27d ago
Clinical Research Nurse - Home Visits (PRN); Denver, Colorado
WEP Clinical
Remote job
Are you a skilled, compassionate nurse looking for flexible work in clinical research? As a Clinical Research Nurse - Home Visits (PRN), you'll provide high-quality nursing care directly in patients' homes while supporting important research studies. This role is ideal for nurses who value flexibility, independence, enjoy local travel, and want to supplement their income with meaningful work.
Key Points to Know: • You'll use your own vehicle to visit patients in their homes, typically within 1-2 hours of your location. • Shifts are PRN / per diem, meaning you'll work only when projects are available in your area; project frequency may vary. • Orientation, training, and project-specific instructions are provided before each assignment. • You will be compensated for all time spent on training, travel, and patient visits, including documentation.
We are posting this role now and will be reviewing applications on a rolling basis between now and Christmas.
Interviews will begin in the New Year
, so you may experience a brief delay in hearing back from us during the holiday period. Thank you in advance for your patience - we look forward to connecting in January.
Position: Clinical Research Nurse - Home Visits (PRN) Job Type: Contract, PRN, Per Diem Hourly Rate: $55/hr onsite and $50/hr travel time Work Location: Denver, Colorado; Drive up to 1-2 hours to patient homes in your area (travel time compensated!)
Job Description: As a Clinical Research Nurse - Home Visits (PRN), you will play a crucial role in ensuring the successful execution of research studies in patient homes. You will be responsible for administering investigational medications/products, conducting patient assessments, collecting vital information, and adhering to study protocols with utmost accuracy and ethics. Your expertise and caring nature will help us maintain compliance with each study's protocol and safeguard the well-being of study patients.
Principal Duties and Responsibilities:
Deliver competent, high-quality nursing care to study patients in their homes.
Accountable for the competent and confident delivery of high-quality clinical care to patients/participants. Ensure compliance with each study's protocol by providing thorough review and documentation at each subject study visit.
Administer investigational medications/products as needed; Perform patient assessments to determine presence of side effects; notify Principal Investigator of findings/issues.
Perform medical tests as outlined in protocol, including, but not limited to: vital signs, specimen collection, electrocardiograms; Process specimens and ship specimens per protocol.
Provide patient education and medical information to study patients to ensure understanding of proper medication dosage, administration, and disease treatment.
Responsible for adherence to clinical research policies to ensure ethical conduct and protect vulnerable populations.
Communicate effectively, promoting open and trusting relationships.
Qualifications:
Relevant Nurse Licensure
CH-GCP Certificate
Graduate from an accredited BSN or Associate Degree in Nursing or Nursing Diploma
program
Minimum 2 years' post qualification acute care experience
Clinical Research experience preferred
BLS certification required
Experience and knowledge of working in clinical research trials with ICH-GCP (Good
Clinical Practice) Certification - (training can be provided)
Good basic IT skills, utilizing mobile devices and Microsoft systems
Trained in Handling and Transport of Hazardous Substances (training can be provided)
A flexible schedule is essential
Unencumbered driver's license, reliable car
Benefits:
Competitive hourly pay rate, including compensation for travel time.
Flexible schedule to maintain work-life balance.
Mileage reimbursement for travel expenses.
Ongoing training and support to growth your clinical research skills
Opportunity to make a meaning impact on patients' lives while contributing to cutting-edge medical research.
Join our team and contribute to groundbreaking medical advancements through clinical research!
$50-55 hourly Auto-Apply 60d+ ago
Registered Nurse, Clinical Delivery
Care Access 4.3
Remote job
Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly to communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow.
With programs like
Future of Medicine
, which makes advanced health screenings and research opportunities accessible to communities worldwide, and
Difference Makers
, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all.
To learn more about Care Access, visit *******************
How This Role Makes A Difference The Registered Nurse, Clinical Delivery (RN) in this role will manage the communication of critical and abnormal lab results to patients, ensuring compliance with state licensure requirements. This includes contacting patients, documenting communications, following up on lab escalations, and collaborating with providers to ensure all patient interactions are appropriately managed and documented. This role is also responsible for patient education, ensuring patients understand their lab results and any necessary next steps in their care, as well as providing study specific information that is tailored to the patient. Furthermore, they serve as a point of escalation for the Member Services team, addressing complex inquiries related to lab results and assisting in the resolution of patient concerns by providing clinical insights and ensuring patients receive accurate information and appropriate follow-up. The RN will liaise with the Clinical Conduct Team to investigate and resolve issues related to duplicate lab results or other concerning findings, as advised by the Medical Director. Lastly, they will assist in training and educating the Member Services team to improve patient interactions and enhance service quality. This role is critical in ensuring timely patient communication and maintaining compliance with clinical and legal standards. How You'll Make An Impact
Receive and Review Lab Results from Pre-screening Program: Autonomously evaluate flagged abnormal, urgent, or critical lab findings to prepare them for patient communication, ensuring accuracy and timeliness.
