Director, Behavioral Health Transfer Center | 100% Remote | RN or LCSW
I4 Search Group Healthcare
Remote job
Job Description
Director, Behavioral Health Transfer Center
$90,000 to $140,000 Base compensation based on experience
Must be a licensed clinician such as RegisteredNurse. Would possibly consider a Licensed Clinical Social Worker or Licensed Professional Counselor depending on experience
Must hold a multi-state license (e.g., RN Compact or equivalent)
Position Overview
The Director of the Behavioral Health (BH) Transfer Center provides senior-level leadership for a centralized, 24/7 behavioral health access and admissions operation supporting multiple facilities across several states. This role is accountable for operational performance, clinical integrity, regulatory compliance, and relationship management across a multi-state healthcare system.
The ideal candidate is an experienced Behavioral Health leader at the Director level, highly operationally focused, data-driven, and comfortable leading remote clinical and non-clinical teams. This leader serves as the subject matter expert for BH transfer operations and works closely with executive leadership, hospital CEOs, and clinical teams to ensure safe, timely, and compliant patient transfers.
Company Overview
The Behavioral Health Transfer Center functions as a centralized, 24/7 hub responsible for the timely and appropriate placement of patients requiring acute behavioral health care. The center streamlines the transfer process by conducting clinical assessments, confirming bed availability, and coordinating transportation to ensure patients are placed in the appropriate level of care without delay across 18 facilities.
Staffed by a multidisciplinary team of 31 experienced behavioral health professionals-including licensed clinicians, nurses, EMTs, and case managers-the Transfer Center serves as the primary liaison for referring facilities and manages more than 6,000 patient transfers each month. The mission is to reduce wait times, eliminate gaps in care, and ensure safe, seamless transitions for individuals experiencing mental health or substance use crises. This role offers the opportunity to work remotely within a high-volume, fast-paced, and purpose-driven environment focused on clinical excellence and operational efficiency.
Key Responsibilities
Provide overall leadership and accountability for Behavioral Health Transfer Center operations, including remote clinical (RNs/licensed clinicians) and non-clinical staff.
Drive operational excellence through metrics, KPIs, service-level management, and continuous process improvement.
Ensure appropriate clinical decision-making and level-of-care recommendations for behavioral health patients across all age populations.
Partner with hospital CEOs, Directors of Nursing, Directors of Assessment, and executive leadership to ensure consistent admissions and transfer processes across all facilities.
Maintain full compliance with EMTALA, CMS, TJC, HIPAA, and applicable multi-state regulatory requirements; lead regular audits and corrective actions.
Collaborate with Workforce Management and Finance to ensure appropriate staffing models and resource allocation.
Build and maintain strong relationships with physicians, referral sources, internal stakeholders, and external partners.
Work closely with Training and Quality teams to audit calls, referral packets, and documentation to ensure quality and consistency.
Identify and resolve operational gaps, service failures, and process breakdowns in a timely manner.
Lead performance management, coaching, and development of staff; conduct annual and real-time performance evaluations.
Support recruiting, hiring, onboarding, and retention of clinical and non-clinical transfer center staff.
10% travel requirement
Must-Have Qualifications
Director-level leadership experience in Behavioral Health (required).
Strong operational mindset, with demonstrated success managing metrics, workflows, and scalable processes.
Active clinical license required, preferably RegisteredNurse (RN).
Must hold a multi-state license (e.g., RN Compact or equivalent).
Candidates with LCSW or LPC licensure may be considered if they hold appropriate multi-state licensure and possess significant leadership experience.
Proven ability to communicate effectively and build relationships across all levels of the organization, including executive leadership and frontline clinical teams.
Experience supporting or leading 24/7 healthcare operations.
Preferred Qualifications
Experience leading a Behavioral Health Transfer Center, Access Center, or centralized admissions function.
Background managing remote or distributed clinical teams.
Direct experience supporting a multi-facility, multi-state behavioral health system.
Master's degree in Nursing, Social Work, Psychology, or Healthcare Administration.
$90k-140k yearly 11d ago
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Registered Nurse II-Health
Musckids
Remote job
RegisteredNurses for MAGNET facilities. Provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation). Directs and leads other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with nursing standards of care and practice. Provide patient/family centered care using the nursing process and focusing on the physical, emotional, spiritual, cultural, religious, and environmental needs. This includes providing for the assessment, development of nursing diagnoses, outcome identification, planning, implementation of interventions, coordination of care, health teaching and promotion and evaluation of goals and interventions consistent with the policies of MUSC. Maintains a safe, therapeutic, and healing environment through ensuring patient privacy and responsive, respectful, accepting, and professional behavior. Demonstrates the ability to function in a professional setting through active participation in a professional practice model. This includes participating in shared governance, adherence to standards of care, participation in peer review and professional development promoting leadership and clinical excellence, effective team skills, autonomous practice and acknowledgment of accountability for actions and critical thinking. Coordinates the effective and efficient delivery of patient care services through the application of care management principles. Identifies clinical priorities and initiates action to improve patient outcomes. Demonstrates ability to function in a professional practice model through active participation in shared governance, promotion of a healthy work environment and acceptance of personal responsibility for professional growth.
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC004226 CHSCorp - Telemedicine Administration
Pay Rate Type
Hourly
Pay Grade
Health-28
Scheduled Weekly Hours
40
Work Shift
RegisteredNurses for MAGNET facilities. Provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation). Directs and leads other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with nursing standards of care and practice. Provide patient/family centered care using the nursing process and focusing on the physical, emotional, spiritual, cultural, religious, and environmental needs. This includes providing for the assessment, development of nursing diagnoses, outcome identification, planning, implementation of interventions, coordination of care, health teaching and promotion and evaluation of goals and interventions consistent with the policies of MUSC. Maintains a safe, therapeutic, and healing environment through ensuring patient privacy and responsive, respectful, accepting, and professional behavior. Demonstrates the ability to function in a professional setting through active participation in a professional practice model. This includes participating in shared governance, adherence to standards of care, participation in peer review and professional development promoting leadership and clinical excellence, effective team skills, autonomous practice and acknowledgment of accountability for actions and critical thinking. Coordinates the effective and efficient delivery of patient care services through the application of care management principles. Identifies clinical priorities and initiates action to improve patient outcomes. Demonstrates ability to function in a professional practice model through active participation in shared governance, promotion of a healthy work environment and acceptance of personal responsibility for professional growth.
Additional Job Description
Minimum Requirements: Bachelor of Nursing degree preferred. RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date. Refer to policy A141 for more details. A minimum of one year of work experience as a registerednurse required. Licensure as a registerednurse by the South Carolina Board of Nursing or a compact state. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required.
Physical Requirements:
1. Ability to stand or sit for extended periods of time.
2. Proficiency in manual dexterity and fine motor skills for tasks such as taking patient vitals, administering injections, or conducting physical exams.
3. Capacity to lift and move patients or medical equipment as needed.
4. Visual acuity and color perception to accurately read medical charts, documents, and monitors.
5. Auditory ability to effectively communicate with patients and colleagues, as well as to perceive important sounds such as alarms or patient instructions.
6. Stamina and resilience to handle the physical and emotional demands of providing patient care, including long shifts and potentially stressful situations.
7. Mobility to navigate clinical environments, including moving between patient rooms, offices, and other areas of the facility.
8. Compliance with infection control protocols and proper use of personal protective equipment to maintain a safe and healthy work environment.
