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UnitedHealth Group is a large U.S. healthcare company operating UnitedHealthcare and Optum, providing health benefits, services, and technology solutions across care delivery, insurance, and population health.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Clinical Appeals RN is responsible for providing expertise in clinical appeals and grievances (analyzing, reviewing, and evaluating appeals and grievances), and acting as a Clinical Interface Liaison (clinical problem solver with facilities, providers, carriers, resolution of issues concerning members, benefits, program definition and clarification). You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Please note this team has a schedule as follows - M-F, 8:00- 4:30 in their time zone and alternating Saturdays (2 per month with a weekday off when working a Saturday) . Primary Responsibilities: • Review medical records and verify if the requested service meets criteria • Review pre-service appeals for clinical eligibility for coverage as prescribed by the Plan benefits • Review and interpret Plan language • Coordinate reviews with the Medical Director • Utilize clinical guidelines and criteria • Accurately documenting determinations • Adherence to all confidentiality regulations and agreements • Hours M-F 8a-5p with alternating Saturdays • Comfortable working mandatory overtime 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 • 2+ years of clinical experience as an RN, including in an acute, inpatient hospital setting • Proficiency in Microsoft Office, Word, Outlook, and Internet applications • Available M-F, 8:00- 4:30 in their time zone and alternating Saturdays (2 per month with a weekday off when working a Saturday) Preferred Qualifications: • Bachelor of Science in Nursing • 1+ years of experience using MCG and/or Medicare criteria • 1+ years of Utilization Management, pre-authorization, concurrent review or appeals experience • Appeals experience • Proven excellent communication, interpersonal, problem-solving, and analytical skills • 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 re 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. 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.
Maryland Medical Specialists, Inc. is a cloud-based medical practice focused on telehealth diabetes and prediabetes care, serving adults nationwide and accredited for Diabetes Self-Management Education.
Please Note: This is a Full-Time Telehealth role. You may start part-time initially, but we need someone who can become full-time within a month or two of joining. Job Description We are seeking Board-Certified Nurse Practitioners licensed in the State of Maryland to join our telehealth team. This role starts part-time and scales to full-time as your patient panel grows. About Our Practice We are a cloud-based medical practice serving patients nationwide through telehealth, with a focus on diabetes and prediabetes care. We are an ADCES-accredited Diabetes Self-Management Education provider, in network with Medicare and most commercial health plans. Our patients are adults with prediabetes (A1C 5.7+) or Type 2 diabetes who want real support, real data, and a clinician who actually has time to know them. We deliver continuous glucose monitor (CGM) sensors, weekly personalized insights, monthly check-ins, and 24/7 care access. We are not a device dispensary. We are a real medical practice that happens to be virtual. What You'll Do • Conduct telehealth visits with new and existing patients • Authorize CGM orders and Remote Patient Monitoring services • Review patient glucose data and adjust care plans • Coordinate with each patient's Nurse Educator on monthly outreach • Send quarterly progress updates to each patient's primary care physician (with consent) • Practice within your full scope as an autonomous Maryland NP What You Won't Do • Drive hours through traffic to a clinic • See 30 patients a day on 7-minute increments • Fight a broken EMR • Be pressured to upsell anything Requirements • Board-Certified Nurse Practitioner (FNP, AGNP, or AGPCNP) • Active, unencumbered Maryland NP license • Comfortable practicing autonomously in a telehealth setting • Genuinely interested in metabolic health, diabetes prevention, and patient education • Excellent written and verbal communication; warm phone and video presence • Reliable home setup: private space, quality camera and headset, stable high-speed internet • DEA registration preferred but not required for this role Why This Role • Real time with patients. 30-minute initial visits. Real monthly check-ins. Not 7-minute factory medicine. • Practice meaningful diabetes care. This is one of the highest-impact areas of preventive medicine. Patients with prediabetes who get a CGM and real coaching often reverse the trajectory entirely. • Flexible, fully remote. Work from home. Set a schedule that fits your life. • Start part-time, grow to full-time. Begin with a manageable panel as you onboard. We scale your hours and patient load as you're ready. • Real team. You'll work alongside Nurse Educators, Patient Care Coordinators, and our Medical Director. You won't be flying solo. Compensation Competitive fee-for-service compensation per encounter, set at fair market value. Specifics shared during the interview. Compensated for time worked, scaling naturally as your panel grows. Start Date Immediate. We're ready to onboard the right candidate within the week How to Apply Please apply through LinkedIn. We'll message you to provide the following required information: • Your Maryland NP license number • A brief note about why diabetes and prediabetes care interests you • Your earliest available start date and weekly availability We review applications daily and respond to qualified candidates within 48 hours. Pay: $60.00 - $100.00 per hour Application Question(s): • Are you a licensed Nurse Practitioner in the State of Maryland? • How soon can you get started working remotely, part-time? • If this is a fit, can you expand your availability to full-time (4 to 5 days a week, 8 hrs. a day)? Work Location: Remote
Brammicks Recruitment is a staffing/recruitment firm advertising healthcare and telehealth roles, connecting clinicians with remote and clinical opportunities.
Role Description Our client is seeking compassionate and clinically driven Nurse Practitioners to join an innovative telehealth-focused care team supporting complex Medicaid populations across Arizona. This is an exciting opportunity to be part of a rapidly growing value-based care model focused on improving patient outcomes, reducing unnecessary hospitalizations, and delivering coordinated, patient-centered care through virtual healthcare services. This role is ideal for Nurse Practitioners who thrive in collaborative environments, enjoy working with underserved populations, and want to help shape the future of remote healthcare delivery. Leadership opportunities are also available for experienced candidates interested in leading interdisciplinary care teams. What You’ll Be Doing: • Deliver virtual clinical care and care coordination for high-risk Medicaid patients • Support proactive care management and early intervention strategies • Coordinate treatment plans with primary care providers, specialists, and health plan case managers • Help reduce avoidable ER visits and hospital readmissions through continuous patient engagement • Support patients during hospitalization and post-discharge transitions • Participate in interdisciplinary team collaboration focused on improving long-term patient outcomes • Utilize telehealth platforms and care management technology to deliver remote patient support • Contribute to the development of innovative value-based care initiatives Qualifications • Master’s degree or higher required • Active Arizona Nurse Practitioner (NP) license required • Strong clinical judgment and ability to practice autonomously • Experience with care management, telehealth, care coordination, rehabilitation, emergency department, or transitional care preferred • Experience working with Medicaid, high-risk, or underserved patient populations is highly preferred • Comfortable working within startup-style, fast-paced healthcare environments • Strong communication, leadership, and interdisciplinary collaboration skills Benefits • Fully remote Arizona-based opportunity • Leadership growth potential for experienced candidates • Collaborative interdisciplinary care environment • Flexible employment structure with W-2 and 1099 options available • Opportunity to help shape an innovative healthcare delivery model • Meaningful impact supporting vulnerable and underserved patient populations Ideal Candidate The ideal candidate is a patient-focused Nurse Practitioner with strong clinical and communication skills who is passionate about virtual care, care coordination, and improving outcomes for complex Medicaid populations. Candidates with leadership abilities, telehealth experience, and value-based care exposure are highly encouraged to apply.
ChenMed is a physician-led healthcare company focused on primary care for older adults, operating clinics and care programs across the U.S. and offering in-person and telehealth services.
We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Registered Nurse 1, CareLine, 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. Providing on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as possible given technology and medium. The registered nurse 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 Mondays 1630-0430 Tuesdays 1630-0030 Saturdays 0800-2000 Sundays 0730-1530 Eastern times. 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 technology available, monitors a patient’s blood oxygen levels, heart rate, respirations, blood pressure and blood glucose as well as 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 patient and family. • Collaborate with on-call providers as needed to support expected clinical outcomes for the patient and family. • Evaluates and documents progress toward the anticipated outcome. Assist in ensuring achievement of optimal patient outcomes using Telemedicine. Documents interventions in a readable, understandable language. • Aids in enhancing the quality and efficacy of the organization’s telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program efficacy. • 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. Knowledge, Skills And Abilities • 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 work under pressure • Ability to provide constructive feedback • 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; required availability to work evening, weekends and/or holidays • Minimum requirement to work 4 holidays in the calendar year • Spoken and written fluency in English; bilingual (Spanish/Creole) preferred • This job requires use and exercise of clinical judgement 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 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 working 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 within a state where company is established as a legal business 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 a bonuses or commissions. Employee Benefits https://chenmed.makeityoursource.com/helpful-documents We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day. Current employees, if you want to apply to our internal career site, please click HERE Current Contingent Worker please see job aid HERE to apply
Advocate Health (combining Advocate Aurora Health and Atrium Health) is a large nonprofit integrated health system operating hospitals, clinics, and telehealth services across multiple U.S. states, headquartered in the Charlotte, NC region.
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 tot his job Apply To this Job
UnitedHealth Group is a diversified health and well-being company; Optum is its health services and technology arm providing care delivery, pharmacy, and data-driven services.
SCA Nurse Advice Line RN 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 an SCA Nurse Advice Line RN, you will play a critical role in delivering high-quality, evidence-based care to Beneficiaries across the globe. Using advanced clinical decision support tools, you will provide real-time health education and symptom triage through phone, chat, and video platforms-helping individuals make informed decisions about their health when they need it most. This is a dynamic, fast-paced role ideal for nurses who thrive on variety, critical thinking, and meaningful patient interaction-all in a virtual environment. This position will work as part of a 24/7 Call Center line and we have full-time positions available. Training, regardless of schedule will be 40 hours per week for 4 weeks during regular daytime business hours, Monday - Friday. You'll enjoy the flexibility to work remotely from a compact state* as you take on some exciting challenges. Available shifts listed below and will either be a 5X8, 4X10 or 3X12 schedule. Shifts Available (noted in Central Time Zone). Day shift schedules: 5am - 1:30pm - Sun, Mon, Thurs, Fri, Sat 5:30am - 2pm - Sun, Mon, Tues, Wed, Thurs 6:30am-7pm - Sun, Mon, Sat 6:30am - 5pm - Sun, Thurs, Fri and Sat 9am - 7:30pm - Sun, Mon, Fri and Sat Evening shift schedules: 1:30pm - 12am - Sun, Wed, Fri, Sat 1:30pm - 12am - Mon, Tues, Fri, Sat 1:30pm - 12am - Mon, Thurs, Fri, Sat 2:30pm - 1am - Mon, Thurs, Fri, Sat 3:30pm - 12am - Sun, Mon, Thurs, Fri, Sat 3:30pm - 12am - Sun, Mon, Tues, Fri, Sat 3:30pm - 12am - Sun, Mon, Tues, Wed, Thurs 11am - 7:30pm - Sun, Mon, Tues, Wed, Thurs Primary Responsibilities: Clinical Competence Provide symptom triage and health education for patients of all ages using evidence-based protocols Assess a wide range of medical concerns and guide patients toward appropriate care Documentation and Care Delivery Provide high-quality clinical services within scope of practice and in alignment with established team processes and protocols Conduct comprehensive assessments, including thorough health history collection Accurately document all interactions in a timely manner in accordance with policy Quality and Communication Communicate effectively with beneficiaries to ensure clear understanding of care recommendations and health guidance Collaborate and communicate promptly with internal staff to support continuity of care Determine appropriate dispositions and deliver tailored health education Teamwork and Collaboration Partner with leadership and teammates to meet performance and service expectations Support onboarding and development of new team members as a preceptor or mentor Participate in team meetings, training, and continuous improvement efforts 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 active compact RN license in home state Ability to get licensed in non-compact states (If home state is FL - school has to be nationally certified) Ability to pass security clearance 3+ years recent clinical experience Solid clinical experience with ability to triage all age groups Advanced technical skills - use multiple programs simultaneously, multiple monitors, and multitasking while on call Hard wired Internet Preferred Qualifications: Experience with military Bilingual - Spanish • 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.
Sentara Health is an integrated healthcare organization operating hospitals, clinics, and health plans in the Mid-Atlantic, providing clinical care and insurance products to patients and members.
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring an Utilization Review Nurse/RN- Remote in Virginia Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Remote in Virginia Job responsibilities: • RN Clinician responsible for utilization management services within the scope of licensure. • Conducts primary functions of prior authorization, inpatient review, concurrent review, retrospective review, medical director referrals and execution of member/provider approval and/or denial letter. • Reviews provider requests for services requiring authorization. • Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. • May manage appeals for services denied. • Responsible for written and/or verbal notification to members and providers. • Demonstrates proactive anticipatory discharge planning; serves as joint transition of care coordinator with case management and facilitates member care transition. • Ensures medical director written decision is consistent with criteria (CMS, state, medical policy, clinical criteria). • Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards. Education: • Bachelors Degree in Nursing preferred Certification/Licensure • Registered Nurse (RN) License (Compact or Virginia) REQUIRED Preferred qualifications: • 3 years of acute care clinical experience REQUIRED • Previous Utilization Review highly preferred • Previous LTSS Waiver OR Medicaid experience highly preferred • InterQual or Milliman experience preferred. • Knowledge of NCQA preferred. • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-99842 Talroo - Nursing Utilization, Review, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, Virginia, RN, VA, LTSS, Long Term Support Services, Medicaid, Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
The Cigna Group is a global health services company; Evernorth/Accredo is Cigna’s division that provides specialty pharmacy, care and patient support services.
