Registered Nurse Manager remote jobs

The Longitudinal Care Manager provides ongoing care coordination and management for patients over time, ensuring continuity of care, optimal health outcomes, and appropriate utilization of services. This role supports patients across the continuum of care following initial assessments through regular monitoring, plan adjustments, and collaboration with multidisciplinary teams. Key Responsibilities: Manage a caseload of patients longitudinally, tracking health status, progress, and care needs. Update and adjust individualized care plans based on patient condition, clinical goals, and evolving needs. Coordinate with physicians, specialists, community resources, and other care providers to ensure comprehensive care delivery. Conduct regular patient outreach via phone or telehealth to monitor health, provide education, and reinforce care plans. Identify barriers to care and implement strategies to address social, behavioral, or medical needs. Document all patient interactions, care plan updates, and progress notes accurately in the electronic health record (EHR). Facilitate smooth transitions between stages of care (initial, palliative, hospice) when appropriate. Serve as a resource and advocate for patients and their families. Qualifications: Current NYS RN license Experience in case management, care coordination, or similar clinical roles. Knowledge of chronic disease management, utilization management, and patient-centered care. Knowledge of D-SNP, Medicare, and Medicaid programs and eligibility criteria. Strong communication, problem-solving, and organizational skills. Ability to work independently and manage multiple patients effectively. Preferred: Experience with telephonic care management or remote patient monitoring. Familiarity with EHR systems and care management software. Previous experience across the continuum of care (initial, longitudinal, palliative, hospice).

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the general supervision of the Enhanced Care Management Department Leadership this position is responsible for working effectively with the Enhanced Care Management team (ECM) to provide high quality, effective care management to IEHP members. Care management is broadly defined, and can include outreach and engagement to Members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively with members of the Enhanced Care Management Team (ECM), Members and families, and other professionals, in addition to working collaboratively with the designated health care organization (HCO) medical team. This position, like all positions within IEHP, is expected to model whole health principles of relationship-based care, as well engage in promoting education and understanding of physical health and healthy behaviors to those within IEHP and in the community. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary. State of the art fitness center on-site. Medical Insurance with Dental and Vision. Life, short-term, and long-term disability options Career advancement opportunities and professional development. Wellness programs that promote a healthy work-life balance. Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Responsible for primarily working with a caseload of Members with medical needs. Responsible for utilizing brief medical interventions as necessary to improve the Member's ability to manage their own health. Provide formal and informal training and support for Enhanced Care Management team Members on medical conditions, including treatments and evidence-base for treatment. Represents the Enhanced Care Management team as the lead member when necessary. Responsible for assisting Members with care coordination needs, including, but not limited to, the following: Conduct comprehensive, holistic assessment according to the scope of the RN license Assimilate assessment information into an individualized care plan (ICP) Communicate ICP with Member, approved family or caregiver and other Members of the care team Lead inter/transdisciplinary care team meetings to share information, update and inform care plan Coordinate with internal and external health partners to support Members comprehensive care needs Participate and lead care transition plan responsibilities. Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community. Responsible for promoting a collaborative and effective working environment within the Enhanced Care Management team by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions. Responsible for building and maintaining a positive working relationship with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax. Responsible for engaging with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member's sense of control over their whole health. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team. Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards. Participates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Three (3) or more years of care management experience in a health care delivery setting required Experience in a Health Care Organization or experience in Managed Care setting preferred Minimum of one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred Associate's degree in Nursing from an accredited institution required Bachelor's degree in Nursing from an accredited institution preferred Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required Key Qualifications Must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies Understanding of and sensitivity to multi-cultural community Deep understanding and knowledge of self-management philosophies and practices, especially as they relate to chronic medical conditions Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Bilingual (English/Spanish) preferred. Highly skilled interpersonally, with excellent relationship skills Highly skilled in interpersonal communication, including resolving conflict with co-workers Able to sufficiently engage Members and Providers on the phone, including developing effective relationships that are phone-based. Must be able to work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team Minimal physical activity; may include standing and repetitive motion Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location Telecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership) Pay Range USD $91,249.60 - USD $120,910.40 /Yr.

