You see new roles the moment I find them. Browse below.
PREMIUM ACCESS
This is the no-delay view of the job board. Accelerator members see new roles the moment I find them — plus I personally rebuild your resume.
Displaying your bookmarked jobs
BestMed appears to be a healthcare organization offering nursing and care coordination services; the listing also references Community Care Partners as the employer.
Position Summary: The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies advanced nursing clinical skills in maintaining patient records within an electronic medical record, preparing written reports, teaching other nursing-related skills, and maintaining effective working relationships with others. Essential Functions and Responsibilities: 1. Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects. 2. Ability to effectively delegate appropriate patient care activities. 3. Effective verbal and written communication skills appropriate to the patient populations served. 4. Ability to multitask. 5. Basic computer proficiency inclusive of ability to access, enters, and interpret computerized data/information. 6. Effective interpersonal skills to facilitate communication with various members of the health care team, patients, and families. 7. Organizational skills to set priorities and efficiently complete assigned work. 8. Ability to effectively manage stress due to critical issues related to patient care, changing organizational climate and personnel issues. 9. Perform other duties as assigned. Requirements and Qualifications: • Education: Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). • Certificate/License: Active State of Oregon Registered Nurse (RN) license. • Experience: A minimum of five (5) years of nursing experience is required. Primary Care experience preferred. Working Conditions and Physical Demands: • Requires prolonged sitting, frequent standing, bending, stooping and occasional lifting of up to 25 pounds. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, telephone, photocopier, calculator and other office equipment. Requires normal range of hearing and eye sight to record, prepare and communicate appropriate reports. Requires an uninhibited driver’s license to accommodate travel to off -site meetings and workgroup sessions. Community Care Partners is an Equal Opportunity Employer (EEO). #LPN
A large nonprofit integrated health system operating hospitals and care locations across multiple states, offering clinical services including telehealth, ambulatory care, and inpatient services.
Winston Salem, NC - 200 E 1st St R170735 Department 12128 Enterprise Corporate - Physic Community Health Access Status Part time Benefits Eligible No Hours Per Week 0 Schedule Details/Additional Information PRN - Telehealth triage, remote - work from home. Minimum 24 hours per month required, including two 8 hr weekend shifts. Holiday rotation. The position is primarily remote Must be able to report on site reputed company 1 hour of Winston-Salem. EDUCATION/EXPERIENCE • Graduate of an accredited school of nursing for Registered Nurses with a minimum of three years of varied clinical experience preferred in telephone nurse triage, ambulatory settings, and inpatient medical-surgical inpatient units. LICENSURE, CERTIFICATION, and/or REGISTRATION • reputed company license to practice as a Registered Nurse (RN) in the State of applicable state • BCLS certification required unless CPR reputed company demonstration is medically contraindicated. • Valid driver's license required. ESSENTIAL FUNCTIONS • Adheres to AHWFBH standards to promote a positive work environment through effective and professional communication skills, interpersonal relationships, and team building. • Provides telehealth nursing services to diverse populations in the health system. • Interactions and communication align with diversity and inclusion principles • Engages patients with the goal of improving clinical outcomes and promoting patient/customer satisfaction. • Advocates for patients and families. • Communicates and collaborates with other individuals and providers reputed company the health system. • Demonstrates responsibility for professional and personal development. SKILLS/QUALIFICATIONS • Previous experience with nurse telephone triage or reputed company a nursing call center preferred • Excellent customer service skills • Experience in multidisciplinary team collaboration • Ability to reputed company telephone nursing patient assessments in an efficient manner using standardized nurse triage and departmental guidelines • Excellent verbal and written communication skills • Excellent organizational skills and the ability to work reputed company a dynamic environment • Basic computer skills with the ability to navigate multiple systems Pay Range $34.90 - $52.35 Our Commitment to You reputed company offers a comprehensive suite of Total Rewards benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including Compensation • reputed company compensation listed reputed company the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training • Premium pay such as shift, on call, and more based on a teammate's job • Incentive pay for select positions • Opportunity for annual increases based on performance Benefits and more • Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program About reputed company reputed company is the third-largest nonprofit, integrated health system in the United States, created from the combination of reputed company and reputed company. Providing care under the names reputed company in Illinois; reputed company in the Carolinas, Georgia and Alabama; and reputed company in Wisconsin, reputed company is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, reputed company services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. reputed company employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing reputed company care for reputed company, reputed company provides more than $6 billion in annual community benefits. Apply tot his job Apply To this Job
Listing posted via 2.halvolink for Texas Health, a large faith-based nonprofit health system serving the Dallas–Fort Worth area.
RN/ Registered Nurse, Virtual Care Delivery - Part Time Days Join to apply for the RN/ Registered Nurse, Virtual Care Delivery - Part Time Days role at reputed company RN/ Registered Nurse, Virtual Care Delivery - Part Time Days 1 day ago Be among the first 25 applicants Join to apply for the RN/ Registered Nurse, Virtual Care Delivery - Part Time Days role at reputed company 25008553 RN/ Registered Nurse (Full Time)- Virtual Patient Observation Program Are you looking for a rewarding career with family-friendly hours and top-notch benefits? Strong teamwork and collaboration Here’s What You Need • Diploma in Nursing required or • Associate degree from an accredited Nursing program required • BSN preferred • 3 years RN experience required; 1 year in the last 3 years as a Registered Nurse in specialty area of acute care and patient population of position ( e.g. adults, geriatrcs) • Certification in specialty fields such as acute care, oncology, or geriatrics is desirable. • Critical Care or Med/surg experience preferred • RN - Registered Nurse upon hire required • CPR reputed company 30 days of hire (maintained every 2 years) What You Will Do The Virtual Care RN is responsible for providing and coordinating high-quality patient care to various patient populations reputed company the reputed company of the Advanced Hospital at Home mode. The nursing care is provided from a centralized location, supported by technology and service provider network. Assesses the patient Responsibilities The Virtual Care RN is responsible for providing high-quality patient care to various patient populations reputed company the reputed company of the Advanced Care at Home model and includes the following key elements • Utilizing monitoring, assessment, planning, reputed company and critical thinking skills to care for acute care patient populations in the home • Navigating patients and families across the continuum of the Advanced Care at Home phases of care • Monitoring and responding to biometric data • Conducting home and audio/visual patient care visits as directed by the care team and/or guidelines Additional Perks Of Being a Texas Health Nurse • Benefits include 401k, PTO, medical, dental, Paid Parental Leave, reputed company spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. • Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice. • Strong Unit Based Council (reputed company). • A supportive, team environment with outstanding opportunities for growth. • Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we’ve won and more At reputed company, our mission is “to improve the health of the people in the communities we serve”. We are one of the largest faith-based, nonprofit health systems in the United States with a team of more than 23,000 employees of wholly owned/operated facilities plus 2,200 employees of consolidated joint ventures in the greater Dallas reputed company Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org "> Seniority level • Seniority level Not Applicable Employment type • Employment type Full-time Job function • Job function Other • Industries Hospitals and Health Care Referrals increase your chances of interviewing at reputed company by 2x Get reputed company about new Registered Nurse jobs in Dallas, TX. Remote RN, CDCES - Multi-State License - Contracted Position Registered Nurse (RN) needed for Rehab Hospital Certified Nursing Assistant, CNA (6a-6p) Admission Nurse, RN Friday-Monday 10am-8pm In Home Healthcare- RN- Part Time Day Shifts- Low Acuity Dallas, TX $75,638.00-$137,563.00 5 months ago School Nurse (187 Days) 2025-2026 School Year (Internal) Travel Nurse RN - PICU - Pediatric Intensive Care - $2,601 per week Staff Nurse Outpatient Clinic PHP/IOP CCP Registered Nurse - RN / Newborn Nursery - NN In Home Healthcare- RN- Weekend Shifts- High Acuity School Nurse (191 Days) 2025-2026 School Year Dallas, TX $54,000.00-$111,000.00 2 days ago Home Health - Registered Nurse - $2,874 per week LPN, Ambulatory Infusion Clinic - Fulltime - Dallas, TX Pediatric Full Time Day Nurse in Ferris, TX Pediatric Full Time Day Nurse in Ferris, TX In Home Healthcare- RN- Weekend Shifts- High Acuity We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 75638 - 137563 per year Experience 3 years required Apply tot his job Apply To this Job
Vitra Health is a Massachusetts-based healthcare organization providing home- and community-based services for aging adults, people with disabilities, and individuals with complex care needs through programs like Adult Foster Care.
About the position Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Responsibilities • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. Requirements • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in either good standing. • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Nice-to-haves • Bachelor’s degree in Nursing preferred or equivalent • Prior experience supervising LPNs strongly preferred. Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Apply To This Job
PharmaCord is a provider of pharmaceutical patient support services, offering nurse-led patient education, benefits navigation, and adherence support for therapy programs.
Important Notice Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process. Please Note • PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @pharmacord.com or @echo.newtownsoftware.com email address, or through our scheduling platform, Calendly. • We will never request your bank account information at any stage of the hiring process. • We will never send a check (electronic or physical) to purchase home office equipment. If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@pharmacord.com Our Company PharmaCord is a leading provider in pharmaceutical patient support services. Our services are sponsored by our pharmaceutical company clients. Together, we are committed to compassionately providing patients with support services during their journey on therapy. We deliver our services through our talented team of benefit specialists, nurses, pharmacists, case managers, pharmacy techs, program managers, and other incredibly talented team members who are supported by world-class proprietary technology systems developed in house by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization on a rapid growth journey. Our Team Our team is highly motivated and passionate about providing the highest quality customer support to our patients. We look for individuals interested in growing with our company and working in an exciting, open and collegial work environment. We seek problem solvers who are compassionate, have high integrity and demonstrate grit. Our colleagues are enthusiastic team members who love what they do and are passionate about making a difference through their work. We take initiative, exhibit pride in our accomplishments, and are trusted to work independently while collaborating to share ideas, support, and resources. As a Nurse Advocate you are responsible for contact with program patients and assessing any barriers that may be present for successful initiation and completion of therapy. The Nurse Advocate will play an active role with each patient from the first point of patient program enrollment and throughout treatment to facilitate a timely and successful patient experience. A typical day in the life of a Nurse Advocate will include the following The responsibilities include, but are not limited to the following • Serve as a consistent resource throughout the continuum of program services, which includes identifying barriers to therapy and helping the patient understand and navigate such barriers. • Serve as an educator who possesses knowledge and practical experience about clinical treatments and the strong emotions and financial implications associated with a new diagnosis, living with a chronic medical condition or life-threatening condition. Have primary goals that include • Enable patients by providing them with information and education about • their prescribed therapy and course of treatment, fairly balanced with benefits and known side effects per manufacturer product information • proper administration and dosing of prescribed therapy • calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient • support to help better manage the stress involved in their diagnosis. • Empower the patient to participate in their personal care process by triaging the patient to support for other non-program needs such as social or other intervention programs. • Reporting of Adverse Events/ Product Complaint received in accordance with SOP and good manufacturer practices • Other duties as assigned by management This job might be for you if (must have requirements of the role) Successful candidates possess the following personal attributes • Clinical nursing experience with demonstrated competence in educating and managing patients with a new diagnosis or chronic medical condition • Knowledge about clinical aspects of the relevant disease state, including protocol therapy and common prescribing algorithms • General computer skills • Able to adapt to changing work assignments • Be service oriented and anticipate, recognize and meet the needs of others • Excellent interpersonal skills required, with specific ability to communicate effectively with patients, family members, and physicians • Ability to multitask effective
RelateCare provides nurse triage, post-discharge follow-up, and digital care coordination services, delivering telephonic and remote patient support to help manage patient care journeys.
We are looking for Registered Nurses with active Compact Licenses who are able to work evenings and weekends . Shifts available • Alternating weekends (8 hour shifts Sat and Sun) plus 1-2x 2-4 hour shifts per week • Part time, 16-24 hours per week Full time 32-40 hours per week, night shifts • The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Experience working remotely preferred • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred • Peds experience an advantage but not a necessity About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Job Types Part-time, Permanent Benefits • 401(k) • Dental insurance • Health insurance • Vision insurance Application Question(s) • For which states do you currently hold RN licensure? • Do you hold a BSN? • How many years experience do you have as an RN? Experience • Triage 1 year (Preferred) • Telehealth 1 year (Preferred) Work Location Remote
Sculpt Rx is a telehealth wellness company that provides personalized weight-loss care and GLP-1-based treatment plans with remote clinical support and patient education.
Remote Registered Nurse (RN) – Sculpt Rx Location: Remote - FL RN License REQUIRED (Compact license will not be accepted) Type: Part-Time, Contract Company: Sculpt Rx Days & Times Needed: M, Th, Fri from 12pm - 6pm EST Sculpt Rx is a growing telehealth wellness company focused on helping patients achieve sustainable weight loss and improved health through personalized GLP-1 treatment plans and ongoing support. We are looking for a compassionate, organized, and proactive Registered Nurse to join our remote care team. About the Role This position is ideal for an RN who enjoys patient education, communication, and ongoing care management. You will work closely with our medical team to support patients throughout their treatment journey. Responsibilities • Manage and respond to patient inbox messages in a timely and professional manner • Assist patients with GLP-1 dosing guidance and side effect management • Follow established MD protocols and treatment guidelines • Support onboarding of new patients and ensure a smooth patient experience • Educate patients on medication use, expectations, and lifestyle recommendations • Conduct phone consultations with prospective and existing patients • Escalate concerns or medical issues to the provider when appropriate • Document patient interactions accurately and thoroughly • Provide compassionate, supportive, and personalized care Qualifications • Active RN license in good standing • GLP-1 experience PREFERRED • Strong communication and patient education skills • Comfortable working independently in a remote setting • Detail-oriented and highly organized • Experience with weight loss, wellness, or telehealth preferred • Ability to multitask and manage a high-volume inbox efficiently • Friendly, empathetic, and patient-focused personality What We’re Looking For We’re seeking someone who genuinely enjoys helping people, thrives in a startup-style environment, and can provide excellent patient support while maintaining efficiency and professionalism. Perks • Fully remote position • Flexible scheduling • Supportive and growing team • Opportunity to move into a full time position • Meaningful work helping patients improve their health and confidence To apply, please send your resume and a brief introduction explaining why you’d be a great fit through Indeed. If you have experience with GLP injections is a huge plus. Please state in a cover letter that explains your experience. If your qualifications match our needs, an interview request link will be sent. Pay: $30.00 - $35.00 per hour Work Location: Remote
VirtuALLY provides virtual nursing solutions and command-center telehealth technology, partnering with bedside clinical teams to deliver remote nursing support and improve patient outcomes.
reputed company in a culture of innovation and teamwork. We're hiring a Telehealth Nurse - Night Shift! We reputed company in flexibility; this hybrid role lets you balance your time between our reputed company and home. This position requires a strong and diverse skillset in relevant areas to drive success. This role offers a salary package of a competitive salary, commensurate with experience.   Virtual Nurse (Must be a South Carolina reputed company) The Virtual Nurse reports to the VirtuAlly Director of Clinical Operations. Under the general supervision and leadership of the Director of Clinical Operations, the Virtual Nurse provides clinical services for patients in clinical settings. Through the use of the EMR, telehealth services, and remote visualization of the patient, the Virtual Nurse... is responsible for providing care that can be provided remotely. The Virtual Nurse works in collaboration with the bedside clinical team to enhance positive clinical outcomes. Compensation  $41 - $47 per hour  Full-time Compensation $41 - $47 per hour Responsibilities  Ability to reputed company job functions while standing  Ability to reputed company job functions while sitting  Ability to work indoors  Ability to bend and twist at the waist  Ability to reputed company  pinching operations, gross motor activities with fingers and hands, firm grasping with fingers and hands, reputed company fine manipulation with fingers and hands  Ability to reputed company overhead, and reputed company repetitive motions with hands/wrists/elbows and shoulders  Ability to maintain vision 20/40 corrected to see and recognize objects reputed company at hand or at a distance  Ability to match or discriminate between colors to determine distance/relationship between objects; depth perception  Good peripheral vision capabilities  Ability to maintain hearing acuity, with correction  Ability to reputed company gross motor functions with frequent fine motor movements  Ability to deal effectively with stressful situations  Ability to work rotating shifts  Ability to work overtime as required  Ability to work in a latex-safe environment Qualifications  Must be an RN for at least 5 years, preferably with at least three years in the acute care setting  Must have strong assessment, organizational and problem-solving skills  Demonstrates strong communication skills, proficient time management skills and the ability to function independently  Comprehensive experience with EMRs, preferably Epic  Experience with telehealth platforms preferred  Ability to understand and implement a variety of detailed instructions in the execution of reputed company procedures.  A customer service-oriented demeanor essential  Licensure as a Registered Nurse by the South Carolina Board of Nursing or a compact state.  Licensure in other states as required by contract  reputed company Basic Life Support (BLS) required  Advanced Cardiac Life Support (ACLS) preferred About Company VirtuALLY is a game-changing solution born out of one of the world s leading telehealth academic institutions. Between our reliable audio/visual hardware, next-gen watch data, and world-class Command Center, VirtuALLY has improved lives by dramatically reducing instances of self-harm, falls, and traumatic brain injuries. Our innovative virtual nursing solution is built on a collaborative partnership between the bedside clinical team and the VirtuALLY nurse. As an additional resource to the bedside clinical team, the VirtuALLY nurse improves key metrics such as nurse retention, patient outcomes, and patient satisfaction Apply Job!  We Encourage You to Apply! Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team. Apply To This Job Apply tot his job Apply To this Job
JobHub is a job listing/publishing platform; the posting references CopilotIQ, a telehealth employer offering remote nursing roles focused on chronic care management.
Role Description We are seeking nurses (LPN/LVN) to provide outstanding care to members with diseases such as hypertension, diabetes, and heart failure through remote patient monitoring. The Telehealth Nurse will support members through regular phone visits during which they will discuss how to make progress towards goals, medical and lifestyle education, and how to improve outcomes on chronic conditions. This position offers full-time hours (Monday through Friday 830am-5pm local time), benefits, and the ability to work from home. What you’ll be doing • Perform regular telehealth calls to a dedicated panel of members. • Accurately and confidently provide medical, diet, and wellness education to members. • Ensure accurate and timely documentation. • Maintain good member/nurse rapport. • Ability to perform high quality, high volume calls. • Drive clinical outcomes through member engagement and coordination. • Escalate members to our Provider team as needed. • Provide device support and troubleshooting in a professional, knowledgeable manner. • Provide support and encouragement as indicated. • Maintain a good rapport with members, nursing team, and providers. • As a member of our team, foster and grow a culture of kindness, compassion, and mutual respect. • Assist with special projects and other assignments as needed. Qualifications • Must have a current, active, unrestricted LPN/RN multi-state compact license in a nursing compact state and be in good standing with the Board of Registered Nurses. • A minimum of 2 years hands on nursing experience is required; telehealth and chronic care management experience is strongly preferred. • EHR experience, specifically AthenaHealth, is a plus. • Fluency in English and Spanish is highly preferred. • Comfortable working on a computer; experience navigating through multiple computer applications while on calls; Macbook experience is a plus. • Must have reliable high-speed internet. • Strong time management skills and self-motivation. • Must be a quick learner in a fast paced, changing environment. • Professional and effective communication style that translates across all members of the team and members. • An attitude and work ethic that meets the core values and goals of CopilotIQ. • Self-motivated and able to work well independently. • A willingness to jump in and help where needed to ensure team success. Apply To This Job Apply To This Job
Medix is a healthcare staffing and workforce solutions company that connects clinical and technical professionals with employers and offers recruiting and staffing services across healthcare and related industries.
We're Hiring: RN- Virtual Primary Care Location: Remote Schedule: 4 x10's - Weekends required Pay: $36-40 hourly (depending on experience) About the Role Are you a passionate RN looking to shape the future of healthcare? We are seeking a dynamic Registered Nurse to join our Virtual Primary Care Support team. In this role, you will collaborate closely with other clinical staff to support our virtual care clinicians and patients. As a Virtual Care RN, you will serve as a vital resource and care guide, navigating patients through the continuum of care. You will advocate for patients, carry out delegated nursing tasks, and ensure seamless communication across the entire care team. Essential Job Duties As a core member of the Virtual Primary Care team, your responsibilities will include: • Patient Advocacy & Navigation: Assist patients through the healthcare system as an advocate; coordinate continuity of care with external organizations, specialists, and families following hospitalizations or ER visits. • Chronic Disease & High-Risk Management: Navigate high-risk patient care (including patients with multiple co-morbidities); support patient self-management, behavior modification, and health education. • Clinical Protocol Execution: Facilitate patient medication management, Rx refills, and preventative screening interventions utilizing standing orders, triage protocols, and standard procedures within the RN scope of practice. • Team Collaboration & Support: Participate in patient-centered team meetings; provide clinical guideline and protocol support to Medical Assistants. • Quality & Data Initiatives: Collect and analyze biometric data for population health initiatives; participate in data collection, clinical audits, and the evaluation/development of new clinical tools and procedures. Requirements & Qualifications To thrive in this role, you must meet the following criteria: • Education: Bachelor of Science in Nursing (BSN) required. • Licensure & Location: Must hold a valid Multi-State/Compact RN License and currently reside in a compact state. Holding an additional license in CA is also preferred. • Experience: at least 2 years of experience in an outpatient clinic with chronic disease management is required. • Technical Skills: Proficient computer skills, including hands-on experience with Google Suite and Electronic Health Record (EHR) systems or equivalent database experience. • Communication: Excellent verbal and written communication skills with a knack for promoting clear collaboration across multidisciplinary teams. Why Join Us? • Work from Home: Enjoy the flexibility of a fully remote position. • Innovative Environment: Be at the forefront of digital health and virtual care delivery. • Impactful Work: Directly improve patient outcomes through proactive population health and care coordination. For California Applicants: We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
VirtuALLY: a telehealth company offering virtual nursing solutions and a command center that supports bedside clinical teams with audio/visual hardware and remote monitoring to improve patient safety and outcomes.
Virtual Nurse (Must be a South Carolina reputed company) The Virtual Nurse reports to the VirtuAlly Director of Clinical Operations. Under the general supervision and leadership of the Director of Clinical Operations, the Virtual Nurse provides clinical services for patients in clinical settings. Through the use of the EMR, telehealth services, and remote visualization of the patient, the Virtual Nurse... is responsible for providing care that can be provided remotely. The Virtual Nurse works in collaboration with the bedside clinical team to enhance positive clinical outcomes. Compensation $41 - $47 per hour Full-time Compensation $41 - $47 per hour Responsibilities Ability to reputed company job functions while standing Ability to reputed company job functions while sitting Ability to work indoors Ability to bend and twist at the waist Ability to reputed company pinching operations, gross motor activities with fingers and hands, firm grasping with fingers and hands, reputed company fine manipulation with fingers and hands Ability to reputed company overhead, and reputed company repetitive motions with hands/wrists/elbows and shoulders Ability to maintain vision 20/40 corrected to see and recognize objects reputed company at hand or at a distance Ability to match or discriminate between colors to determine distance/relationship between objects; depth perception Good peripheral vision capabilities Ability to maintain hearing acuity, with correction Ability to reputed company gross motor functions with frequent fine motor movements Ability to deal effectively with stressful situations Ability to work rotating shifts Ability to work overtime as required Ability to work in a latex-safe environment Qualifications Must be an RN for at least 5 years, preferably with at least three years in the acute care setting Must have strong assessment, organizational and problem-solving skills Demonstrates strong communication skills, proficient time management skills and the ability to function independently Comprehensive experience with EMRs, preferably Epic Experience with telehealth platforms preferred Ability to understand and implement a variety of detailed instructions in the execution of reputed company procedures. A customer service-oriented demeanor essential Licensure as a Registered Nurse by the South Carolina Board of Nursing or a compact state. Licensure in other states as required by contract reputed company Basic Life Support (BLS) required Advanced Cardiac Life Support (ACLS) preferred About Company VirtuALLY is a game-changing solution born out of one of the world s leading telehealth academic institutions. Between our reliable audio/visual hardware, next-gen watch data, and world-class Command Center, VirtuALLY has improved lives by dramatically reducing instances of self-harm, falls, and traumatic brain injuries. Our innovative virtual nursing solution is built on a collaborative partnership between the bedside clinical team and the VirtuALLY nurse. As an additional resource to the bedside clinical team, the VirtuALLY nurse improves key metrics such as nurse retention, patient outcomes, and patient satisfaction Apply Job! Apply tot his job Apply To this Job
Kyyba is a staffing and consulting firm founded in 1998 and headquartered in Farmington Hills, MI, offering recruiting and professional staffing services across IT, engineering and healthcare.