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: ***************************************
$61k-93k yearly est. Auto-Apply 13d ago
Registered Nurse - Women's Health - Remote
Midi Health
Remote job
RegisteredNurse (RN) - Clinical Triage & Inbox Management
Employment Type: Full-Time, 40 hours / week Compensation: $80,000 per year (exempt from overtime) Reports To: Clinical Manager, Practice Administration
Work Schedule (Required)
Monday-Friday
Three fixed shifts available:
6:00 AM PST - 2:30PM PST
7:00AM PST - 3:30PM PST
8:00 AM PST - 4:30 PM PST
Ability to consistently work one of the above shifts is required
Role Summary
The RegisteredNurse (RN) will provide clinical triage, EHR inbox management, patient education, and care coordination in a high-volume virtual women's health practice. This role requires independent clinical judgment, strong protocol adherence, and deep experience in women's health, particularly care for women in midlife.
Core Responsibilities
Manage and triage the EHR inbox for a high-volume patient population
Perform clinical triage to assess patient symptoms, concerns, and urgency
Apply clinical protocols and practice guidelines to patient questions and care decisions
Create and implement clinical practice guidelines in support of RN scope of practice
Provide patient education related to medication administration, treatment plans, and general clinical questions
Assess clinical concerns and determine whether resolution is appropriate via protocol or requires provider evaluation
Review laboratory results and diagnostic imaging and identify abnormal findings requiring provider review, including coverage providers when the ordering provider is unavailable
Coordinate care with external partners, including pharmacies and referral sites (e.g., attaching documentation, following up on prescriptions)
Escalate cases to RN visits or MD/NP visits when clinically indicated
Document all patient interactions and clinical decisions accurately and thoroughly in the electronic health record (EHR)
Maintain current knowledge of all Midi/IWC clinical protocols, policies, and workflows relevant to the RN role
Deliver timely, high-quality, patient-centered care in a virtual clinical environment
Perform other duties as assigned
Maintain active, unrestricted, and unencumbered RegisteredNurse licensure in all U.S. states
Required Qualifications (Applicants Must Meet All)
Active RegisteredNurse (RN) license in good standing, with licensure in at least one (1) of the following states - CA, IL, MN, NY)
and
an active multi-state RN license through the Nurse Licensure Compact (NLC)
Bachelor of Science in Nursing (BSN)
Minimum of 5+ years of triage nursing experience
Minimum of 5+ years of women's health clinical experience, with a focus on care for women in midlife
Examples: Gynecology, Primary Care, Internal Medicine
Minimum of 5+ years managing high-volume patient care, defined as 100+ case escalations per week
Preferred experience as a Family Practice phone triage nurse, Urgent Care or Emergency department triage nurse, or Gynecology office phone triage nurse
Ability to work full-time during one of the required shifts listed above
Strongly Preferred Qualifications
50-state RN licensure
Experience developing clinical practice guidelines and protocols
Emergency Department or Urgent Care experience
Telemedicine or virtual care experience
Strong proficiency with EHR systems and asynchronous patient messaging
About Midi Health
Midi Health is the only comprehensive virtual care clinic dedicated to women in midlife navigating perimenopause, menopause, and other common midlife health challenges. Our care is designed by experts, scaled by technology, and delivered by compassionate, highly trained clinicians.
We accept most major PPO insurance plans and provide access to care through telehealth visits, 24/7 messaging, and evidence-based prescribing. We are focused on correcting the widespread underdiagnosis and undertreatment of women's midlife hormone-related conditions.
Work Location
Midi Health is a remote organization. Employees may reside anywhere within the United States.
Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at ********************.
Midi Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Please find our CCPA Privacy Notice for California Candidates here.
$80k yearly Auto-Apply 1d ago
Registered Nurse - Atrium Health Charlotte Hospital at Home Hybrid Night FT
Advocate Health and Hospitals Corporation 4.6
Remote job
Department:
05709 GCMG Adult Hospital at Home - Virtual Health: Hospital at Home
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
36
Schedule Details/Additional Information:
Varies
Pay Range
$34.90 - $52.35
Job Summary
Assesses and directs comprehensive nursing care using telephone triage protocols. Provides and assesses effectiveness of patient family education initiatives.
Essential Functions
Performs telephone triage with diverse patient population.
Assesses needed care and collaborates with patients, and others, to provide clinical solutions.
Provides comprehensive nursing assessment in an untraditional nursing environment.
Actively participates in team conferences and helps assess patient education needs.
Notifies each practice, physician, and/or managed care client of all encounters with patients, parents or managed care clients regardless of follow-up needs before office opening.
Notifies designated leadership of operational concerns.
Physical Requirements
Work requires long periods of sitting and utilizing a telephone headset. Work requires walking, standing, lifting, reaching, stooping, bending, pushing and pulling. Must be able to lift 25 pounds. Must speak English and adapt to fit the patient audience while conveying information. Intact sense of sight, hearing, smell, and touch. Good finger dexterity. Critical thinking skills and ability to concentrate in a fast-paced environment with numerous interruptions. Must be able to respond quickly to changes in patient or call center conditions.
Education, Experience and Certifications
Graduate from an accredited School of Nursing required. BSN preferred. Current license to practice as a RegisteredNurse in the state of North Carolina required. Must apply for and maintain a South Carolina RegisteredNurse license and any other RegisteredNurse licenses from states that new clients may reside in. Experience in telephone triage, pediatrics and ED triage is desired.BLS required per policy guidelines.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$34.9-52.4 hourly Auto-Apply 27d ago
Registered Dietician Nutritionist
Victory Health & Wellness 4.0
Remote job
Benefits:
Bonus based on performance
Flexible schedule
Opportunity for advancement
Wellness resources
At Victory Health & Wellness, we believe in purposeful, measurable, and transformational care. Our clinic is built on the foundation of Lifestyle Medicine 3.0, a next-generation model that blends:
The evidence-based pillars of Lifestyle Medicine
The proactive, personalized philosophy of Medicine 3.0
A systems-based, data-driven approach to whole-person health
Through this model, we empower patients to prevent, manage, and even reverse chronic conditions while extending healthspan and quality of life.
The Six Victory Health & Wellness Pillars of Lifestyle Medicine 3.0 guide our work:
Nutrition
Physical Activity
Restorative Sleep
Stress Management
Positive Social Connection
Hearing & Balance Care
We are now seeking a Registered Dietitian Nutritionist (RDN) who will be both a provider of Medical Nutrition Therapy (MNT) and a key architect in developing Victory's Lifestyle Medicine 3.0 nutrition programs and services.
Position OverviewThe Registered Dietitian Nutritionist (RDN) will deliver Medical Nutrition Therapy (MNT) to patients with conditions such as obesity, diabetes, hypertension, kidney disease, and cardiovascular risk.
More than a traditional clinical role, this position is central to building and expanding the Lifestyle Medicine 3.0 Clinic's nutrition services, integrating nutrition into each of the 6 VHW Pillars, and ensuring patients experience measurable, long-term transformation.
The ideal candidate thrives in an innovative, collaborative environment and is passionate about prevention, personalization, and patient empowerment.
Key Responsibilities
Provide Medical Nutrition Therapy (MNT) in compliance with CMS, state, and payer requirements.
Conduct in-depth nutrition assessments, create personalized nutrition prescriptions, and track outcomes with data-driven tools.
Integrate Lifestyle Medicine 3.0 strategies across all 6 VHW Pillars, positioning nutrition as a cornerstone of patient health.
Collaborate with audiologists, health coaches, and providers to deliver coordinated, multidisciplinary care.
Develop and lead Victory's MNT programs and services, ensuring scalability, innovation, and alignment with the Lifestyle Medicine 3.0 philosophy.
Contribute to Wellness Lab services including InBody analysis, functional labs, supplement protocols, DNA-based nutrition coaching, transformation programs and medical weight loss options.
