Registered nurse work from home jobs

Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical records to ensure accurate documentation of patient care. Educate healthcare providers on the importance of accurate and complete clinical documentation. Utilize clinical knowledge and expertise to identify opportunities for documentation improvement. Ensure compliance with regulatory requirements and guidelines. Participate in multidisciplinary team meetings to discuss documentation improvement strategies. Provide feedback to healthcare providers on documentation practices and areas for improvement. Maintain up-to-date knowledge of clinical documentation standards and best practices. Responsibilities * Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. * Perform concurrent and retrospective reviews of medical records to ensure accurate documentation of patient care. * Educate healthcare providers on the importance of accurate and complete clinical documentation. * Utilize clinical knowledge and expertise to identify opportunities for documentation improvement. * Ensure compliance with regulatory requirements and guidelines. * Participate in multidisciplinary team meetings to discuss documentation improvement strategies. * Provide feedback to healthcare providers on documentation practices and areas for improvement. * Maintain up-to-date knowledge of clinical documentation standards and best practices. Qualifications * Registered Nurse (RN) with a current license from any state. * Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) certification. * Certified Coding Specialist (CCS) certification if they have the CCDS 2 certification. * Minimum of 3 years of clinical nursing experience. * Strong knowledge of clinical documentation standards and regulatory requirements. * Excellent communication and interpersonal skills. * Ability to work collaboratively with healthcare providers and multidisciplinary teams. * Proficiency in electronic health record (EHR) systems. Additional Skills * Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) certification. * Certified Coding Specialist (CCS) certification if they have the CCDS 2 certification. Work Environment Fully remote role. Schedule: Monday-Friday 9am-5pm with potential for flexibility as long as 40-hour weeks are maintained. Pay and Benefits The pay range for this position is $70000.00 - $120000.00/yr. Health, Vision, Dental, 401k If we find a local candidate (CT RN license in CT, they will receive Middlesex Health Benefits, If we find someone national w/o CT RN License then they will receive benefits through 3rd party organization- Mindlance (have been told this is very expensive so they prefer local). Have all the benefit info in a PDF when needed Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on May 9, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

Reports to: Chief Executive Officer and/or Training Director Scope of work: Provides monitoring and clinical skills training & exposure to nurse practitioner and physician assistant students. Education: M.D. from accredited University or Medical School Completion of a Psychiatric Residency Program Experience: Has experience in mental health services Has medical license within the U.S. Responsibilities: Provide monitors and proctors nurse practitioner and physicians assistant students in psychiatric services Provides feedback and training on clinical skills development with NP and PA students

Registered Nurse / 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 Registered Nurse 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

Are you a skilled, compassionate nurse looking for flexible work in clinical research? As a Clinical Research Nurse - Home Visits (PRN), you'll provide high-quality nursing care directly in patients' homes while supporting important research studies. This role is ideal for nurses who value flexibility, independence, enjoy local travel, and want to supplement their income with meaningful work. Key Points to Know: • You'll use your own vehicle to visit patients in their homes, typically within 1-2 hours of your location. • Shifts are PRN / per diem, meaning you'll work only when projects are available in your area; project frequency may vary. • Orientation, training, and project-specific instructions are provided before each assignment. • You will be compensated for all time spent on training, travel, and patient visits, including documentation. We are posting this role now and will be reviewing applications on a rolling basis between now and Christmas. Interviews will begin in the New Year , so you may experience a brief delay in hearing back from us during the holiday period. Thank you in advance for your patience - we look forward to connecting in January. Position: Clinical Research Nurse - Home Visits (PRN) Job Type: Contract, PRN, Per Diem Hourly Rate: $55/hr onsite and $50/hr travel time Work Location: Birmingham, Alabama; 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!

Raleigh General Hospital Registered Nurse (RN), Clinical Instructor Job Type: PRN 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 registered nurse (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 Responsible for planning and presenting education programs as directed and for assisting the in-house patient education programs. Job Requirements Minimum Education Graduate of a Program in Discipline - Required Registered nurse graduated from a school of nursing. BSN and/or MSN preferred. Required SkillsRequires 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. Certifications: Basic Life Support (BLS) Advanced Cardiovascular Life Support (ACLS) - required if teaching course Pediatric Advanced Life Support (PALS) - required if teaching course - to be obtained within 6 months Evidence of proficient skills in teaching ability, creativity, communication, and in nursing procedure administration. Demonstrated ability to work with persons of diverse backgrounds and training experience. Demonstrated evidence of effective nurse-patient relationships with emphasis on patient teaching. Basic knowledge of Personal Computer. Required Licenses Current licensure by the State Board of Nursing Essential Functions Participates in and conducts orientation and education programs for hospital staff and community. Assists with planning, developing and implementing educational programs for hospital staff. Provides patient instruction and education. Assists in coordinating educational activities (conferences, seminars) within the hospital. Coordinating and/or teaching scheduled Childbirth classes. Delivers direct patient care appropriate to the age of patient served. Serves as primary contact between The Training Center and the hospital