Job Title: Remote RN Review Analyst About Kyyba: Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development. Position Details: Job Title: Remote RN Case Manager Location: 100% Remote Duration: 12+ Months License Required: Michigan State RN License Local candidates only, as there may be an occasional requirement for onsite meetings. SUMMARY Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May establish care plans and coordinate care through the health care continuum, including member outreach assessments. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. 1. Review, research and authorize requests for authorization of elective, direct, ancillary, urgent, emergency, etc. services. Contact appropriate medical and support personnel to identify and recommend alternative treatment, service levels, length of stays, etc. using approved clinical protocols. 2. Analyze, research, respond to and prepare documentation related to retrospective review requests and appeals in accordance with local, state and federal regulatory and designated accreditation (e.g. NCQA) standards. 3. Establish, coordinate and communicate discharge planning needs with appropriate internal and external entities. 4. Analyze patterns of care associated with disease progression; identify contractual services and organize delivery through appropriate channels. 5. Research and resolve issues related to benefits, member eligibility, non-elective and non-authorized services, coordination of benefits, Mental Health, Substance Abuse care coordination, etc. 6. Identify and document quality of care issues; resolve or route to appropriate area for resolution. 7. Follow out-of-area/out-of-network services and make recommendations on patient transfer to in-network services and/or alternative plans of care. 8. Develop and deliver targeted education for provider community related to policies, procedures, benefits, etc. 9. As needed and in conjunction with Provider Services, may identify and negotiate reimbursement rates for non-contracted providers for services. 10. Other duties may be assigned based on designated department assignment. EDUCATION AND EXPERIENCE 1. Bachelor’s degree in nursing, allied health, business, or related field preferred. 2. Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc. 3. Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes. 4. One (1) year health insurance plan experience or managed care environment preferred. CERTIFICATES, LICENSES, REGISTRATIONS 1. Registered Nurse with current unrestricted Michigan Registered Nurse license required. 2. Certification in Case Management may be preferred based upon designated department assignment. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OTHER SKILLS AND ABILITIES 1. Excellent written and verbal communication skills. Excellent customer service and interpersonal skills. 2. Working knowledge of current industry Microsoft Office Suite PC applications. 3. Ability to apply clinical criteria/guidelines for medical necessity, setting/level of care and concurrent patient management. 4. Knowledge of current standard medical procedures/practices and their application as well as current trends and developments in medicine and nursing, alternative care settings and levels of service. . 5. Knowledge of applicable accreditation standards, local, state and federal regulations. 6. Other related skills and/or abilities may be required to perform this job based upon designated department assignment. ADDITIONAL INFORMATION 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 intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment. Location: Remote (Detroit, MI) Page Range Where Required (currently California, Colorado, New York, Washington) Disclaimer: Kyyba is an Equal Opportunity Employer. Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need. It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665. Rewards: Medical, dental, vision 401k Term life Voluntary life and disability insurance Optional Pre-paid legal plan Optional Identity theft plan Optional Medical and dependent FSA Work-visa sponsorship Opportunity for advancement Long-term assignment with opportunity for hire by client SELECT AWARDS · An INC 5000 company for 10 years · Corp! Michigan Economic Bright Spots · Crain’s Detroit Business Top Staffing Service Companies in Detroit · TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions · Best of MichBusiness winner in HR Wizards & Partnerships · Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest · 101 Best & Brightest Companies to Work for in Michigan
JobHub appears to be a recruiting or job-listing platform posting healthcare and remote telehealth nursing positions.
Schedule • Tuesday 1630-2130 • Wednesday 1630-2230 • Thursday 1630-2130 • Saturday 0800-2000 • Sunday 0800-2000 Essential Job Duties / Responsibilities • Connects with patients via phone or video call, interviews and collects health history, and records data in a computer system. • Provides health assessment and treatment solutions, monitors patient health and at-home care, aids in emergency scenarios and promotes patient wellness. • Monitors a patient’s oxygen levels, heart rate, respiration, blood glucose and other assessment measures based on available technology. • Identifies patient’s symptoms and conditions using video chat, analyzes data to determine appropriate health maintenance and outcomes. • Collaborates with on‑call PCP as needed to support expected clinical outcomes and implements the appropriate protocol. • Evaluates and documents progress toward anticipated outcomes, assists in achieving optimal results through telemedicine, and documents interventions clearly. • Aids in enhancing the quality and effectiveness of the organization’s telehealth practices and professional nursing practice. • Utilizes appropriate resources to plan and provide safe, effective, fiscally responsible services. • Performs other duties as assigned and modified at manager’s discretion. Knowledge, Skills, and Abilities • Advanced-level business acuity. • In‑depth knowledge of general/core nursing functions, practices, procedures, and techniques. • Broad nursing knowledge and understanding. • Willingness to provide extraordinary customer service and professionalism to all customers. • Maintains current nursing knowledge, staying abreast of emerging trends and best practices. • Excellent written and verbal communication skills across multiple formats, tools and technologies. • Capable of building trust and delivering high‑value care across the continuum. • Demonstrates excellent clinical judgment. • Problem‑solving ability. • Prioritization and ability to work under pressure. • Provides constructive feedback. • Effectively collaborates with physicians, patients, family members, colleagues, and other team members in a courteous, professional manner. • Effectively collaborates with a multidisciplinary team. • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) and other required systems. • Willingness to travel locally within South Florida up to 10% of the time; flexible and available for after‑hours and weekend coverage. • Spoken and written fluency in English; bilingual (Spanish/Creole) a plus. • Employs independent judgment. Education and Experience Criteria • Associate Degree in Nursing required; Bachelor’s Degree in Nursing preferred. • Nurse Licensure Compact multistate license required. • Michigan and Illinois Nurse Licensure required within 90 days of hire; ability to obtain additional licenses as requested. • Basic Life Support (BLS) certification from the American Heart Association or American Red Cross required. • Minimum of 3 years acute clinical nursing experience in emergency services, urgent care, or geriatric care required. • Minimum of 1 year virtual care experience highly preferred. • Must reside within the continental United States, in a state where the company is established as a legal entity. Pay Range $64,583 - $92,262 Salary The posted pay range represents the base hourly rate or base annual full‑time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for bonuses or commissions. Employee Benefits https//chenmed.makeityoursource.com/helpful-documents
Parkland Health is a public healthcare system and safety-net provider based in Dallas, Texas, operating Parkland Memorial Hospital and other inpatient and outpatient services.
Shift: Any Work Hours: As Needed *This position will be remote only** Employment Type: PRN Primary Purpose Establishes and maintains an efficient, cost effective care management process by determining patient financial and medical eligibility, medical necessity, and by developing, implementing and monitoring individual patient plans of care and communicating these plans to patients, families, and Parkland staff to ensure quality patient care throughout the healthcare continuum and compliance with program/Parkland policies and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification. Minimum Specifications Education • Must be a graduate of an accredited school of Nursing. Experience • Must have two (2) years of hospital or community based patient care nursing, preferably in assigned clinical area. Equivalent Education and/or Experience Certification/Registration/Licensure • Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. • Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: • American Heart Association • American Red Cross • Military Training Network Required Tests for Placement Skills or Special Abilities • Provides care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. • Must be able to communicate and collaborate effectively with a diverse group of patients, families and healthcare staff. • Must be able to demonstrate a working knowledge of specific patient populations, and be able to demonstrate knowledge of disease processes affecting this group. • Must be able to demonstrate a working knowledge of PC operations and the ability to use word processing software in a Windows environment. • Must be able to demonstrate a working knowledge of the laws and regulations governing Medicare, Medicaid and community-based funding sources. • Must be self-directed and capable of priority setting and problem solving. • Must be able to demonstrate patient centered/patient valued behaviors. Responsibilities • Conducts assessment of patients on assigned Care Coordination team to develop a case management plan of care. Gathers information from patient, physicians, other pertinent members of the healthcare team. Determines funding sources for patients and potential eligibility if appropriate. Plans and develops specific objectives, goals and actions designed to meet the patient's needs as identified through the assessment process. Utilizes hospital approved review criteria to ensure appropriate bed status. Identifies at-risk populations using approved screening tool and follows established reporting procedures. Ensures appropriate admission status is documented. • Collaborates with all members of the multidisciplinary team and the patient to implement the plan of care. Monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective. Communicates all financial counseling as appropriate. Addresses and resolves system barriers impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge. Ensures/maintains plan consensus from patient/family, physician, and payer. Serves as patient advocate to secure coverage for needed community services. Mobilizes resources and coordinates the effort to the health care team to achieve a positive patient transition to appropriate next level of care. • Communicates plan of care to patient and their family providing updates and reassesses the plan of care to determine effectiveness. Completes appropriate coordinator management documentation. Evaluates the plan of care at appropriate intervals to determine effectiveness in meeting outcomes and goals. Works with nursing and other disciplines to ensure that discharge needs, including teaching, are met. • Collaborates with the healthcare team to identify 'best' practices for achieving patient outcomes. Develops reporting mechanisms to communicate outcomes to physicians and other members of the health care team. • Responsible for Utilization Management activities for assigned patients. Applies approved utilization criteria to monitor appropriateness of admissions and continued stays, and documents findings based on department standards. Monitors length of stay (LOS) and ancillary resource use on an ongoing basis and takes action to achieve continuous improvement in both areas. • Monitors and addresses outcome variances. Identifies causes of outcome variances and implements actions to improve the variances. • Seeks the most efficient, cost effective ways to provide appropriate care. Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team. • Communicates with Care Management team to facilitate covered-day reimbursement certification and/or authorization for assigned patients. Discusses payer criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payers as needed. • Transitions patients through the health care system based upon individual and patient population needs. Directs liaison activities to appropriately integrate the patient into the health care continuum including procuring of services, health promotion and counseling, disease prevention, health education and screening, and community resource linkage. • Engages in special projects and serves on committees, as assigned.
Aya Locums is a healthcare staffing organization placing clinicians in locum, telehealth, and remote roles, connecting providers with temporary and flexible clinical opportunities.
Family Nurse Practitioner – Telehealth Medical Weight Loss Start Date: As soon as credentialed Contract Length: 26 weeks (flexible / ongoing) Schedule Flexible shifts within operating hours Minimum 20+ hours/week of synchronous visits (slightly less considered for weekends‑only availability) Operating hours (EST): Medical Weight Loss (MWL): 7:00 AM–12:00 AM Urgent Care (UC): 8:00 AM–10:00 PM TRT/HRT: 8:00 AM–10:00 PM Providers submit monthly availability for patient self‑scheduled appointments Asynchronous chart‑review work may be completed at any time No call Practice Details Fully remote telehealth role Initial focus on Medical Weight Loss, with opportunity to cross‑train into Urgent Care and TRT/HRT Combination of synchronous video visits and asynchronous chart reviews Providers may support multiple verticals; availability window expands to cover all applicable service‑line hours All charting completed via assigned EHR platforms (training provided) Must maintain professional work environment for virtual visits Clinical Scope Conduct structured MWL assessments and GLP‑1 management Review medical histories, update diagnoses, and document findings per program guidelines Manage synchronous visits and complete asynchronous chart reviews Handle escalations per protocol Evaluate patient progress and determine appropriate next steps Cross‑train into UC and TRT/HRT as eligible Must pass onboarding test‑patient evaluations Requirements Nurse Practitioner – Primary Care / Family Practice Must have at least 3 years NP experience Must have 1+ year experience prescribing compounded GLP‑1s for weight loss Must hold multiple active state licenses (8+ automatically qualifies; fewer than 8 evaluated via points system) Active Medicare enrollment required (PECOS verification required at submission) DEA as required per state practice rules Must meet target score on the program’s NP scoring rubric Telemedicine experience preferred but not required to start Must have appropriate computer equipment and ability to use required software Credentialing Credentialing time: approximately 2–5 weeks Two‑day remote training (paid): technology setup, clinical modules, test‑patient cases Must pass test‑patient evaluation for onboarding approval Full compliance documents required prior to start Location Fully remote — provider must reside in United States. If you are interested or would like to be presented, please reach out to me for more details. Morgan Hennessey Recruiting Consultant 📞 858-401-7142 📧 morgan.hennessey@ayalocums.com
Cadence is described as a healthcare technology startup focused on remote clinical services and patient monitoring support.
A healthcare technology startup is seeking a skilled Licensed Practical/Vocational Nurse (LPN/LVN) to provide support for patients with chronic conditions. This remote position requires a minimum of 5 years of LPN/LVN experience, with a focus on critical thinking and adaptability. The LPN/LVN will conduct remote monitoring of patient vitals, collaborate with clinical teams, and document care accurately. Compensation ranges from $27 to $33 per hour, reflecting experience and skills.
BlueCross BlueShield of South Carolina is a regional health insurer. Palmetto GBA, a subsidiary, provides claims administration and related services for Medicare and other payer programs.
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. Description Logistics: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies. Performs medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthorization/predetermination, requests for appeal or reconsideration, referrals for potential fraud and/or abuse, and correct coding for claims/operations. Makes reasonable charge payment determinations based on clinical/medical information and established criteria/protocol sets or clinical guidelines. Determines medical necessity and appropriateness and/or reasonableness and necessity for coverage and reimbursement. Documents medical rationale to justify payment or denial of services and/or supplies. Educates internal/external staff regarding medical reviews, medical terminology, coverage determinations, coding procedures, etc. in accordance with contractor guidelines. Participates in quality control activities in support of the corporate and team-based objectives. Provides guidance, direction, and input as needed to LPN team members. Provides education to non-medical staff through discussions, team meetings, classroom participation and feedback. Assists with special projects and specialty duties/responsibilities as assigned by Management. Required Education: • Associate Degree Nursing, OR • Four year degree in health-related field, OR • Graduate of accredited School of Nursing. Required Experience: • Two years clinical experience plus two years utilization/medical review, quality assurance, or home health experience. Required Skills and Abilities: • Working knowledge of managed care and various forms of health care delivery systems; strong clinical experience to include home health, rehabilitation, and/or broad medical surgical experience. • Knowledge of specific criteria/protocol sets and the use of the same. • Working knowledge of word processing software. • Ability to work independently, prioritize effectively, and make sound decisions. • Good judgment skills. • Demonstrated customer service and organizational skills. • Demonstrated oral and written communication skills. • Ability to persuade, negotiate, or influence others. • Analytical or critical thinking skills. • Ability to handle confidential or sensitive information with discretion. Required Software and Tools: • Microsoft Office. Required License and Certificate: • Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, current active, unrestricted licensure/certification from the United States and in the state of hire in specialty area as required by hiring division/area. Preferred skill: ESRD / renal dialysis experience Work Environment: • Typical office environment. • May work from home. • May involve travel from home to office. • Work may involve remaining in a stationary position and operating a computer. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
RelateCare provides nurse triage, post-discharge follow-up, and patient care coordination services to healthcare organizations, delivering remote clinical advice and care navigation.
Shift pattern We are looking for Registered Nurses with active Compact Licenses who are able to work evenings and weekends . Shifts available: • Alternating weekends (8 hour shifts Sat and Sun) plus 1-2x 2-4 hour shifts per week • Part time, 16-24 hours per week The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities: • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements: • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Experience working remotely preferred • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred • Peds experience an advantage but not a necessity About us: RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule: Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Job Types: Part-time, Permanent Pay: $29.00 per hour Benefits: • 401(k) • Dental insurance • Health insurance • Vision insurance Application Question(s): • For which states do you currently hold RN licensure? • Do you hold a BSN? • How many years experience do you have as an RN? Experience: • Triage: 1 year (Preferred) • Telehealth: 1 year (Preferred) Work Location: Remote
Emory Healthcare is a large academic health system based in Atlanta, providing hospitals, clinics, and diverse clinical services including telehealth across the Emory network.
Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: • Comprehensive health benefits that start day 1 • Student Loan Repayment Assistance & Reimbursement Programs • Family-focused benefits • Wellness incentives • Ongoing mentorship, development, and leadership programs • And more Please Note: *Shift is 9p - 7:30a, rotating weekends *A multistate nursing license is required for this Telehealth role. Department Overview: Nurses in the Telehealth Nursing department demonstrate strong competency in using various telecommunication technologies to provide direct virtual nursing care. Telehealth Nursing RNs triage, prioritize patient needs, collaborate with patients to develop care plans, direct them to the appropriate level of care, and provide referrals to Emory services and other resources to ensure a comprehensive care experience. Telehealth Nursing LPNs assist patients with prescription management across specialties. Description • The Virtual/Telehealth Registered Nurse (RN) is responsible for providing high-quality patient care using virtual platforms. • The RN utilizes their clinical expertise, critical thinking, and evidence-based practices to assess, triage, and support patients remotely. • The role requires proficiency in telecommunication technologies, the ability to apply clinical algorithms and protocols, and a strong understanding of patient populations and virtual care workflows. • Patient Care & Telehealth Services • Conduct remote patient assessments, triage, crisis intervention, and education via telephone, video, chat, and other digital platforms. • Develop individualized care plans in collaboration with patients and providers. • Apply clinical algorithms and protocols within the Electronic Medical Record (EMR) to determine appropriate patient disposition. • Schedule patients with the appropriate level of care based on triage findings. • Assist with prescription management, referrals, and connecting patients to Emory services and external resources. Communication & Collaboration • Serve as a liaison between patients, providers, and the healthcare team. • Resolve medication and pharmacy-related issues in coordination with provider orders. • Educate patients on their care plans and promote optimal health outcomes. • De-escalate calls to ensure reasonable and effective resolutions for all parties involved. Documentation & Compliance • Accurately document patient interactions, assessments, and interventions in the EMR. • Maintain confidentiality and adhere to HIPAA regulations. • Identify and report patient safety and quality concerns. • Ensure compliance with the ANA Code of Ethics for Nurses and institutional policies. • Professional Development & Training • Participate in ongoing competency training and skill development for telehealth nursing. • Train, orient, and mentor new team members, students, and staff as needed. • Stay informed through TEAMS, emails, and other internal communications regarding policy updates and system changes. • Administrative & Operational Support • Attend staff meetings, huddles, and other organizational meetings as required. • Support clinical and administrative telehealth operations across various practice settings. • Work a flexible schedule, including weekends and holidays, to meet business needs. MINIMUM QUALIFICATIONS: • Graduate of an accredited prelicensure Bachelor of Science in Nursing (BSN), AND - 12 months of recent nursing experience within the past five years, OR - Recent completion of a re-entry nursing program. • OR, Graduate of an accredited prelicensure Associate Degree in Nursing (ADN) with a minimum of 2 years of recent nursing experience within the past five years • Exceptions: Current LPNs employed within the Emory Healthcare (EHC) system who have completed an accredited RN program and obtain RN licensure are eligible to transition into this role while completing the RN Resident Program • .Emory LPNs enrolled in an Emory ADN program as of 3/30/2025 must sign an obligation agreement to complete an ADN-to-BSN program within two years of entering the RN Clinician role. • License: Valid, active, unencumbered Compact/multistate RN license (eNLC) required within 60 days of hire. • Certifications: BLS certification required. • PLAN: Must meet all Clinical Nurse Employee Commitments. • Required Skills & Competencies: Strong critical thinking and data synthesis skills. • Proficiency in telephone triage, assessment, and communication. • Ability to multi-task in a fast-paced virtual environment with attention to detail. • Knowledge of electronic medical records (EMR) and e-prescribing. • Familiarity with Microsoft Word, Excel, PowerPoint, and Outlook. • Strong interpersonal skills, including cultural competence and ethical decision-making. • Work From Home (WFH) Requirements: Compliance with Emory's Work From Home Agreement. • High-speed broadband and reliable internet connection. • Private and confidential workspace at home. • Preferred Qualifications: Education: MSN or DNP PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.
Allara is a U.S.-based women’s health provider offering longitudinal, multidisciplinary virtual care focused on hormonal, metabolic, and reproductive health conditions.
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women who have historically been underserved. To learn more about our mission and clinical approach, visit allarahealth.com. Location: Fully remote within the U.S. Your Impact • Conduct thorough patient assessments and develop personalized treatment plans via video visits • Collaborate with a multidisciplinary care team to deliver the highest standards of care • Complete required trainings and uphold Allara's clinical policies, standards, and best practices • Educate patients on preventive care and wellness using evidence-based strategies • Maintain accurate, up-to-date patient records and complete charting in a timely manner • Respond to patient questions and administrative messages with clarity and care • Dedicate a full-time focus to patient care, including consultations and medical guidance, with prescribing when clinically appropriate Required Qualifications • Certification: Active national board certification as a (WHNP, FNP, or similar). • Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity. • Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills • Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity • Webside Manner: A natural ability to build trust and connection with patients in a virtual setting • Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research • Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools • Telemedicine Experience: Prior telehealth experience is a plus • State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in CA AND one of the following states, CO, IL (autonomous), MD (autonomous), or VA (autonomous), is required for this role. A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align. What Allara Offers • Annual base salary range: $120,000 – $130,000, and can increase up to $172,500 - $182,500 through our incentive compensation program. • Final base salary & incentive range is commensurate with years of relevant experience. • Health and Wellness: Medical, dental, and vision benefits • Future Planning: 401(k) plan • Time Off: Annual vacation, sick days, and holidays • CME: Annual stipend and dedicated PTO days • Flexible Scheduling: Set your schedule within full-time hour requirements • Malpractice Insurance: Comprehensive coverage provided at no cost to you • Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated • Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians • Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.
HAM SERVICE'S is a healthcare services organization providing patient-centered telehealth care via secure virtual platforms, connecting patients with qualified clinicians for remote consultations.
Company Description HAM SERVICE'S is a healthcare services organization focused on providing accessible, patient-centered telehealth care. The company leverages secure virtual platforms to connect patients with qualified clinicians, improving convenience and continuity of care. HAM SERVICE'S emphasizes evidence-based practice, clear communication, and respectful, inclusive service for diverse patient populations. Team members collaborate remotely while maintaining high standards of clinical quality, privacy, and professionalism. Role Description This is a part-time, remote role for a Nurse Practitioner licensed in New York State, providing telehealth consultations to patients. Day-to-day responsibilities include conducting virtual patient assessments, taking medical histories, reviewing symptoms, and performing appropriate clinical evaluations via video or phone. The Nurse Practitioner will diagnose common acute and chronic conditions, develop and adjust treatment plans, prescribe medications as allowed by NY state regulations, and order labs or imaging when clinically indicated. The role also involves documenting encounters accurately in the electronic health record, providing patient education, coordinating follow-up care, and escalating complex cases to collaborating or supervising clinicians as needed. The Nurse Practitioner will adhere to all telehealth, privacy, and regulatory standards while contributing to a positive, efficient, and patient-focused virtual care experience. Qualifications • Active, unrestricted New York State Nurse Practitioner license and current national board certification in a relevant specialty (e.g., Family, Adult-Gerontology, or Primary Care). • Minimum of 1–2 years of recent clinical experience as a Nurse Practitioner, preferably in primary care, urgent care, internal medicine, or telehealth. • Demonstrated proficiency in virtual patient assessment, clinical decision-making, and evidence-based management of common acute and chronic conditions. • Strong skills in patient communication, education, and counseling, including the ability to explain diagnoses, treatments, and follow-up plans in clear, respectful language. • Comfort working with electronic health records, telehealth platforms, and basic digital tools (video conferencing, secure messaging, e-prescribing). • Commitment to patient privacy and compliance with HIPAA and all applicable state and federal regulations. • Ability to work independently, manage time effectively, and maintain reliability in a remote environment with scheduled patient visits. • Current DEA registration (or eligibility) for prescribing in New York State is preferred. • Current BLS (and ACLS if applicable) certification and familiarity with emergency escalation protocols for virtual care settings. • Ability to work with diverse patient populations and practice in a culturally sensitive, inclusive, and non-discriminatory manner.
Sharecare is a digital health company that provides virtual care, health management, and engagement solutions to consumers, employers, and health plans.