Aptive is seeking a registered nurse risk manager. IHSC's mission is to provide medical care to maintain the health of individuals in the custody of ICE through an integrated health care delivery system, based on nationally recognized correctional, detention and residential health care standards. The Agency is committed to providing healthcare services to protect the nation's health, reduce global disease and provide medical support for the law enforcement mission of the safe apprehension, enforcement and removal of detained individuals involved in immigration proceedings. IHSC is committed to ensuring a system of care that is ethical, responsible, and accountable through rigorous surveillance and monitoring activities. The ICE Health Services Corps (IHSC) exists within the organizational structure of the United States Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO) under the supervision of the Department of Homeland Security (DHS). The United States Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services. IHSC serves as the medical experts for ICE for detainee health care. Primary Responsibilities Enforce risk management program initiatives, and enact the changes in clinical practice,policy and procedures to preserve the agency’s assets, reputation and quality of care. Provide policy guidance, consultation and review of sentinel events. Develop, review and revise policies and guides related to risk management annually, or as necessary to reduce mitigating risks to the agency. Monitoring and training on the incident reporting electronic tool. Participate in the development of risk management activities, e.g. root cause analysis (RCA) of incidents that occurred in the facilities and provide proactive risk reduction strategies. Collect data, monitor trends and report results to the Compliance and Risk Management Program Manager and/or Chief, Medical Quality Management. Ensure established standards of care are monitored in ICE facilities as well as in contract detention facilities and jails throughout the United States. Maintain accountability and monitoring of risk management activities and assist in identifying areas for improvement. Minimum Qualifications Bachelor's degree in Nursing or related field Minimum five years of professional experience as a licensed registered nurse/in health administration Certification in Healthcare Quality or Risk Management or able to obtain certification within one year of employment. Ability to navigate in an electronic work environment including electronic health records, web based training and communications. Knowledge of, and moderate proficiency in, common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook and SharePoint. Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII). Ability to interact well and collaborate with all levels of personnel and management in IHSC,ERO, ICE and DHS offices, and with federal GS employees, Commissioned Corps officers and contractors. Required to walk unaided at a normal pace for up to 10 minutes and maintain balance. Must be able to lift, push, or carry 30 pounds.Must perform the duties in a stressful and often austere environment without physical limitations. Desired Qualifications Advanced degree from a recognized accredited institution Verbal and written proficiency in Spanish Experience in a detention/correctional or residential healthcare setting About Aptive Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012 Employees: 300+ nationwide EEO Statement Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class. Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.

Care Manager (RN) A TEAM OF DIFFERENCE MAKERS: At Author Health, we're revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to people with serious mental illness, substance use disorders, and dementia, including older adults. We don't just treat symptoms. We treat people - fully, holistically, and with heart! Through our virtual-first, innovative care model, we deliver community-based wrap-around outpatient mental health care inclusive of psychiatric, psychotherapeutic and care management services. We partner with primary care providers, hospitals, families, and caregivers to keep patients out of the hospital and empower them to live healthier, more connected lives. At Author, inclusivity isn't a checkbox. It's how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient's experience, and we're creating a workplace where team members can show up as their full selves, too. If you're driven by purpose, ready to shake up the status quo, and eager to make a real impact in people's lives, we'd love to meet you. Let's build the future of mental health care together! ___________________________________________________________________________________________________________________________________________________________________________________ We are looking for a committed and empathetic individual to join our team as a Care Manager. This vital role involves coordinating care for adults with behavioral health needs alongside their medical treatment. The Care Manager plays a crucial role in achieving company goals of improving patient health outcomes, reducing avoidable emergency department and inpatient utilization and ensuring seamless transitions in care from facility to home to prevent readmissions. The ideal candidate will have a solid background in nursing with a focus on medical and behavioral health and possess outstanding communication and organizational abilities. WHAT IS YOUR SUPERPOWER? * Perform comprehensive assessments of patients' behavioral health and medical needs. * Remove barriers to engaging in health care services to ensure medication and treatment adherence. * Create personalized care plans in collaboration with patients, their caregivers, and healthcare providers. * Oversee and coordinate the execution of care plans to ensure they achieve the patients' goals and objectives. * Perform comprehensive medication reconciliation by collecting and reviewing medication histories, identifying discrepancies, and ensuring accurate documentation to enhance patient safety during care transitions. * Educate patients on health conditions, treatment options, and self-management strategies. * Advocate for patients to ensure they access appropriate medical and behavioral health services in a timely manner. * Work with interdisciplinary teams, including psychiatrists, nurse practitioners, licensed clinical social workers, and field workers to enhance patient care outcomes. * Regularly monitor and evaluate patient progress, adjusting care plans as needed. * Maintain precise and current documentation of patient interactions and interventions. * Engage in case conferences, team meetings, and quality improvement initiatives. * Participate in daily huddle meetings. WHAT WE ARE SEEKING: * Current Registered Nurse (RN) licensure in Texas, Florida, or any multi-state compact jurisdiction. * At least 3 years of experience in behavioral health or medical case management. * Strong understanding of behavioral health conditions, treatments, and evidence-based practices. * Strong understanding of chronic medical conditions in adults that lead to ED and inpatient hospital presentations, and interventions to prevent those hospital presentations. * Excellent assessment, interpersonal, and communication skills. * Ability to work independently and collaboratively within a multidisciplinary team. * Proficiency in electronic health records (EHR) and other healthcare technologies. * Dedication to patient-centered care and advocacy. Preferred Qualifications: * Certification in Case Management (CCM) or a similar credential. * Experience working with diverse populations and an understanding of cultural considerations in healthcare. * Knowledge of community resources and support services for patients with behavioral health and complex medical needs. * Prior experience in a hospital, outpatient clinic, or community health setting. * Bilingual in Spanish-English or Haitian Creole-English with strong verbal and written communication skills in both languages. This role is fully remote. Physical requirements include the ability to use a computer. Minimal travel, up to 10% anticipated. WHAT WE OFFER: * Retirement savings plan (401k) Plan up to 3.5% company match * Low cost benefits package for employee and dependents ( medical/ dental/ vision/ STD/ Life Insurance) * Paid vacation * Paid sick leave * 9 paid holidays throughout the year with (2) additional flex holidays .. 11 in total! * Performance-based bonuses * and more! NEXT STEPS: * Submit an application * Upload an updated resume * Share LinkedIn profile and/or cover letter Author Health is committed to a diverse and inclusive workplace. It is the company's policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual's race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. The company's policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. We are committed to providing an inclusive and accessible experience for all applicants. If you require any accommodations at any stage of the process, please let us know. The company is pleased to provide such assistance and no applicant will be penalized as a result of such a request. In accordance with applicable legal requirements such as the San Francisco Fair Chance Ordinance Author Health will consider for employment qualified applicants with arrest and conviction records. Monday through Friday 8am-5pm Eastern Time