We are seeking a dedicated and compassionate Wound Care Nurse, Telehealth Coordinator within the skilled nursing environment. The Wound Care Nurse, Telehealth Coordinator is the link between healthcare providers and patients while providing dressing changes to wounds, under direct supervision, utilizing real-time, imaging technologies. If you are passionate about excellent wound care and recognize the role telehealth has for consistent, convenient attention to patients in need, we encourage you to apply for the Telehealth Coordinator position and join our dedicated team. Responsibilities: Act as the in-person, hands on assistant to conduct weekly virtual wound rounds using technology under the guidance of wound care specialists, nurses, or healthcare providers. Photograph wounds using designated telehealth technology and ensure accurate documentation of images for clinical review. Aid patients in navigating telehealth platforms, troubleshoot technical issues, and ensure a seamless virtual connection for appointments. Facilitate patient telehealth scheduling, provide education on virtual visits to patients and staff as needed. Administer all aspects of wound care as per evidence based practice and facility policies, including dressing changes and rounds. Maintain strict adherence to patient confidentiality and privacy regulations, including HIPAA compliance, during all telehealth interactions and documentation processes. Submit orders for wound care products. Qualifications: Graduate of an accredited school of nursing required. Must possess current CPR certifications. Minimum of one (1) year of Wound Care experience required, (2) years preferred. Wound care certification is preferred. Must possess a current, unencumbered, active license to practice as a RN or LPN in state of practice. Excellent communication skills with the ability to convey medical information clearly to physicians, staff, patients and family Empathy, patience, and a genuine desire to provide quality healthcare services to patients at the bedside as well as through telehealth technology. Commitment to maintaining patient confidentiality, privacy, and data security in accordance with healthcare regulations (e.g., HIPAA). Ability to multitask, and adapt to changing telehealth workflows, job requirements, and patient populations. Prior experience in SNF, LTC, or Assisted Living preferred. Travel to assigned facilities using your personal car, valid driver's license, and mileage reimbursement offered. Role starts out Part-Time with the opportunity to be Full-Time.

Our Virtual Urgent Care team is looking for an experienced Physician Assistant or Nurse Practitioner to join their team. In this role, you will be providing virtual medical care to patients of varying type and acuity. This is a full-time night shift position. As we care for patients of all ages, we cannot consider Adult/Gerontology trained Nurse Practitioners. Qualifications Physician Assistant * Required Master's Degree Graduate of an accredited Physician Assistant educational program * LIC-Physician Assistant - STATE_MI State of Michigan Upon Hire required * CRT-Physician Asst Certified (PA-C) - NCCPA National Commission on Certification of Physician Assistants Upon Hire required * CRT-Basic Life Support (BLS) - AHA American Heart Association 90 Days required Or * CRT-Basic Life Support (BLS) - ARC American Red Cross 90 Days required * CRT-Pediatric Adv Life Support (PALS) - AHA American Heart Association 120 Days required * CRT-Adv Cardiovascular Life Support (ACLS) - AHA American Heart Association 120 Days required Nurse Practitioner * Required Master's Degree Nurse Practitioners who obtained their education and certification after 2000 must show evidence of completion of a master's, post-master's or doctorate from a Nurse Practitioner program that is accredited by the Commission on the Collegiate of Nursing Education or the National League for Nursing Accrediting Commission * 3 years of relevant experience current, relevant clinical experience * Previous experience functioning in a collaborative role as a Nurse Practitioner * LIC-Nurse Practitioner (NP) - State of Michigan * CRT-Basic Life Support (BLS) * CRT-Neonatal Resuscitation Program (NRP) * CRT-Pediatric Adv Life Support (PALS) Corewell Health West Medical Group The Corewell Health West Medical Group is part of a not-for-profit health system serving 13 counties in West Michigan. Corewell Health West is a region of Corewell Health, formerly the BHSH System (Beaumont Health and Spectrum Health) that provides care and coverage with an exceptional team of 60,000+ dedicated people-including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities-and Priority Health, a provider-sponsored health plan serving over 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness. Corewell Health People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy, and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 65,000+ dedicated people-including more than 12,000 physicians and advanced practice providers and more than 15,500 nurses providing care and services in 21 hospitals, 300+ outpatient locations and several post-acute facilities-and Priority Health, a provider-sponsored health plan serving more than 1.3 million members Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness. For more information, visit corewellhealth.org. How Corewell Health cares for you * Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. * On-demand pay program powered by Payactiv * Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! * Optional identity theft protection, home and auto insurance, pet insurance * Traditional and Roth retirement options with service contribution and match savings * Eligibility for benefits is determined by employment type and status Primary Location SITE - 515 Michigan St NE - Grand Rapids Department Name Virtual Urgent Care - CHMG West Employment Type Full time Shift Variable (United States of America) Weekly Scheduled Hours 40 Hours of Work Variable Days Worked Variable Weekend Frequency Every third weekend CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling ************.