Overview The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes. The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan. Start Date: Monday October 27, 2025 Salary: $85,000 annually, plus comprehensive benefits package Responsibilities • Engage telephonically with members, caregivers, and providers to develop a comprehensive plan of care, identify key strategic interventions, and address the members needs at various stages along the care continuum. • Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans. • Assess the member’s ongoing care needs and progress towards goals throughout the plan duration and make revisions as needed to address changes in the member’s condition, lack of progress toward goals of the care plan, preference changes, and transitions in care settings. Coordinates plan of care with goals of member stabilization, decreased admissions, medication management, behavior change and ability to self-manage. • Coordinate patient education in support of standards of care guidelines and related health issues using the most appropriate modality for the member. • Identify relevant benefit and community resources, evaluates Social determinants of Health and facilitates referrals based on member need. • Assist the member in coordination of any additional tests, images and consults with specialists. • Perform medication reconciliation at the onset of care plan, after changes in health status, and every thirty days during the life cycle of the care plan, assessing for efficacy and drug interactions/side effects. • Facilitate and monitor the transition of care which involves moving the member from one healthcare practitioner to another as their healthcare needs change. Implements and oversees the agreed upon plan of care as well as coordinates member follow-up post discharge. • Utilize established documentation standards to maintain quality of care plan documentation to include member progress toward their established state of being and barriers to achievement of care plan objectives and outcomes. • Abide by Value Based Care Management Program Description and Guidelines. • Meet productivity and quality metrics as outlined by leadership for each year. • Complete mandatory training and annual competency testing. • Actively participate in team huddles and contribute to clinical learning. • Remain current on clinical knowledge via self-directed learning. Specific Skills / Attributes • Strong motivational interviewing and case management skills. • Ability to be self-directed, highly organized, multi-task capable, and proficient in problem solving skills. • Ability to meet established deadlines. • Exceptional oral, written, and presentation skills. • Ability to effectively communicate and provide positive customer service to internal and external customers, meeting the expectations for service excellence. • Successfully partner with all levels of administrative and professional personnel. • Demonstrate resilience and effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads. • Success with engaging members. Outstanding customer service skills and ability to adapt approach to various personalities. • Ability to extrapolate information from a variety of sources including medical records to create concise records that accurately depict the medical “story” of the member. • Proficiency with data analysis and ability to organize data in support of reporting needs. • Ability to proactively identify and assimilate quality improvement processes into practice. • Experience with medically oriented care plan documentation. • Experience working effectively within a matrix organizational design. Qualifications • Current multi-state compact Registered Nurse licensure in state of residence is required, with ability to obtain additional licenses without restriction. BSN preferred. • Training in motivational interviewing preferred. • Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. • Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications. • Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies. • This position will be based from a home office which must satisfy all HIPAA requirements and minimum internet connectivity requirements. • Ability to communicate with members, other members of the team, physicians, and plan representatives. • Ability to read, analyze, and interpret common scientific and technical journals. Ability to effectively present information to audiences with a variety of knowledge/skill levels Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
Ethos (as presented) appears to be an organization recruiting nurses for AI model training and clinical quality review work in healthcare/AI; verify employer details before applying.
A leading AI lab is seeking experienced Registered Nurses for a flexible, part-time role to help train an AI language model in clinical nursing tasks. Candidates must have over 5 years of experience in acute care or specialty settings at top hospitals. Responsibilities include evaluating AI-generated work and contributing to essential nursing workflows. This remote position offers flexible hours, up to 20 per week, at a rate of $75 per hour, providing a significant earning potential while maintaining a flexible schedule.
The Rawlings Group is a healthcare intelligence company offering analytics and review services for medical claims and billing.
A leading healthcare intelligence company is seeking a Nurse Itemized Bill Reviewer to analyze medical claims and ensure compliance with industry standards. This remote position allows candidates to work from anywhere in the United States. Qualified candidates should possess an active RN, LPN, or LVN license, along with at least 1 year of experience in itemized bill review and 2 years in healthcare billing. Competitive salary ranges from $80,000 to $90,000, with quarterly bonuses offered.
RelateCare is a healthcare services company that provides nurse triage, post-discharge follow-up, wellness solutions, and care coordination through telephonic and digital programs for healthcare organizations.
We are looking for Registered Nurses with active Compact Licenses who are able to work evenings and weekends . Shifts available: • Alternating weekends (8 hour shifts Sat and Sun) plus 1-2x 2-4 hour shifts per week • Part time, 16-24 hours per week Full time: 32-40 hours per week, night shifts • The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities: • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements: • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Experience working remotely preferred • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred • Peds experience an advantage but not a necessity About us: RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule: Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Job Types: Part-time, Permanent Benefits: • 401(k) • Dental insurance • Health insurance • Vision insurance Application Question(s): • For which states do you currently hold RN licensure? • Do you hold a BSN? • How many years experience do you have as an RN? Experience: • Triage: 1 year (Preferred) • Telehealth: 1 year (Preferred) Work Location: Remote
PagerDuty is a digital operations and incident response platform company. In this listing the role appears to support a healthcare call center (Atrium/Advocate Health) via a remote telehealth nursing position.
Department: 12707 Enterprise Corporate - Patient Access & Care Team: NC/GA Nursing Status: Part time Benefits Eligible: Yes Hours Per Week: 24 Schedule Details/Additional Information: 24-hr position. Work remote. (3) 8-hr shifts - Fri, Sat, Sun OR 9a-9p Saturday & Sunday. Holiday rotation. Pay Range $38.20 - $57.30 Major Responsibilities: Engages in unit councils, professional governance, and quality initiatives to improve care processes and apply evidence-based practices. Utilizes the nursing process to assess, plan, implement, and evaluate care, engaging patients and families from admission to post-discharge. Monitors patient conditions, adjusts care plans, mobilizes resources, and collaborates with the care team to influence care outcomes. Upholds and promotes a culture of safety. Continuously evaluates patient, team, and unit outcomes, taking action as needed. Administer medications, treatments, and therapies safely and according to clinical protocols and procedures. Demonstrates effective communication, feedback, and conflict resolution, fostering team collaboration and appropriate delegation. Pursues professional development, completes required education, and maintains certifications. Adhere to the ANA Code of Ethics and practices ethical decision-making, respects interdisciplinary roles, and contributes to integrated, unbiased patient care. Appropriate delegation to other registered nurses, licensed practical nurse, nurse assistants, and other unlicensed assistive personnel. Maintains accurate, timely EHR documentation. May be required to float to other units, departments, or facilities within the designated service area to meet patient care needs. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Basic Life Support (BLS). Additional education, training, certifications, or experience may be required based on specialty. Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services Note: Licensed nurses practicing via telehealth/telenursing/virtual modalities are required to be licensed or hold the privilege to practice in the state(s) where the client(s) is/are located. Licensed nurses are responsible and accountable for knowing, understanding, and practicing in compliance with the laws, rules, regulations, and standards of practice of the state(s) where the client(s) is/are located Education Required: Graduate of a Board of Nursing approved nursing education program. Knowledge, Skills & Abilities Required: Strong clinical judgment and critical thinking. Time management, prioritization and problem-solving skills. Excellent communication and interpersonal skills. Ability to work in a fast-paced, dynamic environment. Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.) Physical Requirements and Working Conditions: Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must be able to: push/pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present. Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions. Maneuver foot pedals on carts or machines. Perform physical safety interventions such as patient restraint and verbal de-escalation, if needed. May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary. Must be able to respond quickly to changes in patient and/or unit conditions. Physical Abilities Testing may be required. Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed with
RelateCare provides nurse triage, post-discharge follow-up, and wellness solutions, delivering remote clinical and care coordination services for healthcare organizations.
We are looking for Registered Nurses with active Compact Licenses who are able to work evenings and weekends . Shifts available: • Alternating weekends (8 hour shifts Sat and Sun) plus 1-2x 2-4 hour shifts per week • Part time, 16-24 hours per week Full time: 32-40 hours per week, night shifts • The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities: • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements: • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Experience working remotely preferred • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred • Peds experience an advantage but not a necessity About us: RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule: Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Job Types: Part-time, Permanent Benefits: • 401(k) • Dental insurance • Health insurance • Vision insurance Application Question(s): • For which states do you currently hold RN licensure? • Do you hold a BSN? • How many years experience do you have as an RN? Experience: • Triage: 1 year (Preferred) • Telehealth: 1 year (Preferred) Work Location: Remote
Deaconess Health System, Inc. is a regional healthcare organization operating hospitals and outpatient services, providing acute care and community health programs.
Coordinating the Remote Patient Monitoring Program, the part-time hourly Multi-State Licensed Telehealth Nurse will oversee patient selection, set-up, and training for telehealth monitors while evaluating care outcomes remotely. Key responsibilities • Manage patient selection and training for telehealth monitoring systems • Plan, direct, and evaluate telehealth care outcomes to ensure proactive interventions • Provide direct care visits as needed to support patient health and well-being Required qualifications • Active Registered Nurse (RN) license with multi-state capability • Minimum of three years of RN experience in an adult acute care setting • Strong critical thinking skills and ability to build positive patient relationships • Passion for innovative care models and proactive patient management • Preferred: Bachelor of Science in Nursing (BSN)
Ways2Well is a healthcare provider focused on regenerative and preventive medicine, offering personalized, data-driven telehealth care and wellness programs including hormone optimization and functional medicine.
Ways2Well is redefining the future of healthcare. As a leader in regenerative and preventive medicine, we empower patients to take control of their health through data-driven, personalized care. We’re breaking away from outdated models—leveraging cutting-edge technology, digital care platforms, and bold thinking to deliver high-impact healthcare at scale. Position Summary As a Nurse Practitioner, you will provide evidence-informed, patient-centered care via telemedicine. Your role involves conducting comprehensive health assessments, interpreting advanced lab results, designing personalized wellness and hormone optimization plans, and supporting patients through lifestyle and supplement-based interventions. You will collaborate with a multidisciplinary team in a fast-paced, fully virtual environment. MUST be licensed in at least 4 of the states listed above. Key Responsibilities • Conduct virtual consultations using both asynchronous and synchronous telehealth platforms • Review and interpret functional and traditional lab results (e.g., hormone panels, micronutrients, inflammatory markers) • Develop personalized care plans focusing on hormonal balance, metabolic health, nutrition, and preventive strategies • Educate patients on treatment options, supplement protocols, and lifestyle modifications • Document thoroughly and accurately in the EHR system (i.e., Charm or similar) • Collaborate with clinical support staff, pharmacists, and health coaches to ensure continuity of care • Adhere to state and federal telehealth regulations and best practices • Participate in ongoing training, case reviews, and team huddles to support professional development and care quality Required Qualifications • Active and unencumbered Nurse Practitioner license in at least 5 U.S. states (multi-state licensure required) • National certification (e.g., AANP, ANCC) • Active DEA • Minimum of 2 years of NP experience, with exposure to functional, integrative, or hormone therapy preferred • Strong knowledge of hormone replacement therapy (HRT) (testosterone, estrogen, thyroid), peptides, and targeted supplementation preferred • Prior experience in a telehealth or digital health setting is strongly preferred • Comfortable navigating EHRs, telemedicine platforms, and cloud-based tools • Exceptional communication, patient engagement, and clinical documentation skills Work Environment & Physical Requirements • Primarily clinic/office-based setting for telehealth visits • Remote work environment; home office or dedicated workspace required • Must be able to work independently with minimal supervision • Virtual meetings via video conferencing (camera on expected) • Reliable high-speed internet connection required • Must maintain a distraction-free, professional background for video calls • Schedule: Monday - Friday, 8am-5pm Central #Ways2Well Why Join Ways2Well? The best work happens when purpose meets potential. At Ways2Well, you'll work with a passionate, driven team that's redefining what personalized health and wellness can be — with the resources, leadership, and culture to back it up. We offer competitive compensation, strong benefits, and real room to grow, lead, and make your mark. Equal Employment Opportunity (EEO) and Affirmative Action Commitment Ways2Well is committed to providing equal employment opportunities and render affirmative action to all employees and applicants for employment, including individuals who are members of underrepresented groups, without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, or any other status protected by applicable federal, state, or local laws. Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodation may be made to help enable qualified individuals with disabilities to perform the essential functions. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Guideway Care (branded as The Patient Activation Company™) provides patient guidance and care coordination services using a Motivational Patient Guidance (MPG) model and AI-powered technology to support remote clinical engagement.
Title: Triage Nurse (Telehealth) [Full-Time] Location: Birmingham, Alabama, United States Work Type: Remote, Full Time Department: 111 - Nurses COGS Job Description: About Guideway Care* Guideway Care i s The Patient Activation Company™. We don't just "engage" patients; we activatethem. By utilizing our proprietary Motivational Patient Guidance (MPG) model and AI-powered technology, we resolve the practical and psychological barriers that prevent patients from taking their "next right action." Job Summary: We are seeking an experienced and compassionate Registered Nurse to join our elite team of remote triage professionals. This RN will serve as the front line of clinical support for patients, delivering high-quality assessment, guidance, and care coordination services via telephone and digital communication platforms. This role requires a confident, autonomous nurse with a strong clinical foundation, excellent judgment, and a deep commitment to patient-centered care. You will work remotely in a structured and supportive environment, contributing to improved outcomes and experiences for patients across a variety of primary care and specialty settings Shifts available: • Monday - Friday: 10:00 AM - 7:00 PM CST Essential functions: • Conduct thorough clinical assessments and triage patients based on established evidence-based protocols and clinical guidelines. • Respond to patient inquiries via inbound and outbound calls, as well as secure patient messaging portals. • Provide appropriate recommendations for care or escalate concerns to the appropriate provider or care team member. • Document assessments, communications, and care coordination activities in electronic medical records (EMRs) with accuracy and clarity. • Support administrative functions related to patient care including FMLA, ADA, STD/LTD documentation, and coordination. • Support training and onboarding of team members, including participating in shadowing shifts (both as a learner and trainer), while reinforcing best practices to ensure consistent, high-quality patient care. • Collaborate with healthcare providers, clinical teams, and practice administrators to ensure continuity and quality of care. • Uphold Sequence Health’s commitment to clinical excellence, integrity, and service in every interaction. • Any other duties necessary to drive our values, fulfill our mission, and abide by out company values. • This role requires regular, reliable attendance during scheduled hours, as consistent presence is essential to preforming the core duties of the position. Required Skills/Abilities: • Active, unencumbered Registered Nurse license in a compact licensure state; • Minimum of 5 years’ experience in working in a variety of direct patient care settings including Emergency Department, Labor and Delivery, Critical Care. Women's Health or Labor and Delivery experience preferred. • Prior remote RN triage experience or experience with telephone-based care delivery strongly preferred. • Demonstrated clinical proficiency with strong critical thinking, problem-solving, and decision-making skills. • Excellent verbal and written communication skills, with the ability to convey empathy and clinical clarity via phone and written messages. • Proficiency in using EMRs (e.g., Epic, Cerner, Greenway) and standard office software (Microsoft Office, Adobe, fax, etc.). • Ability to work independently within scope, while maintaining alignment with clinical protocols and best practices. Supervisory Responsibilities: Non Travel Requirements: 0% Work Authorization: • Guideway Care does not offer Immigration or work visa sponsorship Total Rewards: The pay rate is $30 per hour. In addition, team members enjoy … Benefits package including: • Medical Insurance • Vision Insurance • Dental Insurance • Flexible Spending Account (FSA), • Company paid short- and long-term disability, • Employee Assistance Program, • Life Insurance, • Accident insurance, • and other voluntary benefit programs for employees and their eligible dependents. • 401(k) retirement plan with a company match Essential Duties and Responsibilities • Able to work remotely at home in a private HIPAA compliant workspace • Able to house company equipment needed to perform job • Broadband Internet Access • Internet download speed must be at least 24 mbps and upload speed at least 4 mbps • Immigration or work visa sponsorship will not be provided • Physical Demands: • Ability to hear in normal range and wear a headset / earpiece • Good visual acuity to read computer screens, scripts, forms etc. • May sit 100% of the time when taking calls • Access to the electronic medical record (EMR) system may require the use of your personal mobile device for authentication purposes. We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive.
Don Gentry Nurse Practitioner in Family Health, PLLC is a patient-centered primary and family health practice that provides telemedicine and modern care models to deliver accessible, evidence-based care.
Company Description Don Gentry Nurse Practitioner in Family Health, PLLC is a patient-centered practice focused on delivering accessible, high-quality primary and family health services. The practice emphasizes continuity of care, clear communication, and supportive relationships with individuals and families across the lifespan. Using telemedicine and other modern care models, the practice helps patients receive timely, evidence-based care from the comfort of their homes. Team members are encouraged to practice at the top of their licensure while collaborating to improve health outcomes and patient satisfaction. Role Description This is a remote, contract role for a Telemedicine Nurse Practitioner. The Telemedicine Nurse Practitioner will provide virtual patient assessments, develop and manage treatment plans, and conduct follow-up visits using secure telehealth platforms. Daily responsibilities include reviewing patient histories, ordering and interpreting diagnostic tests as appropriate, prescribing medications within scope of practice, and documenting encounters in the electronic health record. The role also involves patient education on disease management, wellness, and preventive care, as well as timely collaboration and consultation with supervising or collaborating clinicians when needed. The Nurse Practitioner will adhere to applicable state and federal regulations, maintain high standards of clinical quality, and support a positive, respectful patient experience in every interaction. Qualifications • Current, unrestricted Nurse Practitioner license and national certification (e.g., FNP, ANP, or equivalent), with eligibility to practice via telemedicine in applicable states. • Strong clinical assessment and diagnostic skills, with experience managing common primary and family health conditions in virtual or outpatient settings. • Proficiency with telehealth technologies, electronic health records, and secure messaging platforms, with ability to troubleshoot basic technical issues. • Excellent communication skills, including clear, empathetic, and culturally sensitive interaction with patients and caregivers in a virtual environment. • Demonstrated ability to work independently, manage time effectively, and maintain professional judgment in a remote, contract-based role. • Commitment to evidence-based practice, patient education, preventive care, and adherence to privacy and confidentiality regulations (e.g., HIPAA). • Prior telemedicine or outpatient primary care experience preferred; experience in family health, chronic disease management, or behavioral health integration is a plus. • Graduate degree from an accredited Nurse Practitioner program; current DEA registration (or eligibility) preferred depending on prescribing requirements.
RelateCare is a healthcare services organization offering nurse triage, post-discharge follow-up, and wellness solutions to help coordinate patient care and provide remote clinical support.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required
Verse Medical is a healthcare technology company offering AI-assisted clinical documentation review services to support equitable patient care and clinical operations.
Verse Medical is seeking a detail-oriented clinical review professional to join their team. In this remote role, you will review patient documentation against medical criteria using internal AI software. The ideal candidate holds an active RN license, has over 2 years of clinical experience, and thrives in a high-throughput environment. Compensation ranges from $70,000 to $90,000 with comprehensive health benefits. Be part of a mission-driven company focusing on equitable care for all.
Elara Caring is a national home health and hospice provider delivering in-home and telehealth services to patients across the United States.
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: This position is part-time: weekends, holidays, and additional coverage as needed. At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their journey of health, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Telehealth Registered Nurse (RN). Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer in delivering unparalleled care, we need a Telehealth Registered Nurse (RN) with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? • Work in a collaborative environment. • Be rewarded with a unique opportunity to make a difference • Competitive compensation package • Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost • Opportunities for advancement • Comprehensive insurance plans for medical, dental, and vision benefits • 401(K) with employer match • Paid time off, paid holidays, family, and pet bereavement • Pet insurance What is Required? • Bachelor’s Degree in Nursing or related field • Employment is contingent upon the holding and maintaining an active Registered Nurse (RN) license and/or compact (multistate) license for all states serviced by Elara Caring, or obtaining the required licensure within 30 days of hire. In instances where state processing timelines exceed 30 days, an extension may be granted at the Company's discretion • 2 years of experience as a Registered Nurse • Experience in Medicare/Medicaid home health care benefits, policies and procedures is preferred • Passion for patient care You will report to the Clinical Manager. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.
RelateCare provides remote nurse triage, post-discharge follow-up, and wellness solutions, partnering with healthcare organizations to coordinate patient care and offer telephonic clinical support.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required Apply tot his job Apply To this Job Apply tot his job Apply To this Job Apply To This Job Apply To This Job
Beyoung Health is a Canadian virtual clinic offering evidence-based hormone optimization and medical weight management care via secure video consultations and a fully digital workflow.
Beyoung Health – Remote (Ontario-based) Location: Remote within Ontario Job Type: Full time or Part time Compensation: $65 to $85 per hour equivalent, volume based Schedule: Flexible, choose your own hours About Beyoung Health Beyoung Health is a Canadian virtual clinic focused on hormone optimization and medical weight management for adults. We provide structured, evidence based care through secure video consultations, supported by a fully digital workflow and dedicated administrative team. Our model is designed to reduce administrative burden and allow practitioners to focus on patient care. The Role We are currently hiring Ontario licensed Nurse Practitioners to join our telehealth team. This role is ideal for NPs looking for: • flexible scheduling • consistent patient flow • a structured clinical environment • fully remote work within Ontario You will provide virtual care for patients seeking support with hormone health and medically supervised weight management programs. What You’ll Do • Conduct virtual consultations via secure video platform • Review patient history, symptoms, and lab results • Order and interpret laboratory testing • Assess patient eligibility for treatment programs • Develop personalized treatment plans within NP scope • Prescribe and monitor therapies as appropriate • Provide follow up care and ongoing patient support • Maintain accurate documentation in EMR Requirements • Nurse Practitioner licence in good standing with the College of Nurses of Ontario (CNO) • Authorized to assess, diagnose, prescribe, and order lab testing independently • Eligible to provide virtual care within Ontario • Professional liability coverage (CNPS or equivalent) • Comfortable working in a fully remote environment Nice to Have • Experience in primary care, endocrinology, or hormone health • Interest or exposure to TRT, bHRT, or weight management • Previous telehealth or EMR experience What We Offer • Fully remote role within Ontario • Flexible scheduling (part time or full time) • Competitive, volume based compensation • Consistent patient demand • Structured onboarding and clinical protocols • Full administrative and scheduling support • Streamlined EMR workflow How to Apply Please submit your resume and include: • Your Ontario NP licence status • Your weekly availability • Confirmation you are located in Ontario Job Types: Full-time, Part-time Pay: From $65.00 per hour Application Question(s): • Are you currently licensed as an NP in Ontario, in good standing with the College of Nurses of Ontario? • What is the maximum number of hours per week you are available for patient consultations? • Are you authorized to prescribe controlled substances in Ontario? • Are you eligible to practice virtual care in the province of Ontario? Work Location: Remote
Medix is a workforce solutions and staffing company supporting healthcare, scientific, and IT industries, assisting candidates with contract, contract-to-hire, and direct-hire opportunities.