Patient Communication: Proactively contact patients to discuss abnormal and critical lab outcomes. Ensure focused and uninterrupted communication, adhering to protocols while delivering only legally permissible information within the RN scope of practice. Use communication techniques to convey complex medical information clearly in a way non-medical patients will understand. Understand that the results shared with the patients may have serious health implications for them and relay them in a compassionate manner.
Patient Education: Develop and implement patient education initiatives to enhance understanding of lab result significance and promote informed decision-making. Ensure patients understand their lab results and any necessary next steps in their care.
Critical Thinking: Independently utilize critical thinking to assess the urgency and implications of abnormal and critical lab results, prioritizing patient communication based on clinical significance.
Documentation: Maintain comprehensive and precise documentation of communications in patient progress notes. Record abnormal and critical results, patient concerns, and subsequent actions. Ensure compliance with regulatory signature requirements.
Time Management: Exhibit exceptional time management skills to efficiently manage multiple lab results and patient communications, prioritizing urgent cases promptly.
Problem Solving Expertise: Apply advanced problem-solving abilities using medical training and experience to troubleshoot issues related to lab result discrepancies or data integrity.
Data-Driven Decision Making: Leverage data analytics to identify patterns and trends in lab results, contributing to evidence-based practice and enhanced patient outcomes.
Regulatory Knowledge: Maintain up-to-date knowledge of healthcare regulations and compliance standards to ensure all communications adhere to legal and ethical guidelines.
Escalation to Providers: For questions beyond the RN's medical scope, escalate to a licensed, on call provider (NP/PA/MD/DO) and manage the completion of result delivery and accompanying required documentation.
Member Services Team Escalations: Address lab-related escalations from the Member Services Team, such as result clarifications, data discrepancies, or additional test requests, and communicate resolutions back to the patient, documenting the outcome.
The Expertise Required
Strong analytical capabilities, exceptional communication skills, and a commitment to fostering a patient centered environment.
Strong attention to detail and ability to manage multiple patients efficiently.
Ability to work independently while collaborating with a larger clinical team.
This role is pivotal in upholding clinical and legal standards through meticulous communication and patient care management.
Precision in data analysis and documentation to ensure accuracy in lab results and reporting.
Certifications/Licenses, Education, and Experience:
Education:
Active RN licensure with a commitment to compliance and regulatory standards. Compact Licensure required. Additional licenses may be required in addition.
BSN or equivalent degree preferred.
Experience:
Minimum of 3 years of experience as a working nurse, clinical research, medical communications, and/or related field.
Proficiency in Salesforce or other EMR systems for documenting patient interactions.
Licensure Requirement: Compact licensure required, non-compact state license preferred. Willingness to maintain and obtain additional state licenses as needed. Must hold all licenses in good standing.
Compact States [42]: RNs with compact licenses can practice in all 42 states in the compact, including Alabama, Arizona, Arkansas, Colorado, Florida, Texas, and more.
Non-Compact States [8]: California, Nevada, Illinois, Hawaii, Alaska, Oregon, Minnesota, New York.
How We Work Together
Location: Remote within the United States. This role requires 100% of work to be performed in a remote office environment.
Travel: This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role.
Physical demands associated with this position Include: The ability to use keyboards and other computer equipment.
PTO and On-Call Coordination: Work within a structured on-call system to ensure coverage when team members are on leave.
The expected salary range for this role is $70,000 - $100,000 USD per year for full time team members.
Benefits & Perks (US Full Time Employees)
Paid Time Off (PTO) and Company Paid Holidays
100% Employer paid medical, dental, and vision insurance plan options
Health Savings Account and Flexible Spending Accounts
Bi-weekly HSA employer contribution
Company paid Short-Term Disability and Long-Term Disability
401(k) Retirement Plan, with Company Match
Diversity & Inclusion
We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, 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.
Care Access is unable to sponsor work visas at this time.
If you need an accommodation to apply for a role with Care Access, please reach out to: ********************************
$70k-100k yearly Auto-Apply 5d ago
Clinical Care Reviewer - RN - Must have a MSL License
Caresource 4.9
Remote job
Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members, as well as monitoring the delivery of healthcare services.