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

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 Acentra Health is looking for a Clinical Reviewer - RN (Remote U.S.) to join our growing team. Job Summary: * Review medical records against criteria, contract requirements, and regulatory standards. Employ critical thinking to determine medical appropriateness while meeting production goals and QA standards. Ensure day-to-day processes align with NCQA, URAC, CMS, and other regulatory benchmarks, ensuring precision and compliance in medical record reviews. Responsibilities: * Review and interpret patient records, comparing them against criteria to determine medical necessity and appropriateness of care; assess if the medical record documentation supports the need for services. * Initiate a referral to the physician consultant and process physician consultant decisions, ensuring the reason for denial is described in sufficient detail in correspondence. * Abstract review-related data/information accurately and promptly using the appropriate means on an appropriate review tool. * Ensure accurate and timely submission of all administrative and review-related documents to the company. * Perform ongoing reassessment of the review process to identify improvement and/or change opportunities. * Foster positive and professional relationships and liaise with internal and external customers to ensure effective working relationships and team building, facilitating the review process. * Be responsible for attending training and scheduled meetings and maintaining and using current/updated information for review. * Maintain medical records confidentiality by properly using computer passwords, maintaining secured files, and adhering to HIPAA policies. * Utilize proper telephone etiquette and judicious use of other verbal and written communications, following company policies, procedures, and guidelines. * Actively cross-train to perform duties of other contracts within the company network to provide a flexible workforce to meet client/consumer needs. * Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary. Work Hours: * Monday through Friday, 8:00 AM until 5:00 PM within the Time Zone where you reside, plus: One day per week is a priority day that would be assigned to complete expedited cases received between 3:00 PM and 6:00 PM Central. Qualifications Required Qualifications/Experience: * Active, unrestricted Registered Nurse (RN) License in any state, or an RN compact state license. * Associate's, Bachelor's degree (or Diploma) in Nursing. * 2+ years of clinical experience in an acute OR med-surgical environment. * 1+ years of work experience in Utilization Review (UR), Utilization Management (UM), OR Prior Authorization. * 1+ years of knowledge of medical records, medical terminology, and disease process organization. * 1+ years of knowledge of InterQual criteria and/or Milliman Care Guidelines (MCG). Preferred Qualifications/Experience: * Knowledge of current National Committee for Quality Assurance (NCQA) standards. * Knowledge of Utilization Review Accreditation Commission (URAC) standards. * Knowledge of Medicare (CMS) guidelines. * Experience with Medical Appeals. * Experience with Medicare Advantage plans. * Medical Record Abstracting skills. * Clinical assessment and critical thinking skills. * Excellent verbal and written communication skills. * Ability to work in a team environment. * Flexibility and strong organizational skills. * Proficient in Microsoft Office and Internet/Web Navigation. #LI-SD1 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. 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 Acentra Health 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. 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. Compensation The pay range 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 $37.50 /Hr.

The structure of Aurora Central High School's Health Office includes a full-time nurse and a full-time health para. This nurse position will work together with the para to meet the health needs of students within our building. Click to view the full job description This position is designated as Hard to Fill and is eligible for an annual stipend of $5000. Stipends are paid in two equal installments of $2,500 in January and June of the school year, contingent upon working the entirety of each semester. To be eligible for the Hard to Fill stipend, staff must: Be licensed by the Colorado Department of Education (CDE) and appropriately endorsed to provide services to students. Serve students in the identified area at least 50% of the assignment.

Remote - PFS Denial Nurse Auditor PFS Billing-Follow Up-Denials Full Time Status Day Shift Pay: $60,382.40 - $96,616.00 / year Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine the appropriate actions for post-billing denials. This Individual will combine clinical, financial, and regulatory knowledge and skill to reduce financial risk and exposure caused by payer denials for rendered services. The Denials Nurse Auditor has highly developed knowledge and skills in areas of: Medical Necessity, Authorizations, Experimental/Investigational denials, payer audits and filing appeals as well as Government and Non-Government payor requirements with Denial Management. This position is employed by Mosaic Life Care. Completes clinical review of appropriate post-claim denials; prepares clinical discussion and appeal letters for denied accounts. Consults clinical and hospital appeal guidelines; provides appeal direction using payer guidelines to appropriate departments via monthly denials meetings. Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement. Reviews and analyzes specific audit information and provides education to other caregivers both internal and external to the PFS Denial Management team. Identifies, and initiates clinical and hospital quality improvement initiatives focused on improving both quality indicators and outcomes. Other duties as assigned. Bachelor's Degree - Graduate of school of nursing, BSN is required. Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure Registered Nurse license by the State of Missouri required. 5 Years of experience in health care as a registered nurse, preferably in revenue cycle is required. Excellent understanding of financial and health care strategies is required.