Schedules: Full-time hours 4x10 hour shifts with 1 weekend required every 3rd week (must be okay working PST time) Job Summary: The RN will work on the Virtual Care Support team with other clinical staff to support the Virtual Care clinicians and patients. The RN will serve as an available resource for patients and clinicians, and act as a care guide to support patients through the continuum of care. He/she/they will carry out assigned nursing tasks and orders as delegated by the clinicians to support patient care. Essential Job Duties: • Assists all patients through the healthcare system by . • Participates in patient-centered team meetings and quality improvement initiatives. • Facilitates health and disease patient education. • Supports patient self-management of disease and behavior modification interventions. • Coordinates (in conjunction with other care team members) continuity of patient care with external healthcare organizations and facilities and referrals from the Virtual Care provider to a specialty care provider. • Coordinates continuity of patient care with • , including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting. • Conducts comprehensive, preventive screenings for patients and/or assists all support staff in daily patient interactions as needed. • Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans. • Facilitates patient medication management based upon standing orders and protocols. • Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to Virtual Care. • Evaluates clinical care, utilization of resources, and development of new clinical tools, forms, and procedures. • Follows standard procedures and protocols related to triage, Rx refills and escalation of care. • Follows protocols and acts on standing orders per clinician guidance to assist with refills, ordering preventative/screening interventions, etc. within RN scope of practice. • Collects and analyzes biometric data to support various population health and patient care initiatives • Provides support to medical assistants regarding clinical guidelines and protocols Requirements: • Bachelor of Science in Nursing (Current RN license in state of residency. Additional multi-state licensure may be required in other states which Doctor on Demand will facilitate.) • Compact licensure required and must reside in a compact state & CA single state license • Excellent verbal communication skills • Proficient computer skills, including experience with google suite • Must have experience working in an electronic health record system or have previous database experience • 2-5 years experience in a clinical setting, ideally in an outpatient clinic with chronic disease management care • Occasional evening and weekend coverage may be required Other Skills/Abilities • Self-disciplined, energetic, passionate, innovative and flexible • Comfort with ambiguity and in fast-paced environments • Able to collaborate well within a team and work independently in a remote setting • Demonstrates sound judgment, decision-making and problem-solving skills About Medix? Medix is dedicated to positively impacting lives every day. Since 2001, we have made it our mission to be the leading provider of workforce solutions for clients and candidates across the Healthcare, Scientific, and Information Technology industries. Our dedicated recruiters are here to help you find and secure just the right opportunity. We take the time to learn about you, your skills, your interests, and your career goals, and then match you with the jobs and companies that best suit your needs. Whether you are looking for a contract, contract-to-hire, or direct hire positions, we can help you to find the meaningful and gratifying work that you've been looking for. • Minimum Essential Coverage (MEC) plan • Two different fixed indemnity plan add-ons • Major Medical Plans, including 1 HSA Plan • Dental • Vision • Short-term disability • Life and AD&D This year’s recipient of the Business Ledger's "Entrepreneurial Excellence Growth Award" Join our network of talented professionals! Pay: $36.00 - $40.00 per hour Benefits: • 401(k) • Dental insurance • Disability insurance • Health insurance • Paid time off • Vision insurance Application Question(s): • Do you have an active Multistate/Compact License as an RN? • Do you have a single state license in the state of CA? • Do you have a Bachelor of Science Degree in Nursing? • Do you have any experience in Primary Care setting and taking care of patients with Chronic Disease conditions? Work Location: Remote
Advocate Health (formed from Advocate Aurora Health and Atrium Health) is a large nonprofit integrated health system operating hospitals and care sites across multiple states, providing clinical services under regional brands including Atrium Health and Advocate Health Care.
Department 12707 Enterprise Corporate - Patient Access & Care Team NC/GA Nursing Status Part time Benefits Eligible Yes Hours Per Week 24 Schedule Details/Additional Information 24-hr position. Work remote. (3) 8-hr shifts - Fri, Sat, Sun OR 9a-9p Saturday & Sunday. Holiday rotation. Pay Range $38.20 - $57.30 Major Responsibilities Engages in unit councils, professional governance, and quality initiatives to improve care processes and apply evidence-based practices. Utilizes the nursing process to assess, plan, implement, and evaluate care, engaging patients and families from admission to post-discharge. Monitors patient conditions, adjusts care plans, mobilizes resources, and collaborates with the care team to influence care outcomes. Upholds and promotes a culture of safety. Continuously evaluates patient, team, and unit outcomes, taking action as needed. Administer medications, treatments, and therapies safely and according to clinical protocols and procedures. Demonstrates effective communication, feedback, and conflict resolution, fostering team collaboration and appropriate delegation. Pursues professional development, completes required education, and maintains certifications. Adhere to the ANA Code of Ethics and practices ethical decision-making, respects interdisciplinary roles, and contributes to integrated, unbiased patient care. Appropriate delegation to other registered nurses, licensed practical nurse, nurse assistants, and other unlicensed assistive personnel. Maintains accurate, timely EHR documentation. May be required to float to other units, departments, or facilities within the designated service area to meet patient care needs. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required Basic Life Support (BLS). Additional education, training, certifications, or experience may be required based on specialty. Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services Note Licensed nurses practicing via telehealth/telenursing/virtual modalities are required to be licensed or hold the privilege to practice in the state(s) where the client(s) is/are located. Licensed nurses are responsible and accountable for knowing, understanding, and practicing in compliance with the laws, rules, regulations, and standards of practice of the state(s) where the client(s) is/are located Education Required Graduate of a Board of Nursing approved nursing education program. Knowledge, Skills & Abilities Required Strong clinical judgment and critical thinking. Time management, prioritization and problem-solving skills. Excellent communication and interpersonal skills. Ability to work in a fast-paced, dynamic environment. Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.) Physical Requirements and Working Conditions Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must be able to push/pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present. Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions. Maneuver foot pedals on carts or machines. Perform physical safety interventions such as patient restraint and verbal de-escalation, if needed. May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary. Must be able to respond quickly to changes in patient and/or unit conditions. Physical Abilities Testing may be required. Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader. Our Commitment to You Advocate Health offers a comprehensive suite of Total Rewards benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Note Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. Apply To This Job Apply To This Job Apply tot his job Apply To this Job
Greenlife Healthcare Staffing is a nationwide healthcare recruitment agency that connects clinicians with hospitals, clinics, long-term care facilities, and other employers for staffing and contract opportunities.
Long-Term Care Registered Nurse (VA Reviewer) - Remote (#25278) • Location: Remote • Employment Type: Contract (Case-based) • Hourly Rate: Per Case Compensation (See details below) About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: We are seeking a highly experienced Long Term Care Registered Nurse to conduct remote case reviews for the Department of Veterans Affairs (VA). In this role, you will provide critical clinical oversight by reviewing medical cases to assess the quality, timeliness, and appropriateness of care. This is an excellent opportunity for a seasoned professional to leverage their clinical expertise in a flexible, remote capacity while contributing to the mission of supporting our veterans. • Why Join Us? • Competitive Compensation: • VA per Case Rates (subject to change per contract year) • A one-time flat rate of $150 onboarding bonus will be paid on your 1st payroll. • Reviewer time is not compensated for training. • Cases are compensated at a flat rate per case and per case type. • Audits FRRs (Facility Requested Reviews) - $95 / case • MAOs (Medical Advisory Opinions) - $225 / case • Flexible, Remote Work: Enjoy the flexibility of working remotely and managing your own schedule. • Work Schedule: Maintain control over your workload with a minimum requirement of 20 clinical hours per month. • Professional Growth: Gain valuable experience in medical legal review and quality assurance for a major national healthcare system. • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes and ensuring high standards of care for veterans. • Legal Protection: All reviews are protected, and reviewers are not required to present in court. • Qualifications: • Education: Graduate of an accredited nursing program. • Licensure: Must hold a current, non-restricted RN license in a U.S. state or territory. • Experience: • Minimum of 5 years of active clinical practice in a Long-Term Care specialty. • Minimum of 2 years of recent experience in the Long-Term Care specialty for which they are reviewing. • Must be actively engaged in the practice of medicine and maintain active hospital privileges. • Technical Skills: Strong analytical and critical thinking skills for comprehensive case review. • Soft Skills: Excellent written communication skills, attention to detail, objectivity, and the ability to work independently. • Key Responsibilities: • Audits/ Facility Requested: • Quality Management Reviews • Standardized set of questions • Was the standard of care timely and appropriate? • approx. 1 hr. to complete • Management Other Cases: • non-standardized set of questions • cases can be initiated for any number of performance improvement indicators • approx. 1 hr. to complete • Medical Advisory Opinions: • non-standardized set of questions by attorneys • typically initiated by patient complaints and malpractice concerns • approx. 2–4 4 hrs. to complete • How to Apply: • If you are a dedicated RN ready to take the next step in your career and make a difference in the healthcare industry, we want to hear from you! Submit your Resume/CV to or call our office at (800) 608-4025 to learn more about this opportunity and others we offer. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives. Long-Term Care Registered Nurse (VA Reviewer) - Remote (#25278) • Location: Remote • Employment Type: Contract (Case-based) • Hourly Rate: Per Case Compensation (See details below) About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: We are seeking a highly experienced Long Term Care Registered Nurse to conduct remote case reviews for the Department of Veterans Affairs (VA). In this role, you will provide critical clinical oversight by reviewing medical cases to assess the quality, timeliness, and appropriateness of care. This is an excellent opportunity for a seasoned professional to leverage their clinical exp
Concierge Home Care is a home health provider offering in-home nursing and clinical services; recruiting a remote clinical manager to oversee and support home health clinicians in Florida.
This a Full Remote job, the offer is available from: Florida (USA) Clinical Manager (RN) – Home Health | Leadership Role | F-M Schedule | Remote Concierge Home Care | Midwest Florida Competitive salary package ($80K+ and bonus potential) Friday-Monday leadership schedule Lead, mentor, and grow a clinical team Concierge Home Care is hiring a Clinical Manager (RN). This is a high-impact leadership opportunity for an experienced home health nurse ready to lead a clinical team, drive patient outcomes, and grow within a rapidly expanding organization. If you’re looking to step into (or expand in) leadership while maintaining work-life balance, this role offers both professional growth and stability. Location: Remote covering the Midwest, FL Compensation & Earning Potential • Competitive base salary (based on experience) • Quarterly performance-based bonuses • Additional earnings: • Pay-per-visit compensation for field visits (if completed) • Administrative on-call pay opportunities Leadership growth opportunities within a rapidly expanding organization Why Nurse Leaders Choose Concierge Home Care Leadership with Real Support • Lead and mentor a team of home health clinicians • Partner with experienced executive and clinical leadership • Influence patient care quality and team performance • Play a key role in agency growth and expansion Work-Life Balance • Friday-Monday schedule • Predictable leadership structure Technology That Supports You • AI-assisted documentation tools to increase efficiency • User-friendly EMR (WellSky/Kinnser) built for home health • Streamlined workflows for improved team productivity Growth & Advancement • Clear pathways to higher-level leadership roles • Ongoing professional development and leadership training • Opportunity to scale teams and expand operations Your Role as Clinical Manager (RN) • Supervise, mentor, and support clinical staff • Ensure compliance with Medicare, state, and regulatory standards • Review documentation for accuracy and quality (including OASIS) • Monitor patient outcomes and drive performance improvements • Collaborate with physicians and interdisciplinary teams • Coach clinicians for professional growth and clinical excellence • Ensure agency policies and standards are consistently followed Benefits & Perks • 3 weeks PTO (increases with tenure) • Quarterly performance bonuses • Health, dental, and vision insurance • 401(k) retirement plan • Employee Assistance Program (EAP) • Referral bonuses ($1,000 per full-time clinical hire) • Supportive leadership and collaborative culture Qualifications • Active, unencumbered Florida Registered Nurse (RN) license • Minimum 1 year RN experience (acute care, med/surg, ICU, ER, or similar) • At least 1 year of skilled home health experience • OASIS proficiency required • Strong knowledge of home health regulations and compliance • Valid driver’s license, reliable transportation, and auto insurance • Ability to travel locally as needed Join a team where your leadership drives real impact—supporting clinicians, improving patient outcomes, and shaping the future of home health care. Employment is contingent upon successful completion of an AHCA Level 2 background screening. For more information, please visit the Florida Care Provider Background Screening Clearinghouse. This offer from "Concierge Home Care" has been enriched by Jobgether.com and got a 72% flex score.
Vitra Health is a Massachusetts-based healthcare organization providing home- and community-based services for aging adults, people with disabilities, and individuals with complex care needs.
About Vitra Health Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Opportunity The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Key Responsibilities • Clinical Oversight and Documentation Review • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Assessment and Care Planning • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Quality Assurance and Compliance • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Staff Development and Training • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. What we are looking for • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in good standing. • Bachelor’s degree in Nursing preferred or equivalent • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Prior experience supervising LPNs strongly preferred. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Work Environment and Physical Requirements • Works in a clean, well-lit environment with fluctuating temperatures in close proximity to others. • Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse. • Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to navigate stairs; requires visual acuity and manual dexterity to operate equipment. Perks and Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status. Apply To This Job
CareerSprint appears to be a recruiting/staffing organization that posts healthcare and clinical job opportunities, including remote nursing roles.
Job Title Clinical Review RN (IDR/Appeals) Experience Open to various clinical backgrounds/experience. Appeals experience not required. Must have 2+ years of clinical experience post graduation, must has critical thinking and problem solving skills. • Must have BSN and New York State RN license* Location Remote (can sit anywhere in the US as long as you can work EST hours) Hours of Operation M-F 7a-530p *flexible start between 7am-9am (40hrs/wk) Start date ASAP Pay $50-53/hr DOE GENERAL RESPONSIBILITIES This individual will complete the full spectrum of activities related to State and Federal Independent Dispute Resolution (IDR) case determinations. They will conduct clinical level review, Prior Authorization, and disputed benefits review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. DUTIES 1. Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, complete electronic worksheets and preparing final determinations. 2. Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles. 3. Training and mentoring new RNs as the project expands. 4. Claims assessment and adjudication. 5. Participate in collaborative training. 6. Other activities as may be deemed necessary. QUALIFICATIONS 1. Knowledge and experience with electronic medical records. 2. Ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff. 3. Excellent written and verbal skills. 4. Ability to work independently with little supervision. 5. Ability and desire to be flexible, innovative, and creative. 6. Ability to meet deadlines in a time sensitive environment. EDUCATION AND EXPERIENCE 1. Licensed, Registered Nurse in NYS, required. 2. BSN required OR bachelor's degree + ASN is acceptable 3. Minimum of two years’ experience in a clinical setting, required Apply tot his job Apply To this Job
Molina Healthcare is a managed care health plan that provides Medicaid, Medicare, and Marketplace services, delivering coordinated care and health plan administration for low-income and vulnerable populations.
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent hospital experience in an intensive care unit (ICU) or emergency room. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
LifePoint Health is a community-based healthcare organization operating hospitals and care sites across multiple U.S. states, providing acute, behavioral health, and outpatient services through a diversified network.
RN Clinical Documentation Improvement Specialist This is a REMOTE opportunity Your experience matters: Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty care providers. Frye Regional Medical Center employs more than 1500 professional and clinical staff. Our medical center is a 355-bed acute care facility which offers a broad array of inpatient and outpatient care. Frye Regional Medical Center provides patients with a full range of services to meet the healthcare needs of our community. We believe our employees are our most valuable assets in accomplishing this goal and we have made great strides to ensure employee satisfaction. If you are passionate about changing lives, we are looking for you! How you’ll contribute: Facilitates improvement in overall quality, completeness, and accuracy of clinical documentation. A Clinical Documentation Specialist who excels in this role: • Conducts daily concurrent reviews of medical records to identify missing, vague and/or incomplete diagnoses and procedures. • Conducts timely follow up reviews of clinical documentation to ensure that issues discussed and issued queries have been answered by providers. • Queries physicians on specificity of procedures performed and diagnoses based on accepted coding guidelines, clinical expertise and LifePoint Health query policy. • Participate in department and facility Quality and Performance initiatives. • Maintains education record and meets minimum corporate CEU requirements. • Maintains clean work station, follows all safety regulations, Code of Conduct and ethics, customer service, and attends hospital training and departmental staff meetings. Qualifications and requirements: Education: Associate’s Degree Nursing (ADN): Required and validated by the presence of a current RN license; Bachelor’s Degree Nursing (BSN): Preferred Licenses: Registered Nurse; One of the following is Preferred - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist - Physician-base (CCS-P), Certified Coding Specialist (CCS) Minimum Work Experience: Three years of clinical work experience Required Required Skills: Minimal completion of Level One on the Clinical Ladder Program annually for Full-time nurses. If not completed, employee forfeits the annual evaluation pay increase and possible termination. What we offer: We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage with medical plans starting at just $10 per pay period tailored benefit options for part-time and PRN employees, and more. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. "We are an Equal Opportunity Employer. We are committed to Equal Employment Opportunity for all applicants and employees and comply with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
RelateCare is a healthcare services company offering nurse triage, post-discharge follow-up, wellness solutions and care coordination to help organizations manage patient care journeys.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required Apply tot his job Apply To this Job Apply tot his job Apply To this Job Apply To This Job
Johns Hopkins Health Plans is the managed care and health services arm of Johns Hopkins Medicine, providing Medicaid, Medicare, commercial and other health plan services as part of the Johns Hopkins health system.
Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP has become a leader in provider-sponsored health plans and is poised for future growth. About this Job: The incumbent will be responsible for the delivery of training modules on case management, disease specific conditions, disease management and population health, along with CM computer documentation systems and Disease Management Databases. This role supports clinical staff across Health Services which includes UM, Medical Directors, CM, Appeals, Pharmacy, etc. This position assists in the documentation process including training manuals, workflows, “tips” and updates. Participates in the assessment of training effectiveness and partners with our QA team which identifies trends. Assists in development of interventions to ensure workflow compliance. Tasks & Duties of this position: • Conducts training sessions for JHHP staff using written materials, oral presentations and audio-visual equipment to assist groups in development of sound skills • Assists in the development of programs that reflect the needs of the organization. • Revises training programs based on evaluations and assessments. • Analyzes and evaluates training programs for impact and effectiveness • Identifies problem areas based on data integrity monitoring. • Assists in design of interventions to address problem areas. • Delivers interventions to end users Requirements: Education: • Completion of an accredited Nursing Program (RN); BSN and/or MSW degree required Work Experience: • Requires three years of managed care experience. • Training or teaching experience required. Salary Range: Minimum 43.61/hour - Maximum 67.59/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. The Hospital reserves the right to modify employee schedules as needed. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Vitra Health is a healthcare organization providing home- and community-based services in Massachusetts, supporting aging adults and individuals with disabilities through nursing, case management, and Adult Foster Care programs.
About the position Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Responsibilities • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. Requirements • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in either good standing. • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Nice-to-haves • Bachelor’s degree in Nursing preferred or equivalent • Prior experience supervising LPNs strongly preferred. Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Apply To This Job Apply To This Job
CopilotIQ (posting via CareerSprint) appears to provide telehealth and remote patient monitoring services focused on chronic disease management and virtual nursing support.
Role Description We are seeking nurses (LPN/LVN) to provide outstanding care to members with diseases such as hypertension, diabetes, and heart failure through remote patient monitoring. The Telehealth Nurse will support members through regular phone visits during which they will discuss how to make progress towards goals, medical and lifestyle education, and how to improve outcomes on chronic conditions. This position offers full-time hours (Monday through Friday 830am-5pm local time), benefits, and the ability to work from home. What you’ll be doing • Perform regular telehealth calls to a dedicated panel of members. • Accurately and confidently provide medical, diet, and wellness education to members. • Ensure accurate and timely documentation. • Maintain good member/nurse rapport. • Ability to perform high quality, high volume calls. • Drive clinical outcomes through member engagement and coordination. • Escalate members to our Provider team as needed. • Provide device support and troubleshooting in a professional, knowledgeable manner. • Provide support and encouragement as indicated. • Maintain a good rapport with members, nursing team, and providers. • As a member of our team, foster and grow a culture of kindness, compassion, and mutual respect. • Assist with special projects and other assignments as needed. Qualifications • Must have a current, active, unrestricted LPN/RN multi-state compact license in a nursing compact state and be in good standing with the Board of Registered Nurses. • A minimum of 2 years hands on nursing experience is required; telehealth and chronic care management experience is strongly preferred. • EHR experience, specifically AthenaHealth, is a plus. • Fluency in English and Spanish is highly preferred. • Comfortable working on a computer; experience navigating through multiple computer applications while on calls; Macbook experience is a plus. • Must have reliable high-speed internet. • Strong time management skills and self-motivation. • Must be a quick learner in a fast paced, changing environment. • Professional and effective communication style that translates across all members of the team and members. • An attitude and work ethic that meets the core values and goals of CopilotIQ. • Self-motivated and able to work well independently. • A willingness to jump in and help where needed to ensure team success. Apply To This Job
St. Luke's Health System is a regional health system operating hospitals and ambulatory services, providing clinical care and community health services across its service area.
Description & Requirements The RPM Nurse Manager is responsible for managing staff, overseeing patient care and ensuring adherence to established policies and procedures. Directs a single nursing unit within a care area. • Be a strong liaison with our ambulatory team within St. Luke's system • Leadership oversight for Remote Patient Management team • Attend all safety huddles within St Luke's system and be a critical player and influencer • Have entrepenurial vision for future areas to support for St. Luke's system • Autonomy in leadership • Use cutting edge technology, including upcoming AI usage • Full-time (1.0 FTE), dayshift, M-F, rotating point leader on weekends • Continuing education scholarships - including conferences, certification, licensure Qualifications • Education: Bachelor's of Nursing Degree • Experience: 5 year's clinical experience in assigned area • Licenses/Certifications: Current RN licensure from the State of Practice AND Current Basic Life Support (BLS) Provider Certified through American Heart Association or American Red Cross What's In It For You At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
Medix is a workforce solutions and staffing company serving healthcare and related industries, offering recruitment and workforce management services.
Job Title: Clinical Review RN (IDR/Appeals) Experience: Open to various clinical backgrounds/experience. Appeals experience not required. Must have 2+ years of clinical experience post graduation, must has critical thinking and problem solving skills. • **Must have BSN and New York State RN license*** Location: Remote (can sit anywhere in the US as long as you can work EST hours) Hours of Operation: M-F 7a-5:30p *flexible start between 7am-9am (40hrs/wk) Start date: ASAP Pay: $50-53/hr DOE GENERAL RESPONSIBILITIES: This individual will complete the full spectrum of activities related to State and Federal Independent Dispute Resolution (IDR) case determinations. They will conduct clinical level review, Prior Authorization, and disputed benefits review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. DUTIES: 1. Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, complete electronic worksheets and preparing final determinations. 2. Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles. 3. Training and mentoring new RNs as the project expands. 4. Claims assessment and adjudication. 5. Participate in collaborative training. 6. Other activities as may be deemed necessary. QUALIFICATIONS: 1. Knowledge and experience with electronic medical records. 2. Ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff. 3. Excellent written and verbal skills. 4. Ability to work independently with little supervision. 5. Ability and desire to be flexible, innovative, and creative. 6. Ability to meet deadlines in a time sensitive environment. EDUCATION AND EXPERIENCE: 1. Licensed, Registered Nurse in NYS, required. 2. BSN required OR bachelor's degree + ASN is acceptable 3. Minimum of two years’ experience in a clinical setting, required
Centene Corporation is a diversified national healthcare enterprise that provides managed care programs and services for government-sponsored and commercial health plans, serving Medicaid, Medicare, and other populations across the U.S.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Work Location This is a fully remote role. Candidates must hold active New York State Registered Nurse (RN) licensure and be willing to work Eastern Time (ET/EST) hours. Licensure Requirement Active and unrestricted New York State Registered Nurse (RN) licensure is strongly preferred for consideration. Schedule This position follows a Monday–Friday schedule from 8:30 AM to 5:00 PM Eastern Time (ET/EST), with a one‑hour assigned lunch break. Candidates must be able to work during these hours. Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. • Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria • Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care • Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member • Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care • Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities • Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines • Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members • Provides feedback on opportunities to improve the authorization review process for members • Performs other duties as assigned • Complies with all policies and standards Education/Experience: Requires a degree from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. • Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred. • Knowledge of Medicare and Medicaid regulations preferred. • Knowledge of utilization management processes preferred. License/Certification: • LPN - Licensed Practical Nurse - State Licensure required • For Fidelis Plan Only: A clinical degree as a healthcare professional is required along with the appropriate license. Examples include Nursing, PT and OT. Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Medix is a healthcare staffing and workforce solutions company that connects clinical and non-clinical professionals with employers across healthcare and life sciences.