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

HEDIS work typically includes requesting records, abstracting/overreading medical records, performing claims research, preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts medical record data from practitioner's files to support annual Healthcare Effectiveness Data and Information Set (HEDIS) reporting for company's accredited products Conducts medical record reviews to support the annual reporting and responds to inquiries from provider, and their office staff, regarding the HEDIS initiative Review and abstract 40-50 medical records per day, based on NCQA and HEDIS technical specifications Document information clearly and concisely from patient record to paper document abstraction tool, or into company's electronic HEDIS application Ensure Health & Care Management are in compliance with HEDIS audit and technical specification standards Participate in the training of NCQA (national committee quality assurance) requirements with completion of Inter-Rater Reliability compliance Communicate with internal and external stakeholders by making appropriate follow-up phone calls for additional medical information to complete reviews Comply with regulatory standards, accreditation standards and internal guidelines Remain current and consistent with the standards pertinent to the Quality Management team Qualifications * Active and Unrestricted RN License with 4+ years of experience. (Need to have the license in the state in which they live but does not need to be compact since they are not working directly with members in Iowa.) * Strong clinical background and understanding of medical terminology, healthcare practices and electronic medical record systems. Ability to review medical records and technical specifications and draw defensible conclusions from available information. * Experience In health insurance, health care, managed care, or a related setting. A strong clinical background could also be considered - e.g., hospital medical records or research. * Excellent attention to detail and ability to analyze complex medical records, identify relevant data and abstract HEDIS measures accurately. * Strong written and verbal communication skills with ability to communicate and/or present complex information to team members and stakeholders. * Demonstrated success in roles that require strong time management and work-flow management skills. Ability to prioritize work independently, manage multiple assignments simultaneously, and meet deadlines. * Flexibility to adapt to changing requirements, regulations, and technology platforms related to HEDIS reporting. * Proficiency with Microsoft Office and Microsoft Teams. Technical aptitude to learn new systems quickly. Preferred Qualifications: * 2 years of experience in HEDIS abstraction and familiarity with HEDIS measure specifications. * Prior work in utilization management, quality management/review, accreditation, outpatient clinic setting or related area. Job Type & Location This is a Contract position based out of Des Moines, IA. Pay and Benefits The pay range for this position is $40.00 - $41.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jan 7, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

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.