At Hologic, we value professionals who combine clinical expertise with empathy, advocacy, and educational excellence. We are seeking a Nurse Advocate as a part of our Market Development team who can deliver outstanding support and guidance to our patients and providers, acting as a trusted advisor and resource. Role Responsibilities: Respond to patient inquiries via inbound and outbound communication, providing information and facilitating referrals to physicians. Educate prospective patients about Hologic products featured in awareness campaigns and help them prepare for conversations with their healthcare providers. Accurately record all interactions and referral activities in Salesforce.com. Mentor and assist new team members to uphold exceptional patient care standards. Travel as required to deliver onsite education, training, and support. Who You Are Knowledge & Experience Comprehensive understanding of nursing principles and patient care, with a focus on women's health and Sonata and Acessa treatments. Clinical knowledge of RFA products Acessa and Sonata preferred. Familiarity with healthcare compliance guidelines and business rules. Knowledge of effective patient education strategies and referral processes. Skills Strategic thinker with exceptional planning and organizational skills. Strong verbal and written communication, tailored to diverse audiences. Active listening and information gathering to understand patient needs. Exceptional organizational and multitasking skills, ensuring accurate documentation and follow-up. Proficient use of Microsoft Word and Excel for reporting and communication. Proficiency in CRM systems (Salesforce.com) and telecommunications. Advanced problem-solving and issue resolution abilities. Competency in mentoring and training new team members. Behaviors Demonstrates empathy and builds rapport quickly with patients and stakeholders. Maintains professionalism and exemplary phone etiquette at all times. Proactively facilitates communication between patients, physicians, and staff. Manages time effectively, prioritizing tasks and following through on commitments. Adheres strictly to compliance, safety, and emergency protocols. Actively seeks continuous professional development and training. Required Experience: Active RN license in good standing. Bachelor's Degree in Nursing (BSN) or equivalent. Minimum of 5 years' experience in patient care and education. Experience working in a healthcare or patient support environment. Proven ability to build and maintain strong relationships with stakeholders. Why Hologic? At Hologic, we're driven by a passion for innovation and a commitment to improving patient outcomes. As part of our team, you'll play a pivotal role in bringing breakthrough RFA technology to healthcare facilities, empowering clinicians, enhancing patient care, and transforming the standard of women's health. Here, your leadership will be valued, your ideas heard, and your growth supported The annualized base salary range for this role is $116,600-165,100 and is bonus eligible. Final compensation packages will ultimately depend on factors including relevant experience, skillset, knowledge, geography, education, business needs and market demand. Agency And Third Party Recruiter Notice Agencies that submit a resume to Hologic must have a current executed Hologic Agency Agreement executed by a member of the Human Resource Department. In addition, Agencies may only submit candidates to positions for which they have been invited to do so by a Hologic Recruiter. All resumes must be sent to the Hologic Recruiter under these terms or they will not be considered. Hologic's employees are subject to third-party COVID-19 vaccination requirements, including from customers and governmental entities. Hologic is an equal opportunity employer and consistent with federal, state, and local requirements, will consider requests for reasonable accommodation based on disability or sincerely-held religious beliefs where it is able to do so without undue hardship to the company. Hologic, Inc. is proud to be an Equal Opportunity Employer inclusive of disability and veterans. #LI-LB2

Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM - 4:30 PM (flexible). Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. Registered Nurse (RN) Clinical Documentation Denials Auditor Job Responsibilities: Evaluates specificity and completeness of physician documentation to ensure optimal coding (e.g. mortality outcomes using APR-DRG, SOI and ROM, appropriate reduction of complications based on PSI and HAC, revenue assurance outcomes based on reimbursement DRG (MS-DRG), documentation of significant chronic conditions affecting resource utilization based on HCC). Summarizes audit findings for individual records along with specific documentation guidelines to improve expected clinical outcomes for an individual physician, physician practice, or specialty. Conducts follow-up audits (i.e. concurrent or post-discharge) with routine feedback until documentation practice comes into line with expected clinical outcomes. Works with Clinical Documentation Improvement (CDI) Director and Lead Auditor on other work related to physician audits and education programs. Demonstrates proficiency with Cobius to access external audit work, record summary results and upload appeal letters. Demonstrates proficiency with Encompass 360 and HDM audit functions to review electronic medical records with advanced functions (i.e. ex, auto-suggest and search) and record detail coding audit results. Showcases proficiency in reviewing records in Epic electronic medical records - which may be the only option for audits of older records. Demonstrates proficiency in writing effective appeal letters that include appropriate coding guidelines and medical references. Identifies trends in external audit findings related to coding quality and physician documentation. Prepares educational communications related to these findings. Evaluates physicians' documentation, diagnostic reports, and clinical findings for validation of diagnoses. Processes the requests for second opinion reviews when clinical validity is not supported or in question. May perform additional duties as assigned. Minimum Qualifications: Certification: Certified Coding Specialist / Certified Clinical Documentation Specialist; ACDIS/AHIMA certification, CCDS or CDIP Licensure: Current RN license and eligible to practice in VA Experience: Seven years of recent CDI, DRG validation or coding audit experience in an acute hospital setting with clinician training as RN, BSN, NP, PA or MD; Coding certification CCS and CDI certification CCDS or CDIP Education: Associate Degree in Nursing or Medicine. Preferred Qualifications: Experience: Recent coding experience. Clinical background and coding + denials knowledge. Experience writing denials & appeals. Outpatient and/or inpatient experience. Knowledge to identify clinical indicators (example: sepsis). EPIC experience. Certifications: CCDS Skills: presenting Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