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 with an entire network of nurses that you can lean on. At Accredo, you are a part of an eco-system that will support you and advocate for you. Grow alongside your peers in a patient-centered environment. Aid our clinical departments with new hire training and mentoring as well as 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 Minimum 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 Your Benefits as an Accredo Telephonic Registered Nurse (RN): Internal Career Training Resources Tuition Assistance Medical, Prescription Drug, Dental, Vision and Life Insurance 401K with Company Match Paid Time Off and Paid Holidays 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 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. 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.
A healthcare recruitment/listing source posting remote nursing opportunities, advertising a triage RN role for licensed nurses in specified states.
6295 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
CVS Health is a large integrated healthcare company offering retail pharmacies, MinuteClinic services, pharmacy benefit management, and health insurance (including Aetna). American Health Holding is a CVS/Aetna division providing medical management services.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is a remote work from home role anywhere in the US with virtual training. American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. Key Responsibilities • This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. • Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits. • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. • Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. • Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. • Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives. • Utilizes case management processes in compliance with regulatory and company policies and procedures. • Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations. • Identifies and escalates member’s needs appropriately following set guidelines and protocols. • Need to actively reach out to members to collaborate/guide their care. • Perform medical necessity reviews. Required Qualifications • 5+ years’ experience as a Registered Nurse, including at least 1 year in a hospital setting. • The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support • 1+ years’ experience documenting electronically using a keyboard. • 1+ years’ current or previous experience in Oncology. Preferred Qualifications • 1+ years’ Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care. • 1+ years' experience in Utilization Review. • CCM and/or other URAC recognized accreditation preferred. • 1+ years’ experience with MCG, NCCN and/or Lexicomp. • Bilingual in Spanish preferred. • Bachelors Degree Education • Diploma or Associates Degree in Nursing required. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Human Touch Home Health is a home health provider offering clinical care and care coordination services; this posting indicates they hire remote clinicians for documentation and care-plan review.
We are seeking an experienced and detail-oriented Registered Nurse (RN) for a fully remote office position specializing in developing Plans of Care and reviewing OASIS documentation for home health patients. Responsibilities Develop and update individualized patient Plans of Care Review OASIS assessments accurately and timely Coordinate clinical staff to ensure quality patient care Review clinical documentation for accuracy and compliance Ensure compliance with Medicare and home health regulations Support care coordination and documentation improvement Qualifications Active RN license (Maryland) Home health experience is must Strong knowledge of OASIS documentation and Plan of Care development Excellent documentation, communication, and organizational skills Ability to work independently in a remote setting Detail-oriented and dependable What We Offer Fully remote work environment Supportive and collaborative team To apply, please send your resume and contact information.
Baseline Medical provides in-home and virtual medical care, connecting on-site nurses with remote clinicians to deliver assessments, treatment plans, and oversight.
Benefits: • Bonus based on performance • Employee discounts • Flexible schedule Position Overview: The Virtual Nurse Practitioner (NP) provides medical oversight and telehealth assessments for patients receiving in-home care through Baseline Medical PC. Telehealth visits are conducted while a Registered Nurse is physically present in the patient’s home. The NP reviews RN-collected clinical data, performs virtual medical assessments, develops treatment plans, and provides medical decision-making and prescriptions in real time. This position operates on a scheduled availability model, rather than continuous visit volume. During assigned shifts, the Nurse Practitioner is compensated hourly for being available to support care and join telehealth visits as needed. Patient assessments occur intermittently and are compensated separately on a per-assessment basis. Patient volume is currently modest, with expected growth over time. This role is well suited for an experienced Nurse Practitioner who is comfortable practicing autonomously within a collaborative, hybrid virtual–in-home care model and values flexible, part-time virtual work with predictable base pay. This role is a good fit if you: • Are comfortable with an availability-based workflow • Prefer thoughtful, quality-focused care over high-volume telehealth • Are seeking flexible, part-time virtual work • Enjoy collaborating closely with in-home nursing staff Compensation: Hourly Availability Rate: $50 per hour + Additional Per-Assessment Compensation This role is structured around scheduled availability rather than continuous visit volume. During assigned shifts, the Nurse Practitioner is compensated hourly for being available to support care and join telehealth visits as needed. Patient assessments occur intermittently and are compensated separately on a per-assessment basis. Patient volume is currently modest, with expected growth over time. Responsibilities: • Conduct real-time telehealth evaluations while a Baseline Medical RN is present with the patient in the home. • Review nursing assessments, vital signs, and clinical findings provided by the on-site RN. • Evaluate, diagnose, and manage acute and chronic medical conditions within Nurse Practitioner scope of practice. • Develop and communicate treatment plans, including prescribing medications, ordering labs, and recommending follow-up care. • Provide medical oversight and clinical direction to on-site nursing staff during patient encounters. • Ensure patient safety, appropriate escalation of care, and adherence to clinical protocols. • Document all patient encounters accurately, thoroughly, and in a timely manner within the electronic medical record (EMR). • Collaborate with clinical leadership and operations teams to ensure continuity of care and efficient workflows. • Utilize evidence-based guidelines and best practices in all clinical decision-making. • Participate in clinical meetings, quality improvement initiatives, and required training. • Maintain compliance with all state and federal regulations, including HIPAA and telehealth-specific requirements. • Maintain active and unrestricted licensure in all required jurisdictions. The ideal candidate will possess the following qualities: • Strong Clinical Judgment: Ability to independently assess patient conditions and make sound medical decisions in a virtual care environment. • Collaborative Mindset: Comfort working closely with on-site Registered Nurses to deliver coordinated, high-quality care. • Clear Communication Skills: Ability to provide concise, professional medical guidance to both patients and nursing staff during live encounters. • Organizational Strength: Ability to manage multiple virtual assessments efficiently while maintaining accurate documentation. • Patient-Centered Approach: Commitment to delivering compassionate, safe, and effective medical care. • Adaptability: Comfort working in a dynamic, seven-day clinical operation with varying patient needs. • Technical Proficiency: Confident use of telehealth platforms, EMRs, and clinical communication tools. Education/Experience Requirements: • Graduate of an accredited Nurse Practitioner program • National board certification (FNP, AGNP, or similar) • Minimum of 2 years of clinical experience in primary care, urgent care, or outpatient medicine • Active, unrestricted Nurse Practitioner licensure in Virginia, Washington DC, and Maryland or ability and willingness to obtain missing licenses within a defined timeframe. • Eligibility to practice as a W-2 employee under Baseline Medical PC Preferred Medical Experience: • Primary Care or Family Medicine • Urgent Care • In-Home or Mobile Medical Care • Telehealth / Virtual Care • Acute Illness Evaluation • Chronic Disease Management This is a remote position.
SynergenX Health Holdings (Low T Centers) is a healthcare organization offering telemedicine services focused on hormone replacement therapy and is hiring remote providers to serve Texas patients.
Role Description SynergenX and Low T Centers is seeking a FT Telemedicine Provider to treat patients remotely in the State of Texas. This is a fully remote position, and patients will be seen in Central Standard time zone. We are currently seeking a certified Physician Assistant (PA) or Nurse Practitioner (NP) to serve as a mid-level provider to deliver quality care specifically for hormone replacement therapy (HRT) for men full time (M-F 8am-5pm central standard time). Due to the nature of the expansion of SynergenX and Low T Center, there is potential for professional growth for the right candidate. This is a very unique opportunity for a PA or NP to be part of the foundation and bright future of this company. Qualifications • Sound medical decision making abilities • Current experience delivering Telehealth • Ability to connect with patients via Telehealth and quality patient relationship skills • Active TX FNP or PA state license in good standing with TX being under your primary taxonomy • NPI number • Required Board certification for NP or PA • No current or pending malpractice lawsuits • Current DEA License in Texas • Availability of 8am-5pm M-F Training • Remote training for 7-10 days Job Location • Fully remote within Texas, servicing Texas patients via telehealth Compensation • $120,000 annually Firm Benefits • Polo's provided • IT Equipment is provided! • Malpractice covered • Health/Dental Vision • PTO • CME PTO and Reimbursement • Licensure renewals reimbursed • Employee Discounts • 401k with matching
IntellaTriage is a healthcare organization that provides remote nurse triage and advice-line services, supporting patients and client healthcare teams with telephonic nursing care and clinical support.
IntellaTriage continues to GROW! IntellaTriage Nurses enjoy the benefits of working from home, providing care, without the stress and expense of commuting each day! • MUST have or be willing to obtain a Compact RN license • MUST live in/work from a Compact US state • Minimum of 2 years as a Nurse • Minimum of 1 year of experience in a fast-paced environment (i.e. ED, Critical Care, Surgical Services, Med/Surg, etc.) • Must have high speed internet • Must be tech savvy, enjoy a fast-paced environment, and have no concerns typing • Must be available to work 2 out of every 3 weekends & 1 weekday per week > 3 shifts per 2 week pay period Mon-Fri, rotating 5p-11p CST > 2 of every 3 weekend rotation (Sat & Sun) rotating 8a-4p/ 2p-10p Our Nurse Advice Line Nurses: • Have proven experience in a fast-paced, critical-thinking environment; ED, Critical Care, Surgical Services, etc • Work a minimum of 2-3 shift per week (Mon-Fri) • Preferred scheduling for their weekday requirements • Work 2 weekends or every 3 weeks, both Saturday and Sunday on those weekends with rotating times. (For example: weekend 1: work, weekend 2: work, weekend 3: off) • Train for 3 weeks. First week is Monday-Thursday 9a-6p CST. Remaining two weeks training will be dependent upon preceptor availability but will likely be an evening shift. • Must have a compact license and live in that compact state. (no states with pending legislation or future implementation dates are considered current compacts) What is important to know? We are growing and excited to be able to support our clients' nursing staffs in the field who need time to focus on work-life balance, as well, while being able to trust that we are there to support them and their patients during nights and weekends! • Patient care is #1. We do not have call quotas. We employ the best nurses to provide the best care • When our patients or their families reach our triage line, they immediately speak directly with a nurse • We do not have PRN positions • We are super busy. If you like fast-paced roles, keep reading.. • Any nurse may pick up additional shifts, if shifts are available for the clients' they are trained to support • We will provide you with a laptop and headset • Nurses are required to provide their own high-speed internet (only fiberoptic or coaxial cable internet is compatible with our remote call center technology) • Our laptop is required to be directly connected to your modem. Working through Wi-Fi is not compatible with our systems. The calls will drop • It is essential to have a home office or quiet space free from noise or distractions in your home (Privacy/HIPAA compliant space is required) • Training is provided remotely and is paid; no travel is required in this role • MUST be able to follow instructions (verbal and written) and be comfortable with technology (tech savvy) • Must remain in good standing and ensure their home state license remains active • IntellaTriage will cover the cost of non-compact state licensure based on the client(s) that are assigned for support • All nurses must have a compact license and reside/work in that state • Shift prep is a minimum clock-in of 30 minutes prior to taking calls; this is paid time to prepare • Once calls roll to the next team/shift, our nurses remain clocked in and complete any remaining charting before leaving for the day. This may take 30 minutes or this may take 2 hours. It depends on the pace of the calls received during that shift and the pace of your ability to quickly navigate technology and type Sound exciting to you? Then... put those days on the floor and that commute or hours on the road between patients' homes behind you! Our nurses enjoy working from their own home office; no more purchasing scrubs, expensive takeout, and the large gas bill along with extra wear-and-tear on your vehicle. Most importantly, working remotely enables you to spend more time with those you love! Requirements • MUST have or be willing to obtain a Compact Nursing License (States with pending legislation or future implementation dates are not considered current compacts until the implementation date.) • 3+ years as a RN • Experience in a fast-paced environment: i.e. ED, Surgical Services, or Critical Care • Must be comfortable with technology and accessing multiple applications remotely to perform documentation during calls • Ability and comfort typing • Fluency in English is required, additional languages are a bonus • Must physically reside in the U.S. and be legally eligible to work for any employer • Must be able to complete the 3-week orientation and training (Schedule listed in this posting) • Must be available to work Saturday & Sunday on your team's required weekends; 2 of every 3 weekends • Holidays as they are required (rotation) • Able to handle stress and multitask when calls are coming in (minimum of 5+ calls per hour on weekdays, and much higher on weekends) • Able to communicate with patients and families with empathy while also maintaining adherence to client protocols • Must maintain CEU's as designated by the states you are answering calls in • Must attend any in-services, additional training on an as needed basis • Able to pass background check and nurse licensing check Benefits All Remote Nurse Advice Line RN's, once trained to their originally assigned team are at $25/hourly. All part-time nurses accumulate PTO, based on the number of hours they work (per year). All part-time nurses receive an additional 3-paid-sick-days per year. All part-time nurses are eligible to participate in our 401(k) plan.
Spakinect is an aesthetic telehealth company that connects medical spas and clinics with remote providers to perform virtual consultations and Good Faith Evaluations for aesthetic treatments across multiple U.S. states.