Appeals Nurse (Registered Nurse) – Remote (New York RN License Required) Position Summary We are seeking a dedicated and detail-oriented Appeals Nurse (RN) to join our team in a fully remote capacity. This role supports State and Federal Independent Dispute Resolution (IDR) programs through comprehensive clinical review and appeal determinations. The Appeals Nurse will perform clinical-level reviews, prior authorization assessments, and disputed benefits evaluations while collaborating closely with Medical Review Analysts and Physician Consultants to ensure accurate, timely, and compliant case outcomes. This is a remote position; however, candidates must possess and maintain an active, unrestricted New York State Registered Nurse (RN) license. The ideal candidate is an experienced Registered Nurse with strong clinical judgment, exceptional analytical skills, and the ability to thrive in a collaborative, fast-paced virtual environment. Key Responsibilities • Conduct clinical reviews through the appeal level, including chart screening, prior authorization reviews, and disputed benefits evaluations. • Compile applicable regulatory guidance and research payer-specific requirements to support accurate case determinations. • Complete electronic review worksheets and prepare well-documented final determinations. • Assess and adjudicate healthcare claims in accordance with established guidelines and regulatory standards. • Serve as a clinical resource for administrative and clinical staff by providing guidance, problem-solving assistance, and clarification of review determinations. • Provide technical support and actively participate in team huddles and collaborative discussions. • Train and mentor newly hired Registered Nurses as the project and team continues to expand. • Participate in collaborative training initiatives and ongoing quality improvement efforts. • Work closely with Medical Review Analysts, Physician Consultants, and interdisciplinary teams to facilitate efficient case resolution. • Perform additional duties and special projects as assigned. Required Qualifications • Active, unrestricted New York State Registered Nurse (RN) license required. • Bachelor's Degree in Nursing (BSN) or graduation from an approved Registered Professional Nursing program required. • Minimum of 2 years of recent clinical nursing experience in a healthcare setting. • Knowledge of and experience with electronic medical record (EMR) systems. • Strong clinical assessment, analytical, and critical thinking skills. • Excellent written and verbal communication skills. • Ability to collaborate effectively with medical, analytical, and administrative support teams. • Ability to work independently with minimal supervision in a remote environment. • Strong organizational skills with the ability to manage multiple priorities and meet deadlines in a fast-paced, time-sensitive setting. • Flexible, innovative, and solution-oriented approach to problem-solving. Preferred Qualifications • Experience with appeals, prior authorizations, utilization review, claims adjudication, or Independent Dispute Resolution (IDR). • Familiarity with state and federal healthcare regulations and payer guidelines. • Previous experience mentoring or training nursing staff. Why Join Our Team? Enjoy the flexibility of a fully remote position while leveraging your clinical expertise to support fair and accurate healthcare appeal determinations. As an Appeals Nurse, you'll play a vital role in ensuring quality outcomes while collaborating with a multidisciplinary team dedicated to excellence and regulatory compliance.
CareerSprint (posting for CopilotIQ) is a healthcare staffing/technology organization advertising remote telehealth nursing roles focused on chronic care management.
Role Description We are seeking nurses (LPN/LVN) to provide outstanding care to members with diseases such as hypertension, diabetes, and heart failure through remote patient monitoring. The Telehealth Nurse will support members through regular phone visits during which they will discuss how to make progress towards goals, medical and lifestyle education, and how to improve outcomes on chronic conditions. This position offers full-time hours (Monday through Friday 830am-5pm local time), benefits, and the ability to work from home. What you’ll be doing • Perform regular telehealth calls to a dedicated panel of members. • Accurately and confidently provide medical, diet, and wellness education to members. • Ensure accurate and timely documentation. • Maintain good member/nurse rapport. • Ability to perform high quality, high volume calls. • Drive clinical outcomes through member engagement and coordination. • Escalate members to our Provider team as needed. • Provide device support and troubleshooting in a professional, knowledgeable manner. • Provide support and encouragement as indicated. • Maintain a good rapport with members, nursing team, and providers. • As a member of our team, foster and grow a culture of kindness, compassion, and mutual respect. • Assist with special projects and other assignments as needed. Qualifications • Must have a current, active, unrestricted LPN/RN multi-state compact license in a nursing compact state and be in good standing with the Board of Registered Nurses. • A minimum of 2 years hands on nursing experience is required; telehealth and chronic care management experience is strongly preferred. • EHR experience, specifically AthenaHealth, is a plus. • Fluency in English and Spanish is highly preferred. • Comfortable working on a computer; experience navigating through multiple computer applications while on calls; Macbook experience is a plus. • Must have reliable high-speed internet. • Strong time management skills and self-motivation. • Must be a quick learner in a fast paced, changing environment. • Professional and effective communication style that translates across all members of the team and members. • An attitude and work ethic that meets the core values and goals of CopilotIQ. • Self-motivated and able to work well independently. • A willingness to jump in and help where needed to ensure team success. Apply tot his job Apply To this Job
RelateCare is a healthcare services company that provides nurse triage, post-discharge follow-up, care coordination, and wellness solutions to help organizations manage patient care journeys via telephonic and virtual services.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required Apply tot his job Apply To this Job Apply tot his job Apply To this Job
HealthMap Solutions is a healthcare organization providing remote care management and patient navigation services, focusing on coordinated, outcomes-driven programs.
Position Summary The Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination. Location We are hiring candidates that are only located in New York State. This position is 100% remote for New York State residents. Responsibilities • Handle in and outbound calls delivering world-class service to our members • Educate kidney health and related co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options • Engage members into HealthMap’s Kidney Health Program • Follow up with members based on complexity and cadence by policy • Serve as patient advocate for responding and working to resolve concerns or barriers • Utilize community resources and programs in care planning • Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals • Notify providers of identified patient needs based on policy • Comply with HIPAA privacy laws and all other federal, state, and local regulations • Comply with company-defined operational policies and procedures • Comply with company security policies • Accountable for individual metrics and key performance indicators and identified by the organization • Navigate technical applications - Excel, OneNote, Outlook, and Word • Support after hours and various time zones based on business need • Drive patient and families in their own care and to support self-management Requirements • Active, unrestricted RN license required • Bachelor’s degree required; 6+ years of RN experience including 3+ years in case management may be considered in lieu of degree • CCM preferred • Three (3) years of experience in case management preferred • Experience in a dialysis center or transplant center preferred • Experience with Medicare and Medicaid preferred Skills • Advocate and energize a culture of collaboration, positivity, and motivation • Strategic thinking and planning • Deliver effective communication – verbal and written • Succeed in a challenging environment with changing priorities Travel No Travel Compensation range: $80,000 - $105,000 (dependent on specific market/region as well as experience of the candidate selected). Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected. #LI-Remote
The University of Virginia (UVA Health) is an academic medical center and health system with a level 1 trauma center and a National Cancer Institute-designated cancer center, providing comprehensive inpatient and community care.
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients’ severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy. They provide guidance to the physicians nursing and ancillary staff on clinical documentation best practices. They must be self motivated and be adaptive to change. • Responsible for the day to day evaluation of inpatient documentation in accordance with the Clinical Documentation Program requirements. • Ensures the accuracy and completeness of clinical information which is used for measuring and reporting physician and hospital outcomes. • Communicate with members of the medical staff on an ongoing basis to assure the documentation in the medical record adequately reflects the diagnoses being treated and the procedure performed. • In addition to the above job responsibilities, other duties may be assigned. MINIMUM REQUIREMENTS Education: RN, graduate of accredited nursing program and Bachelor of Science in Nursing required within 5 years of hire. Experience: A minimum of three years of experience as a Clinical Documentation Specialist is required. Clinical experience in multiple areas, particularly in the ICU, is preferred. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia. Starting Rate: $73,444.80/year Reference Check Process- Reference Checks will be completed by UVA’s third-party partner, SkillSurvey, during the final phase of the interview process. Five references will be requested, with at least three responses required PHYSICAL DEMANDS This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs. The starting base rate for this role is $73,444.80 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education. Benefits • Comprehensive Benefits Package: Medical, Dental, and Vision Insurance • Paid Time Off, Long-term and Short-term Disability, Retirement Savings • Health Saving Plans, and Flexible Spending Accounts • Certification and education support • Generous Paid Time Off UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond. The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.
Vitra Health is a Massachusetts-based healthcare organization delivering home- and community-based services for aging adults, people with disabilities, and individuals with complex care needs.
About Vitra Health Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Opportunity The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Key Responsibilities • Clinical Oversight and Documentation Review • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Assessment and Care Planning • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Quality Assurance and Compliance • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Staff Development and Training • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. What we are looking for • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in good standing. • Bachelor’s degree in Nursing preferred or equivalent • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Prior experience supervising LPNs strongly preferred. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Work Environment and Physical Requirements • Works in a clean, well-lit environment with fluctuating temperatures in close proximity to others. • Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse. • Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to navigate stairs; requires visual acuity and manual dexterity to operate equipment. Perks and Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status. Apply tot his job Apply To this Job
Optum, part of UnitedHealth Group, is a health services and technology company that delivers care, pharmacy, data and administrative services to improve health outcomes.
Join to apply for the Preservice Review Nurse RN - Remote role at Optum Join to apply for the Preservice Review Nurse RN - Remote role at Optum Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward. As a Telephonic Specialty Medication Preservice Review Nurse you will be performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination. Ready for a new path? Apply today! This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG) You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities • Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) • Validate that cases/requests for services require additional research • Identify and utilize appropriate resources to conduct non-clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources) • Prioritize cases based on appropriate criteria (e.g., date of service, urgent, expedited) • Ensure compliance with applicable federal/state requirements and mandates (e.g., turnaround times, medical necessity) • Review/interpret clinical/medical records submitted from provider (e.g., office records, test results, prior operative reports) • Identify missing information from clinical/medical documentation, and request additional medical or clinical documentation as needed (e.g., LOI process, phone/fax) • Review and validate diagnostic/procedure/service codes to ensure their relevance and accuracy, as applicable (e.g., PNL list, EPAL list, state grid, LCDs, NCDs) • Identify and validate usage of non-standard codes, as necessary (e.g., generic codes) • Apply understanding of medical terminology and disease processes to interpret medical/clinical records • Make determinations per relevant protocols, as appropriate (e.g., approval, denial process, conduct further clinical or non-clinical research) • Review care coordinator assessments and clinical notes, as appropriate • Identify relevant information needed to make medical or clinical determinations • Identify and utilize medically-accepted resources and systems to conduct clinical research (e.g., clinical notes, MCG, medical You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications • Current, unrestricted RN license in your state of residence • Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses • 3+ years of recent RN experience • Computer proficiency, to include proficient data entry skills and the ability to navigate a Windows environment • Distraction free, Dedicated workspace with access to high-speed internet from home (Broadband cable, Fiber, or DSL) Preferred Qualifications • BSN • Compact RN license • Experience working with ICUE • Experience working with prior authorizations for medications • ICD Coding experience or solid knowledge of codes • Specialty medication experience • Background in preservice review/utilization review/utilization management/Prior Authorizations • Background in managed care • TN resident • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Hospitals and Health Care Referrals increase your chances of interviewing at Optum by 2x Get notified about new Registered Nurse jobs in Downers Grove, IL. Chicago, IL $61,300.00-$100,980.00 6 months ago Permanent Staff MICU RN job in Winfield, IL - Make $35 to $58 per hour School Registered Nurse - RN (All Grade Levels) Registered Nurse - Ambulatory Care Manager Chicago, IL $61,300.00-$100,980.00 1 month ago Certified School Nursing Opportunity 25/26 Registered Nurse (RN) | Education | 2000/Week Chicago, IL $61,300.00-$100,980.00 5 months ago Downers Grove, IL $79,040.00-$104,000.00 1 month ago Registered Nurse, RN - Day Shift - 20k Sign-on Bonus Virtual Registered Nurse - Advocate Health Hospital at Home (Lutheran General Hospital) .9 3rd Tinley Park, IL $75,000.00-$85,000.00 1 month ago Mobile In-Home RN, Advocate Health Hospital at Home (Lutheran General Hospital) .9 Days Mobile In-Home RN, Advocate Health Hospital at Home (Lutheran General Hospital) .9 Days LDR - Registered Nurse - $2,357 per week Chicago, IL $75,706.00-$98,422.00 5 days ago Prior Authorization/Clinical Review Nurse Hybrid Elk Grove Village, IL $70,000.00-$80,000.00 1 week ago Virtual Registered Nurse - Advocate Health Hospital at Home (Lutheran General Hospital) .9 Nights Registered Nurse - Pediatric Behavioral Health Chicago, IL $61,300.00-$100,980.00 3 months ago Hickory Hills, IL $45.00-$45.00 2 weeks ago RN, Registered Nurse - OBGYN - Part-time Tinley Park, IL $27.00-$38.50 7 months ago Registered Nurse (RN) - Full-Time 1st Shift We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 61300 - 100980 per year Experience 3 years required Apply tot his job Apply To this Job
CareerSprint appears to be a staffing/recruiting organization advertising healthcare and telehealth nursing roles, listing remote nurse advice line opportunities.
About the Role This role is built for working nurses who want to put their clinical skills to use on their days off — without picking up a second job that demands a second schedule. As a Telehealth Triage RN on our nurse advice line, you'll assess patient symptoms, provide evidence-based guidance, and support safe clinical decision-making — all from home, on your own time. There are no mandatory hours, no shift minimums, and no schedule commitments you pick up available shift blocks when it works for you. Responsibilities • Conduct structured telephone and video triage assessments for patients presenting with a wide range of symptoms and concerns • Apply evidence-based clinical protocols and decision-support tools to guide appropriate care pathways • Advise patients on self-care, home management, or the appropriate level of care to seek (urgent care, ED, 911, etc.) • Provide clear, accurate patient education tailored to each caller's situation and health literacy level • Document all interactions thoroughly and accurately within the company's platform • Escalate calls appropriately and efficiently when a patient requires emergency intervention • Follow established escalation pathways and communicate with on-call clinical supervisors as needed • Maintain patient confidentiality and adhere to HIPAA standards on every call • Participate in required onboarding training and periodic protocol updates Requirements • Active Florida RN license in good standing — OR a multistate license (MSL) issued through an eNLC compact state (no additional Florida registration required for RNs under the enhanced Nurse Licensure Compact) • Minimum 2+ years of acute care, emergency, or similar clinical experience — you should be comfortable making independent clinical assessments with confidence • Tech-comfortable — able to learn and navigate a proprietary telehealth platform; onboarding and training are provided, but a baseline comfort with technology is expected • Reliable high-speed internet connection and a quiet, private home workspace suitable for patient calls • Active professional liability / malpractice insurance (required; as a 1099 contractor, you are responsible for maintaining your own coverage) • Excellent verbal communication skills — calm, clear, and effective with patients under stress Nice to Have • Prior telehealth, nurse advice line, or call center triage experience • AAACN Telehealth Nursing Certification (TNC) • Emergency Department (ED) or ICU background • Experience working with structured triage tools (e.g., Schmitt-Thompson protocols) Apply tot his job Apply To this Job
Triage 4 Pediatrics is an after-hours telephone triage service delivering pediatric health information and advice to pediatric practices nationwide.
Triage 4 Pediatrics is an after-hours telephone triage service providing health information and advice for over 2000 pediatricians nationwide. Due to growth in our company, we are looking for nurses willing to work 24 weekend hours (between 5pm CST on Fridays- 7am CST on Mondays) every 4 weeks. You can split these 24 hours up however you choose over the 4 week period. Additional hours are available beyond the weekend requirements. We are needing nurse who want to regularly work from 11pm CST-7am CST as well! We need experienced pediatric telephone triage registered nurses or registered nurses that have experience in general pediatrics (ex: pediatric med/surg, pediatric ICU, pediatric office nurse, school nurse). Please do not call Triage 4 Pediatrics for an interview. Submit your application through Indeed to be considered for this position. We are looking for friendly, knowledgeable, caring pediatric nurses with a pleasant phone voice that have at least 3 years of recent general hands-on bedside pediatric experience as an RN within the last 5 years. You MUST have a compact nursing license (eNLC) for this position, be able to multitask efficiently, be computer literate, and be able to type while talking. We use multiple computer programs/phone apps simultaneously in this position. We do not count home health, case management, or specialized pediatrics (ex: only cardiology, pulmonology, neurology, etc.) as experience towards this position. We only hire RN's; we do not have positions for RN's with a higher degree or any other nursing degrees/certifications. This is a remote position that allows you to work from home - nationwide. We offer flexible scheduling, weekends and holidays are required, there are available hours during the week if they are desired. We have several positions available. Benefits do not come with this position. Our minimum requirements are as follows: · Must be an RN with at least 3 years of recent general pediatric hands-on bedside experience in the last 5 years (pediatric phone triage is a plus) · Must have RN compact license (eNLC) with excellent pediatric and critical thinking skills · Must have great communication skills as well as a pleasant phone voice · Must be able to maintain a quiet work environment · Must be willing to work some evenings, weekends, and holidays Work Location: • Fully Remote Job Types: Full-time, Part-time, Contract Pay: $28.50 - $47.50 per hour Application Question(s): • What state issued your compact nursing license? • List the pediatric experience you have for the last 5 years including your role as a RN, ages of patients cared for, and type of clinic or hospital unit worked on. (Ex: last 2 years Hermann Memorial, Pediatric med/surg, all peds; 3 previous years St. Mary's ER, mix of adult and peds) Experience: • general pediatric RN: 3 years (Required) License/Certification: • Nurse Licensure Compact (NLC) (Required) Work Location: Remote
UnitedHealth Group is a large healthcare and health benefits company (parent of Optum) providing clinical services, insurance products, pharmacy benefits, and data-driven care solutions across the U.S.
Title: Discharge Care Management Nurse RN - Remote in Tennessee Location: Nashville, Tennessee, United States Job Description: Requisition number: 2368762 Job category: Nursing Primary location: Nashville, TN Additional locations: Memphis, Tennessee | Chattanooga, Tennessee Overtime status: Exempt Travel: No Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Discharge Care Manager (Central or Eastern Region) at UnitedHealth Group, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. The Discharge Care Manager (DCM) will coordinate and document the discharge plan in collaboration with other key clinical care team members. The DCM will also follow the member while in the acute inpatient setting. If you are located in the State of Tennessee, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Evaluation of member discharge needs including delays in care and readmission prevention plan Collaboration with providers and members to coordinate care post discharge Participate in rounds with the Medical Director to discuss cases as needed Identification of internal or community-based program support or resources Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged Assist with coordination of difficult cases needing placement in an alternate level of care facility Documentation of discharge activities as outlined in standard operating procedures and data entry strategies Participate in team meetings, education discussions and related activities Works collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor of Science in Nursing Current, unrestricted Compact RN license in the State of Tennessee 5+ years of recent experience in the acute inpatient hospital setting 2+ years of experience of discharge planning and/or case management Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements Proficient in typing skills and software applications that includes, but is not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook Designated work space and access to install secure high speed internet via cable/DSL in your home Permanent residence in the State of Tennessee Preferred Qualifications: Case Management Certification InterQual/MCG Guidelines or other nationally recognized practice guidelines Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
RelateCare provides nurse triage, post-discharge follow-up, and wellness solutions, helping healthcare organizations coordinate patient care and deliver remote nursing advice and care management.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary USD 56160 - 61740 per year Experience 3 years required Apply tot his job Apply To this Job
Molina Healthcare is a national managed care organization that provides Medicaid, Medicare, and health insurance plans and related healthcare services to individuals and families across multiple states.
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Certified Professional in Healthcare Management (CPHM). Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $30.37 - $59.21 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Vitra Health is a Massachusetts-based healthcare organization providing home- and community-based services, including adult foster care, to support aging adults, people with disabilities, and individuals with complex care needs.
About the position Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Responsibilities • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. Requirements • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in either good standing. • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Nice-to-haves • Bachelor’s degree in Nursing preferred or equivalent • Prior experience supervising LPNs strongly preferred. Benefits • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Apply To This Job
CCMSI is a third-party administrator (TPA) that manages workers' compensation and disability claims and offers remote clinical and administrative roles.
Overview Part-Time Utilization Review Nurse – Remote (Nevada License Required) Location Remote (Reporting to Carson City, NV) Schedule Monday–Friday, 800 AM–1200 PM PST Compensation $40,000–$45,000 annually (part-time, 20 hours/week) Travel Once per year to Carson City, NV Reports To Utilization Review Nurse Supervisor Bring Your Nursing Expertise to a Flexible, Part-Time Role at CCMSI At CCMSI, we don’t just process claims—we support people. As one of the largest employee-owned Third Party Administrators in the nation and a certified Great Place to Work®, we offer meaningful work, manageable caseloads, and a culture where your expertise matters. As an employee-owner, you’ll directly contribute to our success and share in it too. Job Summary We’re seeking a Part-Time Utilization Review Nurse to conduct medical necessity reviews for treatment requests related to workers’ compensation claims. This role is fully remote (Nevada-based) and ideal for a nurse who thrives in a structured, detail-driven environment and enjoys applying clinical judgment to ensure quality, appropriate care. You will review provider-submitted treatment requests, apply evidence-based guidelines, and issue determinations in accordance with Nevada’s utilization review standards. Responsibilities • Utilization Review concerns the quality of care provided to injured employees, including whether the service is appropriate and effective and the quality of treatment. Appropriate service is health care service that is medically necessary and reasonable, and based on objective, clinical findings. • Pursuant to the NAC 616C.123 (1), the criteria or guidelines used in the UR Plan, are consistent with the ACOEM Practice guidelines adopted as standards for the provision of accident benefits to employees who have suffered industrial injuries or occupational diseases. • Other Medical Criteria utilized include but are not limited to • Official Disability Guidelines • The Medical Disability Guidelines • NCM/UR shall use the Guidelines as minimum standards for evaluating and ensuring the quality of programs of treatment provided the injured employee who is entitled to accident benefits. • Reports the diagnosis, ICD 9 code, medical appropriateness of the service, pertinent physical findings, diagnostic and therapeutic procedures, concurrent problems, follow‑up care and the injured employee's functional limitations. • Authorize a determination based on the health care service request reviewed; based on the information provided, meets or does not meet the clinical requirements for medical necessity and reasonableness of said service in accordance with appropriate medical guidelines. • The UR reviewer will process requests in accordance with the timelines specified in Nevada Revised Statute and Nevada Administrative Code. Qualifications Qualifications (Required) • Active, unrestricted Nevada nursing license (RN). • Nursing degree (Associate’s or Bachelor’s). • Prior Utilization Review experience. • Strong clinical background; ability to evaluate complex medical information. • Excellent written and verbal communication skills. • High attention to detail with the ability to shift priorities as needed. • Proficiency with Microsoft Office and electronic documentation systems. Nice to Have • Experience in trauma, orthopedics, occupational medicine, rehab therapy, med-surg, or workers’ compensation. • Exceptional organizational skills and the ability to work independently. How We Measure Success • Timely and accurate utilization review determinations. • Responsiveness to internal and external stakeholders. • Quality, clarity, and compliance of documentation. • Annual Performance Evaluation. What We Offer • 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship CCMSI does not provide visa sponsorship for this position. ADA Accommodations CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example—no matter their title We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #NurseJobs #NursingCareers #RemoteNurse #WorkFromHomeNurse #PartTimeNurse #UtilizationReviewNurse #HealthcareJobs #MedicalReview #WorkersCompensation #NurseLife #NevadaJobs #CarsonCityJobs #ClinicalReview #NurseHiring #NowHiringNurses #HealthcareCareers #RNJobs #NursingCommunity #HiringNow #WorkFromHomeJobs #PartTimeJobs #RemoteJobs #WorkInHealthcare #NursesOfLinkedIn #NursingProfessional #NurseRecruitment #NurseOpportunities #HealthcareAdministration #MedicalCaseManagement #ClinicalNurseSpecialist #NurseSupport #LI-Part Time #LI-Remote Apply tot his job Apply To this Job
CareerSprint appears to be a recruiting/staffing organization advertising healthcare and nursing roles.
Triage RN - Remote- PART TIME Job Description We are hiring for a part-time Triage RN! This is a remote position, if you are interested in joining our team, we encourage you to apply today! Must reside in the state of MN, WI or CO. and be licensed in these states or willing to obtain. Triage RN Job Details • Hours - (12 hour shifts) • Schedule - Day Shirft 7 am-7pm, every other weekend • Pay - $36 - $38 / hour • REMOTE Triage RN Responsibilities • Take triage calls from the various AL and MC sites during nonbusiness hours and on weekends. • Document appropriately in the EHR any direction and necessary information for the site clinical team to follow up and through with • Prepare activity and incident reporting for the site Clinical Team(s) to use in order to analyze call volume and potential training necessary for site staff to work safely and efficiently. • Must be willing to participate in any investigations and or surveys where after-hours calls are involved. • Documents appropriately in the EHR. • Promotes a positive, team approach and a healthy work environment for those who rely on their expertise. Triage RN Qualifications • Maintains a current state license as a Registered Nurse per state regulations. • A minimum of 5 years’ experience in home health, assisted living or long-term care is preferred. • Good organizational skills with the ability to self-start and follow through with initiatives with a minimal amount of supervision. • Exhibits a caring heart with a passion to care for the elderly. • Possesses good judgment, problem-solving, and decision-making skills. • Exceptional verbal and written communication skills. • Experience using an HER specifically Eldermark and Point Click Care • Must have excellent communication skills, patience and empathy for onsite staff and residents. • Must be confident in clinical knowledge and decisive. • Have a good understanding of pharmacology, basic first aid and Blood Glucose monitoring. • Past supervisory experience a plus. Apply tot his job Apply To this Job
RelateCare (posted via CareerSprint) provides telephonic nurse triage, post-discharge follow-up, and wellness solutions to help healthcare organizations coordinate patient care.
