Telephone Triage Nurse remote jobs - 96 jobs

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

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job-it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is primarily a day-shift role (8 hours/day, 8:30-4:30 PST or 8:30-4:30 PST), with occasional potential for nights or weekends. When not managing acute issues, Triage Nurses focus on care coordination, training, and related administrative tasks. Responsibilities of a Triage Nurse include: Triage and Escalation: Manage inbound clinical issues from firsthand staff and patients via phone; triage appropriately and escalate emergencies immediately. Collaboration: Work closely with peer mental health workers, social workers, and APPs to address acute issues comprehensively. Coordination: Coordinate care with patients' other providers to ensure seamless health management. Training: Develop and deliver training on basic medical topics for peer mental health workers and social workers Triage Nurses should have: Strong triage and prioritization skills, with the ability to rapidly assess and determine the appropriate level of care. Problem-solving expertise with a creative, patient-centered approach. Ability to provide condition-specific patient education and self-management guidance. Adaptability to varying team cultures and processes. Empathy, compassion, and approachability in patient and team interactions. Required experience includes: Active RN license through a Nurse Licensure Compact (NLC) state and willingness to obtain licensure in non-compact states. Bachelor of Science in Nursing (BSN). At least 3 (three) years of clinical care experience in an Emergency Department. Experience working with populations facing challenges such as behavioral health and/or substance use disorders. Care management and coordination experience. Bilingual in Spanish Bonus Points for: Certification in Psychiatric-Mental Health Nursing (PMH-BC) Washington state RN license Base salary range:$75,000-$75,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time.

Are you ready to use your nursing skills and continue making a difference while not having to be full time or needing to face the physical demands of a hospital or clinic nurse role? On the Telephone Triage Nurse Line Advisor with Fairview, that's what we do! Join other nursing professionals in an encouraging environment where we support each other. We are adding new positions due to growth. Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Training: Training for this position requires flexibility to work full time (1.0 FTE) on-site for 4-6 weeks. Our training shifts are variable including days, mid-shift, evenings, and weekends. Following training, we work remotely. The work from home location is required to be within driving distance from Midway Corporate Campus in Saint Paul, Minnesota. Schedule: for this opening is 0.4 FTE (32 hours per two weeks) on our DAY shift with an EVERY OTHER weekend rotation. As RN Advisors, we independently triage calls from patients inquiring about their symptoms, medication refills, test results, and information regarding our facilities. We handle approximately 6 calls per hour with calls lasting 6-9 minutes in duration. We are advocates, assisting callers through the health care system. Responsibilities include: * Accountable for quality assessment; efficient management of care and client happiness. * Demonstrate knowledge and expertise in triaging callers properly such that all callers receive a timely and appropriate response. * Focus on callers, maintain a professional demeanor, and continuously implement strategies to improve customer satisfaction. * Collect information regarding concerns, medical history and description of symptoms via the telephone using the nursing process. * Use symptom-based protocols to systematically assess, address needs and provide education. * Prioritize calls based on patients needs. Qualifications * Current Minnesota RN License * 3-5 years RN work experience * Wisconsin RN License; application submitted within 30 days of hire and obtained within 120 days of hire * Computer skills: able to document reliably in electronic health record softwar * RN Triage experience Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

*Candidates with a compact license strongly preferred* Shift: Rotating schedule, 4 10-hour shifts per week, 7:30am - 6:00pm CST Location: Candidates in Texas, Tennessee, and New Mexico preferred; PST, MST, CST time zones preferred; Alternate locations may be considered Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law The Remote Triage - RN is responsible for serving as a Registered Nurse in the Remote triage call center. Monitors members using established disease specific protocols. Provides clinical support for members on program via telephonic outreach and inbound calls. How you will make an impact: Provides information about the RPM Program to members with chronic conditions and explains the benefit of having chronic conditions managed, assessed and treated. Communicates with program members and their care givers via outbound and inbound calls with respect to RPM clinical interventions. Responds to member or provider written or inbound telephonic communications or inquires with respect to clinical interventions. Monitors biometric data using established disease specific protocols. Reviews members current labs and medications for appropriateness. Minimum requirements: Requires BA/BS in a related field and minimum of 3 years of Registered Nurse experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable states required. Preferred skills, capabilities, and experiences: Compact license is strongly preferred. BA/BS in Nursing preferred. Clinical call center experience preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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.