This is a remote position. *This role is for a remote PART-TIME position with an anticipated start date as early as June 1st, 2026* Are you an Aesthetic Nurse Practitioner seeking a new and exciting growth opportunity in a remote environment? Spakinect is a successful and growing business in the Aesthetic Telehealth arena with hundreds of clients located in Arizona, California, Colorado, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Washington D.C., Wisconsin, and Wyoming. We are looking for a provider with multiple state licensures and candidates must have weekday and weekend availability between the hours of 8am-6pm PST. The part-time role requires a minimum of 12 hours of availability weekly and a weekend requirement of 2-3 Saturdays/month. Any additional weekly availability is a plus! To be considered for this opening, you must have prior aesthetic medicine experience, hold active licenses in California and Texas. Additional licenses in our states of operation are highly desired. Applicants may be considered if CA and TX licenses are submitted and in pending status in addition to having previous aesthetic medicine experience. The starting base rate for this position is $63/hour, however candidates with additional desirable licensure and experience may be eligible to receive a higher starting rate. What you will do at Spakinect: The Aesthetic Telehealth Provider conducts live, interactive Good Faith Evaluations (GFEs) for medical spas and clinics with patients seeking aesthetic treatments throughout the United States from the comfort of their home office. This fast-paced and dynamic position requires excellent communication skills, efficiency, adaptability, independent clinical decision making, and the ability to provide impeccable customer service. The Aesthetic Telehealth Provider maintains a positive, figure-it-out attitude, and is proficient with technology. Spakinect medical providers embrace teamwork and seek collaboration with their colleagues to deliver safe, evidenced-based, high-quality care. Essential Duties and Responsibilities • Deliver thorough, efficient, and exceptional healthcare by reviewing health histories, screening for any contraindications to treatment, and providing treatment plan recommendations for desired aesthetic treatments. • Displays superior customer service by addressing client and patient care concerns, answering clinical questions, and providing medical guidance as necessary. • Demonstrates behavior that is kind, compassionate, polite, friendly, and respectful towards patients, clients, and co-workers. • Effectively communicates with office staff regarding any administrative issues that arise in a timely manner; demonstrates accountability. • Documents electronically using an Electronic Health Record (EHR) system to submit completed GFEs in real-time. • Exhibits the ability to troubleshoot basic technical problems to resolve any potential issues, reaches out appropriately for further assistance when needed. • Adheres to company guidelines and policies, completes all required training, attends continuing education opportunities for growth and development. • Improves productivity and efficiency by developing and implementing standards and processes. • Fosters and embraces best care practices. • Demonstrates Spakinect’s company core values and mission. • Performs other duties as assigned. Requirements Education and/or Experience Master's degree from an accredited college/university or equivalent with related experience in the aesthetic industry. Aesthetic Industry Experience In-depth knowledge of aesthetic medicine and treatments offered by industry. Knowledge of legal regulations and best practices in healthcare. Up to date with ever-changing standards in telehealth and aesthetic administration. Licensing Qualified candidates must hold active licenses in California and Texas. Preferred licensure for hire are active medical licenses in good-standing in additional states of operation. Aesthetic Telehealth Provider candidates must be willing and able to acquire additional licensure in requested states of operation. Availability Must have weekday and weekend availability between the hours of 8am-6pm PST. Must be able to provide a minimum of 12 hours of weekly availability and be willing to work 2-3 Saturday shifts per month. Additional weekly availability is a plus! Benefits Benefits are granted upon 90 days of employment, unless specified otherwise. Although benefits are subject to change, part-time employees are currently entitled to: • 1 hour of sick leave for every 30 hours worked • Eligible for participation in company’s 401K plan • Coverage of Malpractice Insurance in all states of operation • Reimbursement for initial licensing fees in requested states of operation upon completion of the 90 day probationary period (excludes previously acquired licenses) • Reimbursement for license renewal fees in states of operation requested by the Company • Membership to NetCE for continuing education classes • Employee incentives via Bonusly. • Company provided laptop
Optum, part of UnitedHealth Group, is a health services and innovation company delivering care, data, pharmacy and population health solutions to improve health outcomes.
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. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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: • Undergraduate degree or equivalent experience • Current, unrestricted Compact RN license • 2+ years of experience in Infusion Therapy and Home Health with specific proficiency in infusion therapy • Knowledge of and experience with Microsoft Office and electronic medical records (EMR) programs • Willing and/or able to obtain additional RN licensures in the states of: AK, CA, HI, IL, MA, MI, MN, NV, NY and OR if licensure is not currently active • Willing and able to work with an interdisciplinary team of professionals including pharmacists and technicians, physicians and other licensed prescribers, registered dietitians, home health agencies (HHAs), sales representatives, and others as needed to provide comprehensive care and support of patients and caregivers • Demonstrated advanced interpersonal communications, both written and verbal • Proven ability to maintain confidentiality in all aspects of patient, staff and agency information • Proven ability to work independently in home or alternate site settings • Proven ability to work under pressure with clinical emergencies if required • Ability to assume a flexible work schedule • Ability to meet attendance, overtime, on-call, and other reliability requirements of the job • Ability to work under pressure with clinical emergencies if required • Able to work Monday - Friday, from 8:00 am - 5:00 pm PST, with occasional Saturday coverage Preferred Qualifications: • CRNI (Certified Registered Nurse Infusion) • 3+ years of experience in Infusion Therapy and Home Health with specific proficiency in infusion therapy • Experience within a healthcare organization providing coordination and navigation of patient care between providers • Knowledgeable and/or experience in HIPAA; OSHA; JCAHO • Knowledge of the Infusion Nursing Society (INS) standards of practice, policies and procedures • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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. 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. 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.
Monogram Health is a healthcare company focused on care management and value-based services for patients with kidney disease, working with providers and payers to improve clinical outcomes.
Seeking a proactive and motivated Registered Nurse Clinical Performance Lead to work full-time remotely, responsible for managing clinical interventions, supporting patient care and treatment, and ensuring quality assurance and compliance for members affected by renal disease. Key responsibilities • Review and manage clinical interventions, support RNs with action plans, and conduct concurrent hospital reviews • Approve care plans, facilitate case rounds, and address clinical escalations from field clinicians • Audit medical charts, conduct data analysis, and provide guidance on compliance and documentation Required qualifications • Current, active unrestricted license as a Registered Nurse in assigned states/territories • Minimum of 2 years of Registered Nurse experience within the last 5 years or equivalent clinical experience • Demonstrated knowledge and proficiency using technology
Centene Corporation is a diversified healthcare company that provides managed care and health plan services to government-sponsored and commercial programs across the United States.
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. Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member. This is a 100% remote position that supports out Health Plan in Oregon, must have or willing to obtain an OR License. Prefer candidate to reside in Central, Mountain or Pacific Time Zones. • Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care • Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member • Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered • Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines • Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings • Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members • Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines • Reviews member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities • Collaborates with care management on referral of members as appropriate • 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. 2+ years of acute care experience required. Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: • LPN - Licensed Practical Nurse - State Licensure required • RN - Registered Nurse - State Licensure and/or Compact State Licensure For State of Nevada required 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
Baseline Medical PC provides in-home care supported by virtual clinicians, coordinating telehealth assessments and medical oversight alongside on-site nursing staff.
Benefits: • Bonus based on performance • Employee discounts • Flexible schedule Position Overview: The Virtual Nurse Practitioner (NP) provides medical oversight and telehealth assessments for patients receiving in-home care through Baseline Medical PC. Telehealth visits are conducted while a Registered Nurse is physically present in the patient’s home. The NP reviews RN-collected clinical data, performs virtual medical assessments, develops treatment plans, and provides medical decision-making and prescriptions in real time. This position operates on a scheduled availability model, rather than continuous visit volume. During assigned shifts, the Nurse Practitioner is compensated hourly for being available to support care and join telehealth visits as needed. Patient assessments occur intermittently and are compensated separately on a per-assessment basis. Patient volume is currently modest, with expected growth over time. This role is well suited for an experienced Nurse Practitioner who is comfortable practicing autonomously within a collaborative, hybrid virtual–in-home care model and values flexible, part-time virtual work with predictable base pay. This role is a good fit if you: • Are comfortable with an availability-based workflow • Prefer thoughtful, quality-focused care over high-volume telehealth • Are seeking flexible, part-time virtual work • Enjoy collaborating closely with in-home nursing staff Compensation: Hourly Availability Rate: $50 per hour + Additional Per-Assessment Compensation This role is structured around scheduled availability rather than continuous visit volume. During assigned shifts, the Nurse Practitioner is compensated hourly for being available to support care and join telehealth visits as needed. Patient assessments occur intermittently and are compensated separately on a per-assessment basis. Patient volume is currently modest, with expected growth over time. Responsibilities: · Conduct real-time telehealth evaluations while a Baseline Medical RN is present with the patient in the home. · Review nursing assessments, vital signs, and clinical findings provided by the on-site RN. · Evaluate, diagnose, and manage acute and chronic medical conditions within Nurse Practitioner scope of practice. · Develop and communicate treatment plans, including prescribing medications, ordering labs, and recommending follow-up care. · Provide medical oversight and clinical direction to on-site nursing staff during patient encounters. · Ensure patient safety, appropriate escalation of care, and adherence to clinical protocols. · Document all patient encounters accurately, thoroughly, and in a timely manner within the electronic medical record (EMR). · Collaborate with clinical leadership and operations teams to ensure continuity of care and efficient workflows. · Utilize evidence-based guidelines and best practices in all clinical decision-making. · Participate in clinical meetings, quality improvement initiatives, and required training. · Maintain compliance with all state and federal regulations, including HIPAA and telehealth-specific requirements. · Maintain active and unrestricted licensure in all required jurisdictions. The ideal candidate will possess the following qualities: · Strong Clinical Judgment: Ability to independently assess patient conditions and make sound medical decisions in a virtual care environment. · Collaborative Mindset: Comfort working closely with on-site Registered Nurses to deliver coordinated, high-quality care. · Clear Communication Skills: Ability to provide concise, professional medical guidance to both patients and nursing staff during live encounters. · Organizational Strength: Ability to manage multiple virtual assessments efficiently while maintaining accurate documentation. · Patient-Centered Approach: Commitment to delivering compassionate, safe, and effective medical care. · Adaptability: Comfort working in a dynamic, seven-day clinical operation with varying patient needs. · Technical Proficiency: Confident use of telehealth platforms, EMRs, and clinical communication tools. Education/Experience Requirements: · Graduate of an accredited Nurse Practitioner program · National board certification (FNP, AGNP, or similar) · Minimum of 2 years of clinical experience in primary care, urgent care, or outpatient medicine · Active, unrestricted Nurse Practitioner licensure in Virginia, Washington DC, and Maryland or ability and willingness to obtain missing licenses within a defined timeframe. · Eligibility to practice as a W-2 employee under Baseline Medical PC Preferred Medical Experience: · Primary Care or Family Medicine · Urgent Care · In-Home or Mobile Medical Care · Telehealth / Virtual Care · Acute Illness Evaluation · Chronic Disease Management This is a remote position.
A healthcare organization providing telehealth and remote nursing services, focusing on virtual patient care coordination and remote clinical support.
Job Summary Progressive Technology is seeking a compassionate and skilled Telehealth Nurse to join our team. In this fully remote role, you will be responsible for delivering high-quality patient care, coordinating healthcare services, and providing support to patients via virtual platforms. This position is ideal for registered nurses who have experience in patient care coordination and are passionate about leveraging technology to provide efficient, remote healthcare solutions. Key Responsibilities • * Conduct virtual patient assessments, including health evaluations and triage, to ensure optimal care delivery. • * Develop personalized care plans in collaboration with healthcare teams, ensuring all medical needs are met effectively. • * Provide ongoing care coordination by monitoring patient progress and adjusting care plans as needed. • * Educate patients and their families about disease management, treatment options, and healthy lifestyle choices. • * Ensure seamless communication with physicians, specialists, and other healthcare providers to deliver cohesive patient care. • * Record and maintain accurate patient information in electronic health records (EHR) systems. • * Offer emotional support and guidance to patients dealing with health issues, providing reassurance and answering medical questions. • * Stay updated with the latest telehealth practices, technologies, and healthcare regulations. • Required Skills and Qualifications • * Registered Nurse (RN) with a current license to practice in your state (or jurisdiction). • * Proven experience in nursing, with at least 2 years in patient care coordination, telehealth, or related fields. • * Excellent communication skills, both verbal and written, with the ability to interact professionally and empathetically with patients. • * Strong knowledge of healthcare systems, medical terminology, and telemedicine platforms. • * Ability to work independently and manage time effectively in a remote setting. • * Proficiency in using electronic health record (EHR) systems and telehealth technology. • * Ability to multitask and prioritize patient needs in a fast-paced virtual environment. • Experience • * A minimum of 2 years of clinical nursing experience, preferably in home care, care coordination, or telehealth. • * Previous experience in a virtual or telehealth nursing role is highly preferred. • Working Hours • * This is a remote, full-time position. • * Flexible working hours, including the possibility of night shifts or weekend hours depending on patient needs. • * Occasional on-call availability may be required for urgent patient care. • Knowledge, Skills, and Abilities • * Telemedicine proficiency: Skilled in using telehealth platforms and technology to assess and manage patient care. • * Care coordination: Experience in managing multidisciplinary care teams and advocating for patients. • * Clinical assessment: Strong ability to assess patient health, identify potential issues, and take proactive steps in care. • * Patient education: Ability to explain medical concepts clearly and teach patients about self-care, treatment plans, and prevention strategies. • * Problem-solving: Strong critical thinking and decision-making skills in providing virtual patient care. • * Time management: Ability to juggle multiple patient needs, prioritize tasks, and meet deadlines in a remote work setting. • Benefits • * Competitive salary: Offering an attractive pay scale based on experience. • * Comprehensive healthcare benefits: Including medical, dental, and vision coverage. • * Retirement plans: 401(k) with company match. • * Generous paid time off: Vacation, sick days, and holidays. • * Professional development: Opportunities for continuous learning, telehealth training, and certifications. • * Work-life balance: Flexible working hours with remote work options to accommodate personal schedules. • * Employee wellness programs: Access to mental health resources, wellness initiatives, and employee assistance programs (EAP). • Why Join Progressive Technology? Progressive Technology is committed to transforming healthcare through the power of telehealth. As a Telehealth Nurse, you will play a pivotal role in making healthcare accessible and convenient for patients in need of care. We offer a supportive work environment, opportunities for career growth, and the chance to make a significant impact in the healthcare industry. Join our dynamic team of professionals and be part of a forward-thinking company dedicated to delivering high-quality, remote healthcare. How to Apply Interested candidates are invited to submit their resume and a cover letter outlining their qualifications and experience. Please include any certifications relevant to telehealth or nursing. Submit your application through our online portal or email it directly to us.