Home Infusion Registered Nurse - Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most comfortable-their homes. As a Home Infusion Registered Nurse, you'll deliver life-changing care while building meaningful relationships and driving positive health outcomes. Responsibilities: * Provide safe and effective administration of specialty medications (including IV infusion) in patients' homes. * Partner with pharmacists and care teams to ensure holistic patient well-being. * Document assessments, treatments, and progress to maintain accurate patient records. * Serve as the primary point of contact for patient updates and care coordination. * Demonstrate autonomy in clinical decision-making to achieve optimal outcomes. Required Qualifications: * Active RN license in the state of practice. * Minimum 2 years of RN experience. * At least 1 year in critical care, acute care, or home healthcare. * Proficiency in IV insertion and infusion techniques. * Valid driver's license and ability to travel within a large geographic region. * Availability for a 32-hour workweek, including evenings and weekends as needed. Preferred Qualifications: * Bachelor of Science in Nursing (BSN). * Experience with specialty pharmacy or infusion therapy programs. Benefits: * Medical, Dental, Vision, and Life insurance * 401k with strong company match * Mileage reimbursement and/or company car * PTO and company holidays * Merit and Bonus eligibility If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. The Nurse Case Manager (NCM) is the single point of contact for patients and their caregivers. They are aligned regionally and are responsible for educating patients, caregivers and families affected by generalized Myasthenia Gravis (gMG) about the disease and argenx's products and support services. The NCM may provide resources to help patients better manage their disease and coordinate their treatment. The NCM is responsible for participating in one-on-one communications with patients and their caregivers. Roles and Responsibilities: Provide direct educational training and support to patients and caregivers about gMG and prescribed argenx products Communicate insurance coverage updates and findings to the patient and/or caregiver Review and educate the patients and/or caregivers on financial assistance programs that they may be eligible for. Coordinate logistical support for patient to receive therapy and manage their disease Collaborate with argenx Patient Access Specialist, Case Coordinator, and Field Reimbursement Manager teams to troubleshoot and resolve reimbursement-related issues Engage with patients and provider case coordinators to ensure appropriate support is being given on an individualized basis Provide patient-focused education to empower patients to advocate on their behalf Develop relationships and manage multiple and complex challenges that patient and caregivers are facing Ensure compliance with relevant industry laws and argenx's policies Aligned regional travel will be required for patient education to support patient programs Must be an excellent communicator and problem-solver Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines Skills and Competencies: Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) skills - with demonstrated effectiveness to work cross-functional and independently Demonstrated ability to develop, follow and execute plans in an independent environment Demonstrated ability to effectively build positive relationships both internally & externally Demonstrated ability to be adaptable to changing work environments and responsibilities Must be able to thrive in team environment and willing to contribute at all levels with flexibility and a positive attitude Fully competent in MS Office (Word, Excel, PowerPoint) Flexibility to work weekends and evenings, as needed Participate in and complete required pharmacovigilance training Comply with all relevant industry laws and argenx's policies Travel requirements less than 50% of the time Education, Experience and Qualifications: Applicants must live in the desired Time Zone Current RN License in good standing Bachelor's degree preferred 5+ years of clinical experience in healthcare to include hospital, home health, pharmaceutical or biotech 2-5+ years of case management 2+ years of experience in pharmaceutical/biotech industry a must Reimbursement experience a plus Must live in geographically assigned territory Bilingual or multilingual a plus #LI-Remote For applicants in the United States: The annual base salary hiring range for this position is $136,000.00 - $204,000.00 USD. This range reflects our good faith estimate at the time of posting. Individual compensation is determined using objective, inclusive, and job-related criteria such as relevant experience, skills, demonstrated competencies and internal equity. This means actual pay may differ from the posted range when justified by these factors. Because market conditions evolve, pay ranges are reviewed regularly and may be adjusted to remain aligned with external benchmarks. This job is eligible to participate in our short-term and long-term incentive programs, subject to the terms and conditions of those plans and applicable policies. It also includes a comprehensive benefits package, including but not limited to retirement savings plans, health benefits and other benefits subject to the terms of the applicable plans and program guidelines. At argenx, all applicants are welcomed in an inclusive environment. They will receive equal consideration for employment without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other applicable legally protected characteristics. argenx is proud to be an equal opportunity employer. Before you submit your application, CV or any other personal details to us, please review our argenx Privacy Notice for Job Applicants to learn more about how argenx B.V. and its affiliates (“argenx”) will handle and protect your personal data. If you have any questions or you wish to exercise your privacy rights, please contact our Global Privacy Office by email at privacy@argenx.com . If you require reasonable accommodation in completing your application, interviewing, or otherwise participating in the candidate selection process please contact us at **************** . Only inquiries related to an accommodation request will receive a response.