Job Title After Hours Hospice Triage Registered Nurse - 5PM-1AM Monday - Friday, Every Other Saturday & Sunday 8AM-8PM Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job Description Compensation: $70,000.00 - $75,000.00. The base compensation range for this role is fixed, with a maximum cap of $75,000.00. We want to be transparent about this as we continue discussions. Hours: 5PM-1AM Monday - Friday, every other weekend 8AM-8PM - Fully Remote Medical Benefits - Health, Vision, and Dental Retirement - 401K & Pension w/ 4% Employer Contribution PTO - 15 days At Residential Home Health and Hospice (‘Residential'), we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Hospice Triage Registered Nurses collaborate to provide management and delivery of patient care plans. With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path. This position supports patients in Michigan and Illinois and will need to reside in one of these states. Our high value rewards package: Flexible schedules State of the art technology to reduce time spent on charting Employee and family-focused appreciation program DailyPay: Access your money when you want it! Industry-leading 360 You™ benefits program Certain benefits may vary based on your employment status. Our supportive environment includes: A comprehensive onboarding program Clinical educators, preceptors, and supervisors to mentor and guide Up to 90% off higher education (degrees, certifications) and test preparation for you and your family Dedicated schedulers to support flexible scheduling options Tools to support career mobility and growth A company provided tablet and smart phone with 24/7/365 IT support Company paid emotional health and wellness support for you and your family We are looking for compassionate Hospice Triage Registered Nurse with: Associate degree or higher from an accredited School of Nursing RN license in the state in which you work A minimum of two (2) years of experience working as a Registered Nurse including Hospice experience Demonstrated experience with tablets, mobile phones and EMR software We are an equal opportunity employer and value diversity at our company. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. Graham Healthcare Group is an Equal Opportunity Employer

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Provides triage telephone service to ensure prompt identification of patients with high-risk conditions. Provides telephonic triage in order to assist callers in determining the most appropriate level of care. Facilitates care coordinator and virtual monitoring services within identified business areas and follows workflows, utilizes protocols, and engages resources to provide supportive service to patients and customers. Job Duties Directs callers to appropriate level of care and provides healthcare advice/education using assessment skills, approved guidelines and protocols, and knowledge of self-care practices. Assists in all aspects of medical record maintenance and accurately files all patient charts and reports in the designated location in patient records. Provides clinical support in the assessment of symptoms, determination of symptom acuity, offering information related to symptom management, and patient education. Facilitates coordination of care across settings for a designated population ensuring that labs, studies, and referrals are completed and results are discussed with the patient. Performs a short evaluation of the patient situation to estimate the severity of illness and/or injury that includes chief complaint, vital sign, and mental status information. Prepares documentation information and transmits medical information. Serves as a liaison between customers, patients, physicians, other members of the public and hospital staff, programs, and other resources. Refills prescriptions for patients and places orders for appropriate testing and/or labs. Minimum Qualifications Associate's Degree in Nursing. 5 years experience in nursing (acute care, ED, medical office, telephone triage) and 2 years previous clinical acute care hospital experience/urgent care. Colleagues working within the department who advance from LPN to RN with a minimum of 2 years experience within the department are eligible. Excellent computer skills and concerned empathy for individuals seeking healthcare-related information and assistance. Flexibility to perform a variety of related and unrelated tasks throughout the day and work in a fast paced environment. Knowledge of appropriate home health information for patients to follow until visit with physician, if they do not need an immediate ED intervention. Knowledge of telephone-based clinical assessment techniques and medical practice telephone triage protocols. Must exercise judgement in dealing with sensitive, confidential information. Skill in making triage decisions and responding quickly and calmly in emergency situations. American Heart Association Basic Life Support - State of Pennsylvania RN - Licensed Registered Nurse_PA - State of Pennsylvania Preferred Qualifications Bachelor's Degree in Nursing (BSN). Physical Demands Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. **************************** Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Evening Shift Address: 1200 S Cedar Crest Blvd Primary Location: REMOTE IN PENNSYLVANIA Position Type: Remote Union: Not Applicable Work Schedule: 4PM-8PM Monday-Friday with holidays Department: 1004-13011 COH-Rn Triage/Hlthcare Navigation