Alignment Health is a healthcare organization focused on Medicare Advantage solutions, serving seniors and high-risk populations with care management and plan services.
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Remote - Manager, Case Management SNP is responsible for the health care management and coordination of care for members with complex and chronic care needs. Assures compliance with SNP program requirements as outlined in the Model of Care. Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members. Monitors and reports program performance, including vendor performance monitoring if activities are delegated. This position is responsible for the day-to-day operational performance of an integrated health management team while ensuring high-quality care management and adherence to regulatory and compliance standards for the appropriate program lines of business. California RN License Required Fully Remote | California Preferred (Outside Bay Area Preferred) Full-Time | Monday–Friday Make an Impact in Medicare Advantage Care We are looking for an experienced and compassionate healthcare leader to join our team as a Manager, Case Management – Special Needs Plan (SNP). In this fully remote leadership role, you will oversee a high-performing care management team dedicated to improving outcomes for members with complex and chronic healthcare needs. This is an exciting opportunity to lead meaningful work that directly impacts vulnerable populations while helping shape innovative care management strategies in a growing organization. If you are passionate about member advocacy, operational excellence, regulatory compliance, and developing strong clinical teams — we would love to hear from you. What You’ll Do As the Manager, Case Management – SNP, you will oversee day-to-day operations of an integrated care management team supporting Medicare Advantage SNP members. You will ensure compliance with CMS Model of Care requirements while driving quality, efficiency, and member-centered outcomes. Key Responsibilities • Lead, coach, and develop a high-performing case management team serving SNP members • Ensure timely completion of: • Health Risk Assessments (Initial & Reassessments) • Individualized Care Plans (ICPs) • Interdisciplinary Care Team (ICT) activities • Monitor operational and quality performance metrics and implement improvement strategies • Oversee regulatory audits, compliance initiatives, and quality assurance activities • Collaborate cross-functionally with: • Utilization Management • HEDIS/STARS • Quality Improvement • Provider and Clinical Operations teams • Analyze reporting trends and operational data to support strategic decision-making • Promote a culture of accountability, collaboration, and continuous improvement • Support program growth and operational excellence within the Medicare Advantage SNP population What You Bring: Required Qualifications • Active, unrestricted California RN license • Associate’s or Bachelor’s Degree in Nursing • Minimum 5 years of clinical case management experience • Minimum 1 year of experience supporting SNP programs within a health plan environment • Willingness to obtain RN licensure in additional company markets, if needed • Strong understanding of: • CMS SNP Model of Care • Medicare Advantage regulations • Care coordination and population health strategies Preferred Qualifications • BSN or MSN • 2+ years of leadership or supervisory experience in managed care or health plan operations • Case Management certification (CCM, ACM, or equivalent) • Experience with utilization review criteria such as MCG guidelines Skills for Success • Strong leadership and team development capabilities • Excellent communication and relationship-building skills • Data-driven mindset with the ability to analyze trends and drive performance • Experience working with EHR systems and healthcare technology platforms • Strong organizational, project management, and problem-solving abilities • Ability to thrive in a fast-paced, collaborative, remote environment Why Join Us? • Fully remote flexibility • Opportunity to lead and grow within a rapidly expanding organization • Meaningful work improving outcomes for high-risk Medicare populations • Collaborative, mission-driven culture focused on quality care and innovation • Ability to influence and enhance case management programs at scale • Competitive compensation and benefits package Physical Requirements Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role. • Regularly required to communicate effectively via phone and video conferencing • Frequent sitting, standing, typing, and computer use • Occasionally lift and/or move up to 10 pounds • Close vision and ability to adjust focus required for computer-based work • Join a team that is committed to delivering exceptional care, improving member outcomes, and driving innovation in Medicare Advantage case management. Pay Range: $113,332.00 - $169,999.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. • DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.
Withings is a global connected-health company known for consumer health devices (blood pressure monitors, scales, sleep and activity trackers) that has expanded into virtual clinical care through Withings Medical Group and remote care programs.
About Withings Medical Group Withings is a global leader in connected health devices — from smart blood pressure monitors and scales to sleep and activity trackers. Withings Medical Group extends this mission into clinical care. The ACCESS program integrates device-generated data, AI-driven insights, and a dedicated virtual care team to manage cardiometabolic conditions — hypertension, dyslipidemia, CKD, obesity, and diabetes — meeting patients where they are, in their homes, across up to 50 states. The role in one sentence As our first clinical hire, you won't just fill a role — you will help shape it. This is a rare opportunity for a forward-thinking NP to work at the intersection of virtual care, digital health, and value-based medicine, partnering directly with the Medical Director to build the workflows, protocols, and care standards that will define how ACCESS delivers outcomes at scale. This is a part-time 1099 independent contractor role, designed to convert to a full-time salaried position as the ACCESS program scales. We expect this transition to occur as the program grows toward 1,000+ patients, contingent on program growth and mutual fit. What You'll Do Clinical care • Conduct virtual medical evaluations via video, phone, and asynchronous forms — confirming diagnoses, assessing for target organ damage, and documenting baseline metrics • Create and manage holistic, evidence-based care plans for patients with ACCESS-defined conditions: obesity, dyslipidemia, hypertension, ASCVD, mild-to-moderate CKD, and pre/diabetes • Act as the primary prescriber in Full Practice Authority states, including medication titration and renewal per clinical protocol. In non-FPA states, prescribe under Collaborative Practice Agreements with the Medical Director • Manage device-triggered Red Alerts (e.g., BP >180/110) — triaging patients for ER referral or immediate titration adjustment during business hours • Provide warm handoffs to referring clinicians in urgent situations, including new renal failure presentations Documentation & risk capture • Document all patient interactions — synchronous and asynchronous — in the EHR with accurate ICD-10 coding • Capture comorbidities accurately (e.g., CKD Stage 3b) to ensure correct reimbursement at the CKM rate rather than the standard eCKM rate • Prepare PCP care coordination reports to maintain the ACCESS-model partnership with referring physicians Program building • Collaborate with the Medical Director to develop and refine evidence-based titration algorithms and clinical protocols • Contribute to building scalable workflows that can support rapid patient volume growth • Provide feedback on app-based care tools, behavioral support content, and remote monitoring integration to continuously improve the patient experience Requirements What you'll bring • Active NP license in good standing in your home state; IMLC/eNLC compact license strongly preferred. Willingness to obtain licensure in target states within 90 days of start • Board certification through ANCC or AANP as a Family, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care NP • Minimum 2 years of post-licensure clinical experience in primary care, internal medicine, endocrinology, cardiology, or geriatrics with a strong command of cardiometabolic conditions • Demonstrated comfort with telehealth or digital care delivery — you thrive in a screen-based, asynchronous-forward environment • Strong documentation discipline and familiarity with EHR systems • Excellent independent clinical judgment — you are comfortable making decisions without a physician in the room • US residency (all 50 states and US territories) Bonus points for • Experience with value-based care, CMS quality measures, or ACO/care management programs • Familiarity with CKM (Cardiovascular-Kidney-Metabolic) conditions and GLP-1 therapy management • Comfort prescribing under Collaborative Practice Agreements in non-Full Practice Authority states • Spanish language proficiency — our platform serves both English and Spanish speakers • Prior experience building or launching a new clinical program or service line Benefits • Part-time 1099 contract to start, estimated at 20 hours per week, with a competitive hourly or project-based rate • A structured path to full-time conversion as ACCESS scales toward 1,000+ patients — this is a ground-floor opportunity, not a permanent contractor role • Open to candidates anywhere in the US — this role is fully remote. We have a preference for candidates based in or near Boston, as occasional in-office collaboration at our Boston headquarters is a plus, though not required • Direct access to senior leadership and real ownership over how ACCESS is built — your decisions will shape the program from day one • Upon conversion to full-time: full Withings benefits package including health coverage, 401(k) match, wellness reimbursements, and access to Withings products
CareScout provides clinical assessment and care coordination services, conducting in-home and remote evaluations to support long-term care insurance and senior care needs.
Field Team Partner Opportunities supporting the Fremont, NE area. Flexibility, Greater Ease, Extra Hours RNs: Build a rewarding career and the lifestyle you want Are you a nurse looking for more flexibility, extra hours, or fulfilling work that doesn’t require hands-on care? CareScout’s Field Team independent contractor positions may be right for you. As a Field Team Partner, you’ll complete cognitive and functional assessments for older adults in their home. You decide which assessments and how many to take through a simple app. You can accept a case based on the time, place, and competitive fixed rates. Assessments are documented in an easy to use digital form. Your role will be to conduct assessments of long-term care insurance policyholders. The entire assessment usually takes 60‐90 minutes and includes: • Collecting information on the insured’s current and past medical history • Documenting the insured’s functional and cognitive levels • Administering a short cognitive exam • Leading the insured through a short demonstration activity Through the CareScout online portal, you can: • Complete online training • Accept or decline assessments opportunities • Complete the assessments, both online and offline • Check payment status of work completed To participate in CareScout’s Field Team Network, you’ll just need to: • Have a valid, current RN license, in good standing • Be technically savvy and have access to a laptop or tablet to perform the assessment in real time • Be willing to travel within 15 miles of your home or further Job Types: Contract, PRN, Per diem Medical Specialty: • Addiction Medicine • Allergy & Immunology • Anesthesiology • Bariatrics • Burn Care • Cardiology • Cath Lab • Critical & Intensive Care • Dermatology • Dialysis • Dietetics • Emergency Medicine • Endocrinology • Forensic Medicine • Gastroenterology • Genetics & Genomics • Geriatrics • Hematology • Holistic Medicine • Home Health • Hospice & Palliative Medicine • Hospital Medicine • Hyperbaric Medicine • Infectious Disease • Internal Medicine • Labor & Delivery • Medical-Surgical • Nephrology • Neurology • Nuclear Medicine • Ob/Gyn • Occupational Medicine • Oncology • Ophthalmology • Orthopedics • Otolaryngology • Pain Medicine • Pathology • Pediatrics • Perioperative Care • Physical & Rehabilitation Medicine • Plastic Surgery • Podiatry • Primary Care • Psychiatry • Public Health • Pulmonology • Radiology • Reproductive Endocrinology & Infertility • Rheumatology • Sleep Medicine • Sports Medicine • Surgery • Telemetry • Toxicology • Transplant Surgery • Trauma Medicine • Urgent Care • Urology • Wound Care Work Location: On the road
VHC Health is a healthcare organization providing hospital and outpatient services in Virginia, offering clinical and telehealth roles.