Join Joyous in our mission to revolutionize mental health care. As pioneers, we leverage very low dose (VLD) ketamine, AI-powered treatments, and advanced technologies to make mental health care effective, accessible, and affordable. With a team of nearly 120 professionals, we've transformed over 60,000 lives, leading a mental wellness revolution for a future where everyone can thrive. Working with us offers more than a job; it's a chance to be part of a life-saving mission that promotes health and compassion worldwide. You'll push mental health care boundaries with AI innovations, contributing to meaningful change and experiencing significant professional growth. At Joyous, we're creating lasting impacts, one life at a time. The Role: The Medical Intake Nurse is the first point of contact for patients via telehealth video calls after they complete our qualifying intake form. This role blends patient advocacy, medical intake review, and an educational approach to engagement, ensuring that patients feel informed, excited, and ready to move forward with treatment. The ideal candidate is passionate about mental health, well-versed in the benefits of ketamine therapy, and comfortable leading engaging, educational video calls to guide patients through their initial steps. Location: This role will be hybrid at our HQ in Foster City, CA. Key Responsibilities: Telehealth Video Call-Based Patient Engagement & Advocacy Conduct initial intake of patients who qualify for treatment, providing them with an exceptional first-touch experience by answering initial questions and building trust. Address patient concerns, provide reassurance, and encourage them to move forward with the treatment process. Build trust and rapport while demonstrating empathy and enthusiasm for mental health care. Medical Intake Review Assess patient intake forms to verify eligibility and ensure all necessary information is collected. Identify any missing or unclear medical history details and follow up with patients accordingly. Work closely with our clinical team to escalate cases when necessary. Education & Communication Explain Joyous' microdose ketamine protocol in a way that is scientifically accurate yet accessible to patients. Answer non-medical patient questions regarding treatment expectations, logistics, and the onboarding process. Stay up to date with the latest research on ketamine therapy and its impact on mental health. Process & Compliance Maintain HIPAA compliance and uphold patient confidentiality in all patient interactions. Follow established telehealth protocols to ensure a smooth, professional workflow during all video calls. Accurately document patient interactions in the Electronic Health Record (EHR) system. Collaborate with internal teams to ensure a seamless patient experience and improve engagement and conversion rates. Operational & Administrative Support Maintain accurate and thorough documentation of patient interactions. Ensure a smooth handoff between intake and the clinical team for the next steps in the treatment process. Collaborate with internal teams to improve patient engagement and conversion rates. Qualifications: Registered Nurse (RN) with Compact License ( Required ) Bachelor's degree in Nursing (BSN), Social Work, Psychology, or a related healthcare field is required. 2+ years of experience in patient intake, medical support, roles in a medical setting. Experience working in mental health, telehealth, or psychedelic medicine is a strong advantage. Excellent video-based communication skills - ability to build rapport, educate, and reassure patients effectively. Strong empathy and patient-centric mindset - must be passionate about mental health and patient care. Ability to quickly learn new protocols and adapt to a fast-paced startup environment. Highly organized and detail-oriented, with the ability to manage multiple patient interactions via video. Passion for Mental Health: A genuine interest in mental health treatments and a commitment to advocating for innovative therapies. Joyous is an equal opportunity employer and we value diversity at our company. We are committed to providing equal employment opportunities for all candidates regardless of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status or any other characteristic protected by applicable law. AGENCY AND THIRD PARTY RECRUITER NOTICE: Joyous does not accept unsolicited resumes from individual recruiters or third-party recruiting agencies in response to job postings. No fee will be paid to third parties who submit unsolicited candidates directly to our hiring managers or Recruiting Team. All candidates must be submitted via our Applicant Tracking System by approved Joyous vendors who have been expressly requested to make a submission by our Recruiting Team for a specific job opening. No placement fees will be paid to any firm unless such a request has been made by the Joyous Recruiting Team and such a candidate was submitted to the Joyous Recruiting Team via our Applicant Tracking System.

Job Title: Clinical Care Coordinator (Remote) - Text-Based APCM Program Department: Clinical Operations Position Type: Full-Time Our team is growing! Jaan Health is seeking dynamic and motivated Licensed Practical Nurses (LPNs) Clinical Care Coordinators to join our care team and will report to the Clinical Operations Manager. This role requires strong clinical knowledge, adaptability, and the ability to thrive in a fast-paced, patient-centered environment. The LPN will support chronic care management (CCM) and advanced primary care models (APCM) by providing direct patient engagement, care plan support, and clinical triage. This position is remote and offers health benefits as well as a retirement plan and paid days off. Our company serves 90+ clients who care for over 50,000 patients. We are a rapid-growth B2b SaaS company that offers our clients a software platform called Phamily (********************* to provide connected care management to their patients. Phamily keeps patients in contact with their care manager, who regularly checks up on them and acts as a resource for any concerns they might have about their health in order to keep them happier and healthier for longer. About the Role We are seeking a compassionate, organized, and tech-savvy Clinical Care Coordinator to support patients with chronic conditions in our text-based Advanced Primary Care Management (APCM) program. This remote role focuses on delivering proactive, high-quality care through digital communication tools, driving better health outcomes for Medicare and older adult populations. This position is ideal for healthcare professionals who thrive in a virtual care setting, value patient engagement, and are skilled in critical thinking and care coordination. Candidates in other locations may apply, but applications will be held until there are additional resources needed outside of the initial target areas. Key Responsibilities Serve as the first line of communication for patients via a secure, text-based platform Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers Develop and update personalized care plans for patients with chronic conditions (e.g., hypertension, diabetes, COPD) Develop, implement, and revise care coordination workflows or protocols to support the evolution of the care model to improve efficiency and scalability Analyze patient data or trends to identify care gaps or improve outcomes Independently making decisions on patient outreach priorities, resource allocation, or escalation paths Lead quality improvement initiatives or case review meetings Serve as a liaison for payer utilization management, interpreting policy, and advising on compliance Track engagement, log care time, and document all communication per HIPAA and program guidelines Identify and troubleshoot issues that arise during new program iterations, escalating to leadership when there are critical impacts or opportunities for system-wide improvements Collaborate with RNs, NPs, and Social Workers to ensure timely escalation and follow-through Key Skills & Qualifications 2+ years of experience in a clinical or care coordination role (primary care, chronic care management, home health, etc.) LPN w/ compact license strongly preferred Strong critical thinking and problem-solving skills in a fast-paced environment Ability to independently manage a digital patient panel and prioritize escalations effectively Excellent written communication and documentation skills Comfort using EMRs, care coordination platforms, and digital messaging tools Knowledge of Medicare CCM/APCM programs a plus Bilingual (Spanish) is a bonus but not required Must be located within the continental United States and have access to reliable internet and ability to work in a specified time zone - either CST, EST, or PST depending on client and candidate location Access to Internet 5G Schedule & Work Environment Full-time, Monday-Friday Flexible remote schedule across CST, EST, or PST time zones 1-hour lunch break, daily huddles with manager/team Ongoing support from a multidisciplinary care team Why Join Us? Mission-driven organization focused on health equity and innovative digital care Collaborative, diverse, and growth-focused culture Opportunities for professional development and internal promotion Competitive compensation and benefits package Be part of redefining how care is delivered-one text at a time