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.

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients' care team, and they trust us to support them and their patients during their non-core hours. Learn more at ********************** Why Join Us Base pay at $25 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $28 an hour within your first 6 months of hire 3 weeks of paid remote training Supportive clinical team Work from home allows you to create a comfortable and personalized workspace Shorter shifts that provide a better work-life balance and reduce potential for burnout Working remotely gives you more time to spend with those you love! What do our nurses say? When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared: “Helping people. That's it. And knowing this team has your back-that makes all the difference. People say it takes a special kind of person to do hospice, and I think that's true. You're walking with people and their families through one of the most sacred times in life. It's an honor to support them and guide them through that journey. I'm so grateful to have been chosen for this award.” At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients' lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward: **************************************************************************** Requirements Active multistate Registered Nurse (RN) license Hospice, palliative, or end-of-life care is strongly preferred Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls Ability and comfort with typing documentation and notes in a fast-paced environment Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends) Strong communication and critical thinking skills Ability to work independently in a remote environment This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination Key responsibilities Provide telephone triage for hospice patients and families Assess patient conditions and determine appropriate next steps Collaborate with on-call teams to coordinate care and resources Accurately document all communications and interventions Maintain a calm and professional demeanor while handling urgent calls. Benefits All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $28 an hour within your fist 6 months of hire. All nurses are eligible for a $1 shift differential for overnights and a $1 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances.

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

Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members, as well as monitoring the delivery of healthcare services. Essential Functions: Complete prospective, concurrent and retrospective review such as acute inpatient admissions, post-acute admissions, elective inpatient admissions, outpatient procedures, homecare services and durable medical equipment Identify, document, communicate, and coordinate care, engaging collaborative care partners to facilitate transitions to an appropriate level of care Engage with medical director when additional clinical expertise if needed Maintain knowledge of state and federal regulations governing CareSource, State Contracts and Provider Agreements, benefits, and accreditation standards Identify and refer quality issues to Quality Improvement Identify and refer appropriate members for Care Management Provide guidance to non-clinical staff Provide guidance and support to LPN clinical staff as appropriate Attend medical advisement and State Hearing meetings, as requested Assist Team Leader with special projects or research, as requested Perform any other job related duties as requested. Education and Experience: Associates of Science (A.S) Completion of an accredited registered nursing (RN) degree program required Three (3) years clinical experience required Med/surgical, emergency acute clinical care or home health experience preferred Utilization Management/Utilization Review experience preferred Medicaid/Medicare/Commercial experience preferred Competencies, Knowledge and Skills: Proficient data entry skills and ability to navigate clinical platforms successfully Working knowledge of Microsoft Outlook, Word, and Excel Effective oral and written communication skills Ability to work independently and within a team environment Attention to detail Proper grammar usage and phone etiquette Time management and prioritization skills Customer service oriented Decision making/problem solving skills Strong organizational skills Change resiliency Licensure and Certification: Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice required MCG Certification or must be obtained within six (6) months of hire required Working Conditions: General office environment; may be required to sit or stand for extended periods of time Travel is not typically required Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Hourly Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-JM1

Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly to communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow. With programs like Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers , which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all. To learn more about Care Access, visit ******************* How This Role Makes A Difference The Registered Nurse, Clinical Delivery (RN) in this role will manage the communication of critical and abnormal lab results to patients, ensuring compliance with state licensure requirements. This includes contacting patients, documenting communications, following up on lab escalations, and collaborating with providers to ensure all patient interactions are appropriately managed and documented. This role is also responsible for patient education, ensuring patients understand their lab results and any necessary next steps in their care, as well as providing study specific information that is tailored to the patient. Furthermore, they serve as a point of escalation for the Member Services team, addressing complex inquiries related to lab results and assisting in the resolution of patient concerns by providing clinical insights and ensuring patients receive accurate information and appropriate follow-up. The RN will liaise with the Clinical Conduct Team to investigate and resolve issues related to duplicate lab results or other concerning findings, as advised by the Medical Director. Lastly, they will assist in training and educating the Member Services team to improve patient interactions and enhance service quality. This role is critical in ensuring timely patient communication and maintaining compliance with clinical and legal standards. How You'll Make An Impact Receive and Review Lab Results from Pre-screening Program: Autonomously evaluate flagged abnormal, urgent, or critical lab findings to prepare them for patient communication, ensuring accuracy and timeliness. Patient Communication: Proactively contact patients to discuss abnormal and critical lab outcomes. Ensure focused and uninterrupted communication, adhering to protocols while delivering only legally permissible information within the RN scope of practice. Use communication techniques to convey complex medical information clearly in a way non-medical patients will understand. Understand that the results shared with the patients may have serious health implications for them and relay them in a compassionate manner. Patient Education: Develop and implement patient education initiatives to enhance understanding of lab result significance and promote informed decision-making. Ensure patients understand their lab results and any necessary next steps in their care. Critical Thinking: Independently utilize critical thinking to assess the urgency and implications of abnormal and critical lab results, prioritizing patient communication based on clinical significance. Documentation: Maintain comprehensive and precise documentation of communications in patient progress notes. Record abnormal and critical results, patient concerns, and subsequent actions. Ensure compliance with regulatory signature requirements. Time Management: Exhibit exceptional time management skills to efficiently manage multiple lab results and patient communications, prioritizing urgent cases promptly. Problem Solving Expertise: Apply advanced problem-solving abilities using medical training and experience to troubleshoot issues related to lab result discrepancies or data integrity. Data-Driven Decision Making: Leverage data analytics to identify patterns and trends in lab results, contributing to evidence-based practice and enhanced patient outcomes. Regulatory Knowledge: Maintain up-to-date knowledge of healthcare regulations and compliance standards to ensure all communications adhere to legal and ethical guidelines. Escalation to Providers: For questions beyond the RN's medical scope, escalate to a licensed, on call provider (NP/PA/MD/DO) and manage the completion of result delivery and accompanying required documentation. Member Services Team Escalations: Address lab-related escalations from the Member Services Team, such as result clarifications, data discrepancies, or additional test requests, and communicate resolutions back to the patient, documenting the outcome. The Expertise Required Strong analytical capabilities, exceptional communication skills, and a commitment to fostering a patient centered environment. Strong attention to detail and ability to manage multiple patients efficiently. Ability to work independently while collaborating with a larger clinical team. This role is pivotal in upholding clinical and legal standards through meticulous communication and patient care management. Precision in data analysis and documentation to ensure accuracy in lab results and reporting. Certifications/Licenses, Education, and Experience: Education: Active RN licensure with a commitment to compliance and regulatory standards. Compact Licensure required. Additional licenses may be required in addition. BSN or equivalent degree preferred. Experience: Minimum of 3 years of experience as a working nurse, clinical research, medical communications, and/or related field. Proficiency in Salesforce or other EMR systems for documenting patient interactions. Licensure Requirement: Compact licensure required, non-compact state license preferred. Willingness to maintain and obtain additional state licenses as needed. Must hold all licenses in good standing. Compact States [42]: RNs with compact licenses can practice in all 42 states in the compact, including Alabama, Arizona, Arkansas, Colorado, Florida, Texas, and more. Non-Compact States [8]: California, Nevada, Illinois, Hawaii, Alaska, Oregon, Minnesota, New York. How We Work Together Location: Remote within the United States. This role requires 100% of work to be performed in a remote office environment. Travel: This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role. Physical demands associated with this position Include: The ability to use keyboards and other computer equipment. PTO and On-Call Coordination: Work within a structured on-call system to ensure coverage when team members are on leave. The expected salary range for this role is $70,000 - $100,000 USD per year for full time team members. Benefits & Perks (US Full Time Employees) Paid Time Off (PTO) and Company Paid Holidays 100% Employer paid medical, dental, and vision insurance plan options Health Savings Account and Flexible Spending Accounts Bi-weekly HSA employer contribution Company paid Short-Term Disability and Long-Term Disability 401(k) Retirement Plan, with Company Match Diversity & Inclusion We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Care Access is unable to sponsor work visas at this time. If you need an accommodation to apply for a role with Care Access, please reach out to: ********************************