Compensation: $80,000-$95,000 + equity This salary range reflects multiple experience levels and locations. Actual compensation within the range will be determined based on factors such as experience, skills, qualifications, and geographic location. Schedule: Full-time, 5 days a week, Tuesday-Saturday Location: Remote Role Type: Full-time | Bilingual Spanish preferred but not required About Bariendo Bariendo is on a mission to cure obesity. Founded by Harvard Medical School professors, we are pioneering quick, non-surgical weight loss procedures that are 7x safer than surgery and more effective and affordable than the best medications. Our digital health platform combines telehealth, distributed clinics, and an expert care team in endoscopic weight loss to deliver lasting, affordable results for the 40% of Americans struggling with obesity. We're growing rapidly-now in 8 cities after just 6 quarters of operations-with a vision to become the one-stop shop for obesity management, offering the most comprehensive set of interventions available online and via our distributed partner clinics. Join us to help patients reclaim their lives. About This Role We are looking for a people-centered, professional, and organized Nurse Patient Concierge to join our team and deliver Bariendo's signature 6-star care. You'll be the first point of contact for patients and a crucial part of making their weight loss journey feel smooth, supported, and stress-free. This is a role for someone who thrives in a fast-paced environment, has a concierge mindset, and finds joy in turning complex coordination into calm execution. In this role, you will: Deliver 6-Star Service: Be the warm, welcoming presence patients first encounter. Whether by phone, text, or email, you'll create a calm, organized, and exceptional experience that reflects Bariendo's high standards of care. Be a Trusted Clinical Guide: Act as a primary point of contact for patients on clinical and care-related questions, escalating appropriately to providers and ensuring clear, timely communication so patients feel confident and supported throughout their treatment. Ensure Clinical & Procedural Readiness: Partner closely with Bariendo's procedure centers to confirm accurate bookings, review patient charts for completeness and readiness, and coordinate outstanding requirements so every patient arrives fully prepared for their procedure. Be a Concierge for Every Concern: Monitor incoming communications, answer phone calls, and anticipate patient needs before they arise. You'll be a responsive, empathetic problem-solver who builds trust with every interaction. Drive Administrative Excellence: Maintain accurate records across our systems, ensure compliance with regulations like HIPAA, and support documentation workflows that enable smooth care delivery. What We're Looking For Clinical, Service-Driven Experience: Active RN license with 3+ years of patient-facing clinical experience, including experience delivering care or care coordination virtually (phone, text, telehealth). Ideally in procedural, ambulatory, or concierge-style settings where high-touch, white-glove support is the norm. Experience in Weight Management or Bariatric Care (preferred): Prior exposure to obesity medicine, bariatric surgery, endoscopy, or medical weight-loss clinics is a strong plus, particularly in patient education, pre-procedure readiness, or longitudinal care coordination. Fluent in Spanish (preferred, not required): Able to communicate clearly and professionally with Spanish-speaking patients across phone, email, and text. Detail-Oriented & Reliable: Comfortable juggling complex logistics with accuracy. You stay organized, catch errors before they happen, and keep things moving smoothly under pressure. Warm, Clear Communicator: You build trust quickly, make patients feel at ease, and bring empathy and professionalism to every interaction. Operationally Sharp & Adaptable: Confident discussing pricing and payment options in a direct-pay model, comfortable navigating EHRs and new software, and energized by fast-paced, ever-evolving environments where proactive problem-solving is key. What Makes This Job Amazing Mission: Join a team of Harvard Medical School professors and healthcare innovators transforming thousands of lives. Watch our patient's stories. Hybrid Environment: Work three days a week from our Market Street office and two days remotely, with some (infrequent) Saturday calls -all patient care is delivered virtually via telehealth. Foundational Role in a Growing Startup: Be part of a fast-growing, mission-oriented team. Collaborate closely with teams like Product to help shape and innovate our virtual care experience. Total Rewards Competitive salary with equity in a high growth, seed-stage startup Comprehensive health benefits (medical, dental, vision) 11 paid holidays, 15 personal vacation days, 10 wellness days Hybrid work, 3 days in-office 2 days remote