Diana Health is a network of modern women's health practices working in partnership with hospitals to reimagine the maternity and women's healthcare experience. We are restructuring the traditional approach to care to create an experience that is good for patients and good for providers. We do that by combining a tech-enabled, wellness-focused care program that women love with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team. We work with clients across all life stages to empower and support them to live happier, healthier, more fulfilling lives. With strong collaborative care teams; passionate administrators and a significant investment in operational support, Diana Health providers are well-supported to bring their very best to the work they love. We are an interdisciplinary team joined together by our shared commitment to transform women's health. Come join us! Description We are looking for a full-time LPN passionate about all aspects of women's health to provide direct patient care as part of an interdisciplinary care team and to serve as the first line of communication with patients in our clinical phone and messaging triage during office hours. The ideal candidate thrives in a busy practice, loves women's health and building relationships with patients, is an excellent problem-solver and communicator, and is able to multi-task easily. Bilingual skills preferred with a preference for Spanish language, open to other languages. What you'll do Patient Care Act as the first line of call in clinical communications for patients, within guidelines/protocols Administer injections and medications Provide direct clinical care as needed for minor check in visits or lab draws Provide supporting paperwork and education for patients Support clinic visits as appropriate and per training when needed Administrative Support the everyday flow of clinic acting as back up support for MA Maintaining logs Cleaning of rooms as needed and sterilization of instruments Obtaining and transcribing patient medical records Additional workflow items as the need arises Qualifications Current certification as a Tennessee Licensed Practical Nurse 2+ years of experience in an outpatient preferred Excellent communication, interpersonal, and organizational skills Strong computer skills and familiarity with EMRs Lactation certification (IBCLC, CLC, CLE) preferred, but not required Bilingual, Spanish skills preferred Benefits Competitive compensation Health; dental & vision, with an HSA/FSA option 401(k) with employer match Paid time off Paid parental leave Diana Health Culture Having a growth mindset and striving for continuous learning and improvement Positive, can do / how can I help attitude Empathy for our team and our clients Taking ownership and driving to results Being scrappy and resourceful