Raleigh General Hospital Registered Nurse (RN), Clinical Educator Job Type: FT | Days About our Health System Raleigh General is a 300 bed hospital located in Beckley, WV, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. Your experience matters At Raleigh General Hospital, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a 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 The Clinical Educator is responsible for developing, planning, implementing and organizing a variety of education activities including individual, department and hospital wide programs. The Clinical Educator serves as consultant, facilitator, change agent and leader. This position supports clinical department leadership. Reports to: CNO FLSA: Exempt Job Requirements Minimum Education Bachelor of Science degree in Nursing Preferred: Master's degree Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Licensed as a Registered Nurse Basic Life Support-Health Care Provider Basic Life Support-Health Care Provider Instructor within 3 years of accepting or transferring into the position. Minimum Work Experience 3-5 years of recent clinical experience with ongoing ability to demonstrate mastery of relevant clinical skills. Sufficient previous experience in adult education. Essential Functions Follows established policies and procedures, objectives, safety standards, and sensitivity to confidential information. Utilizes excellent customer service skills at all time. Complies with Federal and State law and accrediting and licensing agencies at all times, to include but not limited to, the Joint Commission and federal compliance regulations. Develops/coordinates orientation of new employee and transferred employee with active on-going involvement in the orientation process and continuing education materials. Develops, manages, and coordinates education programs and conducts training related to the needs of the organization including State, Federal, and accreditation mandatory programs. Works closely with Patient Safety Officer and responds to identified system changes or other identified needs to promote quality and patient safety. Works closely with Quality Director in developing and maintaining the quality program and the education of staff. Assists in managing data collection to evaluate organizational outcomes and submits accurate data in a timely manner as required by regulatory agencies; or as part of any volunteer/collaborative initiative. Assists in implementation of department quality initiatives and analysis of outcome data. Analysis shares and assists the interpretation of outcome data with appropriate staff, medical staff, and customers. Facilitates any action as indicated for noted undesirable data and/or negative trends. Facilitates teambuilding and leadership development in assigned areas. Responds to change in nursing practice and develops programs to support those changes. Maintains flexibility when managing multiple roles and responsibilities. Leads committees, work groups and/or projects related to the implementation of educational activities. Teaches content as needed and/or assigned within clinical expertise to facilitate orientation, staff development and/or safe practice. Performs managerial duties as needed, to support day to day activities, i.e., Kronos, daily productivity, etc. Responsible for planning, development, implementation, evaluation, and maintenance of continuing education activities as appropriate to various accrediting bodies, as assigned. Complies with continuing education accrediting body requirements. Participates as instructor in specialty courses as assigned. Is a subject matter expert in area of expertise. Develops education programs for clinical and non-clinical staff. Maintains and evaluates these programs on an ongoing basis. Provides consultation to department managers and staff on the education process, job competencies, and accrediting agency requirements. Maintains clinical knowledge in assigned areas and active involvement with orientation, on-going education and quality audits and initiatives. Maintains working knowledge of learning management systems and other data management systems in the department. Promotes collaborative relationships among health care professionals in the region. Assists in department budget preparation; contains expenditure within budget. Assists in the maintenance of employer education records for all disciplines. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and professional conferences. Maintains confidentiality in accordance with HIPAA regulations. Support the culture of service excellence throughout the organization. Actively seek ways to demonstrate a commitment to continuous improvement and participate in professional development opportunities. Performs other related duties as assigned or requested. Functional Demands Population Served □ Does not treat or care for patients. X Neonate (X Infant (X Early Childhood (1 year and X Late Childhood (5 years and X Adolescent (13 and X Young Adult (17 to X Middle Adult (30 years to X Older Adult (>60 years) Protected Health Information Type of Protected Information Accessed: X Demographic X Clinical X Insurance X Financial X Complete Medical Record Bloodborne Pathogens Exposure: Rarely While performing this job, occupational exposure is present for all employees Physical Requirements - Physical Dexterity and Effort Bending/Stooping □ rarely, □ occasionally, X frequently, □ constantly Climbing □ rarely, X occasionally, □ frequently, □ constantly Keyboard Data Entry □ rarely, □ occasionally, □ frequently, X constantly Kneeling □ rarely, X occasionally, □ frequently, □ constantly Lifting/Moving Patients X rarely, □ occasionally, □ frequently, □ constantly Reaching □ rarely, X occasionally, □ frequently, □ constantly Repetitive Foot/Leg Movements □ rarely, □ occasionally, X frequently, □ constantly Repetitive Hand/Arm Movements □ rarely, □ occasionally, □ frequently, X constantly Running X rarely, □ occasionally, □ frequently, □ constantly Sitting □ rarely, □ occasionally, X frequently, □ constantly Squatting X rarely, □ occasionally, □ frequently, □ constantly Standing □ rarely, X occasionally, □ frequently, □ constantly Walking □ rarely, X occasionally, □ frequently, □ constantly Pushing / Pulling: 0-25 lbs. X rarely, □ occasionally, □ frequently, □ constantly Pushing / Pulling: 26-75 lbs. X rarely, □ occasionally, □ frequently, □ constantly Pushing/Pulling: over 75 lbs. X rarely, □ occasionally, □ frequently, □ constantly Lifting/Carrying (non-patient) : 0-25 lbs. X rarely, □ occasionally, □ frequently, □ constantly Lifting/Carrying (non-patient) : 26-75 lbs. X rarely, □ occasionally, □ frequently, □ constantly Lifting/Carrying (non-patient) : over 75 lbs. X rarely, □ occasionally, □ frequently, □ constantly Visual Acuity, Hearing and Speaking: Rarely Audible Speech □ rarely, □ occasionally, □ frequently, X constantly Hearing Acuity □ rarely, □ occasionally, □ frequently, X constantly Smelling Acuity X rarely, □ occasionally, □ frequently, □ constantly Taste Discrimination X rarely, □ occasionally, □ frequently, □ constantly Vision: Depth Perception □ rarely, □ occasionally, □ frequently, X constantly Vision: Distinguish Color X rarely, □ occasionally, □ frequently, □ constantly Vision: Seeing Far □ rarely, □ occasionally, □ frequently, X constantly Vision: Seeing Near □ rarely, □ occasionally, □ frequently, X constantly Biological: Rarely Biohazardous waste/ hazards X rarely, □ occasionally, □ frequently, □ constantly Blood and/or bodily fluids X rarely, □ occasionally, □ frequently, □ constantly Communicable diseases/pathogens X rarely, □ occasionally, □ frequently, □ constantly Chemical: Rarely Asbestos or lead X rarely, □ occasionally, □ frequently, □ constantly Cytotoxic Chemicals X rarely, □ occasionally, □ frequently, □ constantly Dust X rarely, □ occasionally, □ frequently, □ constantly Hazardous Chemicals X rarely, □ occasionally, □ frequently, □ constantly Gases/Vapors/Fumes X rarely, □ occasionally, □ frequently, □ constantly Hazardous Medication X rarely, □ occasionally, □ frequently, □ constantly Latex X rarely, □ occasionally, □ frequently, □ constantly Working Conditions: Subject to many interruptions Occasionally subjected to irregular hours Occasion exposure to blood borne pathogens. May periodically come into contact with fumes or airborne pathogens. Periodically work around hazardous waste. Works in moderate noise conditions. Nonessential Functions Proficient with computer and/or keyboarding skills required. Ability to work without direct supervision.