Essential Functions:
Complete prospective, concurrent and retrospective review such as acute inpatient admissions, post-acute admissions, elective inpatient admissions, outpatient procedures, homecare services and durable medical equipment
Identify, document, communicate, and coordinate care, engaging collaborative care partners to facilitate transitions to an appropriate level of care
Engage with medical director when additional clinical expertise if needed
Maintain knowledge of state and federal regulations governing CareSource, State Contracts and Provider Agreements, benefits, and accreditation standards
Identify and refer quality issues to Quality Improvement
Identify and refer appropriate members for Care Management
Provide guidance to non-clinical staff
Provide guidance and support to LPN clinical staff as appropriate
Attend medical advisement and State Hearing meetings, as requested
Assist Team Leader with special projects or research, as requested
Perform any other job related duties as requested.
Education and Experience:
Associates of Science (A.S) Completion of an accredited registered nursing (RN) degree program required
Three (3) years clinical experience required
Med/surgical, emergency acute clinical care or home health experience preferred
Utilization Management/Utilization Review experience preferred
Medicaid/Medicare/Commercial experience preferred
Competencies, Knowledge and Skills:
Proficient data entry skills and ability to navigate clinical platforms successfully
Working knowledge of Microsoft Outlook, Word, and Excel
Effective oral and written communication skills
Ability to work independently and within a team environment
Attention to detail
Proper grammar usage and phone etiquette
Time management and prioritization skills
Customer service oriented
Decision making/problem solving skills
Strong organizational skills
Change resiliency
Licensure and Certification:
Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice required
MCG Certification or must be obtained within six (6) months of hire required
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Travel is not typically required
Compensation Range:
$62,700.00 - $100,400.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Hourly
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-JM1
$62.7k-100.4k yearly Auto-Apply 6d 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 PracticalNurse
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 33d 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.
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: Current RN license and eligible to practice in VA
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
$57k-90k yearly est. Auto-Apply 58d ago
Clinical Review Nurse - Remote
Arc Group 4.3
Remote job
Job DescriptionCLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a dynamic and well-respected organization offering tremendous career growth potential.
At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply.
100% REMOTE!
Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering).
SUMMARY STATEMENT
The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review.
ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
90% of time will be spent on one or more of the following activities depending on assignments:
Review and analyze pre and post pay complex health care claims from a medical perspective, inclusive of prior authorization:
Perform clinical review work as assigned; may provide guidance to other team members and accurately interpret and apply broad CMS guidelines to specific and highly variable situations.
Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care per national and local policies, as well as accepted medical standards of care.
Review provider practices and identify issues of concern, overpayment and need for corrective action as necessary; includes surfacing potential fraud and abuse or practice concerns.
May develop recommendations for further corrective action based on medical review findings.
May refer for review, or implement, corrective action related to medical review activities.
May process claims and complete project work in the appropriate computer system(s).
The remaining 10% of time will be spent on the following activities depending on assignments:
Identify providers needing education and individually educate providers who are subject to medical
review processes:
Initiate or participate in provider teaching activities, creating written teaching material, providing one on one education or education to a group as a result of a medical review (e.g., probe, progressive corrective action, consent, etc.) or appeal.
This may involve discussion with CMS leaders and leaders in the provider community.
Participate in special projects as assigned.
REQUIRED QUALIFICATIONS
* Valid nursing degree
* 2 years' clinical experience
* Excellent written and oral communication skills
* Demonstrated experience with evaluating medical and health care delivery issues (e.g., Inpatient Rehab Facility)
* Strong computer skills to include Microsoft Office proficiency
* Valid unrestricted Registered Nurse (RN) license
PREFERRED QUALIFICATIONS
* Inpatient Rehabilitation Facility Experience
* Bachelor of Science in Nursing (BSN)
* Insurance industry experience
* Certified Coder
ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed.
At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know.
Position is offered with no fee to candidate.
$48k-67k yearly est. 5d ago
Remote Triage Nurse
Medcor 4.7
Remote job
Medcor is looking to hire a full-time Registered Nurse for our remote 24/7 Occupational Health triage call center! The hours for this position include 8-hour or 10-hour shifts between the hours of 12pm and 2am CST.
Job Type: Full-time - 40 hours per week
Salary: $28 per hour with additional shift differential pay available for evenings, nights & weekends.
By joining our nursing team, you will be helping thousands of employers better manage their workplace injuries and improve the quality of healthcare for their employees. Nurses who are successful in this position must be able to talk on the phone for long periods while typing and navigating through various software applications simultaneously. Our nurses must be able to visualize an injury while on the phone and clarify details about the injury while following our propriety algorithms to guide the triage of the injured worker.