Full-time Description Under the direct supervision of the Quality Assurance (QA) Director, the QA Nurse is responsible for conducting systematic audits of random Utilization Review (UR) cases to evaluate conformance with established guidelines; focus is on continuous quality improvement. Essential Job Functions: • Review and evaluate a random sample of completed UR cases daily against client specific requirements, contractual guidelines, Federal, State, and local regulations, and/or evidence-based practice using established parameters • Review completed UR cases, prior to physician review, to identify errors or other opportunities for process improvement (i.e., use of correct clinical criteria, impediments to meeting TAT, clear and concise denial language, and criteria, etc.) • Assist in the development of UR policies, procedures, training, and QA projects based on data collected from case reviews • Assist in the collection and analysis of data against defined metrics • Identify, track and trend discrepancies used to initiate and identify needed corrective action plans • Responsible for high-quality, cyclical, professional QA reports free of grammar or spelling errors submitted to QA leadership • Reports include at a minimum: total number of clarifications by UR nurse; categories of clarifications; percentages; comparison by month/quarter/year; and detailed performance improvement feedback • Assist the QA Director to develop recommendations and follow-up activity based on root cause analysis with a focus on improved quality and efficiency • Complete mandatory daily quota of audits with a high degree of accuracy: Reach and maintain a 15-20 average daily case load (combination of Peer Reviews and internal case/file reviews) within a specified timeframe with at least a 97% accuracy rate • Communicate with QA Management on urgent issues, objectives and areas of needed improvement that require immediate attention • Use logic and reasoning to interpret, analyze, and apply appropriate guidelines to medical-legal reviews and supporting clinical documentation • Use evidenced-based research to review and comprehend medical/surgical modalities and imaging techniques to evaluate the standards of care identified. • Apply pre-approved criteria and guidelines to validate medical necessity/appropriateness of treatment (e.g., ODG, MTUS, Milliman Care Guidelines, InterQual • Maintain appropriate discretion with regard to confidential or sensitive information. Refrain from discussing with unauthorized people • Maintain and expand professional competence in quality assurance and auditing • Perform a low to moderate amount of research on a case-by-case basis • Electronically file and retrieve corporate documents, records, and reports • Participates in an interdisciplinary health care team environment • Effectively communicate with internal and external customers (both orally and in writing) • Compose and prepare correspondence • Regular and consistent attendance required • Other duties as assigned Requirements Knowledge and Abilities Requirements: • Must be extremely detail-oriented, quality driven; able to follow a detailed checklist systematically and develop own system as needed for organizing/tracking work processes • Previous experience in UR or auditing in a managed care or healthcare setting • Expert level written and verbal communication skills • Proficiency in English with an aptitude for spelling and grammar • Ability to work in high pressure, deadline driven environment with strong time management skills • Must be capable of performing routine job functions with minimal supervision • Strong ability to review clinical charts and documents for accuracy and completion • Demonstrated ability to problem solve complex, multifaceted, situations • Professional demeanor; ability to build rapport amongst staff and to provide constructive feedback • Maintain a positive attitude and outstanding customer service while working closely internally with Nexus staff, panel physicians, and clients • Must be able to give clear and accurate information with polite, persistent follow-up • Ability to use Microsoft products; Word, Excel, PowerPoint, Outlook • General Typing Skills at 45wpm Education and Experience: • Active RN licensure required; BSN is preferred • 2-3 years of workers compensation management, clinical review & QA clinical review is required License and Certification: • Active & Unrestricted RN license required Driving Essential: No Position Demands: This position requires sitting, bending, and stooping for up to 8 hours per day in an office setting. Ability to lift and move objects weighing up to 10 lbs. Ability to learn technical material. The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc. Must be able to operate a computer and other office productivity machinery such as a calculator, copy machine, printer, etc. The person in this position frequently communicates with guests, team members, and vendors and must be able to exchange accurate information. Equal Employment Opportunity (Our EEO Statement): The Company is a veteran-owned Company and provides Equal Employment Opportunities (EEO) to all Team Members and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender (including gender identity), pregnancy, childbirth, or a medical condition related to pregnancy or childbirth, national origin, age, disability, genetic information, status as a covered veteran in accordance with applicable federal, state, and local laws, or any other characteristic or class protected by law and is committed to providing equal employment opportunities. The Company complies with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, promotion, discharge, pay, fringe benefits, membership, job training, classification, and other aspects of employment. Team Members who believe they are the victims of discrimination should immediately report the concern to their Supervisor and Human Resources Department. Discrimination and harassment will not be tolerated. We are committed to creating an inclusive environment for all Team Members and applicants. We value the unique skills and experiences that veterans bring to our team and encourage veterans to apply. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of our personnel. All company team members may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Pager Health is a connected health platform company that enables healthcare enterprises to deliver high-engagement, intelligent health experiences for their patients, members and teams through integrated technology, AI and concierge services. Our solutions help people get the right care at the right time in the right place and stay healthy, while simultaneously reducing system friction and fragmentation, powering engagement, and orchestrating the enterprise. Pager Health partners with leading payers, providers and employers representing more than 28 million individuals across the United States and Latin America. We believe that healthcare should work for everyone. We believe that it's too important to be as cumbersome and difficult as it is. And we believe that there is a better way to deliver a simplified, more meaningful healthcare experience for all - one that we're determined to enable. We are looking for a Per Diem (As Needed) Nurse who can commit to 4-30 hours per week. Candidates must be available for one weekend a month and some holidays. Shifts range from 4 to 12 hours, with scheduling based on business needs. Candidates must also be able to complete a 4 week, full-time (M-F 9am-5pm) onboarding period. If you have a flexible schedule and are comfortable picking up both last-minute shifts and pre-planned hours, this role is a great fit for you! An active compact unencumbered RN license in Puerto Rico is for this position. In addition, licensure in one or more US states is HUGE plus. The core objective of the Triage RN, Nurse Navigator is to use technology to build trust and triage patients to the right care at the right time while providing an exceptional virtual care experience. Responsibilities for the Per Diem Triage RN, Nurse Navigator: Provide exceptional customer service and virtual care by communicating with patients via phone, live messaging, video, and/or email Document within EMR Follow and apply clinically validated triage protocols Ensure the highest quality customer service for patients and providers Complete basic nursing responsibilities, outpatient testing, medications, etc… Troubleshoot technology with patients Work to ensure a seamless patient call center experience Coordinate lab orders, prescription orders, radiology tests, and any aspect of patient care Work on projects that will optimize operational efficiency and improve the patient's telemedicine experience Assist in identifying technology needs that improve patient experience Additional projects as assigned Candidate Profile for the Per Diem Triage RN, Nurse Navigator: Passionate about patient care and triage Enjoy helping others Ability to use critical thinking when presented with new and challenging situations Relish solving problems, seeking out answers, and trying new things Kind, empathetic and possess a strong social perceptiveness Positive, energetic, and fun! Outstanding multitasking skills Enthusiasm and savviness for new technology Mastery of oral and written language along with strong typing skills Ability to assess and communicate with patients via a text-based platform Flexible and fast learner, comfortable in a fast-paced and changing environment Eager to challenge the status quo of traditional healthcare Detail oriented and an organized self-starter with outstanding interpersonal skills Ability to give and receive actionable feedback Qualifications: 2+ years of clinical hospital experience An active unencumbered RN license in Puerto Rico Minimum of Associate's Degree in Nursing (ADN) Fluent in spoken and written English and Spanish is required; All applicants must submit a resume in English to be considered Prior call center experience strongly preferred Hourly Pay: $17-$19/ hr At Pager Health, you will work alongside passionate, talented and mission-driven professionals - people who are building scalable platforms, solving critical enterprise-level challenges in health tech and providing concierge services to help individuals access the medical care and wellbeing programs they need. You will be encouraged to shape your job, stretch your skills and drive the company's future. You will be part of a remote-first, dynamic and tight-knit team that embraces the challenges and opportunities that come with being part of a growth company. Most importantly, you will be an industry innovator who is making a positive impact on people's lives. At Pager Health, we value diversity and always treat all employees and job applicants based on merit, qualifications, competence, and talent. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Please be aware that all official communication from Pager Health regarding employment opportunities will originate from email addresses ending in @pager.com. We will never request personal or financial information via email. If you receive an email purporting to be from Pager Health that does not adhere to this format, please do not respond and report it to ******************. Pager Health is committed to protecting the privacy and security of your personal information