Lead educational initiatives-patient workshops, wellness challenges, and content development.
Participate in insurance credentialing and billing for MNT services.
Document all encounters within the Victory Practice Better EHR while maintaining HIPAA compliance.
Qualifications
Current Registered Dietitian Nutritionist (RDN) credential through the Commission on Dietetic Registration (CDR).
Active Texas Dietitian License (or eligibility at hire).
Minimum 2 years of clinical MNT experience in outpatient, primary care, or specialty settings.
Strong alignment with Lifestyle Medicine 3.0 (preventive, personalized, systems-based, data-driven care).
Experience billing insurance for MNT (Medicare, Medicaid, commercial).
Excellent patient engagement skills, including motivational interviewing.
Desire to both deliver care and shape innovative nutrition programs.
Preferred Skills & Experience
Background in functional or integrative nutrition.
Experience with InBody, lab interpretation, supplement protocols, or DNA-based coaching.
Bilingual (Spanish/English) preferred.
Prior experience in program design and implementation.
Compensation & Benefits
Competitive salary or hourly rate (commensurate with experience).
Productivity incentives tied to MNT sessions and program development.
Health, dental, and vision benefits (if employee).
PTO and continuing education reimbursement.
A unique opportunity to build and grow a next-generation Lifestyle Medicine 3.0 Clinic.
Why Join Victory Health & Wellness?
Be part of a team redefining care through Lifestyle Medicine 3.0.
Practice at the top of your license while contributing to innovation in program design.
Collaborate in an integrated model where audiology, wellness, and nutrition intersect.
Help patients achieve lasting transformation using data, personalization, and lifestyle medicine principles.
Play a foundational role in expanding VHW's nutrition services and shaping the future of healthcare delivery.
Flexible work from home options available.
Compensation: $28.00 - $38.00 per hour
Who We Are: Victory Hearing & Wellness (VHAW)
At Victory Hearing & Wellness (VHW), we believe in a integrative approach to health and wellness. As a leading provider of audiological and wellness services in the Austin Metro area, we are dedicated to transforming lives by enhancing hearing health and overall well-being. With two conveniently located clinics in West Lake Hills and Hutto, Texas, VHW combines cutting-edge technology, compassionate care, and evidence-based practices to deliver exceptional results for our patients and clients.
Our Mission:
To empower individuals to achieve optimal hearing health and total wellness by addressing their unique needs through comprehensive care, education, and personalized solutions.
Our Vision:
To redefine healthcare by offering integrative services that merge audiological expertise with wellness strategies, creating a 360-degree approach to improving quality of life.
Our Story:
Victory Hearing & Wellness was born from the integration of Victory Hearing & Balance, a trusted audiological clinic, and Victory Health & Wellness, a dynamic wellness brand formerly known as Star Ranch Fitness. Together, we've created an innovative health ecosystem that provides exceptional care across hearing health, nutrition, exercise therapy, cognitive training, and lifestyle coaching. Led by Dr. Jill Davis, Au.D., Director of Clinical Operations, and Victor Davis, Certified Health Coach, our expert team collaborates to address the six dimensions of wellness: physical health, nutrition, medical care, sleep, mental fitness, and social interaction.
What We Offer:
Hearing Health Services: Comprehensive audiological care, including hearing aids, balance testing, tinnitus management, and preventive education.
Integrative Wellness Programs: Diagnostic labs, exercise therapy, personal training, nutrition coaching, and supplement protocols tailored to individual needs.
Comorbidity Screening and Prevention: Risk assessments and evidence-based interventions for conditions like diabetes, cognitive decline, and hearing-related comorbidities.
Innovative Patient Care: Advanced tools like music training for cognitive health, fall prevention protocols, and virtual support via our VHW Coaching App.
Why Join Us?
At VHW, we are more than just a clinic-we are a community of professionals who are passionate about making a meaningful difference in the lives of those we serve. By joining our team, you'll be part of an organization that values growth, innovation, and collaboration. Whether you're an audiologist, health coach, exercise therapist, personal trainer or wellness specialist, you'll have access to state-of-the-art facilities, ongoing education, and the opportunity to work within a supportive and dynamic environment.
Our Core Values:
Excellence: Pursuing the highest standards in patient care and wellness services.
Integrity: Building trust through honest, ethical practices.
Innovation: Embracing new technologies and methods to improve outcomes.
Community: Fostering meaningful connections among patients, clients, and professionals.
Our Culture:
Be the go-to health and wellness provider for clients and patients nationwide by making living a healthy lifestyle easy for them
~ Be considerate of each other
Be honest, accountable, and trustworthy
Respect each other's time and opinion
Do what is right
~ Be considerate of clients
We succeed when our clients succeed
Go above and beyond the expectation
Actively listen and be empathetic
~ Be considerate of the industry
Foster win-win, long-term relationships. Be fair
Respect what our team members and clients bring to the table
Value the industry and contribute to it
Join us at Victory Hearing & Wellness and be part of a movement that's redefining integrative healthcare. Together, we'll help individuals thrive at every stage of life.
This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to ISSA Online Corporate.
$28-38 hourly Auto-Apply 60d+ ago
Clinical Facilitator, RN or SW
Healthfirst 4.7
Remote job
The RN or SW Clinical Facilitator coordinates with Clinical Teams and other internal stakeholders to advance Healthfirst's clinical practice through technical assistance, education, and innovation solutions by applying adult learning theory. The technical assistance solutions will ensure efficient and effective quality of care in accordance to Healthfirst standards and rules/regulations set forth by state, and federal regulatory and compliance agencies.
Within the Clinical Division at Healthfirst, the Clinical Technical Assistance Center (CTAC) will assist clinical employees and other internal stakeholders in tactically obtaining or improving the essential knowledge or skills needed to perform their jobs. The CTAC will also serve as the hub for ongoing adult learning and skills acquisition which supports Healthfirst's commitment to ensuring its teams are capable, engaged, and committed to their work.Leverages adult learning principles and clinical practice standards to move towards a culture of continuous technical assistance improvement and clinical capacity building with innovative learning solutions.
Develops technical assistance goals that are congruent with the organization and the Clinical Department's mission, vision, and strategic direction.
Provides technical assistance, resources and tools that define performance requirements, identify gaps between existing and required performance, analyze root causes that limit performance and recommend and/or implement learning solutions that focus on and deliver business results.
Utilizes current literature, research, and evidence-based findings in the design, implementation and evaluation of technical assistance solutions and education programs for staff learning and development.
Conducts onboarding, preceptorship, and ongoing professional training to ensure clinical staff are equipped to perform job responsibilities in accordance to Healthfirst standards and rules/regulations set forth by regulatory and compliance agencies.
Facilitates with subject matter experts, instructional designers, training agencies and technical assistance facilitators to design and deliver innovative learning solutions for performance enhancements needed to support the clinical department's business objectives.
Facilitates updating departmental training manuals, job aids, quick reference guides and the clinical department's policies/procedures.
Develop, implement, and evaluate a preceptorship training program curriculum to standardize the quality of preceptorship practices among the clinical teams.
Conducts field assessments as needed to evaluate clinical staff and update the preceptorship training program curriculum.
Minimum Qualifications:
Licensure: Current Registered Professional Nurse or Registered Social Worker (i.e. LMSW or LCSW) in the State of New York.
Education: Bachelor's in nursing or social work preferred with previous work experience in education.
Three to five years of clinical experience in a specialty area, or combination of staff nurse/leadership experience in the specialty area, i.e. Care Management, Utilization Management, Clinical Eligibility.
Excellent skills in the following areas: verbal and written communication, critical thinking, creativity, interpersonal relationships and team building; change management.