Position Title Virtual Nurse/Nursing Care Partner (Per-Diem) Job Description Purpose & Scope: Across inpatient Medical-Surgical, Telemetry, and Intermediate Care Unit (IMCU), the registered Virtual Nurse/Nursing Care Partner is responsible for the indirect nursing care of their assigned patients. The position requires knowledge of both department and hospital policies and procedures relevant to the delivery of nursing care. Interpretive skills, frequent interactive and consultative associations, are inherent in the position. The ability to retrieve, communicate or otherwise present information in a written, auditory or visual fashion is essential. The primary method to express or exchange ideas is through the spoken word. Written, telephone, and manual dexterity skills are required for this position. The Vitrual Nurse/Nursing Care Partner is expected to collaborate members of the healthcare team and communicate with patients via eremote technology in order to provide goal-directed care. The Virtual Nurse/Nursing Care partner will be completing tasks such as, but not limited to, patient admission assessments, patient education and discharge teaching via remote technology. Education: Bachelor's in Nursing Required, or Associate's in Nursing Required Experience: Two years of Nursing/Patient Care in an acute care setting is required, 5 years preferred Certification/Licensure: Licensed as a Registered Nurse by the Virginia Department of Health Professions required or, Compact State Licensure in Nursing required BLS certification required ACLS or PALS cards stand as showing competence in BLS Skills per American Heart Association Guidelines. If an employee holds current ACLS or PALS certification, this meets the requirement for BLS in their job description. They do not need to also carry a separate BLS certification. Skills Knowledge and Abilities Computer Skills: Typing Words per Minute 60+ Basic dysrhythmia knowledge, preferred Proficient with EHR systems, EPIC preferred
Doko Medical is a U.S.-based telehealth platform offering virtual primary and specialty care, currently expanding remote weight management and GLP-1 services.
Telehealth Nurse Practitioner (NP) – Weight Loss / GLP-1 Company: Doko Medical Website: https://doko.md Job Type: Contract (1099) Location: Remote – United States Schedule: Flexible Hours Compensation: Competitive per-consult or hourly compensation based on experience and state licensing About Doko Medical Doko Medical is a growing USA-based telehealth platform focused on accessible, patient-centered virtual care. We are expanding our remote weight management and GLP-1 services and are seeking experienced Nurse Practitioners licensed in multiple U.S. states to join our telehealth team. Our platform supports convenient online care with modern workflows, flexible scheduling, and streamlined telemedicine operations. Position Overview We are seeking motivated and clinically responsible Nurse Practitioners experienced or interested in medical weight management and GLP-1 therapies including semaglutide and tirzepatide. This is a fully remote telehealth role involving patient evaluations, follow-up care, medication management, and documentation through our online platform. Responsibilities • Conduct virtual patient evaluations for medical weight management • Review patient medical history, labs, medications, and contraindications • Develop appropriate treatment plans and determine eligibility for GLP-1 therapies • Prescribe medications when clinically appropriate and permitted by state regulations • Provide follow-up support and ongoing monitoring • Maintain accurate and timely documentation • Collaborate with the Doko Medical clinical operations team Requirements • Active Nurse Practitioner license in multiple U.S. states • Active NPI number • Experience in telehealth, primary care, family medicine, obesity medicine, or weight management preferred • Comfortable using telemedicine technology and EMR systems • Strong clinical judgment and communication skills • Must maintain active individual malpractice insurance coverage • Minimum malpractice coverage preferred: $1M/$3M Preferred Qualifications • Experience prescribing GLP-1 medications such as semaglutide or tirzepatide • Multi-state licensing strongly preferred • Experience with asynchronous telehealth workflows • Bilingual candidates are encouraged to apply What We Offer • Fully remote work environment • Flexible scheduling • Streamlined telehealth platform • Supportive and growing clinical team • Opportunity to help scale a modern virtual care platform • Consistent patient demand in a rapidly growing care category Apply Please submit: • Resume/CV • List of active state licenses • DEA status (if applicable) • Brief summary of telehealth or weight management experience Learn more about us at https://doko.md Pay: $86,839.98 - $104,581.48 per year Work Location: Remote
MPF Federal, LLC is a healthcare services company that provides nursing and telehealth support, including roles serving military families and government health programs.
Position: Remote Telehealth RN Triage for Military Families Location: Danciger A healthcare organization is seeking Remote Telehealth Triage Nurses to support military families via a 24/7 Nurse Advice Line. This role enables RNs to leverage their acute care experience while providing guidance and health education from home. Candidates must have a minimum of 5 years of RN experience, a current Compact RN license, and a BSN degree. Enjoy a flexible schedule with competitive pay and a commitment to supporting licensure across all states. #J-18808-Ljbffr
UnitedHealthcare, part of UnitedHealth Group, is a large national health insurer and services company providing health plans, care management, and related healthcare services across the United States.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. In this autonomous Health and Social Services Coordinator role, you will be an essential element of an Integrated Care Model by relaying pertinent information about member needs and advocating for the best possible care available, and ensuring the members have the right services to meet their individualized needs. If you are located in the state of Michigan, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: • Analyze, assess, plan and implement care strategies that are adapted to the patient and directed toward the most appropriate, least restrictive level of care • Actively identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services • Act as a champion of member care plans throughout the continuum of care and act as a single point of contact • Confidently communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members • Courageously advocate for patients and families to ensure the patient's needs and choices are fully represented and supported by the health care team • Assess members' current health status by making outbound calls and receiving inbound calls • Recognize gaps or barriers in treatment plans • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care • Manage the care plan throughout the continuum of care as a single point of contact • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members • Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team 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: • Registered Nurse license in the state of MI • 4+ years of clinical experience/community health in a healthcare setting • 2+ years of Case Management experience • 2+ years of Medicaid experience • 1+ years of experience working with MS Word, Excel and Outlook • Must reside in the state of Michigan Preferred Qualifications: • Certified Case Manager (CCM) • Experience working with the needs of vulnerable populations who have chronic or complex conditions • Experience with electronic charting • Experience with arranging community resources • Medicare experience • Experience or exposure to discharge planning • Experience in utilization review, concurrent review or risk management • Background in managing populations with complex medical or behavioral needs • Acute care experience • All Telecommuters 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 $51.83 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. #RPO #GREEN
ReviveRX & Ways2Well appear to be healthcare organizations offering virtual functional medicine and hormone optimization services, delivering patient care via telemedicine and digital health platforms.
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. 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 • 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 $130 - $135 a year
Amerit Consulting is a healthcare consulting and staffing firm that places clinical professionals in contract, telehealth, and onsite nursing roles.
Amerit Consulting is seeking an experienced Telehealth Nurse for a 3-month assignment in Cary, NC, with potential for extension. The role requires an active RN license in North Carolina and at least 5 years of nursing experience. Responsibilities include patient education on medications, compliance documentation, and support in telehealth environments. The position offers a pay rate of $40 per hour and a schedule of Monday to Friday, 9 AM to 6 PM. Hybrid work eligibility is available after performance metrics are met. #J-18808-Ljbffr Amerit Consulting
Fountain Vitality, Inc. is a telemedicine company offering concierge hormone replacement (TRT/HRT) and GLP-1 services to patients across multiple U.S. states via remote clinical teams.
Hi, we’re Fountain Vitality – a telemedicine company looking for registered nurses to join the medical team. We offer concierge TRT/HRT & GLP-1 telehealth treatment to our thousands of happy members around the United States. Fountain launched in 2021, and we are growing extremely fast (while delivering a higher-quality, more concierge experience than almost anyone else). In fact, we have one of the highest Trustpilot ratings (4.9 stars out of 5) in the United States for a telemedicine company, because we go above and beyond to deliver the best possible experience, unlike any others. That’s where you come in. The registered nurse will work as part of the clinical team, including physicians, nurse practitioners, & medical assistants, in a remote setting. This is a chance to support patients on hormone replacement therapy. The work is incredibly rewarding—many have told us our programs are "life-changing." This role is fully remote, so you can work from anywhere in the United States and enjoy the flexibility and lifestyle that a startup environment offers. We especially seek registered nurses living in RN "compact" states, as we currently serve about 35 states. Licenses in California and New York are particularly preferred. Role Overview: The registered nurse job duties will include coordinating labs, triage dosing and side effects, reviewing documentation, assisting providers, communicating with patients regarding prescriptions, providing patients with resource materials and answering patient questions, etc. A Bachelor of Science in Nursing is strongly preferred with a minimum of 2 years of RN experience. The ideal candidate will have strong communication skills and the desire to collaborate with others on this fast-growing team. Who We Are Looking For: At Fountain, we go above and beyond with service. Our goal is to delight our potential patients and relieve them of the normal headaches of traditional healthcare (ie. sitting in waiting rooms & waiting weeks just to schedule a visit). We’re focused on offering the highest quality telemedicine experience – never cutting any corners. That’s why a critical element we’re looking for is a positive attitude and a serious desire to make our patients feel like they’re in good hands. Someone who always goes the extra mile. What Makes Fountain A Great Place To Work: At Fountain, you’ll join our small team of medical specialists and entrepreneurs. You’ll benefit from our technology and operations team working to continually improve the experience, both internally and externally – as we’re a startup. Responsibilities: • Job duties will include coordinating labs, triaging, documentation review, assisting the providers, communicating with patients regarding prescriptions, providing patients with resource materials, answering patient questions, etc. • Provide feedback on documentation, systems, and operational processes so that we can efficiently and effectively keep growing • Go above and beyond to make our patients feel like they’re in good hands • Hours: 35-40 hours per week Requirements: • Live within an RN licensing compact state • Active California and/or New York license highly preferred • Exceptional communication skills • Growth mindset Benefits: • Availability and freedom to set an individual schedule as desired • Work 100% remotely • Competitive salary (Starting pay $35 an hour). • Start-up lifestyle (no corporate hospital bureaucracy) with high empathy for clinician experience • Energetic team with proven track record Fountain Wellness is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, age, disability, or veteran status. If you're curious about us, you can see our website at FountainTRT.com – this is our men’s health branch. You can also hear directly from our members by viewing the testimonials and reviews on our TrustPilot here: trustpilot.com/review/fountaintrt.com Job Types: Full-time, Contract Pay: From $35.00 per hour Application Question(s): • Please provide a contact email. • Please list all states where you hold an active registered nurse license. • Can you describe your nursing background and the patient populations you have worked with? • When can you start? • Do you have an RN compact license? If yes, which state? • Can you work the following shift- Friday, Saturday, Monday, Tuesday 9a-7p EST. Days off-Wednesday, Thursday and Sunday. Experience: • Registered Nurse: 1 year (Required) License/Certification: • Registered Nurse License (Required) Work Location: Remote
CVS Health is a large integrated healthcare company operating retail pharmacies, MinuteClinic walk-in clinics, pharmacy benefit management, and health services aimed at improving consumer access to care.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Position Summary/Mission Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. Fundamental Components & Physical Requirements • Schedule: Monday-Friday 8AM - 5PM ET • Active and unrestricted NJ/Compact License • Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. • Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services. • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. • Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. • Prepares all required documentation of case work activities as appropriate. • Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. • May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. • Provides educational and prevention information for best medical outcomes. • Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. • Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. • Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration. • Monitors member/client progress toward desired outcomes through assessment and evaluation. Required Experience • Active and unrestricted NJ/Compact License • Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. • Minimum 2+ years CM, discharge planning and/or home health care coordination experience Preferred Experience • Bilingual preferred - Spanish • Certified Case Manager is preferred. • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required Education • Associates Degree or Nursing Diploma Required • Bachelors Degree Preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 05/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Cigna is a global health services company; Evernorth is Cigna's health services division offering pharmacy, care, and benefit solutions to improve health outcomes and access to care.
The RN Case Manager plays a critical role in delivering Cigna’s whole‑person health strategy by serving as a trusted advocate and clinical partner for customers, families, and caregivers. This role focuses on care coordination, customer engagement, and health navigation to improve outcomes and deliver exceptional customer experience. The Case Manager demonstrates Cigna’s Care Solutions cultural beliefs, acting with accountability, collaboration, compassion, and innovation in support of both customer needs and business objectives. How You’ll Make an Impact • Partner with customers to assess needs, develop individualized care plans, and document interventions and outcomes in Cigna medical management systems. • Collaborate with customers and providers to establish goals, interventions, and evidence‑based plans of care. • Apply motivational interviewing, behavior change strategies, and shared decision‑making to drive engagement and improved health outcomes. • Empower customers to effectively navigate the healthcare system and communicate with providers. • Coordinate care across customers, caregivers, providers, and internal partners via phone and digital channels (email, text, chat). • Collaborate with interdisciplinary teams—including pharmacists, nutritionists, behavioral clinicians, Medical Directors, and Medical Management programs—to support whole‑person health. • Track, analyze, and document daily activity, volume, and outcomes to support performance and quality goals. • Follow established policies, procedures, and Case Management performance measures. • Efficiently navigate multiple systems and applications in a fast‑paced, customer‑focused environment. • Complete required training and maintain clinical knowledge, licensure, and certifications. Required Qualifications • Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory. • Minimum of two (2) years of full‑time direct patient care experience as an RN. Preferred Qualifications • Specialty case management experience, with Oncology experience preferred for specialty roles. • Ability to obtain a URAC‑recognized Case Management certification within four (4) years of hire. • Strong clinical judgment with the ability to assess risk, prioritize care, and act decisively. • Excellent verbal and written communication skills across phone and digital platforms. • Proficiency in Microsoft Word, Excel, Outlook, and online research tools. • Demonstrated ability to resolve conflict, collaborate across teams, and interact with diverse populations. • Strong organizational skills, adaptability, and comfort managing multiple complex cases simultaneously. 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 annual salary of 77,500 - 129,100 USD / yearly, 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.
Capital Staffing Solutions is a healthcare staffing firm that places nurses and clinical professionals in temporary and permanent roles, including remote opportunities.