Medcor is looking to hire a full-time Registered Nurse for our remote 24/7 Occupational Health triage call center! The hours for this position include 8-hour or 10-hour shifts between the hours of 12pm and 2am CST. Job Type: Full-time - 40 hours per week Salary: $28 per hour with additional shift differential pay available for evenings, nights & weekends. By joining our nursing team, you will be helping thousands of employers better manage their workplace injuries and improve the quality of healthcare for their employees. Nurses who are successful in this position must be able to talk on the phone for long periods while typing and navigating through various software applications simultaneously. Our nurses must be able to visualize an injury while on the phone and clarify details about the injury while following our propriety algorithms to guide the triage of the injured worker. Training: Training for this role will last 5-6 weeks, with 2.5 weeks of classroom instruction and 2.5 weeks of precepting. These first 5-6 weeks of training are held Monday through Friday, from 8a-4p CST. The training schedule is non-negotiable, and all training must be successfully completed within the 6-week time frame. Following training, you will transition to your permanent schedule between the hours of 12p and 2a CST with an every-other-weekend requirement and holiday rotation. Changes to the permanent schedule are not allowed within the first 12 months of employment. A typical day in the life of a Medcor Triage RN: Manage a rapid flow of incoming telephone calls from Medcor customers in a call center environment Document each call efficiently and accurately Monitor and track individual as well as call center goals, productivity metrics, and statistics Reflect all shift activities using the phone system and be responsible for personal schedule adherence Provide superior customer service to Medcor s clients and employees Complete accurate assessment of symptoms and/or concerns utilizing Medcor s Triage Algorithms Follow HIPAA Compliance Policies You Must Be bilingual, fluent in both the English and Spanish language Have a valid RN license and current BLS (CPR) certification Be able to handle a high volume of consecutive calls Have strong technological skills as well as a typing speed of at least 30 WPM Work a major U.S. holiday rotation Work every other weekend Have effective written, verbal, and interpersonal communication skills. Ability to read, analyze, and interpret triage tools and information along with care instructions to injured employees and their managers. Be able to talk and/or hear. You are required to sit and use your hands. Specific vision abilities required by this job include close vision for computers and written work with the ability to adjust focus Be able to work on a computer for long periods Have a private space in your home with 4 walls and a door for patient privacy Have access to high-speed internet (no satellite) within your primary residence Be able to receive and apply feedback It's a Plus If You have call center experience You have occupational health experience At Medcor, we re passionate about caring for our advocates as much as you are passionate about caring for your patients! Join our team and receive the support you need to be successful in your practice and to focus on your patients. In addition to a collaborative work environment, we offer great pay and benefits and emphasize your wellness. Here s why people love working for Medcor: Stability! We ve been around since 1984. Potential for retention and performance incentives Opportunities galore! Medcor has a lot more to offer than just this job. There are opportunities to move vertically, horizontally, and geographically. Annually, 20% of our openings are filled by internal employees. The fact is, opportunity exists here! Training! We believe in it and we ll train and support you to be the best you can be. We feel we offer more training than most other companies. We have an open-door policy. Do you have something to say? Speak your mind! We encourage it and we look forward to how you can help our organization. Benefits We don t just advocate for our clients and our patients; we also advocate for ourselves. Our benefits include paid time off, health and dental insurance, 401K with match, education reimbursement, and more. To learn more about Medcor s Culture click here . Medcor Philosophy Medcor embraces a set of simple, interconnected practices that everyone can tailor to their own life and work. To preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. Medcor is a tobacco-free and smoke-free workplace! EOE/M/F/Vet/Disability We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. #indeedsponsored