Demonstrates knowledge base in professional nursing or social work and evidence based practice; participatory leadership, continuous learning environment, current issues and trends in care management and clinical practice, nursing and social work education and development.
Ability to travel about 10% of time around downstate New York including Westchester County and Long Island to conduct clinical observations.
Preferred Qualifications:
Master's degree in Education and understanding of Adult Learning Theory applications to enhance the technical assistance and education of care management and care coordination activities.
Ability to assess educational needs and design and develop responsible curricula.
Highly developed verbal and written communication skills and the ability to present effectively to small and large groups.
Strong interpersonal skills and ability to work effectively at all levels in a collaborative team environment.
Certification in relevant clinical area and Nursing or Social Work Professional Development preferred.
Intermediate Microsoft Word, Excel, Outlook and PowerPoint skills
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement
All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is ********************, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470
All Other Locations (within approved locations): $71,600 - $106,505
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
$81.1k-117.5k yearly Auto-Apply 60d+ ago
BILH Pharmacy Services - Field Based - In Home Nurse - Infusion RN Part Time 24 hrs. Days.
Bilh
Remote job
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.
The RegisteredNurse creates & develops patient care plans to direct the safe and appropriate administration of medication in the home or alternate site setting. Working with Home Infusion staff the RegisteredNurse helps identify patients capable of successful self-administration, educates patients & caregivers on proper administration techniques & methods, coordinates discharge activities, administers or supervises administration of medication, provides IV site dressing care and phlebotomy services as ordered.
Job Description:
Primary Responsibilities:
1. Practices in accordance with the state and federal laws, rules, and regulations, including but not limited to Massachusetts Board of Registration in Nursing, Department of Public Health, the Food and Drug Administration, the Drug Enforcement Administration, and the United States Pharmacopeia.
2. Assesses patient needs and capabilities for acceptance onto services for ordered therapies through physical assessment, chart review, patient interview.
3. Provides education with patient & caregiver as a condition of acceptance onto home infusion services (in person, via prerecorded videos or teleconference).
4. Collects necessary authorizations, paperwork, signatures when needed to support patient billing functions.
5. Effectively communicates with all members of patient discharge team (hospital based & pharmacy based).
6. Able to effectively manage patient census & demonstrate flexibility in scheduling to meet time sensitive patient needs.
7. Adheres to policies & procedures for medication handling, preparation, administration, disposal.
8. Advocates patient needs to prescribers or other clinicians through written or verbal communication.
9. Create patient specific care plan, documents patient progress towards goals.
10. Maintains accurate listing of all medications, supplements & diagnoses patient has.
11. Create discharge plan for patient upon completions of therapy as ordered, or if abrupt discontinuation is required.
13. Participates in continuous quality control exercises, policy & procedure review, performance improvement tasks.
14. Take part in clinical on-call rotation for after-hours patient support.
Required Qualifications:
1. Current licensure from the Massachusetts Board of Registration in Nursing.
2. Flexibility with hours worked to provide support evenings/weekends/holidays.
3. Current BLS certification
4. 2 years of Infusion related experience required.
5. Valid Driver's license & auto insurance
Preferred Qualifications:
1. CRNI certification
2. Current ACLS certification
Competencies:
Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications: Ability to comprehend and converse in English to communicate effectively with staff, patients, families and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Adaptability: Ability to work in a fast paced environment and adapt to acute change.
Social/Environmental Requirements:
Health Care Status: HCW 3: Regular provision of service in a patient care area.
Sensory Requirements:
Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity feet, Conversation, Monitoring Equipment, Telephone, and Background Noise.
Physical Requirements:
Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift.
This job requires constant walking, Endurance-working up to 4-6 hours without a break, frequent sitting, standing, twisting neck, twisting waist, Keyboard use, Reaching-above shoulder height, Reaching-below shoulder height, Lifting and carrying items weighing up to 10 lbs, pushing items weighing up to 10 lbs. There may be occasional bending neck, bending waist, Fine Manipulation using both hands, Pushing/Pulling using both hands.
Pay Range:
$37.00 - $66.70
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled
$37-66.7 hourly Auto-Apply 20d 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
Clinical Reviewer RN (Remote in TN)
Maximus 4.3
Remote job
Description & Requirements Maximus is seeking a Clinical Reviewer (RegisteredNurse) to support the Tennessee (TN) Appeals area of the contract. In this role, the RN Clinical Reviewer is responsible for reviewing clinical cases, applying nursing judgment and regulatory guidelines, and ensuring each case is accurately assessed and routed to the appropriate department or escalated as needed. This position plays a critical role in maintaining compliance, supporting timely appeal resolutions, and ensuring high-quality, clinically sound decision-making.
About the Program:Tennessee Long-Term Services and Supports (TN LTSS) refers to a coordinated system of programs and services designed to assist individuals who have chronic illnesses, disabilities, or functional limitations and need ongoing support to live as independently and safely as possible. TN LTSS includes a range of home- and community-based services (HCBS) and institutional care options that help individuals with activities of daily living, medical needs, and personal care, while prioritizing care in the least restrictive setting. The program supports older adults and individuals with physical, intellectual, or developmental disabilities through person-centered planning that promotes dignity, independence, and quality of life.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements.
- Issue approvals, denials or recommendations based on contract requirements.
- Identify need for additional clinical documentation or consultation.
- Complete documentation of activities within contract systems.
- Communicate with providers, individuals and their designees, or state workers as required.
- Performs other related duties as assigned.
Minimum Requirements
- Current RegisteredNurse (RN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Minimum of one (1) year of registerednurse experience
Preferred Requirements
- Knowledge of mental health principles and practices
- Experience in physical rehabilitation
- Attention to detail
Home Office Requirements
- Maximus provides company-issued computer equipment and/or cell phone
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
33.00
Maximum Salary
$
37.12
$69k-123k yearly est. Easy Apply 3d ago
Clinical Review Specialist - RN - Appeals Writing
Corrohealth
Remote job
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Location: Remote within the United States ONLY
Schedule: Monday - Friday, 8:00 AM - 5:00 PM
As a Clinical Review Specialist (RN), you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor. You will perform retrospective clinical case reviews and draft appeals that focus on establishing the Medical Necessity of the services performed, both Inpatient and Outpatient.
Essential Duties and Responsibilities:
· Performs retrospective medical necessity reviews to determine appeal eligibility of clinical disputes/denials.
· Constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate medical necessity criteria and other pertinent clinical facts.
o Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization.
· Demonstrates ability to critically think, problem solve and make independent decisions supporting the clinical appeal process.
Minimum Qualifications & Competencies:
· RN License with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States.
· Minimum of 2-3 years of writing appeals letters and clinical auditing.
· Minimum of 2-3 years Utilization Review / Case Management experience within the last 5 years.
· Must be familiar with the payer guidelines and EMR systems like Epic, Cerner or Meditech.
· Managed care payor experience a plus in either Utilization Review, Case Management or Appeals.
· Must have excellent attention to detail, written communication skills and be computer proficient.
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
$54k-90k yearly est. Auto-Apply 13d ago
Registered Nurse, Clinical Educator
Cottonwood Springs
Remote job
Raleigh General Hospital
RegisteredNurse (RN), Clinical Educator Job Type: FT | Days
About our Health System Raleigh General is a 300 bed hospital located in Beckley, WV, and is part of Lifepoint Health, a diversified healthcare delivery network committed to
making communities healthier
with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.
Your experience matters
At Raleigh General Hospital, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a registerednurse (RN) joining our team, you're embracing a vital mission dedicated to
making communities healthier
. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.