Training:
Training for this role will last 5-6 weeks, with 2.5 weeks of classroom instruction and 2.5 weeks of precepting. These first 5-6 weeks of training are held Monday through Friday, from 8a-4p CST. The training schedule is non-negotiable, and all training must be successfully completed within the 6-week time frame. Following training, you will transition to your permanent schedule between the hours of 12p and 2a CST with an every-other-weekend requirement and holiday rotation. Changes to the permanent schedule are not allowed within the first 12 months of employment.
A typical day in the life of a Medcor Triage RN:
Manage a rapid flow of incoming telephone calls from Medcor customers in a call center environment
Document each call efficiently and accurately
Monitor and track individual as well as call center goals, productivity metrics, and statistics
Reflect all shift activities using the phone system and be responsible for personal schedule adherence
Provide superior customer service to Medcor s clients and employees
Complete accurate assessment of symptoms and/or concerns utilizing Medcor s Triage Algorithms
Follow HIPAA Compliance Policies
You Must
Be bilingual, fluent in both the English and Spanish language
Have a valid RN license and current BLS (CPR) certification
Be able to handle a high volume of consecutive calls
Have strong technological skills as well as a typing speed of at least 30 WPM
Work a major U.S. holiday rotation
Work every other weekend
Have effective written, verbal, and interpersonal communication skills. Ability to read, analyze, and interpret triage tools and information along with care instructions to injured employees and their managers.
Be able to talk and/or hear. You are required to sit and use your hands. Specific vision abilities required by this job include close vision for computers and written work with the ability to adjust focus
Be able to work on a computer for long periods
Have a private space in your home with 4 walls and a door for patient privacy
Have access to high-speed internet (no satellite) within your primary residence
Be able to receive and apply feedback
It's a Plus If
You have call center experience
You have occupational health experience
At Medcor, we re passionate about caring for our advocates as much as you are passionate about caring for your patients! Join our team and receive the support you need to be successful in your practice and to focus on your patients. In addition to a collaborative work environment, we offer great pay and benefits and emphasize your wellness.
Here s why people love working for Medcor:
Stability! We ve been around since 1984.
Potential for retention and performance incentives
Opportunities galore! Medcor has a lot more to offer than just this job. There are opportunities to move vertically, horizontally, and geographically. Annually, 20% of our openings are filled by internal employees. The fact is, opportunity exists here!
Training! We believe in it and we ll train and support you to be the best you can be. We feel we offer more training than most other companies.
We have an open-door policy. Do you have something to say? Speak your mind! We encourage it and we look forward to how you can help our organization.
Benefits
We don t just advocate for our clients and our patients; we also advocate for ourselves. Our benefits include paid time off, health and dental insurance, 401K with match, education reimbursement, and more.
To learn more about Medcor s Culture click
here
.
Medcor Philosophy
Medcor embraces a set of simple, interconnected practices that everyone can tailor to their own life and work. To preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times.
Medcor is a tobacco-free and smoke-free workplace!
EOE/M/F/Vet/Disability
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
$28 hourly 39d ago
Benefits Clinical Nurse Advocate
PGA Peck Glasgow
Remote job
Grow With Us! At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Benefits Clinical Nurse Advocate to join our team. This position will report to our agency located in Cranston, RI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a remote position.
Responsibilities:
Review of a variety of health plan data and the ability to develop clinical findings and projections of future spend.
Use of clinical knowledge to work with health insurance carriers to ensure appropriate clinical care coordination.
Work with employer to develop an appropriate a health risk management plan.
Work closely with our Account Management Team to develop a cohesive plan to control costs within the health plan.
Assist members in identifying participating providers that meet nd when appropriate, assist members in obtaining appointments with the provider.
Assist members with access to medically necessary, quality healthcare in a cost-effective setting
Assist member in answering their complex medical questions.
Assist members in locating available community resources.
Development of a variety of health care education topics for represented membership.
Assist members with appealing health carrier's denial of medically appropriate care.
Qualifications:
Must be a Registered Nurse
Certified Case Manager a plus
At least 5 years of clinical experience preferably with an insurance company or Managed Care Company.
Demonstrated proficiency using Microsoft Office applications
Dynamic personality with excellent presentation skills.
Comfortable working with various data analytics platforms to identify gaps in care and mitigatable risk.
Excellent written and verbal communication skills
Excellent time management and project management skills
Ability to articulate thoughts and speak clearly and professionally
Benefits:
Company Paid Life Insurance, Long-Term and Short-Term Disability.
Medical, Dental, Vision and FSA/HSA plans.
401(k) with company match.