Job Title: Nurse Case Manager II Estimated Length of Assignment: 03+ Months with Possible Extension (The dates provided are only an estimate and not a guarantee) Negotiable Estd. Pay Range - $40.00/Hour to $45.00/Hour on W2 (USD) -All Inclusive Work Type: Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties ): MI Schedule -Monday-Friday 8am-5pm EST Description: Field and Telephonic Add city/state, zip and county at the top of the resume Candidates should be either in one of these counties or very close to it. They will be traveling to this region. Sourcing for Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties ): MI. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Experience 3 years Clinical practice experience, e.G., hospital setting, alternative care setting such as home health or ambulatory care required. Healthcare and/or managed care industry experience. Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding Effective communication skills, both verbal and written. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Typical office working environment with productivity and quality expectations? Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license for MI. Education RN with current unrestricted state licensure for MI. Case Management Certification CCM preferred What days & hours will the person work in this position? List training hours, if different. Monday-Friday 8am-5pm EST

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people and good for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology to deliver the best outcome for injured workers and Berkley's operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers' compensation cases. To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management. Responsibilities As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers. Coordinate and implement medical case management to facilitate case closure Timely and comprehensive communication with with employers, adjusters and the injured workers. Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction Acquire and maintain nursing licensure for all jurisdictions as business needs require Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services Document activities and case progress using appropriate methods and tools following best practices for quality improvement Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work. Engage and participate in special projects as assigned by case management leadership team Occasionally attend on site meetings and professional programs Foster a teamwork environment Maintaining and updating evidence based medical guidelines (such as Official Disability Guidelines, MD Guidelines and all required state regulated guidelines) in reference to the injured worker treatment plan and work status. Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed. Obtain case management professional certification (CCM) within 2 years of hire Qualifications Minimum 2 years of experience in workers compensation insurance and medical case management preferred Minimum of 4 years medical/surgical clinical experience required Ability to work standard business hours in the either Central Standard Time, Mountain Standard Time or Pacific Time Zone (Monday through Friday, 8:00 AM to 5:00 PM CST/MST/PST). Exhibit strong communication skills, professionalism, flexibility and adaptability Possess working knowledge of medical and vocational resources available to the Workers' Compensation industry Demonstrate evidence of self-motivation and the ability to perform case management duties independently Demonstrate evidence of computer and technology skills Oral and written fluency in both Spanish and English a plus Education Graduate of an accredited school of nursing and possess a current RN license. A Compact Nursing License is strongly preferred. A California license is ideal but not mandatory. Candidates must be willing and able to obtain a California license within 90 days of their start date. Additional Company Details ****************** The Company is an equal employment opportunity employer We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees • Base Salary Range: $80,000 - $88,000 • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Additional Requirements • Domestic U.S. travel required (up to 10% of time) Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.

This is a contract assignment that will start right away and end on June 28th 2024 Remote in TX Must Live in TX SUMMARY DESCRIPTION: RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team. The team is responsible for obtaining and performing accurate comprehensive reviews of medical records in support of The HEDIS Effectiveness Data and Information Set project. HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications. JOB REQUIREMENTS: • Degree, Diploma or Certificate from a school of nursing with clinical experience. • Licensed in the State of Illinois • Knowledge of medical terminology • Data entry and/or typing experience. • Clear and concise written and verbal communication skills. • PC proficiency to include Word, Excel and Lotus Notes. • Auditing experience preferred. DUTIES AND RESPONSIBILITIES: • Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis according to HEDIS specifications and company training guidelines. • Complete the IRR/over-read tool in the Software Application, including comments if errors are found. Correct errors identified through over-read process, including a re-review of charts that may contain similar errors. • Identify and report abstraction errors and provide measure re-education with for the abstractor. • Utilizes various software applications to support HEDIS operations by entering data and / or changing chase status for the identified chase(s). • Meets with HEDIS Coordinator and / or QI Specialists to discuss HEDIS efforts, any open issues and can include IRR results. • Maintains productivity level as determined by the HEDIS Coordinator/QI Department. • Maintain compliance with all HIPPA and patient confidentiality requirements. • All other duties as assigned.