Job Summary
The Clinical Educator is responsible for developing, planning, implementing and organizing a variety of education activities including individual, department and hospital wide programs. The Clinical Educator serves as consultant, facilitator, change agent and leader. This position supports clinical department leadership.
Reports to: CNO
FLSA: Exempt
Job Requirements
Minimum Education
Bachelor of Science degree in Nursing
Preferred: Master's degree
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Licensed as a RegisteredNurse
Basic Life Support-Health Care Provider
Basic Life Support-Health Care Provider Instructor within 3 years of accepting or transferring into the position.
Minimum Work Experience
3-5 years of recent clinical experience with ongoing ability to demonstrate mastery of relevant clinical skills.
Sufficient previous experience in adult education.
Essential Functions
Follows established policies and procedures, objectives, safety standards, and sensitivity to confidential information.
Utilizes excellent customer service skills at all time.
Complies with Federal and State law and accrediting and licensing agencies at all times, to include but not limited to, the Joint Commission and federal compliance regulations.
Develops/coordinates orientation of new employee and transferred employee with active on-going involvement in the orientation process and continuing education materials.
Develops, manages, and coordinates education programs and conducts training related to the needs of the organization including State, Federal, and accreditation mandatory programs.
Works closely with Patient Safety Officer and responds to identified system changes or other identified needs to promote quality and patient safety.
Works closely with Quality Director in developing and maintaining the quality program and the education of staff.
Assists in managing data collection to evaluate organizational outcomes and submits accurate data in a timely manner as required by regulatory agencies; or as part of any volunteer/collaborative initiative.
Assists in implementation of department quality initiatives and analysis of outcome data. Analysis shares and assists the interpretation of outcome data with appropriate staff, medical staff, and customers. Facilitates any action as indicated for noted undesirable data and/or negative trends.
Facilitates teambuilding and leadership development in assigned areas.
Responds to change in nursing practice and develops programs to support those changes.
Maintains flexibility when managing multiple roles and responsibilities.
Leads committees, work groups and/or projects related to the implementation of educational activities.
Teaches content as needed and/or assigned within clinical expertise to facilitate orientation, staff development and/or safe practice.
Performs managerial duties as needed, to support day to day activities, i.e., Kronos, daily productivity, etc.
Responsible for planning, development, implementation, evaluation, and maintenance of continuing education activities as appropriate to various accrediting bodies, as assigned.
Complies with continuing education accrediting body requirements. Participates as instructor in specialty courses as assigned.
Is a subject matter expert in area of expertise. Develops education programs for clinical and non-clinical staff. Maintains and evaluates these programs on an ongoing basis.
Provides consultation to department managers and staff on the education process, job competencies, and accrediting agency requirements.
Maintains clinical knowledge in assigned areas and active involvement with orientation, on-going education and quality audits and initiatives.
Maintains working knowledge of learning management systems and other data management systems in the department.
Promotes collaborative relationships among health care professionals in the region.
Assists in department budget preparation; contains expenditure within budget.
Assists in the maintenance of employer education records for all disciplines.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and professional conferences.
Maintains confidentiality in accordance with HIPAA regulations.
Support the culture of service excellence throughout the organization.
Actively seek ways to demonstrate a commitment to continuous improvement and participate in professional development opportunities.
Performs other related duties as assigned or requested.
Functional Demands
Population Served
□ Does not treat or care for patients.
X Neonate (X Infant (X Early Childhood (1 year and X Late Childhood (5 years and X Adolescent (13 and X Young Adult (17 to X Middle Adult (30 years to X Older Adult (>60 years)
Protected Health Information
Type of Protected Information Accessed:
X Demographic
X Clinical
X Insurance
X Financial
X Complete Medical Record
Bloodborne Pathogens Exposure: Rarely While performing this job, occupational exposure is present for all employees
Physical Requirements - Physical Dexterity and Effort
Bending/Stooping □ rarely, □ occasionally, X frequently, □ constantly
Climbing □ rarely, X occasionally, □ frequently, □ constantly
Keyboard Data Entry □ rarely, □ occasionally, □ frequently, X constantly
Kneeling □ rarely, X occasionally, □ frequently, □ constantly
Lifting/Moving Patients X rarely, □ occasionally, □ frequently, □ constantly
Reaching □ rarely, X occasionally, □ frequently, □ constantly
Repetitive Foot/Leg Movements □ rarely, □ occasionally, X frequently, □ constantly
Repetitive Hand/Arm Movements □ rarely, □ occasionally, □ frequently, X constantly
Running X rarely, □ occasionally, □ frequently, □ constantly
Sitting □ rarely, □ occasionally, X frequently, □ constantly
Squatting X rarely, □ occasionally, □ frequently, □ constantly
Standing □ rarely, X occasionally, □ frequently, □ constantly
Walking □ rarely, X occasionally, □ frequently, □ constantly
Pushing / Pulling: 0-25 lbs. X rarely, □ occasionally, □ frequently, □ constantly
Pushing / Pulling: 26-75 lbs. X rarely, □ occasionally, □ frequently, □ constantly
Pushing/Pulling: over 75 lbs. X rarely, □ occasionally, □ frequently, □ constantly
Lifting/Carrying (non-patient) : 0-25 lbs. X rarely, □ occasionally, □ frequently, □ constantly
Lifting/Carrying (non-patient) : 26-75 lbs. X rarely, □ occasionally, □ frequently, □ constantly
Lifting/Carrying (non-patient) : over 75 lbs. X rarely, □ occasionally, □ frequently, □ constantly
Visual Acuity, Hearing and Speaking: Rarely Audible Speech □ rarely, □ occasionally, □ frequently, X constantly
Hearing Acuity □ rarely, □ occasionally, □ frequently, X constantly
Smelling Acuity X rarely, □ occasionally, □ frequently, □ constantly
Taste Discrimination X rarely, □ occasionally, □ frequently, □ constantly
Vision: Depth Perception □ rarely, □ occasionally, □ frequently, X constantly
Vision: Distinguish Color X rarely, □ occasionally, □ frequently, □ constantly
Vision: Seeing Far □ rarely, □ occasionally, □ frequently, X constantly
Vision: Seeing Near □ rarely, □ occasionally, □ frequently, X constantly
Biological: Rarely Biohazardous waste/ hazards X rarely, □ occasionally, □ frequently, □ constantly
Blood and/or bodily fluids X rarely, □ occasionally, □ frequently, □ constantly
Communicable diseases/pathogens X rarely, □ occasionally, □ frequently, □ constantly
Chemical: Rarely Asbestos or lead X rarely, □ occasionally, □ frequently, □ constantly
Cytotoxic Chemicals X rarely, □ occasionally, □ frequently, □ constantly
Dust X rarely, □ occasionally, □ frequently, □ constantly
Hazardous Chemicals X rarely, □ occasionally, □ frequently, □ constantly
Gases/Vapors/Fumes X rarely, □ occasionally, □ frequently, □ constantly
Hazardous Medication X rarely, □ occasionally, □ frequently, □ constantly
Latex X rarely, □ occasionally, □ frequently, □ constantly
Working Conditions:
Subject to many interruptions
Occasionally subjected to irregular hours
Occasion exposure to blood borne pathogens.
May periodically come into contact with fumes or airborne pathogens.
Periodically work around hazardous waste.
Works in moderate noise conditions.
Nonessential Functions
Proficient with computer and/or keyboarding skills required.
Ability to work without direct supervision.
RegisteredNurse / Clinical Editor / Proofer - Remote, New York State (#25297)
Employment Type: Full-time Hourly Rate: $45/hr
Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Position Overview:
We are seeking a detail-oriented RegisteredNurse with strong editorial skills to review NYS Dispute Resolution and External Review determinations. This remote position combines clinical expertise with editorial precision to ensure accurate, compliant, and professionally presented case documents while improving team performance through error tracking and staff training.