Utilization Management RN – Remote (California Only)Remote | Monday–Friday | Medicare Line of Business We are seeking an experienced Utilization Management Registered Nurse (RN) for a fully remote opportunity supporting a fast-paced Medicare Concurrent Review team. This position is ideal for nurses with a strong inpatient hospital background and prior utilization management/concurrent review experience who are looking to grow within a collaborative and highly respected healthcare organization. Responsibilities • Perform concurrent utilization reviews and determine medical necessity using evidence-based criteria • Apply MCG and/or InterQual guidelines • Review inpatient admissions and continued stays • Present cases to Medical Directors for review and determination • Coordinate discharge planning and transitions of care • Communicate with providers and internal clinical teams • Maintain quality and productivity metrics • Participate in staff meetings, huddles, and clinical rounds • Work within regulatory and CMS guidelines Required Qualifications • Active unrestricted California RN license • Minimum 5 years inpatient hospital bedside nursing experience • Minimum 2 years Utilization Management / Concurrent Review experience • Strong clinical judgment and critical thinking skills • Experience working in fast-paced healthcare environments • Strong computer skills and ability to navigate multiple systems/screens simultaneously • Excellent communication and time management skills • Dedicated HIPAA-compliant remote workspace with reliable internet connection Preferred Qualifications • ICU or ER nursing experience • Medicare utilization management experience • MCG and/or InterQual experience • Case management or discharge planning experience Preferred Clinical Backgrounds • ICU • ER • Med-Surg • Telemetry • Stepdown Schedule • Monday–Friday • 8:00 AM – 5:00 PM PST • Fully Remote (California residents only) Employment Type • Contract with chance to extend or hire • Long-term opportunity with potential for permanent conversion If you are an experienced RN with strong inpatient clinical experience and utilization management background, we encourage you to apply today for immediate consideration. #AJ1 Pay: From $45.00 per hour Benefits: • 401(k) • Dental insurance • Health insurance • Life insurance • Vision insurance Application Question(s): • Do you have ICU or ER Experience? Experience: • Inpatient Hospital Beside nursing: 5 years (Required) • Utilization Management / Concurrent Review: 2 years (Required) License/Certification: • CA RN License (Required) Work Location: Remote
CCMSI is an employee-owned third-party administrator that handles workers' compensation claims and related services, offering clinical and administrative support to employers and providers.
Overview Part-Time Utilization Review Nurse – Remote (Nevada License Required) • Location: Remote (Reporting to Carson City, NV) • Schedule: Monday–Friday, 8:00 AM–12:00 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
Lavender is a healthcare company providing virtual behavioral health and telehealth services, hiring clinicians and operations staff to deliver remote care.
Role Description We are looking for a part-time Behavioral Health RN to join our Nursing Operations team. This role is perfect for someone with strong clinical expertise, crisis response skills, and a passion for client advocacy. As a key point of clinical support during scheduled coverage, you’ll play an important role in helping clients receive safe, timely, and effective care while contributing to operational excellence and a supportive client experience. This is a part-time role working a fixed Monday/Tuesday schedule, approximately 16 hours per week. What You’ll Be Doing • Clinical triage and client support • Respond to clinical questions and provide same-day nursing assessments when needed • Address pharmacist inquiries, clarify prescriptions, and manage medications per protocols • Support complex clients in completing standardized tools • Provide education to clients regarding medications and treatment plans • Support the response to client emergencies outside of scheduled appointments, triaging and escalating appropriately • Serve as a liaison between the Care Team and nursing staff to help resolve complex care matters or client complaints • Contact clients following discharge or intake, as needed, to ensure they have the right supports and referrals • Proactively contact clients to encourage engagement in care • Address client clinical care concerns directly and work to de-escalate situations as they arise • Monitor and complete assigned tasks within the EHR, CRM, and other communication platforms in a timely fashion per standards • Coordination of care and clinical operations • Collaborate with Lavender nurse practitioners to support seamless coordination of care as needed • Support critical incident response and debriefs in collaboration with clinical leadership • Provide oversight and follow-up for high-risk clients using dashboards and Lavender protocols • Perform key person interviews for collateral information to inform diagnosis, as appropriate • Support complex release of information requests • Support Care Circle operations to ensure smooth and efficient care • Coordinate care for hospitalized patients by supporting documentation, communication, and consultation with NP Managers when appropriate • Support post-acute transitions of care back to Lavender in collaboration with the broader clinical team • Quality assurance and process improvement • Support management of the clients of concern list, meetings, and follow-up actions, escalating to QI Council as appropriate • Document critical incident debriefs following Lavender’s SOP • Participate in Care Circle huddles, share process improvement suggestions, and support quality initiatives • Complete requested clinical audits on a regular basis and summarize findings accordingly Qualifications • Active, unrestricted compact RN license; ability to obtain additional state licenses as needed • Bachelor of Science in Nursing (BSN) • Minimum 3 years of clinical nursing experience, with at least 2 years in psychiatric or behavioral health settings • Demonstrated skill in triage, crisis response, and complex clinical decision-making • Experience with care coordination, hospital transitions, and interdisciplinary team collaboration • Strong communication and de-escalation skills, with experience supporting clients in high-stress or emotionally charged situations • Proven ability to manage competing priorities, maintain timely follow-up, and support quality improvement initiatives • Experience conducting chart audits, participating in quality programs, or contributing to compliance processes preferred • Comfortable working in a fast-paced, virtual care or telehealth environment • Availability to work a fixed Monday/Tuesday schedule, approximately 16 hours per week Benefits • Work for a company that is truly making a difference in the world • Remote work flexibility • A caring, spirited, and experienced team • An international work environment that embraces diversity and inclusion • Be part of a growing startup where you have the opportunity to help shape the company • In-person meetups • Competitive compensation Company Description Lavender believes that nurturing an environment where diversity and inclusion can thrive is critical to our success. We are proud to be an equal opportunity employer and do not discriminate on the basis of any status protected by law, including race, color, religion, sex, orientation, gender identity or expression, national origin, age, disability, or genetic information. If you need accommodation during the recruitment process, please reach out to people@joinlavender.com . For more about what it’s like to work at Lavender, see our careers page: https://www.joinlavender.com/careers .
NYU Langone Medical Center is an academic, integrated medical center in New York City within the NYU Langone Health system, providing clinical care, medical education, and biomedical research across multiple hospitals and clinics.
Position Summary: We have an exciting opportunity to join our team as a Telehealth Nurse Practitioner in Boynton Beach, FL. This role is a hybrid role which requires 50% of the time in office, and 50% remote. In this role, the successful candidate will be responsible for the provision, coordination, and assurance of comprehensive nursing care using nursing process and pertinent standards of care, the diagnosis of illness and physical conditions, and performance of therapeutic, corrective, and prescriptive measures of the designated inpatient or outpatient patient population within a collaborative practice agreement established with a specific physician working with the NYU Langone Health Clinical Access Center. Job Responsibilities: • Monitors and trends the cost effectiveness of the position, particularly as it relates to the efficiency and performance indicators established for the service • Supports the mission, philosophy, standards, goals and objectives of the institution and department • Plans and organizes care to meet individual patient needs and to ensure appropriate clinical resource utilization per protocols, pathways, and other means • Works collaboratively with the interdisciplinary team including the attending physician to develop and implement the therapeutic plan of care for the patient • Participates in the development and revision of interdisciplinary and nursing standards, patient and family education materials as relevant to area of practice and expertise. • Works collaboratively with the attending physician to maintain timely and appropriate communication with family members, house staff, other disciplines and ancillary services. • Works collaboratively with nursing leadership to ensure timely communications with the nursing staff • Demonstrates knowledge of the organization’s Service Standards and incorporates them into the performance of responsibilities • Participates in designated activities related to professional nursing standards and regulations of relevant outside agencies • Functions as a respectful member of the health care team. • Performs complete health history, physical examination and psychosocial assessment of patients within the designated practice or clinical unit • Orders customary laboratory, radiological and diagnostic studies per practice protocols, differentiates between normal/abnormal findings and follows protocols for abnormal findings, which may include referral to consulting physicians per customary pattern of the attending MD or with the collaborating physician • Formulates the plan of care, along with the attending physician, patient and family, based on expected goals of care • Works collaboratively with the attending physician, consulting physician(s), and other disciplines to identify, develop, and implement an appropriate plan of care that maximizes individual patient/family preference and enhances quality, access, and cost-effective outcomes • Prescribes in-patient and discharge medications according to New York State law, including controlled substances with DEA authorization • Prescribes medical equipment, devices, physical and occupational therapy, and home health services per practice protocol • Practices as a member of the allied health staff according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges • Evaluates treatment and health care plans for effectiveness and modifies per clinical standards and practice protocols, and considers needs and behaviors of specific patient age and cultural groups in all patient care • Promotes own professional growth and development in the clinical and managerial role • Maintains current expertise in area of practice • Serves as a clinical expert and resource for the education of peers and other health professionals • Participates in the development and monitoring of patient outcomes per established practice protocols for purposes of quality and performance improvement • Uses evidence-based health care literature to advise and support appropriate practice changes within the designated service • Works collaboratively with nursing and other disciplines in the development and implementation of clinical studies within the area of expertise • As needed, provides assistance to the Clinical Access Center staff by addressing patient medical advice messages or communicating test results to patients per provider instruction • Assists in the preparation, implementation, and evaluation of research protocols when applicable • Other duties as required Minimum Qualifications: To qualify you must have: • Licensure: Florida- Current registration as an Autonomous Nurse Practitioner, New York: Current registration as a Nurse Practitioner and Registered Nurse • Education: Master's Degree in Nursing • Written Collaborative Practice Agreement with an NYULH attending physician and credentialed through the Credentialing Committee of the Medical Board with Delineation of Privilege approved with role specific treatment privileges • Certification required (as soon as feasible following graduation from NP graduate program) by ANCC or Board Certification from other specialty organization that certifies Nurse Practitioners in a clinical area of practice • Competence: 1. At least five years of clinical nursing practice in the care of the patient population served; ability to apply nursing process toward achievement of specific outcomes in an organized fashion, which addresses patient/family safety and satisfaction. 2. Previous experience as a nurse practitioner is preferred. 3. Evidence of excellent interpersonal skills, effective communication skills, creative problem solving and excellent critical thinking and leadership. 4. Previously demonstrated ability to facilitate group processes and work cohesively and collaboratively as member of the interdisciplinary team 5. Effective change agent 6. Physical stamina, to perform responsibilities. Required Licenses: Autonomous Nurse Pract - FL, Registered Nurse License-NYS, Nurse Practitioner-NYS Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Florida provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Florida is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal." Remote Skills: American Nurses Credentialing Center (ANCC), Clinical Practices/Protocols, Clinical Trial, Communication Skills, Consulting, Cost Effectiveness Analysis, Drug Development, Health Plan, Healthcare, Home Care, Interpersonal Skills, Leadership, Medical Equipment, Medications, Nurse Practitioner, Nursing, Nursing Credentials, Occupational Therapy, Organizational Skills, Outpatient Care, Patient Assessment, Patient Care, Patient Education, Patient Safety, Performance Management, Philosophy, Physical Therapy, Physician Credential, Problem Solving Skills, Protocol Analysis, Registered Nurse (RN), Regulations, Research Protocols, Resource Utilization, Standards of Care, State Laws and Regulations, Team Player, Telehealth, Testing, Time Management, Treatment Evaluation, Treatment Plan, United States Drug Enforcement Agency (DEA) About the Company: NYU Langone Medical Center NYU Langone Medical Center, a world-class, patient-centered, integrated, academic medical center, is one of the nation’s premier centers for excellence in clinical care, biomedical research and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals: Tisch Hospital, its flagship acute care facility; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; Hassenfeld Pediatric Center, a comprehensive pediatric hospital supporting a full array of children’s health services; and the Rusk Institute of Rehabilitation Medicine, the world’s first university-affiliated facility devoted entirely to rehabilitation medicine--plus NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center’s tri-fold mission to serve, teach and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to NYULMC.org. Company Size: 10,000 employees or more Industry: Healthcare Services Founded: 1841 Website: http://www.med.nyu.edu
Molina Healthcare is a managed care organization that provides Medicaid, Medicare, and Health Insurance Marketplace plans and related services to individuals and families, focusing on government-sponsored healthcare programs.
SCHEDULE: Sunday, Monday, Tuesday, Friday 7:30 am to 6:30 pm. (Days off are Wednesday, Thursday, Saturday.) 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 Pay Range: $27.73 - $54.06 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Lavender is a telehealth mental health company delivering virtual behavioral health services and clinical care coordination, employing clinicians and nurses to support remote psychiatric and wellness care.