Additional voluntary benefits including Critical Illness, Accident Insurance, Hospital Indemnity and Supplemental Life Insurance, Legal and Identity Protection, and Pet benefits.
Generous PTO.
An awesome team of professionals!
The Hilb Group is an equal opportunity employer, and we actively support and comply with all applicable federal, state, and local laws prohibiting all forms of discrimination in employment. Additionally, we have a zero-tolerance policy for all forms of harassment in violation of federal, state, and local laws.
$51k-70k yearly est. Auto-Apply 6d ago
NON-COMPACT STATE - PT Remote CCM/RTM Care Management Nurse (CA)
Harriscomputer
Remote job
Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support.
The position of the Nurse Chronic Care Coordinator, Remote will perform telephonic encounters with patients on behalf of our partners each month and develops detailed care plans within our care plan templates in the electronic health record. This begins as an Independent 1099 Contractor position but offers the potential to reach full-time W2 employment (with employee benefits).
Esrun Health is seeking Nurses to work part-time from their home office while complying with HIPAA privacy laws. You will set your own hours and will not be held to a daily work hour schedule. You will be contracted to work a minimum of 20hrs/wk. Esrun Health wants its team members to have the flexibility to balance their work-life with their home life. Part-time team members will typically need to dedicate an average of 20-30 hours per week to care for their assigned patients. This unique business model allows you to choose what days and what hours of the day you dedicate to care for your patients.
The Care Coordinator will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 100 patients per calendar month. Care Coordinators will be expected to complete encounters on 90 percent of the patients they are assigned.
Esrun Health utilizes a
productivity-based pay structure
and pays $10.00 per completed patient encounter up to 99 encounters/month, $10.25/encounter from 100-149 encounters/month, $12/encounter from 150-199 encounters/month, $14/encounter from 200-249 encounters/month, and $16/encounter for >250 encounters/month. Payment tier increases require 2 months consistency to achieve. A patient encounter will take a minimum of 20 minutes (time is cumulative including chart review, call times/attempts/texts, care plan development, care coordination, and documentation time).
What your impact will be:
The role of the Care Coordinator is to abide by the plan of care and orders of the practice.
Ability to provide prevention and intervention for multiple disease conditions through motivational coaching.
Develops a positive interaction with patients on behalf of our practices.
Improve revenue by creating billable CCM episodes, increasing visits for management of chronic conditions.
Develops detailed care plans for both the doctors and patients. The care plans exist for prevention and intervention purposes.
Understand health care goals associated with chronic disease management provided by the practice.
Attend regularly scheduled meetings (i.e., Bi-Monthly Staff Meetings, monthly one on one's, etc.). These “mandatory” meetings will be important to define the current scope of work.
What we are looking for:
Graduate from an accredited School of Nursing. (LPN, LVN, RN, BSN, etc.)
Current license to practice as an RN/ LVN/LPN with no disciplinary actions noted
A minimum of two (2) years of clinical experience in a Med/Surg, Case Management, and/or home health care.
Hands-on experience with Electronic Medical Records as well as an understanding of Windows desktop and applications (Microsoft Office 365, Teams, Excel, etc.), also while being in a HIPAA compliant area in home to conduct Chronic Care Management duties.
Ability to exercise initiative, judgment, organization, time-management, problem-solving, and decision-making skills.
Skilled in using various computer programs
(If you don't love computers, you won't love this position!)
High Speed Internet and
Desktop or Laptop computer
(Has to be operation system of Windows 10 or higher or Mac) NO Chromebooks and no iPad.
Excellent verbal, written and listening skills are a must.
What will make you stand out:
Quickly recognize condition-related warning signs.
Organized, thorough documentation skills.
Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills.
Clear diction. Applies exemplary phone etiquette to every call.
Committed to excellence in patient care and customer service.
What we offer:
Contract position with opportunity to become a full-time position, to include benefit options (Medical, Dental, Vision, 401K, Life).
Streamline designed technology for your Chronic Care operations.
Established and secure company since 1976, providing critical software solutions for many verticals in countries ranging from North America, Europe, Asia, and Australia
Core Values that unite and guide us.
Autonomous and Flexible Work Environments
Opportunities to learn and grow.
Community Involvement and Social Responsibility
About us:
Esrun Health, a division of Harris Computer, is on a mission to redefine remote care. Our program offers a customized model of remote care services that blends Chronic Care Management (CCM), Remote Therapeutic Monitoring (RTM), Remote Physiologic Monitoring (RPM), Behavioral Health Integration (BHI), and/or Transitional Care Management (TCM) for each client based on their specific practice needs.
As a Harris healthcare business, we are able to maintain a people-focused, small company experience with the financial security of a large organization.