Why Join Us?
Competitive Compensation: Earn $45 per hour
Comprehensive Benefits:
Vacation Leave
6 Major Paid Holidays per year
5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act
License Reimbursement after 1 year of employment
Health insurance is subject to plan eligibility requirements
401k Matching eligibility after 1 year of employment
Benefits from Paychex, such as Payactiv
GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc
Work Schedule: Full-time, Remote. Sunday to Thursday (9:00 AM - 5:30 PM)
Professional Growth: Gain valuable experience in healthcare policy and medical editing
Impactful Work: Ensure accuracy and compliance in state healthcare dispute resolutions
Qualifications:
Education: Baccalaureate degree in Nursing or a graduate of an approved RN program
Licensure: Active New York State RN license
Experience:
Must have a minimum of 2 years of experience in an acute care facility, preferably in medicine/surgery or special care units, and one to 3 years of experience in acute care utilization review.
Must have post-graduate studies demonstrating proficiency in writing, editing, and proofing skills.
Technical Skills: Must have knowledge and experience with electronic medical records, including coding, quality, and clinical charting.
Soft Skills: Must have the ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff.
Other requirements: A writing sample or publication is required.
Key Responsibilities:
This individual will review all NYS Dispute Resolution and External Review
determinations for accuracy of decisions, mathematical determinations, content, grammar, punctuation, and state-required conventions. They will utilize their clinical knowledge and editorial skills to produce a final, clean copy for each case determination. They will track errors and retrain clinical and administrative staff to mitigate production errors.
Conduct a thorough review of pre-final dispute determinations using checklist tools.
Make clinical and mathematical edits to responses using provided case documentation, as necessary.
Consult with team members and supervisors as necessary to improve the final product.
Complete edits check of content, references, grammar, spelling, and punctuation before release of final product.
Maintain tracking and trending of errors and use findings to analyze areas of concern and highlight areas of improvement.
Will provide technical assistance and conduct/participate in staff huddles.
Other activities as may be deemed necessary
How to Apply: If you are an RN with strong editorial skills ready to apply your clinical expertise in a unique remote role, we want to hear from you! Submit your Resume/CV and writing sample to hr@glhstaffing.com or call our office at (800) 608-4025 to learn more about this opportunity.
Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives
$45 hourly 32d ago
RN Clinical Liaison/Quality Practice Advisor (Hybrid)
Healthmap Solutions 4.2
Remote job
The RegisteredNurse, Quality Practice Advisor is responsible for coordinating performance improvement activities to engage, educate, and manage activities to improve the health outcomes of Healthmap Solutions members. This position will closely partner with the Care Navigation team to improve the quality of the Kidney Health Management clinical program.
Responsibilities
* Develop a trusting partnership with clinical providers and practice locations
* Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
* Incorporate education and communication on Best Practice sharing for identified areas of provider low performance
* Provide assistance in identifying areas for process improvement in provider office workflows
* Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support
* Support operational and clinical stakeholders in the identification, development, and execution of process improvement initiatives
* Improve provider performance in areas such as Healthmap Solutions Interventions, Care Gaps, and Chronic Conditions
* Educate providers on HEDIS measures and open Care Gaps
* Support the development and implementation of quality improvement interventions
* Identify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
* Build strong cross-functional relationships with internal departments and provider partners and practice staff
* Collaborate with the Care Navigation team to provide and receive information to enhance care coordination on Healthmap Solutions members
* Maintain thorough documentation of all provider meetings and interactions for consistency and coordination of provider engagement
* Maintain documentation in compliance with National Committee for Quality Assurance (NCQA) standards
* Ensure timely and successful delivery of reports to internal and external stakeholders
* Perform other related duties as assigned
Requirements
* Bachelor's degree required
* Active, unrestricted, RN license required
* Basic Life Support (BLS) certification required for all field roles (within 30 days of hire)
* 3 years of experience in a health care or managed care setting
* 3 years of experience in claims or gap closure campaigns, preferred
* 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management
* Prior experience building and managing relationships with health care providers preferred
* Proof of valid and unrestricted driver's license required and automobile insurance as required by law; this position requires regular travel within assigned region to support practices and or other healthcare/clinical sites as needed
* Same state residency required
Must comply with organization policies for health screening and immunizations, including but not limited to:
* Current Tuberculosis (TB) test or current chest X-ray
* Proof of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza)
* Participation in annual health and wellness screenings
Skills
* Excellent verbal, written and presentation, skills
* Interpersonal skills to develop and maintain strong internal and external relationships
* Ability to multitask, prioritization, and create solutions in a fast-paced environment
* Strong critical thinking and analytical skills
* Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
Travel
Heavy Travel, over 50%, to support practices in an assigned geographic market.
#LI-HYBRID
$47k-87k yearly est. Auto-Apply 3d ago
RN Clinical Reviewer - Remote
Acentra Health
Remote job
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities
Job Summary:
Join Acentra Health as an RN Clinical Reviewer and play a critical role in supporting priority populations while making a meaningful difference in the communities we serve. In this role, you will leverage your clinical expertise to review and assess medical records against established clinical criteria and contract requirements, helping ensure accurate, compliant, and high-quality outcomes.
This is a Full-Time remote position offers the flexibility to work from your home office while contributing to work that truly matters. You'll be part of a mission-driven organization dedicated to improving health outcomes.Candidates must be available to work during regular business hours of 9:00 A.M. to 5:30 P.M. Eastern Time, with some flexibility for those located in the Central Time zone. Acentra Health provides the essential technology equipment for your home office, including a company-issued laptop
Job Responsibilities
* Ensure the accuracy, quality, and timeliness of all assigned case reviews in accordance with contract requirements and regulatory standards.
* Effectively manage daily workloads and review queues, adjusting schedules as needed to meet departmental demands and turnaround times.
* Collaborate with the Supervisor on quality monitoring and improvement initiatives to support compliance and performance excellence.
* Maintain up-to-date knowledge of clinical practices, review criteria, and assessment processes to ensure informed and consistent decision-making.
* Serve as a clinical liaison to providers, addressing customer service inquiries and supporting issue resolution in a professional and timely manner.
* Perform all applicable review types as required based on workload volume and business needs.
* Build and maintain positive, professional relationships with both internal teams and external stakeholders.
* Participate in required training sessions and scheduled meetings to stay current on policies, procedures, and process updates.
* Cross-train as needed to provide workforce flexibility and support evolving client and customer needs.
* Understand and adhere to all corporate policies, including those related to HIPAA and its Privacy and Security Rules.
* Maintain compliance with established workflows, regulatory requirements, and best-practice standards.
Qualifications
Required Qualifications & Experience
* Active, unrestricted RegisteredNurse (RN) license in good standing, with an Associate's degree (Bachelor's degree preferred) or completion of an accredited professional nursing diploma program.
* Strong clinical assessment, analytical, and critical-thinking skills with the ability to make sound, evidence-based decisions.
* Working knowledge of medical records review, medical terminology, and disease processes.
* Strong written and verbal communication skills, with the ability to clearly document and explain clinical findings.
* Detail-oriented with excellent organizational skills and the ability to prioritize and complete tasks efficiently within established timeline.
Preferred Qualifications & Experience
* Experience working for an Independent Review Organization (IRO) or in a similar clinical review setting.
* Familiarity with URAC accreditation standards and regulatory requirements.
* Knowledge of public mental health systems and government-sponsored medical programs is preferred.
* Prior experience working in a remote or virtual clinical environment.
* Proficiency in computer-based applications and the Microsoft Office Suite, including Word, Excel, Outlook, and Teams.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at ********************************
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Compensation
The pay for this position is listed below.