Shift pattern We are looking for Registered Nurses with active Compact Licenses who are able to work evenings and weekends . Shifts available • Alternating weekends (8 hour shifts Sat and Sun) plus 1-2x 2-4 hour shifts per week • Part time, 16-24 hours per week The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Experience working remotely preferred • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred • Peds experience an advantage but not a necessity About us RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Job Types Part-time, Permanent Pay $29.00 per hour Benefits • 401(k) • Dental insurance • Health insurance • Vision insurance Application Question(s) • For which states do you currently hold RN licensure? • Do you hold a BSN? • How many years experience do you have as an RN? Experience • Triage 1 year (Preferred) • Telehealth 1 year (Preferred) Work Location Remote Apply tot his job Apply To this Job
Virtual Vocations Inc is a remote-job marketplace and job board that aggregates and lists telecommuting opportunities, including remote healthcare and nursing roles.
To support a growing Clinical Consultation team, four full-time RN Telehealth Triage Nurses will triage calls, assess patient needs, and provide care advice in a remote work environment. Key responsibilities Apply the nursing process to triage calls, assessing and planning appropriate care interventions Identify caller needs and evaluate the necessity for alternative treatment options through telephonic assessment Refer patients to appropriate levels of care, including emergency services, while adhering to quality assurance standards Required qualifications Bachelor's degree in nursing (BSN) preferred Active unrestricted RN compact licensure required Two years of recent clinical practice experience Proficiency in multiple computer applications and screens
TAMMIRA is a mobile wellness livestream platform connecting nurses with adolescents for virtual wellness, health education, and mentorship through a secured iOS app.
Remote, Gig Part-Time 1099 contractor work- Telehealth Registered Nurse (RN). Virtual livestream mobile app for Adolescents. Looking for an RN comfortable educating on livestreamed events about our wellness modules for students (10-22 years old). There will always be 1-2 nurses and/or health care professional hosting/moderating during each livestreamed event. You can work a few hours on the weekends as needed based on students schedules and for training purposes. Due to the negative influences of social media, adolescents can feel insecure about their appearance with risks for eating disorders and poor mental and physical health. We’re a wellness and beauty livestream platform focused on providing our youth a safe space to feel comfortable with personalized digital spaces co-habited by responsible yet relatable nurses who can offer real-time accurate information about wellness, health and beauty-related topics. This is remote, virtual role is to provide wellness support to our pediatric users in their mental health and wellness journeys through education (e.g., self-awareness, self-esteem) in a supportive environment. Role Summary Our Virtual Wellness RNs provides virtual, professional nursing care to the platform’s adolescents as referred by the school districts; school nurse, school counselors, social workers and/or requested by the adolescent/family, and in compliance with the state’s Nurse Practice Act, any applicable licensure/certification requirements, and the organization’s policies and procedures. The RN is fully responsible for the virtual assessment, care planning, telephonic intervention, and overall virtual care remote monitoring and follow up. Provides triage/on-call support with referrals to behavioral health medication support as needed. Makes appropriate referrals for evaluation/care to other disciplines and services if need identified, and coordinates care with office care manager to ensure effective and efficient care is provided. Utilizes interview, evaluation in assessing clients and applies nursing judgment, consistent with practice standards, in formulating interventions & making recommendations to the physician, agency, and client. Duties may include but are not limited to: • Conduct TAMMIRA Wellness Program via our virtual livestreamed secured platform • Provide mental health early prevention screenings, psychoeducation, counseling, mentorship and emotional support • Accurately assessing needs, delivering or directing the appropriate level of care • Identify potential health problems and influence adolescents to make better, healthier decisions • Utilize evidence-based practice to provide best in class virtual care • Serves as liaison between adolescents, parents, and TAMMIRA nurse staff • Observe, recognize, report and respond appropriately to physical, emotional and behavioral changes by our adolescent users • Actively participate in interdisciplinary team meetings to discuss about the care, address challenges and develop future collaborative Wellness Program plans • Provide education on preventative care, lifestyle modifications and self-management strategies • Provide feedback about opportunities to improve the quality of care and operational processes • Contributes to the development, implementation, and evaluation of the Wellness Program • Demonstrates the knowledge, skills and ability to recognize emergency situations and seeks assistance and initiates appropriate intervention • Properly triage for depression, crisis, and suicide issues • Demonstrated strong nursing, nutrition, exercise, chronic disease and health promotion, and customer service skills. • Well-developed communication and interpersonal skills to provide effective interface with wellness team, parents and adolescents, and other related customers. • Demonstrated ability to effectively use health coaching and motivational interviewing techniques to assist patients in achieving health goals. Health Coach Certification a plus. • Preferred by not required: Analyze clinical data and prepare reports to identify trends, measure outcomes, and support continuous quality improvement efforts. Requirements • You must have an iOS iPhone (we're only in the Apple App Store) • You must be a U.S. Citizen to apply for this job • Experience working in a virtual or telehealth setting is a plus • Care and compassion, and a desire to build rapport with patients • Pediatric experience preferred • Behavioral health experience preferred • Reliable high-speed internet service • Provide 2-3 professional references that you report to upon request Education Requirements • Associates Degree in Nursing required; Nursing Diploma or by endorsement • Bachelors Degree in Nursing preferred • Graduate of a school of practical or vocational nursing approved by the appropriate State, agency, and/or accredited School of Nursing or by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Experience Requirements • 3 years of nursing or case management experience required. • Working knowledge of regulatory requirements and accreditation standards strongly preferred. Licenses/Certification Requirements • RN License required; Current state nursing licenses or valid RN license from a participating state in the National Licensure Compact This is freelance, remote-work only Prefer licensed nurses in California or willing to get CA licensed, USA candidates only apply Please no agencies Please (1) submit your resume via LinkedIn to this job post Please submit your resume via LinkedIn portal here and check into your spam/junk folders in case we send you an interview invitation. TAMMIRA® is an interactive mobile app with a holistic approach to wellness that adapts to each user’s wants and needs. The TAMMIRA® app virtually connects a Personalizer™ Nurse with self-care enthusiasts (Learners) for customized, real-time interaction and services.
Webflow is a company that provides a visual web design and hosting platform for building responsive websites. (Listing may be misattributed if related to a healthcare role.)
• Part-Time / Flexible Schedule | Estimated up to 20 hours per week • We are seeking a compassionate and reliable Nurse Practitioner to provide telehealth services for patients receiving Home Health care. This role is ideal for an NP who is comfortable working independently, coordinating with clinical support staff, and providing high-quality patient care through virtual visits. • Position Summary • The Telehealth Nurse Practitioner will conduct virtual visits with Home Health patients while a Medical Assistant is present with the patient. The NP will assist with establishing care, follow-up visits, ongoing clinical management, review and signing of appropriate Home Health orders, and coordination with the care team throughout the patient’s Home Health episode. Responsibilities: Conduct telehealth visits with Home Health patients, with a Medical Assistant present. Complete initial evaluations/establish care visits for patients admitted to Home Health services. Provide follow-up visits and ongoing clinical oversight while patients are receiving Home Health care. Review, complete, and sign appropriate Home Health orders and related documentation within the scope of practice. Coordinate with the Medical Assistant to schedule appointment times that work for the patient, provider, MA, and care team. Communicate patient needs, updates, and clinical concerns to the appropriate Home Health team members. Document visits accurately and timely in the designated medical record system. Support continuity of care by helping manage changes in patient condition, medication updates, care plan needs, and other clinical concerns as appropriate. Maintain compliance with applicable clinical, regulatory, and documentation standards. Schedule and Patient Load Flexible patient load based on provider availability. Estimated workload is up to approximately 20 hours per week on the high end. Appointment times will be coordinated with the Medical Assistant and scheduled based on availability of all parties involved. Qualifications: Active Nurse Practitioner license in good standing. Board certification as an NP, such as FNP, AGNP, or related specialty. Experience with adult, geriatric, primary care, chronic care, or Home Health patients preferred. Comfortable providing care via telehealth. Strong documentation and communication skills. Ability to collaborate with Medical Assistants, Home Health staff, and other members of the care team. Must be able to review and sign clinical orders within applicable scope of practice and state/federal requirements. • Ideal Candidate: • The ideal candidate is dependable, patient-focused, organized, and comfortable managing Home Health patients remotely. They should be able to communicate clearly with patients and staff, complete documentation promptly, and coordinate effectively with the MA to ensure smooth telehealth visits. Work Setting: Remote telehealth role. Visits are conducted virtually with Home Health patients. Medical Assistant will be present with the patient during visits. Pay: From $62.00 per hour • Benefits: • Flexible schedule Work Location: Remote
Cohere Health provides clinical intelligence and AI-powered solutions to health plans and providers to streamline prior authorization, utilization management, and payment integrity across the care continuum.
Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes. What you’ll do: • Consult with Medical Directors on clinical determinations, medical necessity decisions, and related clinical correspondence • Prepare clear, accurate, and compliant member and provider communications in alignment with regulatory and organizational requirements • Understand regulatory requirements governing utilization management decisions and ensure appropriate application to clinical determinations and communications • Understand when and why member and provider notifications are required, including regulatory and clinical triggers for written communication • Support verbal notification workflows when timely communication of clinical determinations is required • Document clinical information completely, accurately, and in a timely manner • Consistently meet or exceed productivity, quality, and turnaround time expectations • Maintain a thorough understanding of accreditation and regulatory requirements and ensure utilization management decision-making and timeliness standards remain in compliance • Perform other duties as assigned What you’ll need: • Registered Nurse with active, unencumbered license in the state of residence • Experience developing member and provider correspondence within a health plan environment • Minimum of 3 years of clinical experience • Utilization Management experience required • Knowledge of NCQA and CMS standards and requirements • Thrive in a fast paced, self-directed environment • Understand how utilization management and case management programs integrate • Strong communication skills, able to effectively communicate in a positive and engaging manner and able to remain calm and professional under pressure • Comprehensive thinker/planner with understanding of clinical algorithms, care pathways, and how to effectively manage utilization across the care continuum to achieve optimal patient outcomes • Highly organized with excellent time management skills • Thrives on continuous process improvement, always actively seeking out practical solutions • Demonstrated ownership mentality with a willingness to take on new challenges and contribute beyond defined responsibilities when needed. • Bachelor’s degree in Nursing • Utilization Review/Utilization Management experience • Proficiency in using a Mac • Experienced with G suite applications Important to know about this role: • This is a 100% remote role, and requires robust internet speeds (above 50 megabytes/second), including the ability to utilize zoom meeting software and to stream video • The department is staffed seven days per week, 8am-8pm EST and shifts will be assigned based on need • This is a full time, 40 hour per week opportunity Pay & Perks: 💻 Fully remote opportunity with about 5% travel 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program 📈 401K retirement plan with company match; flexible spending and health savings account 🏝️Up to 184 hours (23 days) of PTO per year + company holidays 👶 Up to 14 weeks of paid parental leave 🐶 Pet insurance The salary range for this position is $31.00 - $35.00/hour; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Interview Process*: • Internet Speed Test • Behavioral Interview(s) with your Hiring Manager! *Subject to change About Cohere Health: Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone. We can’t wait to learn more about you and meet you at Cohere Health! Equal Opportunity Statement: Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal. #LI-Remote #BI-Remote
Fonemed is a telehealth company offering remote clinical services and virtual nursing roles, including telephone triage and patient advice.
A leading telehealth company is seeking a Telehealth Triage Nurse to provide remote nursing care and telephone advice to patients across the United States. Candidates must have a compact nursing license and a minimum of 3 years of clinical experience, preferably in areas such as ER, Pediatric, or ICU. The role requires strong clinical assessment and communication skills, as well as a private HIPAA-compliant home office setup. Join us to practice your nursing skills while making a difference from home.
TalentLNX appears to be a staffing or recruitment firm posting healthcare roles; this listing recruits a telehealth RN for specialty pharmacy patient support.
Job Summary We are hiring a full-time Registered Nurse to join the patient services team at an established specialty pharmacy organization. In this telehealth-based role, you will provide one-on-one clinical support to patients prescribed complex specialty medications, helping them start and stay on therapy with confidence. Your day-to-day will include virtual consultations, personalized coaching, benefits and insurance guidance, and ongoing follow-up to ensure patients feel supported throughout their treatment. This role is best suited for a nurse who is energized by meaningful patient relationships, comfortable working independently in a remote setting, and experienced navigating the specialty medication landscape. Duties • Conduct virtual one-on-one consultations with patients to provide education on their prescribed specialty therapy, expected outcomes, and how to manage their treatment at home • Coach patients on adherence strategies and self-management techniques using supportive, motivational communication • Help patients understand their insurance coverage, work through prior authorization processes, and connect them with financial assistance programs when needed • Serve as a consistent, trusted point of contact throughout the patient's treatment journey • Collaborate with physician offices, specialty pharmacies, and clinical teams to remove barriers and keep patients on track • Document all patient interactions accurately and in full compliance with HIPAA requirements • Recognize and report safety concerns, adverse reactions, and product issues following established procedures Requirments: • Active, unrestricted RN license in good standing (ASN or BSN required) • Minimum 2 to 3 years of nursing experience • Comfortable conducting patient consultations in a virtual environment • Strong communication skills with the ability to simplify complex clinical information for patients • Experience working alongside physician offices, pharmacies, or other clinical stakeholders • Organized, self-directed, and able to manage a patient caseload without direct supervision • Proficient in Microsoft Office Suite Preferred Requirements: • Background in telehealth nursing, case management, or a patient support program • Experience with specialty medications, biologics, or patients managing complex chronic conditions • Knowledge of insurance verification, prior authorization, or patient assistance programs • Familiarity with adverse event and product complaint reporting processes • Bilingual in English and Spanish a plus Pay: $70,000.00 - $90,000.00 per year Benefits: • 401(k) matching • Dental insurance • Health insurance • Health savings account • Life insurance • Paid time off • Parental leave • Retirement plan • Vision insurance Application Question(s): • Do you have experience working in a telehealth, remote patient support, or call center nursing role? • Have you worked with patients managing specialty medications, biologics, or complex chronic conditions outside of a hospital setting? • Do you have experience navigating insurance processes such as prior authorizations, benefits verification, or patient financial assistance programs? Language: • Spanish (Preferred) Work Location: Remote
All Together Recovery LLC provides substance use disorder and behavioral health services including recovery housing, education, job training, and related recovery supports in both for-profit and non-profit settings.
Role Description All Together Recovery LLC (ATR) provides multiple levels of ASAM SUD/BHSO care, including recovery housing, education, job training, employment, and other recovery-related extensions to the family in for-profit and non-profit environments. The Advanced Practice Registered Nurse (APRN) is responsible for general medical oversight of clients while participating in ATR. The APRN is a licensed independent practitioner who is responsible for managing health issues and coordinating health care for clients in accordance with local, state, and federal rules and regulations and the nursing standards of care. • Assessment of health status • Diagnosis • Development of plan of care and treatment • Implementation of treatment plan • Evaluation of client status The APRN will also provide evidenced-based treatment modalities for substance abuse through group therapy sessions. We are looking for a telehealth APRN to be scheduled every other weekend to provide coverage for the medical team at ATR. Qualifications • Must have a minimum of a master’s degree in nursing • Current APRN with 2 years in license • Must possess a current valid unrestricted license from the Kentucky Licensing Board • Prefer medical SUD experience • Prefer experience working with various funding streams and ability to collaborate with internal grant and billing departments • Experience in crisis intervention and conflict resolution skills • Experience in residential SUD treatment setting preferred Requirements • Must have a valid Kentucky driver’s license • Participate in all necessary staff meetings and hold weekly medical team meetings • Be proficient in all ATR rules, policies, and procedures • Model servant leadership • Operate with integrity in all circumstances • Communicate effectively and be responsive to verbal and written correspondences • Prescribing treatment for detoxification including comfort measures, hydration, prescription medications as needed for severe symptoms • Management of chronic medical issues including referral to appropriate medical care providers; maintaining and adjusting medications; obtaining appropriate diagnostic studies • Assess and treat acute illnesses or injuries • Monitor and evaluate medical progress and modify treatment as needed • Perform assessments on new intakes to determine medical conditions that may impact recovery • Participate as a therapeutic team member for staff and clients in appropriate counseling situations • Educate clients and staff regarding disease processes and self-management of chronic conditions • Ensure that all staff are current in CPR/first aid and communicable diseases/blood borne pathogens education as well as any medical related CEUs • Maintain relationships with local pharmacies, medical/dental care providers, and medical facilities • Provide appropriate screening of clients and staff such as TB skin testing or immunizations • Provide mandatory on-call coverage as needed • Provide direct oversight of all medical staff • Assume PCP role for clients in 2.1 level of care and manage their medical care while within the program • Lead group therapy sessions as directed by program manager • Create notes in EHR system • Initiate necessary policies/procedures related to medical processes and medication management, infection control, etc. • Medical evaluations and treatments guided by national standards of care established for specific illnesses or conditions • Serve as on-call contact for ATR a whole month twice a year and on an as-needed basis • Maintain all required professional licenses • All other duties assigned Company Description
Humana Inc. is a large health insurance and health services company offering medical insurance products, Medicare plans, and care coordination services.
A leading healthcare services provider is looking for a dedicated Registered Nurse to join as a Care Manager. In this remote role, you will be responsible for assessing patients' needs, developing care plans, and providing education through telephonic interactions. The ideal candidate will have a Bachelor's in Nursing and 3-5 years of clinical experience. Competitive compensation and benefits are included.
CareXM is a healthcare organization providing remote nursing support and telephonic triage services to home health and hospice partners.
CareXM is looking for a remote Registered Nurse (RN) to provide after-hours telephone triage care for hospice and home health partners. The role requires 4+ years of clinical nursing experience, an RN license in a compact state, and the ability to work flexible hours. Responsibilities include communicating with patients, assessing needs, and documenting care in the EHR. The position offers a competitive hourly pay and the potential for paid training, along with benefits for full-time employees.
Centene Corporation is a large diversified healthcare company that provides managed care and services for government-sponsored and commercial health programs, including Medicaid and Medicare beneficiaries.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Registered Nurse Strongly Preferred Compact RN License Required Schedule: Monday - Friday, 8:00a - 5p CST Position Purpose: Drafts correspondence letters based on review outcomes in accordance with National Committee for Quality Assurance (NCQA) standards. Works with senior management to identify and implement opportunities for improvement. • Performs clinical review of outcomes including creating and editing denial letters with the correspondence team based on denial determinations in accordance with National Committee for Quality Assurance (NCQA) standards • Contributes to correspondence letter template creation and maintenance with the correspondence team • Investigates denials through comprehensive review of clinical documentation, clinical criteria/guidelines, and policy, including insurance rejections due to coding issues and provides supplemental information to resolve denial claims • Assists with issues and/or questions related to correspondence with the state, local, and federal agencies including third party payer to ensure issues are resolved in a timely manner • Maintains and monitors cases to ensure timely resolution and logs of actions and/or decisions are appropriately documented • Coordinates with interdepartmental teams on training needed within the utilization management team based on trends • Provides feedback to leadership to improve clinical processes and procedures to prevent recurrences based on industry best practices • Performs other duties as assigned • Complies with all policies and standards Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: • LPN - Licensed Practical Nurse - State Licensure required and • For Superior Plan: RN license Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Orchard LLC (also known as Talent Orchard) is a staffing and talent acquisition firm; this posting supports a not-for-profit client that conducts medical claims review, fraud/waste investigations, utilization review, and program quality oversight.
Nurse Specialist – Medical Claims Review Work from Home within the Continental United States @Orchard LLC is supporting a not-for-profit corporation that partners with public and private sectors to create high-quality, safe, and efficient delivery of health care and human services programs. Our client has multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our client is also a national leader in fighting fraud, waste, and abuse for large organizations across the country. In addition, our client operates a foundation providing grant opportunities to those with programs for under-served communities. Our client is seeking an experienced Medical Review RN (Nurse Specialist) to join their Investigation clinical team. The role requires superior analytical skills and a proven ability to evaluate medical claims data. If you love digging into the data, this is the perfect job for you! The nurses on this team perform medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed and assesses for potential overpayment, fraud, waste, and abuse with regards to Medicare, Medicaid, and/or other claims. Essential Duties and Responsibilities: • Performs medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed and assesses for potential overpayment, fraud, waste, and abuse with regards to Medicare, Medicaid, and/or other claims. • Reviews beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. • Completes desk review or field audits to meet applicable contract requirements and to identify evidence of potential overpayment or fraud. • Consults with benefit integrity investigation experts and pharmacists for advice and clarification. • Completes case summaries and provides results to investigators to support the investigative process. • Provides case specific or plan specific data entry and reporting. • Participates in internal and external focus groups, as required. • Participates in provider onsite visits and beneficiary interviews, as required, for field audits/investigations. • Testifies at various legal proceedings, as necessary. • Provides job-specific orientation and training, as needed. Helps develop training content, resources, and programs specific to job functions. Your background will include. • Minimum Bachelor’s Degree required • 2 - 4 years of experience required in medical review and/or utilization review; 5 - 7 years preferred • Medicare or Medicaid experience preferred Certificates, Licenses, Registrations • Current, active and non-restricted RN licensure required. If you match the requirements for this opportunity and believe you have the experience and talent to succeed in the role, we need to hear from you! Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at www.atOrchard.com. Option 1: Create a New Profile Create Profile and Apply to Job Option 2: Login and Apply Username Password Submit
Annapolis Pediatrics is a Maryland-based pediatric healthcare provider offering clinical services for children. This posting seeks nursing support for telephone triage and patient guidance.
A pediatric healthcare provider in Maryland is seeking a Telephone Triage Nurse (RN) to provide remote care and advice for pediatric patients. The ideal candidate will have an active Maryland RN license, BLS certification, and possess excellent communication and organizational skills. This role supports families by ensuring high-quality care and education, requiring 1-2 years of pediatric nursing experience. Full-time and part-time positions are available, offering a flexible work schedule. J-18808-Ljbffr
SSM Health is a nonprofit Catholic health system operating hospitals, outpatient services, home health and hospice across the U.S. Midwest, providing clinical care and health system services.