Join the Lavender Team We are looking for a part-time Behavioral Health RN to join our Nursing Operations team. This role is perfect for someone with strong clinical expertise, crisis response skills, and a passion for client advocacy. As a key point of clinical support during scheduled coverage, you’ll play an important role in helping clients receive safe, timely, and effective care while contributing to operational excellence and a supportive client experience. This is a part-time role working a fixed Monday/Tuesday schedule, approximately 16 hours per week. The Opportunity The Behavioral Health RN provides both direct clinical support and coordination that ensures clients receive safe, timely, and effective care. You will serve as the primary point of response for clinical questions, emergencies, and complex client needs, while also facilitating smooth transitions of care during hospitalizations, discharges, and follow-up. Working closely with NPs, NP Managers, and the Care Team, you’ll help maintain high standards of quality and safety and contribute to a consistent and compassionate client experience What You’ll Be Doing Clinical triage and client support • Respond to clinical questions and provide same-day nursing assessments when needed • Address pharmacist inquiries, clarify prescriptions, and manage medications per protocols • Support complex clients in completing standardized tools • Provide education to clients regarding medications and treatment plans • Support the response to client emergencies outside of scheduled appointments, triaging and escalating appropriately • Serve as a liaison between the Care Team and nursing staff to help resolve complex care matters or client complaints • Contact clients following discharge or intake, as needed, to ensure they have the right supports and referrals • Proactively contact clients to encourage engagement in care • Address client clinical care concerns directly and work to de-escalate situations as they arise • Monitor and complete assigned tasks within the EHR, CRM, and other communication platforms in a timely fashion per standards Coordination of care and clinical operations • Collaborate with Lavender nurse practitioners to support seamless coordination of care as needed • Support critical incident response and debriefs in collaboration with clinical leadership • Provide oversight and follow-up for high-risk clients using dashboards and Lavender protocols • Perform key person interviews for collateral information to inform diagnosis, as appropriate • Support complex release of information requests • Support Care Circle operations to ensure smooth and efficient care • Coordinate care for hospitalized patients by supporting documentation, communication, and consultation with NP Managers when appropriate • Support post-acute transitions of care back to Lavender in collaboration with the broader clinical team Quality assurance and process improvement • Support management of the clients of concern list, meetings, and follow-up actions, escalating to QI Council as appropriate • Document critical incident debriefs following Lavender’s SOP • Participate in Care Circle huddles, share process improvement suggestions, and support quality initiatives • Complete requested clinical audits on a regular basis and summarize findings accordingly What You Bring • Active, unrestricted compact RN license; ability to obtain additional state licenses as needed Bachelor of Science in Nursing (BSN) • Minimum 3 years of clinical nursing experience, with at least 2 years in psychiatric or behavioral health settings • Demonstrated skill in triage, crisis response, and complex clinical decision-making • Experience with care coordination, hospital transitions, and interdisciplinary team collaboration • Strong communication and de-escalation skills, with experience supporting clients in high-stress or emotionally charged situations • Proven ability to manage competing priorities, maintain timely follow-up, and support quality improvement initiatives • Experience conducting chart audits, participating in quality programs, or contributing to compliance processes preferred • Comfortable working in a fast-paced, virtual care or telehealth environment • Availability to work a fixed Monday/Tuesday schedule, approximately 16 hours per week Why You Should Join Lavender • Work for a company that is truly making a difference in the world • Remote work flexibility • A caring, spirited, and experienced team • An international work environment that embraces diversity and inclusion • Be part of a growing startup where you have the opportunity to help shape the company • In-person meetups • Competitive compensation • Bring Your Whole Self to Work Commitment to Inclusion Lavender believes that nurturing an environment where diversity and inclusion can thrive is critical to our success. We are proud to be an equal opportunity employer and do not discriminate on the basis of any status protected by law, including race, color, religion, sex, orientation, gender identity or expression, national origin, age, disability, or genetic information. If you need accommodation during the recruitment process, please reach out to people@joinlavender.com. For more about what it’s like to work at Lavender, see our careers page: https://www.joinlavender.com/careers.
Medix is a healthcare staffing and workforce solutions company that provides talent acquisition, staffing, and consulting services to healthcare organizations and clinicians.
JOB TITLE: Clinical Review RN (Medicaid Cost Outlier) - Remote • **Must be licensed as an RN in NYS*** Nurse Background: 2+ years of acute care/medical surgical experience required. Utilization Review/Interqual/MCG experience a strong want. GENERAL RESPONSIBILITIES: This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical level review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. DUTIES: 1. Conduct utilization reviews up to and including the appeal level. This includes chart screen, complete electronic worksheets, enter required information and make level one denial decisions when necessary. 2. Conduct quality and clinical study data collection reviews. This includes chart review, complete detailed electronic data worksheets. 3. Act as a resource for the administrative staff in training, problem solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles. 4. Participate in collaborative training specific to clinical study objectives. 5. Other activities as may be deemed necessary. QUALIFICATIONS: 1. Licensed as a Registered Professional Nurse in New York State. 2. Knowledge and experience with electronic medical records including utilization, quality, and clinical charting. 3. Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff. 4. Excellent written and verbal skills. 5. Ability to work independently with little supervision. 6. Ability and desire to be flexible, innovative, and creative. EDUCATION & EXPERIENCE: 1. Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York. 2. A minimum of 2 years experience in an acute care facility preferably in medical surgical and utilization review experience highly preferable. LOCATION: Remote, can sit anywhere as long as you are licensed as an RN in NYS SHIFTS: M-F, 40 hours or 4x10s (no weekends) PAY: $48-52/hr DURATION: long term open ended contract includes benefits, sick time, 401k, weekly pay
Care Access is a network of multi-specialty clinical research sites that partners physicians, nurse coordinators, and operations teams to expand patient access to clinical trials and support clinical research operations.
What We Do Care Access is a unique, multi-specialty network of research sites which operates as one connected team of physician investigators, nurse coordinators, and operations managers. Our goal is to engage every healthcare professional in clinical research and to make clinical trials a care option for every patient. By removing this bottleneck, Care Access is helping accelerate the approval and delivery of critical and life-saving therapies. Who We Are We care. Our people are the engines behind our mission: to revolutionize access to clinical trials for the benefit of patients everywhere. We care for one another, find new ideas to accelerate medicine, and seed a long-term impact for generations. Position Overview The Registered Nurse (RN) in this role will manage the communication of abnormal lab results to patients, ensuring compliance with state licensure requirements. This includes contacting patients, documenting communications, following up on lab escalations, and collaborating with providers to ensure all patient interactions are appropriately managed and documented. This role is critical in ensuring timely patient communication and maintaining compliance with clinical and legal standards. What You’ll Be Working On (Duties include but not limited to): • Receive and Review Lab Results from Pre-screening Program: Autonomously evaluate flagged abnormal, urgent, or critical lab findings to prepare them for patient communication, ensuring accuracy and timeliness. • Patient Communication: Proactively contact patients to discuss abnormal and critical lab outcomes. Ensure focused and uninterrupted communication, adhering to protocols while delivering only legally permissible information within the RN scope of practice. Use communication techniques to convey complex medical information clearly in a way non-medical patients will understand. Understand that the results shared with the patients may have serious health implications for them and relay them in a compassionate manner. • Patient Education: Develop and implement patient education initiatives to enhance understanding of lab result significance and promote informed decision-making. • Critical Thinking: Independently utilize critical thinking to assess the urgency and implications of abnormal and critical lab results, prioritizing patient communication based on clinical significance. • Documentation: Maintain comprehensive and precise documentation of communications in patient progress notes. Record abnormal and critical results, patient concerns, and subsequent actions. Ensure compliance with regulatory signature requirements. • Time Management: Exhibit exceptional time management skills to efficiently manage multiple lab results and patient communications, prioritizing urgent cases promptly. • Problem Solving Expertise: Apply advanced problem-solving abilities using medical training and experience to troubleshoot issues related to lab result discrepancies or data integrity. • Data-Driven Decision Making: Leverage data analytics to identify patterns and trends in lab results, contributing to evidence-based practice and enhanced patient outcomes. • Regulatory Knowledge: Maintain up-to-date knowledge of healthcare regulations and compliance standards to ensure all communications adhere to legal and ethical guidelines. • Escalation to Providers: For questions beyond the RN’s medical scope, escalate to a licensed, on call provider (NP/PA/MD/DO) and manage the completion of result delivery and accompanying required documentation. • Retention Team Escalations: Address lab-related escalations from the Retention Team, such as result clarifications, data discrepancies, or additional test requests, and communicate resolutions back to the patient, documenting the outcome. Physical and Travel Requirements • This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role. • PTO and On-Call Coordination: Work within a structured on-call system to ensure coverage when team members are on leave. What You Bring (Knowledge, Skills, and Abilities): • Strong analytical capabilities, exceptional communication skills, and a commitment to fostering a patient centered environment. • Strong attention to detail and ability to manage multiple patients efficiently. • Ability to work independently while collaborating with a larger clinical team. • This role is pivotal in upholding clinical and legal standards through meticulous communication and patient care management. ○ • Precision in data analysis and documentation to ensure accuracy in lab results and reporting. Certifications/Licenses, Education, and Experience: • Education: • Active RN licensure with a commitment to compliance and regulatory standards. Compact Licensure required. Additional licenses may be required in addition. • BSN or equivalent degree preferred. • Experience: • Minimum of 3 years of experience as a working nurse, clinical research, medical communications, and/or related field. • Proficiency in Salesforce or other EMR systems for documenting patient interactions. • Licensure Requirement: Compact licensure required, non-compact state license preferred. Willingness to maintain and obtain additional state licenses as needed. Must hold all licenses in good standing. ■ Compact States [42]: RNs with compact licenses can practice in all 42 states in the compact, including Alabama, Arizona, Arkansas, Colorado, Florida, Texas, and more. ■ Non-Compact States [8]: California, Nevada, Illinois, Hawaii, Alaska, Oregon, Minnesota, New York. Benefits (US Full-Time Employees Only) • PTO/vacation days, sick days, holidays. • 100% paid medical, dental, and vision Insurance. 75% for dependents. • HSA plan • Short-term disability, long-term disability, and life Insurance. • Culture of growth and equality • 401k retirement plan Diversity & Inclusion We serve patients and researchers from diverse cultures and communities around the world. We are stronger and better when we build a team representing the people we aim to support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission. We value diversity and believe that unique contributions drive our success. At Care Access, every day, we are advancing medical breakthroughs. We’re uniting standard patient care with cutting-edge treatments and research. Our work brings life-changing therapies to those in need and paves the way for newer and greater treatments to reach the world. We’re proud to advance these breakthroughs and work with the big players while engaging with the physicians and caring for patients. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Care Access is unable to sponsor work visas at this time. Employment Statement Care Access complies with all employment laws and regulations with respect to its employment practices, terms and conditions of employment, and pay equity and wages. Care Access does not engage in any unfair or forced labor practice and does not tolerate, under any circumstances, the use of any form of forced or involuntary labor, child labor, or human trafficking. This extends to suppliers, partners, or other third parties with whom Care Access does business. Care Access values and promotes the protection of human rights everywhere.
CVS Health is an integrated healthcare company operating pharmacies, retail clinics, pharmacy benefit management, and health services (including Aetna), offering a range of consumer and employer health solutions.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Case Manager RN is responsible for telephonic and/or face‑to‑face assessment, planning, implementation, and coordination of case management activities for members. The role evaluates members’ medical needs to promote overall wellness, improve short‑ and long‑term outcomes, and support appropriate, cost‑effective care delivery aligned with Aetna/CVS Health benefit plans and clinical policies. Required Qualifications • Registered Nurse (RN) with current, unrestricted state licensure (New York licensure required for NY backfill). • Minimum of 5 years of clinical practice experience. • Strong clinical assessment, critical thinking, and care coordination skills. • Effective written and verbal communication skills. • Ability to work independently in a telephonic/remote environment while collaborating effectively with cross‑functional teams. Preferred Qualifications • Prior case management, care management, or utilization management experience. • Experience working with Medicaid and/or LTSS populations. Education • Associates Degree in Nursing • Bachelor of Science in Nursing (BSN) Preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 06/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Merakey is a national healthcare organization providing behavioral health, intellectual/developmental disability, and community-based services across multiple U.S. locations.
A healthcare organization is seeking a Remote Registered Nurse to manage patient calls and monitor vital signs. This role requires an active RN license, experience in clinical decision making, and the ability to work remotely. The successful candidate will answer health-related inquiries, triage needs, and provide guidance based on vital alerts. This position offers flexibility for PRN shifts and is ideal for someone comfortable in a remote work environment.
Alignment Health is a healthcare organization focused on serving seniors and medically complex patients, offering managed care and care coordination services.