"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."
Pay Range
USD $28.37 - USD $38.00 /Hr.
$28.4-38 hourly 5d ago
RN-Clinical Auditor 2
Savista, LLC
Remote job
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
Job Summary:
The Clinical Auditor 2 performs audits of medical records on behalf of hospital clients for denials review, defense audits, disallowed charges, and utilization reviews. This position requires critical thinking and judgment and must demonstrate the ability to appropriately use standard criteria such as InterQual and Milliman (MCG) in addition to criteria established by state Medicaid programs or hospital policy. Audit and analysis must be accurate and consistently ensure a high level of quality, knowledge of laws, rules, regulations and guidelines necessary to ensure compliance and protection of information.
Primary / Essential Functions:
The Primary/ essential job duties may not be exhaustive.
Clinical Staff Responsibilities:
Performs audits of medical records to identify and/or defend charges, including:
o Defense Audits
o Patient Inquiry Audits
o Disallowed Charges
o Biller Requested Audits
Completes analysis of records against established criteria, (e.g., InterQual, MCG, Medicare, Medicaid criteria), to determine if patient condition and/or care meets that criteria, including:
o Avoidable day studies
o Managed care, Medicare or Medicaid reconsiderations/appeals
o Medicare or Medicaid RAC appeals or other specialized Audit Appeals (e.g. CERT, ZPIC, SMRC)
Determine, request, and obtain appropriate supporting documentation from hospital, physicians, current medical literature and patient.
Will compose appeal letters addressing and appealing both contract issues and medically related issues
Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution.
Enter audit findings and/or data into Client's computer based system.
Proficiently utilize multiple computer based systems to complete and document work (both Savista and client)
Client based billing, Internal based billing, medical record and quality systems
Microsoft Outlook, Word and Excel
Function in a professional, efficient and positive manner
Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
Will help identify issues or challenges in the department, and come up with solutions or ideas to improve
Maintain confidentiality of patient information and abide by all HIPAA related guidelines
Competencies:
· Puts Clients First
· Drives for Results
· Understands our Business
· Thinks Innovatively
· Values Differences
· Builds Teamwork
· Gains Trust
· Communicates Effectively
· Shows Accountability
· Takes Action
· Embraces Change
· Makes Quality Decisions
Physical / Mental Demands, Environment:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to use hands to finger, handle or feel, sit, stand, walk, lift up to 20 pounds, stoop, clean, bend, and reach with hands and arms.
Must communicate clearly in English. Requires the ability to speak, read, write, see, and hear to perform essential duties of the job. Effective and positive human relations skills are required, including confidentiality, in order to appropriately interface with staff and clients.
Must be able to perform multiple tasks and detailed work, problem solve, reason, and perform basic mathematical calculations.
Equipment Used:
Telephone, fax, calculator, computer, monitor, printer, hardware and software packages, computer peripheral equipment i.e. mouse and keyboard; and Microsoft software.
Minimum Qualifications:
Must be RN/Case Management /Utilization Review/Coding clinical certification with a BS/BA preferred otherwise equivalent years of technical experience
3 to 5 years of clinical experience or 3 to 5 years of clinical auditing experience in either case management, Medicare appeals, utilization review or denials management
Knowledge of Milliman (MCG) or InterQual criteria preferred
Experience in medical records review, claims processing or utilization/case management in a clinical practice or managed care organization
Fundamental knowledge of Medicare/Medicaid Guidelines
Proficiency in navigating the internet and multi-tasking with multiple electronic documentation systems simultaneously (toggling)
Skilled with Microsoft Outlook, Word, Excel and EMR
Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $28.00 to $38.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
California Job Candidate Notice
Inova Health is looking for a dedicated RegisteredNurse (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.
RegisteredNurse (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 38d ago
Clinical Research Nurse - Home Visits (PRN); Boston, Massachusetts
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: $60/hr onsite and $50/hr travel time Work Location: Boston, Massachusetts; 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!
$50-60 hourly Auto-Apply 60d+ 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
RegisteredNurse - 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 nurse practice 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 Nurse Practice 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
Remote Field Resource Nurse (LPN/LVN)
Float Health
Remote job
Float is hiring a fully remote LPN/LVN to support our SuperNurses in the field and serve as their first line of clinical guidance! About Float
Float is the full-stack platform for Specialty Pharma home infusion. We're on a mission to make healthcare safer, easier, and more efficient by connecting SuperNurses to home medication visits - moving all care that doesn't need a hospital to the home.
Float connects nurses with patients so they can get treatments for their chronic conditions in the home rather than going into the overcrowded hospital. Our model benefits all stakeholders - patients get more convenient care, nurses access flexible work for better pay, pharmacies fill more prescriptions, hospitals reduce low-reimbursement admissions, and payors enjoy 12x reduced costs with home-delivered care.
Having closed our Series A in 2023, we're at an inflection point in our growth. We've successfully demonstrated multi-state expansion, validated strong unit economics, and boast remarkable retention of patients, nurses, and pharmacies. We've facilitated over 65,000 patient visits and are scaling our platform, team, and operations to serve more geographies and patients.
The Role
The Field Resource Nurse (LPN/LVN) is part of Float's centralized Clinical Resource team. This role provides real-time phone support to independent contractor nurses in the field, helping them troubleshoot workflows, documentation, and therapy-related questions during active visits. You'll be the first line of contact for Float's field nurses, ensuring they feel supported, informed, and confident while providing patient care.
In this role, you'll also be reviewing clinical documentation and helping create plans of treatment.
This is a great opportunity for a licensed practical or vocational nurse with experience in infusion or specialty pharmacy who communicates clearly, stays calm under pressure, and enjoys helping other clinicians succeed.
This is a first-of-it's-kind role for Float Health as we scale our Clinical Resource Team. You'll be a part of our inaugural LVN/LPN team. We're looking for flexible, adaptable team members who will help us further define this role for the future.
What you'll do:
Provide real-time phone support for field nurses during patient visits.
Help troubleshoot common issues related to equipment, medication handling, documentation, and pharmacy protocols.
Support nurse adherence to therapy standards and pharmacy protocols.
Document call summaries and flag recurring issues for quality or operational follow-up.
Partner with our Clinical Resource Nurses and internal operations teams to ensure a seamless, consistent field support experience.
Clinical Admin tasks, such as: reviewing nurse charts, completion of Plan of Treatment documents, supporting the clinical education team, and management of pharmacy and medication resources.
Additional duties as needed
What you'll bring:
Active unencumbered LPN/LVN license.
5+ years of nursing experience in home health, infusion, lab draws/lab requisitions, or other patient-facing settings.
Excellent communication skills: calm, clear, and professional with both nurses and pharmacy staff.
Strong clinical judgment and ability to recognize when to escalate issues.
Comfort working in a fast-paced, tech-driven environment with multiple communication platforms.
Exceptional customer service skills, with the ability to digest and explain complex information clearly while communicating professionally, empathetically, and effectively with pharmacies, nurses, and patients
Detail-oriented, organized, and dependable under pressure.
Familiarity with infusion therapies, venous access devices, and specialty pharmacy workflows
You'll thrive in this role if:
You're someone who's comfortable supporting the autonomy of like-minded nurses.
You bring emotional intelligence to all that you do, and remain composed and professional in high-stress or uncertain situations.
You're comfortable handling a high volume of calls while juggling incoming issues at once.
You have an IV Therapy certification (preferred)
Location and Schedule:
Location: This is a fully remote position based in the US.
Employment Type: This is a full time position working 40 hours per week.