Nursing Administrator The Center for Wound Healing & Hyperbaric Medicine, LLC (CFWH) provides management and consulting services to healthcare providers in the area of wound care and hyperbaric medicine. By focusing on the needs of the patients as well as the partners we serve, The Center for Wound Healing & Hyperbaric Medicine, LLC is able to bring advanced wound healing strategies to many communities around the country. Our Core Values: Compassion, Excellence, Passionate, Integrity, Dedication, Loyalty, Accountability, Enterprising. Job Overview: The Nursing Administrator assists with all patient care services, including but not limited to, case management, extensive chart reviews, utilization of services reviews and discharge planning. Ensures compliance with patient care quality standards as it relates to the care provided to all wound care and hyperbaric patients. Supports all clinical training initiatives for new and existing staff, which includes both hands-on and virtual training. This position reports to the Chief Nursing Officer (CNO). What You'll be Doing: Understands wound care and hyperbaric nursing protocols; ability to practice as required. Participates in the chart review process to ensure patients qualify for treatment prior to appointment. Communicates charting revisions to appropriate staff in a professional, helpful, and kind manner. Educate, as needed. Partners with the HR & Training department on new hire training to provide educational assistance as needed. Requested clinical training from CA may be remote or in-person. Works with the CNO to identify training needs for current staff. Creates appropriate training material/courses and educational aids. Provides training remotely or in-person. Travels to wound centers across the U.S. to support on-going clinical education, coach and develop nursing staff, and to cover clinical shifts if/when required. Supports new clinic openings as requested by the CNO. Support may be administrative, virtual and/or hands-on. Works closely with clinic leadership to advise on patient scheduling, chart reviews, physician communication, and patient evaluations for HBO qualification. Responsible for staying up to date on the standards of care related to wound care and hyperbaric oxygen therapy (local coverage determinations/LCDs) and education of such. Partners closely with the Revenue Cycle Department on insurance verifications to get authorization in a timely and efficient manner. Creates and/or updates clinical procedures for new and existing staff to adhere to. Communicates and trains on procedures as required. Maintains close coordination with all departments to ensure continuity and collaboration of services. Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) by safeguarding patient information and maintaining the highest level of confidentiality standards. Maintains efficient and effective clinical operations while verifying compliance with all local, state and federal regulations, standards and protocols. Consistently adheres to company, hospital, and accrediting body clinical, safety, and compliance standards. Other duties as assigned. Requirements for This Role: Registered Nurse (RN) from an accredited school or college of nursing. Current state licensure; no restrictions to obtain RN license in additional states. Current Basic Life Support (BLS) from approved agency. 2+ years wound care experience required. 2+ years clinical training experience required. Deep understanding of charting, billing and insurance authorizations. Proficient in Microsoft Office or related systems. Proficient in a minimum of one EMR system. Strong verbal and written communication skills. Ability to treat others with compassion and patience. Ability to work in a fast-paced team-oriented environment. Must possess excellent interpersonal skills. All employees are required to comply with HIPAA policies and procedures. Desired Qualifications for This Role: Bachelor's Degree preferred. CWS, WCC, WOCN and/or CHRN certification preferred. Knowledge of Hyperbaric Oxygen Therapy preferred. Experience in outpatient clinic and/or hospital operations preferred. Proficiency with Microsoft 365 tools, particularly SharePoint preferred. Travel: This position requires frequent ground and/or air travel. This may result in travel up to 75% of the employee's time with occasional weekend travel. Physical Demands: The physical demands described are representative of those that must be met by a Nursing Administrator to successfully perform the essential competencies, duties, and requirements of this position. These include standing, walking, driving, lifting up to 50 pounds and sitting for extended periods of time and looking at a computer screen for extended periods of time. In addition, pushing, pulling, stooping, squatting and shifting heavy objects, as well as air travel, may be required. Employees should ask for assistance if needed. Equal Employment Opportunity: The Center for Wound Healing & Hyperbaric Medicine, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. As an organization, we are committed to offering reasonable accommodation to job applicants with disabilities. If you need assistance or an accommodation due to disability, please contact us at ***********************************.