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

Private Health Management (PHM) supports people with serious and complex medical conditions, helping them obtain the best possible medical care. We guide individuals and families to top specialists, advanced diagnostics, and personalized care. Trusted by healthcare providers and businesses, PHM offers independent, science-backed insights to help clients make informed decisions and access the best care. About the Role As a Nurse Advisor at PHM, you'll serve as the first clinical point of contact for new members: discussing their health concerns, assessing their needs, and introducing them to PHM's services. You'll explain how we support members, set expectations, and connect them to the right clinical teams. For existing members, you'll triage evolving concerns and coordinate timely, effective care. You'll also manage a portfolio of low to moderate acuity Health Advisory clients-supporting them as they navigate the healthcare system and access high-quality care. You advocate, educate, and guide using your clinical expertise and a compassionate consultative approach. This role is ideal for a mission-driven nurse who thrives in a dynamic, evolving, and high growth environment. You'll be solving problems, building relationships, and helping others make informed decisions with your curiosity, flexibility, and desire to grow with your team. How You'll Spend Your Days Lead or participate in clinical intake meetings; triage calls and inquiries from members. • Explain PHM's services to new members, setting expectations and supporting their care journey. • Manage a caseload of low to moderate acuity clients-facilitating care coordination and access. • Prepare clinical summaries for and collaborate cross functionally with various internal teams to ensure smooth transitions for our clients. • Recommend providers and facilities; manage logistics to ensure seamless care delivery. What You Bring to the Table Active Registered Nurse license in your home state with 5+ years of healthcare experience. • Experience triaging patients in urgent care or emergency settings; bonus points for experience in case management or business. • Confidence and empathy when engaging with PHM clients • Clear, compassionate communication with both clinical and non-clinical audiences. • Self-starter with strong time management and a collaborative spirit. • Tech-savvy and quick to adapt to new systems. Compensation The target base salary for this role is $85,000-$100,000 annually. This base salary is only a part of a total compensation package that also includes: health/dental/vision benefits, annual cash incentive program, 401k with match, flexible PTO, PHM for PHM (our services for you and your dependents) and other benefits. Individual pay may vary from the target range as a number of factors including market forces, experience, location, disparities in market data and other relevant business considerations may all factor into final compensation. This role may be physically located anywhere in the United States, but priority will be given to candidates with Mountain and /or Pacific time zone availability. Anticipated Pay Range$85,000-$100,000 USD

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

Healthcare companies are desperately looking for nurses able to work during the HEDIS season. HEDIS season starts next month for some healthcare companies. Nurses can work remotely from home, with equipment provided. Take advantage of our discounted courses and be connected with recruiters and staff agencies hiring for the HEDIS season. Program: HEDIS 2025 Course Overview: HEDIS Measures Self-Paced: 3 day Course Limited Price: $25.00 Course Completion: Direct recruiter connection Guaranteed Hourly Pay: $20/hr - $45/hr - based on credentials Hiring Deadline: 01/06/2025 Offer Ends Soon ******************************************************************* Code=HIRINGNOW

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.