Work Hours: Float operates in the PST time zone. Work hours for this position is Tuesday to Saturday from 1pm - 9pm PST (or 4pm - 12am EST)
Pay, perks and such:
Medical, dental, vision
401k matching
Unlimited PTO with minimum days
Paid parental leave
WFH monthly allowance and home office set up
Annual Learning Stipend
HSA & FSA
Voluntary Life, Accident, Hospital, and Critical Illness Insurance
Zero commute. Work wherever you are (on or around US hours)
Compensation for this role consists of a base salary and options grant, with the base salary expected to range from $52,000 to $62,000 per year. Individual compensation will be commensurate with the candidate's experience and location.
Culture:
We're a Series A startup looking for individuals who are willing to grow with the team and adapt to our fast-paced, ever changing work environment.
At Float, we #WorkfortheSuperNurse. We believe that making the
best
nurses the heroes attracts the best talent, and in turn delivers the best patient experience. As our nurses boldly do what's right for our patients, we boldly do what's right for them. If this is a purpose that inspires you, we'd love to talk!
Float Health is an equal opportunity employer. We celebrate the diversity of the team that builds for diverse users. We are committed to creating an inclusive environment for all employees.
$52k-62k yearly 38d ago
Hybrid HH & Hospice Nurse, RN
Home Health & Hospice Care Inc. 4.1
Remote job
Job Description
3HC Home Health and Hospice
PRN-Hybrid Home Health/Hospice Nurse, RN
Kinston/Goldsboro, North Carolina
Compassionate Care is our Calling
Why choose 3HC:
3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life's journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards.
Summary:
The Hybrid HH & Hospice Nurse, RN is responsible for administering skilled nursing care to patients requiring intermittent professional nursing service and the coordination of all Hospice Services in accordance with the Hospice philosophy, Agency goals, objectives and policies
Qualification Requirements
RegisteredNurse currently licensed to practice nursing in the state of North Carolina
Minimum of one-year experience as a professional nurse in an acute care setting
Previous experience working with terminally ill patients preferred
Maintain current CPR certification (BCLS)
Basic computer skills/knowledge and experience in electronic medical records
Ability to understand and communicate well with patients, family, staff, physicians and the public
Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized a plan of care
Possess valid Driver's License and reliable transportation
Essential Functions
Abides by and supports 3HC's Compliance Program and Code of Ethics. 3HC's Compliance motto is "Compliance for all and all for Compliance". It is the intent of 3HC to comply with all applicable laws and regulations and that spirit is embedded in all aspects of our services and business practices. Our success hinges on doing things ethically and legally, to which, each and every employee plays a critical role.
Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.) Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.
For Home Health Patients:
Manages assigned cases and assists office with achieving positive patient outcomes, strategic plan and budget: (a) provides skilled nursing care as outlined in the physician's plan of treatment, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing; (b) observes and documents signs and symptoms and reports to the physician and other applicable personnel, reactions to treatments, including drugs and changes in the patient's physical or emotional condition and outcomes of intervention; (c) ensures on-going evaluation of patient/family needs and response to care; (d) refers to other services as needed; (e) initiates appropriate preventative and rehabilitative nursing procedures, as appropriate, for the patient's care and safety; (f) educates, supervises, consults, and counsels the patient/family regarding the nursing care needs, other related problems of the patient at home, the disease process, self-care techniques, and processes for dealing with issues of ethical concern and (g) Assures the development and implementation of the patient individualized plan of care and updates as needed.
Conducts a complete assessment of the patient to identify appropriate care needs: (a) obtains a medical history to include OASIS when needed, particularly as it relates to the present condition; (b) performs a physical assessment; (c) assesses the support system to determine what assistance will be available from family members and their ability to meet the patient's immediate needs upon changes throughout care; (d) assesses the patient, family member(s) and home situation to determine what health teaching will be required; (e) assess the patient's condition and home situation to determine if other home health services are needed; (f) interprets nursing and other services of the agency to the patient and family as a part of planning for care; and, (g) plans for discharge from services.
Completes OASIS at specific point in time, such as admission, resumption of care, recertification, etc.
For Hospice Patients:
Provides comfort to patient/family to facilitate quality of life and death with dignity: (a) provides skilled nursing care as outlined in the physician's plan of care, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing; (b) responsible for completing hospice admissions, educating patients and families on the hospice concept and the hospice benefit. (c) Plans, coordinates, provides and directs the delivery of compassionate, quality patient care. (d) actively participates in the coordination of all aspects of the patient's hospice care, in accordance with current professional standards and practice, including participating in on-going interdisciplinary comprehensive assessments, developing and evaluating the plan of care, and contributing to patient counseling and education. (e) Provides continuity of care to all hospice patients. (f) Assist the interdisciplinary team in the development and implementation of the patient/family care plan (g) Refers hospice patients to other services as needed. (h) Provides end of life care as outlined in plan of care and policy and procedures. Provides ongoing assessment of medicinal, DME needs. (i) Participates in QAPI and QI projects as requested. (j) assists the Social Workers with bereavement counseling as requested. Continuously evaluates the patient's condition to provide support and nursing visits individualized to the patient need.
Notify attending physicians, staff members and family members of patient deaths when they occur.
Collaborates with PBM regarding medication changes, administration, and recommendations. Share PBM recommendations with the attending MD.
Documents in the medical record electronically and downloads daily: (a) those services rendered to the patient; (b) conferences held with other disciplines, physician, or community resources; (c) changes noted in the patient's condition and/or family home situation; (d) revisions in the nursing care plan as needed; (e) evaluation of patient care and clinical and progress notes that demonstrate progress towards established goals. Download will include time and travel documentation. Responds within 48 hours to requests for documentation correction/completion.
Ensures that the physician is involved ongoing with the patient's care: (a) reports to the physician and other applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician concerning alterations of the plan of treatment and documents appropriate change of orders where necessary. Verifies that physician listed on order/plan of treatment will sign orders.
Home Health/Hospice:
Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to regulatory guidelines, CMS/Hospice guidelines. Ensures task assigned to the LPN: (a) are within the Nurse Practice Act and (b) Supervises LPN on every patient at least every 30 days. Ensures that care is provided by the nursing assistant: (a) provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed; (b) supervises and evaluates the care given at least every two weeks and (c) participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.
Collaborates with supervisor to meet assigned productivity of 100%. Rotates weekday, weekend, and holiday "on-call" and "back-up-call".
Maintains regular communication with supervisor. Communicates problems of the patient(s) on a timely basis following chain of command. Communicates information using current process and technology available to 3HC. For Hospice Patients: Completes IDG notes and communicates with the team.
Ensures that 3HC can bill for services appropriately: (a) completes certifications and re-certifications within designated timeframes; and (b) keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care management, including preauthorization and re-authorization for insurance.
Travels to other offices to meet the demand of patient needs as requested by the Director of Clinical Practice/Assistant Director of Clinical Practice.
Stays abreast of overall patient care and improves nursing care skills: (a) participates in office staff meetings, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; (b) attends and participates in interdisciplinary team conferences at least 75% of the time; (c) attends agency mandatory in-services and satisfies CEU requirements of the State Board of Nursing; and (d) strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings.
Demonstrates an interest in personal and professional growth for self and staff: (a) attends and participates in workshops, seminars, webcasts to keep abreast of current changes in rules, regulations, relating to job functions and department; (b) does individual reading and research; and (c) recommends educational opportunities for staff and encourages participation.
Demonstrates a willingness to be cost effective in the use of agency resources, the monitoring of waste, and the proper and safe use of supplies and equipment.
Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor to promote the successful operations and future growth of 3HC.
3HC is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex or sexual orientation, age, marital status, gender identity, national veteran or disability status.