It's more than a career, it's a calling IL-REMOTE Worker Type: Regular Job Highlights: We are looking for nurse who possesses leadership and oversight of documentation quality processes for home health and hospice services. This role ensures consistent, high-quality clinical documentation and works collaboratively across teams to maintain compliance and support billing integrity. In this role you will be responsible for • Oversee quality review of clinical documentation processes across home health and hospice • Monitor front-end documentation workflows to ensure consistency, accuracy, and adherence to standards • Lead and manage the coding team responsible for evaluating documentation for coding accuracy and billing integrity • Partner with cross-functional stakeholders to identify risks and recommend process improvements impacting documentation and billing • Support compliance initiatives and uphold organizational standards for documentation quality and integrity Qualifications • Experience in clinical documentation quality review, coding, or related healthcare operations • Strong understanding of documentation standards, coding practices, and billing integrity • Demonstrated ability to lead teams and manage performance in a complex healthcare environment • Experience collaborating across departments to drive process improvement and risk mitigation • Knowledge of home health and/or hospice operations Pay Range: $82,867.20 - $132,579.20 Pay Rate Type: Salary SSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting. SSM Health may ultimately pay more or less than the posted range as permitted by law. Job Summary: Provides oversight and leadership of the daily operations of the quality review and coding team. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES • Identifies areas for process improvement and participates in the development, implementation, evaluation and monitoring of new processes for quality review and coding. Leads others during implementation of changes. • Coordinates and communicates key issues, status, or other information with regional operational and system leaders. • Collaborates with providers to promote quality outcomes for operations. Supports operations by problem identification and resolution, cost containment, implementation of new services, and systems/performance measures. Uses evidence-based research and best practice for improvement of patient care outcomes and clinician efficiency. • Supports the review of Outcome and Assessment Information Set (OASIS) assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy. Utilizes OASIS variation or alert report when reviewing OASIS data and ensures applicable OASIS files are uploaded and shared to Center for Medicare and Medicaid Services (CMS) portal. • Notifies organizational leadership of opportunities resulting from the OASIS reviews. • Serves as subject matter expert for evaluation, management, procedural quality review and coding in assigned areas. Interacts with quality reviewers, coders, physicians, and other health care practitioners to ensure common understanding of coding and documentation, guidelines/principles, government and commercial payer rules and regulations. • Acts as a resource to physicians, information technology, and quality review and coding teams regarding electronic health record templates and tools. Assists with template development and ongoing review to ensure templates facilitate streamlined workflow for physicians while also ensuring accurate code selection. Provides support to physicians as requested or deemed necessary, may be required to travel to provider. • Provides oversight to ensure coders can abstract code and work charge/claim review, queues, and coding-related denials. • Recruits, engages, develops, leads, and manages assigned staff. • Performs other duties as assigned. EDUCATION • Bachelor’s degree in nursing required or equivalent years of experience and education EXPERIENCE • Five years' experience in home health, hospice, post-acute, or other health related organization, with demonstrated leadership responsibility PHYSICAL REQUIREMENTS • Constant use of speech to share information through oral communication. • Constant standing and walking. • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. • Frequent sitting, reaching and keyboard use/data entry. • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. • Frequent use of smell to detect/recognize odors. • Frequent use of hearing to receive oral communication, distinguish body sounds and/or hear alarms, malfunctioning machinery, etc. • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. • Occasional lifting/moving of patients. • Occasional bending, stooping, kneeling, squatting, twisting, gripping and repetitive foot/leg and hand/arm movements. • Occasional driving. • Rare crawling and running. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Driving Record - Motor Vehicle Report (MVR) • And • Driver License – State Issued • And • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Driving Record - Motor Vehicle Report (MVR) • And • Driver License – State Issued • And • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Missouri Division of Professional Registration State of Work Location: Oklahoma • Driving Record - Motor Vehicle Report (MVR) • And • Driver License – State Issued • And • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Driving Record - Motor Vehicle Report (MVR) • And • Driver License – State Issued • And • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8444000114 Hospice-HH Coding Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. • Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. • Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
UnitedHealth Group is a large health care and insurance company; its Optum division provides clinical services, data, technology and population health management solutions.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Schedule will vary to include some weekend requirements based off the business needs. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria) • Discuss cases with facility healthcare professionals to obtain plans-of-care • Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management • Participation in discussions with the Clinical Services team to improve the progression of care to the most appropriate level • Consult with the Medical Director, as needed, for complex cases and make appropriate referrals to downstream partners • Apply clinical expertise when discussing case with internal and external Case Managers and Physicians • Identify delays in care or services and manage with MD • Follow all Standard Operating Procedures in end-to-end management of cases • Obtain clinical information to assess and expedite alternate levels of care • Facilitate timely and appropriate care and effective discharge planning • Participate in team meetings, education, discussions, and related activities • Maintain compliance with Federal, State and accreditation organizations • Identify opportunities for improved communication or processes • Participate in audit activities and meetings You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Active, unrestricted RN license in state of residence • 1+ years of clinical nursing experience in a Hospital setting • Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms • Designated workspace and access to install secure high-speed internet via cable / DSL in home Preferred Qualifications: • Bachelor’s degree • Compact RN license • 2+ years of acute inpatient case management experience/utilization review • 1+ years of experience in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company • Managed care experience • Experience performing discharge planning • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Vindara Health is a telehealth clinic focused on diagnosing and treating complex chronic illnesses such as long COVID, ME/CFS, POTS, MCAS, dysautonomia, and tick-borne infections, emphasizing specialist-quality remote care and clinician-focused workflows.
At Vindara Health, we're building a new kind of clinic for complex chronic illness — long COVID, ME/CFS, POTS, MCAS, dysautonomia, and tick-borne infections. Our co-founder and CMO is Dr. David Kaufman, one of the world's foremost specialists in these conditions. You'd be working directly with Dr. Kaufman and our clinical team from day one. We've built an intelligent clinical system that handles the non-clinical work — record assembly, data synthesis, documentation, coordination. Our clinicians focus on patients, not paperwork. The result is specialist-quality care at a fraction of the typical cost. We're opening our doors to the first patients and starting to grow our clinical network. This is an opportunity to be part of the early rollout, shape how care is delivered, give feedback on our platform, and work closely with the founding team. THE ROLE This is an early hire. You'll be joining a small clinical team, working closely with our CMO during a formative period. You'll have real input into how we deliver care, how we build the platform, and how we grow. Extensive training and ongoing mentorship from our clinical leadership included. What you'll do: - Carry a panel of patients with complex chronic illness (long COVID, ME/CFS, POTS, MCAS, dysautonomia) - Deliver care via telehealth, with time to actually listen and investigate - Help shape clinical protocols and training as we scale the team - Give feedback on our clinical platform Details: - Full-time, W-2, fully remote - WA, AZ, and CO licenses are preferred but we're happy to license you in the states needed - No on-call responsibilities WHO YOU ARE Required: - DNP graduate of an accredited school of nursing - Current AANP or ANCC board certification (FNP or AGPCNP / AGACNP) - Active, unrestricted state APRN license (2+ states preferred) - 3+ years of post-certification clinical experience in primary care or internal medicine - Clinical experience with MCAS, POTS, ME/CFS, Long COVID, EDS, dysautonomia, or tick-borne infections - Telehealth experience - A warm, unhurried encounter style — these patients have often been dismissed elsewhere; they need someone who listens - Reliable internet connection and secure, private workspace Preferred: - IFMCP certification or functional / integrative medicine training - Compact RN license - Background in immunology, allergy, rheumatology, cardiology, or neurology - Personal lived experience with one of the conditions we treat You'll thrive here if you: - Are passionate about complex chronic illness and frustrated by how these patients are treated in conventional care - Want to practice medicine with more time and the right tools, not fight insurance and charting systems - Are curious, open to feedback, and want to keep learning - Enjoy building things — protocols, processes, a clinical team - Are comfortable in a small, early-stage environment with evolving workflows This might not be for you if you: - Prefer a highly structured environment with established processes (you'll be helping build ours) - Want a lot of guidance and management - Don't like ambiguity - Are looking for a large clinical team around you from day one - Aren't comfortable giving direct feedback WHAT WE OFFER Compensation & Benefits: - Competitive salary commensurate with experience - Monthly health insurance stipend - Eligibility to contribute to 401(k) - Paid time off - 9 paid federal holidays - No on-call Clinical support: - White-glove licensing and credentialing service - Malpractice insurance including tail coverage - UpToDate and Epocrates subscriptions - Annual CE stipend with paid days for conferences Remote setup: - Laptop, monitor, and peripherals provided - Monthly work-from-home internet stipend HOW TO APPLY Send the following to contact@vindarahealth.com with the subject "Application: Clinical Team": - Your resume/CV - LinkedIn profile link - Current state licenses and license type - A short note on why this role interests you If you don't hear back within 7 days, it means it's not the right fit for this role at this time. We'll be growing the clinical team significantly over the next two years, so if you have an interest, we'd still love to hear from you. Pay: $120,000.00 - $150,000.00 per year Benefits: • 401(k) • Paid time off Work Location: Remote
UnitedHealth Group is a large diversified health and well-being company; Optum is its health services and care delivery arm providing clinical services, technology, and population health solutions.
About the position ProHealth Physicians (CT), part of the Optum family of businesses, is seeking a Remote Registered Nurse RN to join our team in Farmington, CT. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Are you ready to make a positive impact in health care? If so, you're the missing piece in our care team. As part of the Optum and UnitedHealth Group family, ProHealth Physicians offers new opportunities for growth. Here, you'll experience: Exceptional teamwork, Robust medical resources, Passionate professionals with a focus on patient-centered care. Responsibilities • Collects subjective and objective health status information from multiple sources such as; patients, caregivers, members of the health care team, documented records and other relevant sources • Prioritizes activities based on the patient’s immediate health need or the nurse’s judgment of anticipated patient needs • Documents the information and data collected in a retrievable understandable and readable format in the EHR • Employs nursing knowledge and evidence nursing practice in caring for patients in the office and over the phone • Includes the patient, appropriate caregivers, and other health professionals in making shared decisions about plans and strategies • Considers the patient or population needs in terms of age, gender, race, cultural values and practices, ethical and legal considerations and environmental factors as well as the anticipated risks and benefits of interventions for individualized plan development • Implements the plan of care in partnership with the patient, caregivers and other healthcare professionals in a timely manner • Performs interventions supported by evidence-based ambulatory care nursing practice during clinical visits, telephone encounters and electronic communications according to regulations, standards and organizational policy and procedure • Provides age appropriate, population specific care in a compassionate, caring, culturally and ethically sensitive manner • Other duties as assigned Requirements • Graduate of an accredited School of Nursing • Currently licensed as a RN in the State of Connecticut • 3+ years of RN experience • Proficient computer knowledge and aptitude Nice-to-haves • BLS/CPR certification • Experience with various software applications such as Microsoft Word, Excel, and Outlook, etc. • Experience with EMR systems (EPIC) • Phone triage experience • Pediatrics experience Benefits • a comprehensive benefits package • incentive and recognition programs • equity stock purchase • 401k contribution
Evernorth Health Services, a division of The Cigna Group, provides pharmacy, care and benefit solutions and operates telehealth services (MDLIVE) as part of Cigna's healthcare offerings.
Position Description The Registered Nurse is an integral member of the Telehealth Clinical Team, delivering high‑quality patient care in a fast‑paced virtual environment. This full‑time role consists of 40 hours per week, scheduled in 10‑hour shifts. The hours for this role are 4:00pm-2:00am EST and requires flexibility in scheduling, including the ability to begin shifts up to two hours earlier as operational needs require. Weekday schedules vary and include rotating weekends. While the organization will do its best to keep you in your scheduled shifts, schedules are subject to change, or you may be required to ‘float’ to other service lines based on business needs. The RN supports MD Live providers through telephone triage, assessment, care coordination, and patient education. This role requires strong clinical judgment, exceptional communication skills, and proficiency in navigating digital health platforms to ensure safe, efficient, and patient‑centered care Essential Job Functions • Apply Professional Standards: Utilize current evidence‑based nursing practices and the ANA Code of Ethics in all aspects of patient care. • Provide Telehealth Support: Use MDLIVE technology to assess patient needs, determine telehealth appropriateness, and coordinate care with providers. • Triage & Assess: Conduct comprehensive telephone triage, gather pertinent information, and recognize escalation cues. • Coordinate Patient Care: Serve as a liaison between patient and provider; address post‑consultation questions and concerns. • Resolve Medication Issues: Assist with pharmacy questions or medication‑related concerns in partnership with providers. • Ensure Quality Documentation: Accurately document and maintain the patient’s electronic medical record. • Promote Safety: Identify, report, and help resolve patient safety or quality issues. • Advocate for Patients: Support optimal health outcomes through education, guidance, and empathetic communication. • Manage Difficult Interactions: De‑escalate challenging situations while maintaining professionalism and patient focus. • Other Duties: Perform additional responsibilities as assigned. Required Knowledge/Skills/Abilities • Critical thinking and data synthesis. • Empathetic • Triage and assessment skills. • Knowledge of Primary Care, Urgent Care, and ER settings. • Effective communication skills over various mediums. • Multi-tasking in a fast-paced environment. • Strong interpersonal skills with that encompass cultural, ethical, economic and access to health care resource understanding when interacting with the patient. • Knowledge of electronic medical records and e-prescribe. • Maintain competencies for telehealth nursing. • Demonstrates proficiency with the following software: Microsoft Word, Excel, PowerPoint, and Outlook. Education and Experience • Must have a Compact Nursing license with the ability to obtain licensure in all US states and territories. • RN Licensure with at least two year of experience working in Urgent Care, Primary Care, or ER setting. Physical Demands While performing the duties of this job, the employee is required to stand, walk, or sit; use a keyboard and computer mouse; reach with hands and arms; balance, stoop, kneel, bend talk, and hear. The employee must occasionally lift and/or move up to 25 pounds. The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work Environment Remote at‑home work environment requiring a quiet, professional, HIPAA‑compliant space. Travel Requirements None/Minimal Position Location Remote Security Roles and Responsibilities MD Live employees may have access to Protected Health Information and/or Personally Identifiable Information that is subject to privacy regulations by state and federal statutes. All employees must comply with all applicable regulations and all MD Live policies and procedures for the security and privacy of such information. EEO Statement MD Live is proud to be an equal opportunity employer committed to hiring a diverse and inclusive workforce. MD Live provides equal employment opportunities to all employees and employment applicants without regard to unlawful considerations of sex, sexual orientation, gender (including gender identity and/or expression), pregnancy, race, color, creed, national or ethnic origin, citizenship status, religion, disability, marital status, age, genetic information, veteran status or any personal attribute or characteristic that is protected by applicable local, state or federal laws. 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. For this position, we anticipate offering an hourly rate of 31 - 47 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. 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.
ViaQuest, Inc. is a healthcare organization that provides community-based services and support for individuals with intellectual and developmental disabilities, behavioral health, and long-term care programs.
Virtual DODD RN Trainer (Med Cert 1) Part Time Wednesday-Friday 9-am-5pm OHIO RESIDENTS ONLY Must be RN Trainer Certified Position Summary ViaQuest is seeking a Part-Time Virtual RN Trainer to deliver the Ohio Department of Developmental Disabilities (DODD) Medication Administration Certification Category 1 (Med Cert 1) curriculum. This position is responsible for providing virtual instruction, evaluating participant competency, maintaining training records, and ensuring compliance with DODD training standards. The RN Trainer will serve as a clinical educator and resource to support safe medication administration practices while promoting regulatory compliance and quality services across IDD programs. Essential Responsibilities • Deliver DODD-approved Medication Administration Certification Category 1 (Med Cert 1) training in a virtual format. • Facilitate participant learning through engaging instruction and discussion. • Evaluate trainee competency and successful completion of course requirements. • Maintain accurate training and certification documentation. • Ensure all training activities comply with DODD regulations and organizational policies. • Serve as a resource regarding medication administration standards and best practices. • Collaborate with nursing leadership to support training initiatives and workforce development. • Participate in ongoing professional development and maintain trainer qualifications. Qualifications Required • Current, unrestricted Ohio Registered Nurse (RN) license. • Graduate of an accredited nursing program. • Strong communication, presentation, and teaching skills. • Proficiency with virtual training platforms and technology. • Ability to work independently and manage multiple priorities. Preferred • Experience working with individuals with Intellectual and Developmental Disabilities (IDD). • Experience teaching, training, or facilitating adult learning programs. • Knowledge of DODD Medication Administration Certification requirements and regulations. Why Join ViaQuest? • Flexible remote schedule. • Opportunity to impact the quality of care across Ohio. • Collaborative and supportive leadership team. • Meaningful work that supports individuals with intellectual and developmental disabilities. ViaQuest is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace.
UnitedHealth Group is a large diversified healthcare company; Optum is its health services and technology business delivering care, data, and administrative services across the healthcare system.
ProHealth Physicians (CT), part of the Optum family of businesses, is seeking a Remote Registered Nurse RN to join our team in Farmington, CT. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Are you ready to make a positive impact in health care? If so, you're the missing piece in our care team. As part of the Optum and UnitedHealth Group family, ProHealth Physicians offers new opportunities for growth. Here, you'll experience: • Exceptional teamwork • Robust medical resources • Passionate professionals with a focus on patient-centered care Position Details: • Location: Remote position • Department: Nursing Call Center • Schedule: 40 hours/weekly, Monday through Friday 3:00PM - 11:30PM. Fully remote. This position includes every other weekend and every other holiday. The RN is responsible for delivery of patient care to individuals, and families through telephone calls with patients with varying levels of acuity and medical concerns. RN addresses patients’ wellness, acute illness, chronic disease, disability and end of life needs while maintaining the standards of professional nursing practice. The RN assists with patient inquires including questions related to medication, medical conditions and diagnostic testing. Under the direction of the physician the RN delivers messages related to medical care. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Collects subjective and objective health status information from multiple sources such as; patients, caregivers, members of the health care team, documented records and other relevant sources • Prioritizes activities based on the patient’s immediate health need or the nurse’s judgment of anticipated patient needs • Documents the information and data collected in a retrievable understandable and readable format in the EHR • Employs nursing knowledge and evidence nursing practice in caring for patients in the office and over the phone • Includes the patient, appropriate caregivers, and other health professionals in making shared decisions about plans and strategies • Considers the patient or population needs in terms of age, gender, race, cultural values and practices, ethical and legal considerations and environmental factors as well as the anticipated risks and benefits of interventions for individualized plan development • Implements the plan of care in partnership with the patient, caregivers and other healthcare professionals in a timely manner • Performs interventions supported by evidence- based ambulatory care nursing practice during clinical visits, telephone encounters and electronic communications according to regulations, standards and organizational policy and procedure • Provides age appropriate, population specific care in a compassionate, caring, culturally and ethically sensitive manner • Other duties as assigned ProHealth Physicians is Connecticut's leading community-based medical group. Formed in 1997, we have primary care offices in every county. Our 300+ doctors and advance practice clinicians care for children and adults of all ages. We also have in-house imaging and clinical lab services. Traditional medicine treats people when they're sick. Instead, we focus on preventing diseases. Our goal is to give our patients — and their communities — the tools they need to be and stay well. This is how we help people live healthier lives. Together, we're making health care work better for everyone. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Graduate of an accredited School of Nursing • Currently licensed as a RN in the State of Connecticut • 3+ years of RN experience • Proficient computer knowledge and aptitude Preferred Qualifications: • BLS/CPR certification • Experience with various software applications such as Microsoft Word, Excel, and Outlook, etc. • Experience with EMR systems (EPIC) • Phone triage experience • Pediatrics experience • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
UnitedHealthcare is a large U.S. health benefits company offering health insurance, care management, and related services through a nationwide network of providers and managed-care programs.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. ***For consideration you must be available to work Saturday and Sunday 8am until 5pm as well as three additional work weekdays 8am until 5pm and reside within the state of VA.*** If you are located in Virginia, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Authorization review and entry for HCBS authorizations using Virginia specific criteria • Review of state specific documents required for HCBS services • Communication with HCBS Providers • Gather clinical information to assess and expedite care needs • Consult with the Care Manager and/or Medical Director as needed to troubleshoot difficult or complex cases You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Unrestricted, active RN license • 3+ years of RN experience in an acute setting • Utilization management, prior authorization, and case management experience • Managed care experience • Ability to create, edit, save and send documents utilizing Microsoft Word. Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches • Reside within Virginia Preferred Qualifications: • HCBS authorization experience • Working knowledge of ICUE and CAT Launchpad • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Vitra Health is a Massachusetts healthcare organization providing home- and community-based services, supporting aging adults, people with disabilities, and individuals with complex care needs through nursing, case management, and telehealth services.
About Vitra Health Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Telehealth (RN or LPN) who are passionate about community engagement and helping people access the care and resources they deserve. The Opportunity The Telehealth (RN or LPN) for the Adult Foster Care Program performs client visits, assessments, admissions, client and caregiver education within the scope of their license and in compliance with relevant laws and regulations. This position ensures all client and caregiver documentation and telehealth interactions meet state and federal regulatory standards, including MassHealth and Department of Public Health (DPH) requirements. The licensed nurse serves as a clinical leader, educator, and quality reviewer for AFC participants and their caregivers. Key Responsibilities • Clinical Oversight and Documentation Review • Ensure all documentation accurately reflects the member’s health status, functional abilities, and ongoing care needs. • Conduct routine audits for compliance with AFC regulations and program policies. • Provide feedback and corrective guidance to LPNs to ensure clinical accuracy and completeness. • Assessment and Care Planning • Collaborate with AFC Care Managers to ensure timely completion of initial, annual, and change-in-status assessments. • Review and co-sign nursing assessments as required by MassHealth and DPH regulations. • Support the interdisciplinary team in developing individualized care plans based on clinical findings and participant needs. • Quality Assurance and Compliance • Maintain current knowledge of MassHealth Adult Foster Care program requirements and applicable MDS/clinical documentation standards. • Participate in internal audits and quality improvement initiatives to enhance program compliance and participant care outcomes. • Prepare and support documentation for DPH or MassHealth reviews and site audits. • Commits to quality and compliance standards as delineated by regulations and Vitra’s policies • Staff Development and Training • Educate and mentor staff on accurate, compliant documentation and person-centered care planning. • Provide ongoing clinical training, coaching, and performance feedback related to AFC nursing standards. • Support new staff orientation and ongoing competency assessments. • Foster culture of customer service and commitment to quality care. • Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. • Show genuine interest and compassion and commitment to the diversity of our clients and team members. • Other duties as assigned. What we are looking for: • Current Registered Nurse (RN) or LPN license in the State of Massachusetts, in good standing. • Bachelor’s degree in Nursing preferred or equivalent • Minimum 2 years of experience in adult foster care, home health, or community-based nursing. • Prior experience supervising LPNs strongly preferred. • Comprehensive understanding of MassHealth Adult Foster Care regulations and documentation standards. • Familiarity with MDS or similar assessment systems for long-term and community-based care. • Strong leadership, communication, and organizational skills. • Proficiency with electronic medical record (EMR) systems and Microsoft Office applications. • Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines. • Hybrid: Combination of remote documentation review and onsite visits throughout Massachusetts as assigned. • Must have reliable transportation for travel to participant homes or AFC provider sites as required. • Secure home office setup with reliable internet access. Work Environment and Physical Requirements • Works in a clean, well-lit environment with fluctuating temperatures in close proximity to others. • Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse. • Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to navigate stairs; requires visual acuity and manual dexterity to operate equipment. Perks and Benefits: • Employer sponsored health Insurance with a generous employer match. • Dental and Vision Benefits. • Supplemental Benefits • Life, Accident, Critical Illness and Disability Insurance. • 401K with a 5% company match. • Accrued Paid-Time-Off. • Ten company paid holidays. • Wellness Benefits. • Tuition Reimbursement. • Supportive team structure and company culture with a focus on work/life balance. Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
AccessNurse is TeamHealth’s medical call center division delivering 24/7 telephone nurse triage, answering services, and health information services to hospitals, physician practices, and health plans across the U.S.
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (weekends and holidays are required). Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional nurses & offering flexibility, balance and a modern work environment. AccessNurse-TeamHealth is the premier medical call center, delivering 24/7 telephone nurse triage, answering services and health information services to hospitals, physician offices, and insurance plans across the country. We serve more than 20,000 clinicians and practices along with healthcare systems, health plans, and federally qualified health centers across the country. From day one, you’ll work from home using advanced evidence-based clinical decision tools to help patients get the right level of care at the right time. Why Nurses Love This Role 100% remote - work from home No bedside lifting or hospital burn out The variety of scheduling options Competitive Pay + excellent benefits Supportive, collaborative team culture Paid training & equipment is provided Opportunities for bilingual pay incentive You will: Assess symptoms using physician-developed clinical algorithms Deliver & document health education to assist patients in managing their symptoms when indicated Assist in getting patients to the appropriate level of care (e.g. home care, an office visit, emergency room) Consult with physicians as needed Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job offer 2+ years of RN experience Proficiency using computers and type a minimum of 25 wpm Excellent listening and comprehension skills to determine key information by patient Remote Workstation / HIPAA Requirements Must have a high-speed internet connection Workstation must be in a room where door can be locked Desk should be large enough to hold 2 monitors, computer, accessories + hands-free headset Ability to handle confidential information; HIPAA compliance is mandatory Remote Training Schedule Format: Virtual (Zoom) Duration: 4 weeks Attendance: 100% attendance required Week 1: July 13th – July 17th M-F 9:00 am-5:00 pm EST Week 2: July 20th – July 24th M-F 9:00 am-5:00 pm EST Week 3: July 27th – July 31st M-F 2:00 pm-10:00 pm EST Week 4: Shift days/times with a preceptor will be discussed with education manager #J-18808-Ljbffr
CopilotIQ is a healthcare organization offering telehealth and remote patient monitoring services, hiring nurses for virtual chronic care management roles.