Job Description Nursing Administrator The Center for Wound Healing & Hyperbaric Medicine, LLC (CFWH) provides management and consulting services to healthcare providers in the area of wound care and hyperbaric medicine. By focusing on the needs of the patients as well as the partners we serve, The Center for Wound Healing & Hyperbaric Medicine, LLC is able to bring advanced wound healing strategies to many communities around the country. Our Core Values: Compassion, Excellence, Passionate, Integrity, Dedication, Loyalty, Accountability, Enterprising. Job Overview: The Nursing Administrator assists with all patient care services, including but not limited to, case management, extensive chart reviews, utilization of services reviews and discharge planning. Ensures compliance with patient care quality standards as it relates to the care provided to all wound care and hyperbaric patients. Supports all clinical training initiatives for new and existing staff, which includes both hands-on and virtual training. This position reports to the Chief Nursing Officer (CNO). What You'll be Doing: Understands wound care and hyperbaric nursing protocols; ability to practice as required. Participates in the chart review process to ensure patients qualify for treatment prior to appointment. Communicates charting revisions to appropriate staff in a professional, helpful, and kind manner. Educate, as needed. Partners with the HR & Training department on new hire training to provide educational assistance as needed. Requested clinical training from CA may be remote or in-person. Works with the CNO to identify training needs for current staff. Creates appropriate training material/courses and educational aids. Provides training remotely or in-person. Travels to wound centers across the U.S. to support on-going clinical education, coach and develop nursing staff, and to cover clinical shifts if/when required. Supports new clinic openings as requested by the CNO. Support may be administrative, virtual and/or hands-on. Works closely with clinic leadership to advise on patient scheduling, chart reviews, physician communication, and patient evaluations for HBO qualification. Responsible for staying up to date on the standards of care related to wound care and hyperbaric oxygen therapy (local coverage determinations/LCDs) and education of such. Partners closely with the Revenue Cycle Department on insurance verifications to get authorization in a timely and efficient manner. Creates and/or updates clinical procedures for new and existing staff to adhere to. Communicates and trains on procedures as required. Maintains close coordination with all departments to ensure continuity and collaboration of services. Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) by safeguarding patient information and maintaining the highest level of confidentiality standards. Maintains efficient and effective clinical operations while verifying compliance with all local, state and federal regulations, standards and protocols. Consistently adheres to company, hospital, and accrediting body clinical, safety, and compliance standards. Other duties as assigned. Requirements for This Role: Registered Nurse (RN) from an accredited school or college of nursing. Current state licensure; no restrictions to obtain RN license in additional states. Current Basic Life Support (BLS) from approved agency. 2+ years wound care experience required. 2+ years clinical training experience required. Deep understanding of charting, billing and insurance authorizations. Proficient in Microsoft Office or related systems. Proficient in a minimum of one EMR system. Strong verbal and written communication skills. Ability to treat others with compassion and patience. Ability to work in a fast-paced team-oriented environment. Must possess excellent interpersonal skills. All employees are required to comply with HIPAA policies and procedures. Desired Qualifications for This Role: Bachelor's Degree preferred. CWS, WCC, WOCN and/or CHRN certification preferred. Knowledge of Hyperbaric Oxygen Therapy preferred. Experience in outpatient clinic and/or hospital operations preferred. Proficiency with Microsoft 365 tools, particularly SharePoint preferred. Travel: This position requires frequent ground and/or air travel. This may result in travel up to 75% of the employee's time with occasional weekend travel. Physical Demands: The physical demands described are representative of those that must be met by a Nursing Administrator to successfully perform the essential competencies, duties, and requirements of this position. These include standing, walking, driving, lifting up to 50 pounds and sitting for extended periods of time and looking at a computer screen for extended periods of time. In addition, pushing, pulling, stooping, squatting and shifting heavy objects, as well as air travel, may be required. Employees should ask for assistance if needed. Equal Employment Opportunity: The Center for Wound Healing & Hyperbaric Medicine, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. As an organization, we are committed to offering reasonable accommodation to job applicants with disabilities. If you need assistance or an accommodation due to disability, please contact us at *********************************** .

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

Job Description Nurse Practitioner Advanced Primary Care (Remote) Arizona | $145K+ Total Potential | MondayFriday Schedule Compensation Base Salary: $116,000$145,000 (depending on experience) Annual Bonus Eligible Position Overview This Remote Nurse Practitioner role supports patients across Phoenix and broader Arizona through virtual care (phone and video). The NP provides advanced primary care, chronic disease management, preventive care, and palliative support while collaborating closely with a supervising Primary Care Physician. This is an excellent opportunity for a self-driven NP who thrives in a highly autonomous environment and wants to make a meaningful impact on complex patient populationswithout nights, weekends, or call. Schedule MondayFriday No nights, weekends, or call Key Responsibilities Conduct virtual patient assessments and develop individualized care plans Provide chronic condition management and preventive health services Deliver palliative care support as needed Maintain clear, professional communication with patients, families, and facility staff Navigate multiple facility partnerships while building strong clinical relationships Order, review, and interpret diagnostic tests Educate patients on disease prevention, medication adherence, and lifestyle changes Prescribe medications and treatments within state scope Accurately document all encounters in the EMR Collaborate with physicians and interdisciplinary team members as needed Requirements Masters Degree in Nursing (MSN) Current, unrestricted RN and NP licenses in Arizona Minimum 1 year of NP experience (Primary Care, Geriatrics, or Palliative Care preferred) Telemedicine experience preferred Strong communication, clinical judgment, and patient relationship skills Ability to work independently while maintaining team collaboration Experience managing chronic conditions in adult or geriatric populations preferred For more information contact: ****************************** ************ #pm #pl

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

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 ************.