Role Description We are seeking nurses (LPN/LVN) to provide outstanding care to members with diseases such as hypertension, diabetes, and heart failure through remote patient monitoring. The Telehealth Nurse will support members through regular phone visits during which they will discuss how to make progress towards goals, medical and lifestyle education, and how to improve outcomes on chronic conditions. This position offers full-time hours (Monday through Friday 8:30am-5pm local time), benefits, and the ability to work from home. What you’ll be doing: • Perform regular telehealth calls to a dedicated panel of members. • Accurately and confidently provide medical, diet, and wellness education to members. • Ensure accurate and timely documentation. • Maintain good member/nurse rapport. • Ability to perform high quality, high volume calls. • Drive clinical outcomes through member engagement and coordination. • Escalate members to our Provider team as needed. • Provide device support and troubleshooting in a professional, knowledgeable manner. • Provide support and encouragement as indicated. • Maintain a good rapport with members, nursing team, and providers. • As a member of our team, foster and grow a culture of kindness, compassion, and mutual respect. • Assist with special projects and other assignments as needed. Qualifications • Must have a current, active, unrestricted LPN/RN multi-state compact license in a nursing compact state and be in good standing with the Board of Registered Nurses. • A minimum of 2 years hands on nursing experience is required; telehealth and chronic care management experience is strongly preferred. • EHR experience, specifically AthenaHealth, is a plus. • Fluency in English and Spanish is highly preferred. • Comfortable working on a computer; experience navigating through multiple computer applications while on calls; Macbook experience is a plus. • Must have reliable high-speed internet. • Strong time management skills and self-motivation. • Must be a quick learner in a fast paced, changing environment. • Professional and effective communication style that translates across all members of the team and members. • An attitude and work ethic that meets the core values and goals of CopilotIQ. • Self-motivated and able to work well independently. • A willingness to jump in and help where needed to ensure team success.
AIH Physician Services appears to be a healthcare organization providing physician and clinical support services, offering remote nursing roles such as virtual pre-admission and pre-anesthesia assessments.
Job Summary and Responsibilities As our Pre-Anesthesia Nurse, you will help our ensure our patients are prepared for anesthesia and surgery. Every day you will conduct comprehensive pre-operative assessments, collect patient health histories, and review diagnostic testing. You will collaborates with physicians, anesthesiologists, and other healthcare team embers to optimize patient safety, reduce surgical delays, and promote high-quality patient care. To be successful in this role, you must use initiative in carrying out recurring tasks, develop collaborative relationships with members of the clinic at all associated facilities and maintain your knowledge and skills levels by attending educational offerings as required. • Provides pre-anesthesia nursing care by telephone, within scope of RN licensure, to patients referred to the assigned work unit (e.g. Surgery/Procedures). • Prior to pre-anes appointment, identifies/clarifies physician’s orders and submits for requests (e.g. Pacer orders/Anti-Coag/Risk Assessment). • Reviews electronic medical records (EMR) and interviews patients to make an initial assessment and completes appropriate nursing documentation. • Complete pre-anesthesia assessments, including but not limited to a review of medical history, medications, allergies, and prior anesthesia experiences. • Review lab results, diagnostic imaging, and consult notes to identify potential surgical or anesthesia risks. • Triages patients and communicates urgent patient needs to the provider. • Maintain up-to-date knowledge of anesthesia guidelines, perioperative standards, and institutional policies. • Provides patient education and ecourages patients' compliance and provides preventative care measures congruent with health status. • Provide patient education regarding anesthesia, surgical procedures, medication instructions, and NPO (nothing by mouth) guidelines. Job Requirements Must reside in state of Washington. Required • Associate Of Nursing and 1-3 years Minimum 1–2 years of clinical nursing experience, upon hire or • Bachelors Of Nursing, upon hire and • Registered Nurse: WA, upon hire and • Basic Life Support - CPR, upon hire Preferred • Perianesthesia, perioperative, critical care, or PACU experience, upon hire • Certified Ambulatory Perianesthesia Nurse, upon hire Where You’ll Work
ChenMed is a primary care organization operating physician-led clinics focused on older adults and value-based primary and preventive care services.
Role Description The Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health-related issues, client counseling, patient advocacy, health education, and referral and resource management to ChenMed patients and their families. The incumbent in this role provides remote clinical advice and assessments within license and as possible given the technology and medium. He/She collaborates with primary caregivers and others on the interdisciplinary care plan team to provide a team approach of care. The schedule for this position is as follows: • Thursdays 1630-0430 • Fridays 1700-2100 • Saturdays 0800-2000 • Sundays 0830-2030 ESSENTIAL JOB DUTIES/RESPONSIBILITIES: • Connects with patients via phone or video call. Interviews and questions patients to collect health history and uses a computer system to record and store comprehensive and focused data relating to the health needs of patients and families. • Provides health assessment and treatment solutions, monitors patient health and at-home care, aids in emergency scenarios, and promotes patient wellness. • Based on the technology available, monitors a patient’s oxygen levels, heart rate, respiration, blood glucose, and other assessment measures. • With the help of video chatting, identifies patient’s symptoms and conditions. Analyzes data to determine the appropriate health maintenance and identify appropriate outcomes for the patient and family. • Collaborates with on-call PCP as needed to support expected clinical outcomes. Implements the appropriate protocol to attain the expected outcome. • Evaluates and documents progress toward the anticipated outcome. Assists in ensuring achievement of optimal patient outcomes through the use of Telemedicine. Documents interventions in readable, understandable language. • Aids in enhancing the quality and effectiveness of the organization’s telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness. • Utilizes appropriate resources to plan and provide services that are safe, effective, and fiscally responsible. • Performs other duties as assigned and modified at manager’s discretion. Qualifications • Advanced-level business acuity • In-depth knowledge and understanding of general/core Nursing-related functions, practices, processes, procedures, techniques, and methods • Broad nursing knowledge and understanding • Ability and willingness to provide extraordinary customer service and professionalism to all customers • Maintains current nursing knowledge and competency to stay abreast of budding nursing trends and best practices • Excellent written and verbal communication skills through a variety of formats, tools, and technologies • Capable of building trust and professional relationships to deliver VIP care across the continuum • Ability to demonstrate excellent clinical judgment • Ability to problem solve • Ability to prioritize and work under pressure • Ability to provide constructive feedback • Ability to effectively collaborate with physicians, patients, family members, colleagues, and other team members in a courteous and professional manner • Ability to effectively collaborate with a multidisciplinary team • Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook; competent in other systems required for the position • Ability and willingness to travel locally, within South Florida, to attend meetings and trainings up to 10% of the time; flexible and available to cover after-hours and to work weekends as needed • Spoken and written fluency in English; bilingual (Spanish/Creole) a plus • This job requires use and exercise of independent judgment Requirements • Associate Degree in Nursing required, Bachelor’s Degree in Nursing preferred • Nurse Licensure Compact required; Multistate Nursing license required • Must reside within the Continental United States within a state where the company exists as a legal entity • Michigan and Illinois Nurse Licensure required within 90 days of hire, ability to obtain additional licenses as requested by the organization within 90 days of hire • Basic Life Support (BLS) certification from the American Heart Association or American Red Cross required • Minimum of 3 years acute clinical nursing work experience required in emergency services, urgent care, or with emergency triage responsibilities highly preferred • Minimum of 1 year virtual care experience preferred Benefits • Great compensation • Comprehensive benefits • Career development and advancement opportunities • Work-life balance • Opportunities to grow Apply tot his job Apply To this Job
Cigna Healthcare is a global health services company offering health insurance, care management, and related healthcare services, including telehealth and population health programs.
Role Description If you are an RN and looking for a Telephonic role, this opportunity is for you! Read on to learn more. How you’ll make a difference: • Take ownership of patient experience via telephone. • Provide telephonic education that includes (but not limited to) disease and drug specific education to both patients and caregivers. • Follow clinical protocols and work within the nursing scope of practice and guidelines while assessing and documenting clinical data and intervention. • Be a coach to empower your patients to be at their best. • Focus on the overall well-being of your patients. • Work with the patient’s treating physician to inform them of any new symptoms and health-related matters. • Be part of an eco-system that will support you and advocate for you. • Grow alongside your peers in a patient-centered environment. • Aid clinical departments with new hire training and mentoring. • Conduct peer-to-peer quality documentation checks to provide feedback to management. Full time work from home – you MUST reside in a compact state. Start Date: Monday, July 6, 2026 Shift for this role: 10:30 am to 7:00 pm CST Monday – Friday Please note, the first 6 weeks of training will be varied and may start between 8am-11:30am EST depending on the week. The primary responsibility of this role is to provide telephonic education to patients and caregivers following Clinical Protocols and working within the nursing scope of practice and guidelines. This opportunity allows you to improve the health and well-being of others, while giving them a sense of security. Qualifications • Registered Nurse (RN) compact license required. • MUST reside in a compact state. • 2 years or more of relevant experience with an RN License. Requirements • The RN must have an active unencumbered license in the state that they reside and should have completed the NCLEX or a recognized state board exam. • The RN will be required to apply for or have a compact license as well as the ability, with no restrictions, to apply for additional single state licenses. • Maintaining all nursing licenses required for this role is a condition of employment, and the failure or inability to do so will result in termination of employment. • Must have taken Microbiology in order to obtain California licensure. • Knowledge and experience in the areas of Neurology / Multiple sclerosis, Rheumatology, Dermatology, Pulmonology, Gastroenterology, Infectious Disease, Asthma, Oncology, or Pediatrics. • Proficient in using Microsoft applications. • Minimum Internet speed: 5MBPS upload/2 MBPS download - Cable broadband or Fiber Optic. • Excellent phone etiquette. Benefits • Internal Career Training Resources. • Tuition Assistance. • Medical, Prescription Drug, Dental, Vision and Life Insurance. • 401K with Company Match. • Paid Time Off and Paid Holidays. • For this position, we anticipate offering an hourly rate of 33 - 56 USD / hourly, depending on relevant factors, including experience and geographic location. • This role is also anticipated to be eligible to participate in an annual bonus plan. • Comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs. • Minimum of 18 days of paid time off per year and paid holidays.
Allara is a U.S.-based women's health platform that connects patients with multidisciplinary care teams for longitudinal management of hormonal, metabolic, and reproductive health conditions via virtual care.
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women with complex hormonal and metabolic conditions. To learn more about our mission and clinical approach, visit allarahealth.com. Location: Fully remote within the U.S. Your Impact • Conduct thorough patient assessments and develop personalized treatment plans via video visits • Collaborate with a multidisciplinary care team to deliver the highest standards of care • Complete required trainings and uphold Allara's clinical policies, standards, and best practices • Educate patients on preventive care and wellness using evidence-based strategies • Maintain accurate, up-to-date patient records and complete charting in a timely manner • Respond to patient questions and administrative messages with clarity and care • Dedicate a minimum of 10 patient-facing hours per week, including consultations and medical guidance, with prescribing when clinically appropriate Required Qualifications • Board Certification: Active national board certification as a WHNP, FNP, or similar • Experience: Minimum of 2 years of consecutive clinical experience as a Nurse Practitioner, with a focus on chronic and complex women's health conditions including PCOS, Endometriosis, Hypothyroidism, Hashimoto's, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity • Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills • Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity • Webside Manner: A natural ability to build trust and connection with patients in a virtual setting • Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research • Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools • Telemedicine Experience: Prior telehealth experience is a plus • State License Requirements and Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve over time. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align. Schedule Requirements • Evenings, Fridays, and/or Weekends: A minimum of 80% of weekly contracted hours must fall within the following windows: • Evenings (any day): 5:00 PM – 9:00 PM • Fridays: 8:00 AM – 9:00 PM • Saturdays & Sundays: 8:00 AM – 6:00 PM All hours are scheduled in the time zone of your active state license(s). What Allara Offers • 1099 Contract: The flexibility and autonomy of an independent contractor arrangement • Competitive Compensation: Per-visit rates plus additional pay for charting, administrative tasks, and other patient-related work • Fully Remote: Work from anywhere in the U.S. • Malpractice Insurance: Comprehensive coverage provided at no cost to you • Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated • Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians • Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging #LI-JB1 At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.
Deaconess Health System is a regional healthcare system operating hospitals, clinics, and a range of clinical services, offering inpatient and outpatient care and community health programs.
Incentives: Eligible for evening/night, weekend shift incentive based on company policies and applicable job codes. Additional details will be provided during the interview process. Bonus: Potential for a performance-based bonus, subject to eligibility criteria and achievement of defined metrics. Details regarding bonus eligibility and performance goals will be provided during the interview process or upon hire. Benefits: We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer: • Payactiv-earned wage benefit-work today, get paid tomorrow • Free access to fitness centers • Career advancement opportunities Explore All Benefits: https://www.deaconess.com/For-You/Employees/Employee-Benefit-Resources/Documents (https://www.deaconess.com/For-You/Employees/Employee-Benefit-Resources/Documents) Job Overview: This is a Registered Nurse who coordinates the Remote Patient Monitoring Program for Deaconess Health System. The RPM program promotes a proactive care model by alerting our clinical staff to subtle deterioration in a patient’s condition allowing them to perform proactive interventions in order to avoid adverse outcomes. Advanced critical thinking skills, mature ability to form positive relationships with patients and a passion for innovative care models is essential. Oversees the patient selection, set-up and patient training for the telehealth monitor. Responsible to plan, direct, deliver and evaluate outcomes related to telehealth. May make visits to provide direct care as needed. Required: Certifications/Licenses/Experience: • Active Registered Nurse (RN) must have a multi-state license • Minimum of three years' relevant experience of RN experience in adult acute care setting Preferred Certification/License/Experience: • BSN Other Key Words: Remote Patient Monitoring Campus: Midtown Department: Access Center/Telehealth Hours: PRN/DSS/Supplemental Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
PocketRN is a telehealth company that provides virtual nursing and clinical support services, connecting nurses with patients and healthcare teams for remote care and consultation.
PocketRN is seeking a Clinical Trial RN to provide nursing care services as part of clinical trials. This remote position requires a minimum of 3 years direct patient care experience and a current RN license. Responsibilities include patient assessments, documenting care needs, and collaborating with the research team. Candidates should possess strong communication skills and adaptability to technology. This role emphasizes patient-centered care and flexibility in a fast-paced, virtual environment.
RelateCare provides nurse triage, post-discharge follow-up, wellness solutions and care coordination services to help healthcare organizations manage patient care journeys, often via remote nursing teams.
Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Join to apply for the Telehealth Nurse - Compact Licence role at RelateCare | Care is in our name Get AI-powered advice on this job and more exclusive features. RelateCare | Care is in our name provided pay range This range is provided by RelateCare | Care is in our name. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr The Telehealth RN facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, making referrals to health care providers, services, and community resources – all over the phone. This position promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. Responsibilities • Conduct virtual patient assessments and accurately document medical histories. • Provide evidence-based medical advice and address patients' health concerns. • Ensure compliance with all telehealth protocols and maintain patient confidentiality. • Participate in ongoing training and development to enhance telehealth skills. Requirements • Nursing degree (RN); BSN preferred. • A Registered Nurse with a Compact License. • 3+ years of clinical RN experience • Previous Telephonic Nursing experience preferred • EPIC systems experience is preferred • Med-surg experience preferred • Triage experience preferred About us: RelateCare’s team of experienced Registered Nurses, Medical Assistants, and Health Coaches empower healthcare organizations to seamlessly manage and coordinate patient care journeys. RelateCare Nurse Triage, Post Discharge follow-up, and Wellness Solutions ensure patients receive the right level of care and support when they need it. Work Environment/Schedule: Our Telephonic Nurse Triage program provides 24/7 access to systematic, high quality healthcare advice with superior customer service in an efficient and personalized manner. Our team of Registered Nurses aims to identify the nature and urgency of client health care needs and determine the appropriate treatment of escalation. Seniority level • Seniority level Mid-Senior level Employment type • Employment type Full-time Job function • Job function Health Care Provider • Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at RelateCare | Care is in our name by 2x Get notified about new Nurse jobs in United States. Florida, United States $85,000.00-$90,000.00 1 week ago Texas, United States $85,000.00-$90,000.00 1 week ago Nurse Reviewer- Registered Nurse (Remote) Florida, United States $65,000.00-$75,000.00 6 days ago Clinical Review Nurse- Prior Authorization Clinical Review Nurse - Prior Authorization Georgia, United States $26.50-$47.59 8 hours ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) California, United States $50.00-$60.00 3 weeks ago San Francisco, CA $39.00-$60.00 12 hours ago Georgia, United States $80,400.00-$90,000.00 3 days ago United States $100,000.00-$110,000.00 3 months ago UM Prior Authorization Nurse, LVN/LPN (Work from Home) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Salary: USD 56160 - 60480 per year Experience: 3 years required Apply tot his job Apply To this Job
OpenLoop Health Partners is a telehealth organization that connects clinicians with virtual care opportunities, offering nationwide remote services across specialties such as primary care and sleep medicine.
Role Description We’re actively seeking Remote Nurse Practitioners with a special focus on Remote Family Nurse Practitioners (FNP) or Adult-Gerontology Nurse Practitioners (AGNP) to deliver synchronous and asynchronous virtual telehealth care. You will join an interdisciplinary remote nurse practitioner team delivering telehealth services using phone, video, chat, and connected devices. If you’re a tech-savvy, compassionate Nurse Practitioner ready to practice remote/virtual care at the top of your license with flexible hours and nationwide reach, we want to hear from you. Key Responsibilities • Conduct virtual patient consultations (video, phone, chat) for urgent care, primary care, medical weight loss, and behavioral health. • Obtain patient histories, perform virtual exams, evaluate and diagnose common medical and behavioral health conditions. • Develop and communicate evidence-based treatment plans and provide patient education. • Collaborate with other providers through comprehensive charting and messaging. • Deliver high-quality, patient-centered, and empathetic care while meeting productivity goals. Qualifications • At least 3+ years in family practice, primary care, or urgent care (excluding orientation/training). • At least 1 year of Telehealth experience. • Strong diagnostic abilities. • Proficiency with video consultations. • Comfort with EMR systems and digital tools for care delivery. • 1 year of experience in sleep medicine doing testing, diagnosis, and sleep medications. Requirements • Active, in-good-standing state licensures in a minimum of 10 states (Full Practice Authority is highly preferred). • Master of Science in Nursing (MSN) or Doctorate (DNP) with a concentration in Adult-Gerontology or Family Practice. • Board certification as a Family Nurse Practitioner (FNP) or Adult-Gerontology Nurse Practitioner (AGNP) through ANCC or AANP. • Ability to work at least 20 hours per week (40 hours preferred). • Flexibility to work nights and weekends is a plus. • Fluency in Spanish (written and spoken) is also a plus. • Excellent written and verbal communication skills, with an emphasis on clarity, empathy, compassion, and patient-centered care. Benefits • Sleep Medicine. • 25 minute sync visits. • $38 sync. • $7 no show. • Position Type: Part-time contract. • Work Hours: Minimum 20 hours/week (Can work up to 40 hours), some weekend work may be required. Why Join OpenLoop? • Work 100% remotely from anywhere in the U.S. • Expand your clinical impact with national telemedicine care. • Flexible shifts, meaningful patient connections, great pay. • Support from a dedicated Clinician Advocate team. • Access to innovative telehealth platforms and tools.
83BAR is a healthcare lead-generation and patient outreach company that connects consumers with partner medical providers and offers remote clinical outreach roles.
REMOTE RN: Health Care Sales / Clinical Sales Specialist This is a remote, work-from-home, part-time position. We are currently only accepting applications from medical professionals. About the Company: Since 2015 we have been working with cutting-edge companies providing innovative care solutions to complex medical conditions. We have employees located across the United States. Through our online marketing ads, we find people in need of medical procedures or treatments, who ask for more information, we then call them to provide the information they need to make and attend an appointment with one of our partner doctors. Our clients aren't your typical healthcare companies.. We work with creative companies with innovative solutions who are trying to help people solve their health issues in new and innovative ways; That's where we come in! We use cutting-edge lead generation and sales automation to help consumers find our clients. Here are a few examples of the companies we work with: • A DNA lab testing company that helps people discover if they are at risk of hereditary cancers. • A services company that treats people with prediabetes and prevents them from developing Type II diabetes. One-third of adults have prediabetes! • A medical device company that helps women who have been struggling with bladder control for years. Responsibilities: As a Clinical Sales Specialist, you will use your medical knowledge and patient care experience to guide those who have reached out to 83bar for information about the care solution that they are looking for. We never cold call, so you will be contacting only those who have expressed an interest in the services that our clients provide and helping them to take the next step in their journey towards a healthier future. We’ve custom-built a web-based system that allows you to access what you need from the convenience of home. You just need your laptop (that meets internet speed requirements) with access to high-speed Internet and a quiet, private space to work. We are currently hiring for part-time positions and we are looking for applicants available to work shifts between 8:00 am and 7:00 pm CST Monday through Friday and 10:00 am to 5:00 pm CST on Saturday. We are seeking applicants with healthcare experience and the empathy required to successfully connect with the people we are reaching out to help and educate them about the life-changing services our clients have to offer. Requirements: • Fluent in English. • Healthcare background. • Available minimum of 20 hours per week. • Able to commit to a set schedule. • Access to high-speed internet. • Self-motivated and adaptable. • Highly Empathetic. • Prior experience in sales/customer service preferred. • Strong communication skills. Perks: • Customizable schedule. • Work-from-home flexibility. • Competitive compensation at $31.00/ hour. • Individual agent quarterly performance incentive plan. • Strong and supportive contact center culture. • 401k with company matching. • Part- time position. Application Process: If you are interested in this exciting opportunity, please submit your resume! If your work experience aligns with the job responsibilities, someone on our HR Team will reach out to you with the next steps in our application process! Please do not contact our office directly with inquiries on application status. We are fortunate to have many qualified applicants apply and will only be able to contact those who have been selected for an interview. We appreciate your time and thank you for considering 83bar in your employment search. We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
TEKsystems is a global IT services and talent solutions firm (part of Allegis Group) that provides staffing, technology services, and business transformation support to corporate clients.
Join Our Team as a Clinical Quality Assurance Coordinator! Are you passionate about healthcare quality and compliance? Do you thrive in a detail-oriented environment where your work directly impacts patient care and regulatory excellence? If so, we want to hear from you! We're seeking a Clinical Quality Assurance Coordinator to join our dynamic team. In this pivotal role, you'll ensure that our peer review reports meet the highest standards of quality, accuracy, and compliance with client contracts, regulatory guidelines, and federal/state mandates. What You'll Do: Conduct thorough quality assurance reviews of peer review reports, correspondence, and supplemental materials. Ensure all recommendations are evidence-based, clearly articulated, and supported by current clinical references. Verify compliance with client instructions, state mandates, and federal ERISA regulations. Confirm that appropriate board-certified specialists have reviewed each case. Identify inconsistencies and collaborate with peer reviewers to resolve them. Support the resolution of client complaints and quality concerns. Provide insights to management on consultant performance and compliance. Promote efficient use of company resources and uphold professional standards. Participate in ongoing training and development opportunities. ? Qualifications: 5+ years of RN or LPN experience Bachelor's Degree in Nursing A keen eye for detail and a commitment to excellence. This role requires heavy professional writing skills Ability to work independently and collaboratively in a fast-paced environment. Behavioral Health experience is a plus! Shifts: Team B: Tue-Fri (4, 10/hr days) - assigned a shift between 6am-7pm cst ($26.50 LPN; $28.50 RN) Team C: Wed-Sat (4, 10/hr days) - assigned a shift between 6am-7pm cst (+$2.50 shift differential) Flex Team: Mon-Fri w/rotating weekends (5, 8/hr days) 8:30am-5:00pm cst (+$2.50 shift differential) Why Join Us? Be part of a mission-driven team that values integrity, quality, and innovation. Make a meaningful impact on healthcare outcomes and compliance. Enjoy opportunities for professional growth and development. Job Type & Location This is a Contract to Hire position based out of Houston, TX. Pay and Benefits The pay range for this position is $26.50 - $28.50/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 Jun 10, 2026. About TEKsystems We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. 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. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
.svg)
.svg)
.svg)
.svg)