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you will assist patients through the continuum of care in collaboration with the patient’s primary care physician, facility case manager, discharge planner and employing contracted ancillary service providers and community resources as needed. Assure that services are provided at the most appropriate, cost effective level of care needed to meet the patient’s medical needs while maintaining safety and quality. Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time (Required) GENERAL DUTIES/RESPONSIBILITIES: 1. Performs reviews of inpatients with complex medical and social problems. 2. Generates referrals to contracted ancillary service providers and community agencies with the agreement of the patient’s primary care physician. 3. Performs follow-up reviews and evaluations of patients in the ambulatory care or lower level of care setting. 4. Reviews inpatient admissions timely and identifies appropriate level of care and continued stay based on acceptable evidence-based guidelines used by AHC. 5. Effectively communicates with patients, their families and or support systems, and collaborates with physicians and ancillary service providers to coordinate care activities. 6. Identifies Members who may need complex or chronic case management post discharge and warm handoff to appropriate staff for ambulatory follow up, as necessary. 7. Communicates and collaborates with IPA/MG as necessary for effective management of Members. 8. Assigns and provides daily oversight of the activities and tasks of the CCIP Coordinator. 9. Records communications in EZ-Cap and/or case management database. 10. Arranges and participates in multi-disciplinary patient care conferences or rounds. 11. Monitors, documents, and reports pertinent clinical criteria as established per UM policy and procedure. 12. Monitors for any over utilization or underutilization activities. 13. Generates referrals as appropriate to the QM department. 14. Enters data as necessary for the generation of reports related to case management. 15. Reports the progress of all open cases to the Medical Director, Director of Healthcare Services and Manager of Utilization Management. 16. Performs other duties as assigned. Minimum Requirements: Experience: • Required: Minimum 3 years of general case management skills. Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation Length of stay: including review of diagnosis and length of stay. Two consecutive years related experience in a managed care setting as an inpatient case manager • Preferred: Experience with a Senior population. Education: • Required: Successful completion of an accredited Licensed Vocational Nursing Program • Preferred: Associates or Bachelors Degree Specialized Skills: • Required: • Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. • Excellent critical thinking skills related to nursing utilization review • Knowledge of Medicare Managed Care Plans • Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; • Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly • Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. • Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. • Report Analysis Skills: Comprehend and analyze statistical reports. • Preferred: Knowledge and experience in complex/catastrophic case management preferred Licensure: Required: • Must have and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact) • Immediately upon hire, must be willing to obtain LVN and / or RN licensure in Nevada, (Non-compact), Arizona (Compact), North Carolina (Compact), and Texas (Compact) which will be reimbursed by company. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to sit; use hands to finger, hand, or feel and talk or hear. 2 The employee is frequently required to reach with hands and arms 3 The employee is occasionally required to climb or balance and stoop, or kneel 4 The employee must occasionally lift and/or move up to 20 pounds. 5 Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Pay Range: $77,905.00 - $116,858.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. • DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.
Crawford Thomas Recruiting is a healthcare-focused recruiting firm that connects clinical talent with employers, often marketing remote and specialty nursing roles on behalf of client organizations.
Salary: $100,000–$120,000 & benefits-Fully Remote (U.S.) Job Summary: Our client is seeking an experienced Registered Nurse (RN) to lead and oversee care delivery operations supporting Principal Care Management (PCM) and Chronic Care Management (CCM) programs. This role will supervise nursing staff, maintain clinical quality standards, ensure Medicare compliance, and partner with neurology practices to deliver proactive, patient-centered care. Job Responsibilities: • Supervise and mentor LPNs supporting care coordination and patient engagement • Review and approve care plans and clinical documentation • Ensure quality assurance and compliance with Medicare PCM/CCM standards • Partner with neurologists and escalate clinical concerns as needed • Support workflow optimization and quality improvement initiatives • Engage patients and caregivers to ensure high-quality care delivery • Maintain accurate documentation and time-based billing compliance Qualifications: • Active, unrestricted RN license ( multistate preferred) • 2+ years of experience in chronic disease management, neurology, or care coordination • Experience supervising or mentoring clinical staff • Strong communication, leadership, and organizational skills • Experience with EMRs and digital health platforms • Preferred: PCM/CCM, Alzheimer’s, Parkinson’s, dementia, telehealth, and quality improvement experience About the Company: Our client is building a proactive healthcare model focused on neurodegenerative diseases, including Alzheimer’s. By partnering with neurologists and specialty clinics, they provide continuous patient support between visits through PCM and CCM programs. Backed by $8.5M+ in venture funding, they are redefining chronic care with a technology-enabled, patient-first approach.
Greenlife Healthcare Staffing is a nationwide healthcare recruitment agency that connects nurses and other clinicians with hospitals, clinics, nursing homes, and private practices.
RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr 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: Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Responsibilities, focusing on conducting comprehensive medical-legal reviews and appeals for a respected non-profit organization. Why Join Us? • Competitive Compensation: $50/hr. • Comprehensive Benefits: • 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment) • 6 Major Paid Holidays per year (after 3 months of employment) • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act • License Reimbursement after 1 year of employment • Health insurance is subject to plan eligibility requirements • 401(k) Matching eligibility after 1 year of employment • Benefits from Paychex, such as Payactiv • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc. • Work Schedule: Full-time • Professional Growth: Gain valuable experience in medical-legal review and dispute resolution • Impactful Work: Contribute to fair resolution processes in healthcare disputes Qualifications:• Education: Baccalaureate degree in Nursing or a graduate of an approved RN program. • Licensure: Current New York State RN license • Experience: • Must have at least 3 years of experience in a Med-Legal review setting. • Must have 1-3 years of experience in acute care utilization review/ appeals background. • Technical Skills: Experience with electronic medical records; strong research capabilities • Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills Key Responsibilities:• Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations. • 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. • Participate in collaborative training • Other activities as may be deemed necessary How to Apply: If you are ready to advance your career, we want to hear from you! Submit your Resume/CV to hr@glhstaffing.com or call our office at (800) 608-4025 to learn more about this opportunity. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives
Westside Family Healthcare is a community-based healthcare organization operating primary care health centers and a mobile unit serving patients across Delaware, focused on improving access to ambulatory and community health services.
Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS AVAILABLE! Join our dedicated healthcare team as a nurse, where each day presents a new opportunity to make a significant difference in the lives of our patients. The Virtual RN is an experienced Registered Nurse (RN) working as part of a multidisciplinary team supporting general care processes, providers, and patients in an ambulatory community-based setting. The RN is responsible for evaluating and assessing patient’s health care needs based on nurse assessment, clinical judgment, nurse process and evidence-based clinical support tools. The RN will provide appropriate disposition and timely follow up, per telephone triage policy. The RN must meet minimum quality and productivity standards as defined by Westside Family Healthcare. Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time. Our Mission: To improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay Our Vision: Achieve health access for all Our Values: • Compassion: Lead with compassion • Service: Serve with humility • Excellence: Be exceptional • Empowerment: Empower all people OUR BENEFITS: Our benefit package includes medical insurance, dental insurance, vision insurance, life and disability insurance, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance. Westside Family Healthcare is an Equal Opportunity Employer that values diversity. RESPONSIBILITIES of the Virtual RN Nurse role 1. Provide telephonic clinical assessment, health education and utilization management services across the life span, 2. Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care 3. Provide telephonic triage for patients seeking care with multiple complaints 4. Assessment and provision of care using telecommunication devices 5. Application of the nursing process in telehealth care 6. Delivery of culturally sensitive, age-specific care to identified populations 7. Use of clinical decision support tools 8. Provide effective therapeutic communication, counsel and crisis management 9. Handle multiple in bound calls and ability to complete out-bound calls 10. Other duties as assigned. Requirements • Graduate of an accredited college or school of nursing with an Associates’ degree in nursing • Active, unencumbered Registered Nurse licensure in the State of Delaware or compact state • Proficient with technology • Two years of work experience in an ambulatory care, emergency services, med/surg, and/or pediatrics Westside Family Healthcare is currently registered to employ remote workers in the following states: Arizona, Delaware, Maryland, North Carolina, Nebraska, New Jersey, Pennsylvania, Puerto Rico, Rhode Island, Texas, Virginia and West Virginia.
Freeman Health System is a regional healthcare organization providing hospital and outpatient services and community-based care.
Role Description The nurse practitioner will provide high quality healthcare services to patients through our school-based telehealth program. The NP evaluates, diagnoses, treats, and educates patients while collaborating with physicians and healthcare teams to ensure excellent patient outcomes. This role requires strong clinical judgement, technology skills, and the ability to build rapport in a virtual environment. Previous experience as a nurse practitioner is strongly encouraged. Qualifications • Current Missouri Advanced Practice Nurse licensure as a Nurse Practitioner according to MO State Board of Nursing. • Current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse’s state of residence. Benefits • Health, vision, dental insurance • Retirement with employer match • Wellness program with discounts to Health Insurance or Cash Bonus with Participation • Milestone payments with longevity of employment • Paid time off (PTO) • Disability pay • Daycare designated only for Freeman Family members • Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc. Company Description
SSM Health is a large integrated health system operating hospitals and clinics across the U.S. Midwest, offering clinical care and health services including remote nursing roles.
It's more than a career, it's a calling MO-REMOTE Worker Type: PRN Job Highlights: Phone Triage RN- Clinic Remote - Supports (13) Pediatric Clinics Triage role performs essential clinical and operational functions, including: · Patient triage · Appointment scheduling · Fax folder management · Results management · Medication refills · Completion of forms · Outbound calls to patients with clinician guidance Job Summary: Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES • Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate. • Serves as a primary coordinator of all disciplines for well-coordinated patient care. • Notes and carries out physician and nursing orders. • Assesses and coordinates patient's discharge planning needs with members of the healthcare team. • May round with physician in an inpatient setting. • Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service. • As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model. Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations. • Works in a constant state of alertness and safe manner. • Performs other duties as assigned. EDUCATION • Graduate of accredited school of nursing or education equivalency for licensing EXPERIENCE • No experience required 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 • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • And • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • And • Registered Nurse (RN) - Missouri Division of Professional Registration • Or • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • And • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • 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: 7082000125 Sunset Hills Peds Scheduled Weekly Hours: 0 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.
FONEMED is a telehealth provider that offers remote clinical services, connecting nurses and clinicians with patients for phone-based triage and virtual care support.
A leading telehealth provider is seeking a Remote Telehealth Triage Nurse to provide telephone triage and health advice to patients across the United States. Candidates should have a compact nursing license and a minimum of 3 years clinical experience. This full-time position allows for flexible scheduling, and experience with electronic triage software is a plus. Join a company that values its staff and offers a collaborative work culture. Apply today to be part of an impactful team.
CVS Health is an integrated healthcare company operating retail pharmacies, pharmacy benefit management, health services, and clinical programs, providing in-person and virtual care solutions nationwide.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Remote Case Manager RN – Costco Team (San Antonio, TX) 100% Remote | Full-Time | Weekday Schedule Join our dedicated Costco Team as a Remote Case Manager RN and make a meaningful impact on members’ health and wellness from the comfort of your home. What You’ll Do As a Case Manager RN, you’ll play a vital role in improving health outcomes by: • Assessing member needs and developing personalized care plans • Coordinating care and connecting members with appropriate resources • Identifying risks and removing barriers to better health • Collaborating with multidisciplinary teams to drive positive outcomes • Supporting members through telephonic and occasional virtual interactions What We’re Looking For - REQUIRED • Active, unrestricted multi-state RN license in the state of residence • 3+ years of clinical RN experience • Comfort using multiple systems (Microsoft Office and other tools) • Ability to work Monday–Friday, 8 AM–5 PM CST (with occasional 10 AM–7 PM rotation) • Willingness to obtain additional state licenses (covered by employer) • Associate degree in nursing Nice to Have • Preference for those living within 45 minutes of San Antonio, TX • Integrated case management experience • Bilingual (Spanish/English) • BSN Why Join Us? • Fully remote flexibility • Meaningful, patient-focused work • Supportive team environment • Opportunity to expand licensure at no cost Apply today to help drive healthier outcomes for members nationwide Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 06/06/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Health Readiness Resources: a healthcare organization providing remote medical and readiness assessment services, supporting telehealth assessments for military personnel.
Are you a dedicated healthcare professional looking to support the health and readiness of U.S. Military service members? We are seeking experienced, Mississippi-licensed Nurse Practitioners (NP/APNP)/ PA to conduct remote health assessments via phone and video. This fully remote role offers flexible scheduling, allowing you to set your own hours while making a meaningful impact on military mission readiness. Key Responsibilities: • Perform telehealth assessments, including PHAs, PDHRAs, and related medical evaluations. • Assess medical conditions, determine deployment eligibility, and make appropriate referrals. • Provide clear patient education, explaining all findings and procedures to service members. • Complete accurate, thorough, and timely medical documentation. • Participate in internal quality audits and maintain compliance with HIPAA and SC PHA standards. Strict Qualifications & Requirements: • Licensure: Must hold an active, unrestricted Mississippi NP/APNP license. • Insurance: Must carry active malpractice insurance that meets Mississippi or contract guidelines. • Supervision: Must have an established collaborating/supervising physician (this is not provided by the company). • Training: Completion of HIPAA and SC PHA training through JKO (initial and ongoing). • Strong communication skills and a commitment to high-quality clinical care. What We Offer: • 100% Remote / Work from Home. • Flexible Scheduling – Choose hours that fit your lifestyle. • Mission-Driven Impact – Directly support the readiness of U.S. service members. Job Types: Part-time, Contract Pay: $40.00 - $80.00 per hour Benefits: • Flexible schedule Application Question(s): • Does have Supervising MD Experience: • Nurse Practitioner: 1 year (Required) License/Certification: • Mississippi License (Required) • Malpractice/Liability Insurance (Required) Work Location: Remote
The Cigna Group is a global health services company; Evernorth is Cigna’s health services subsidiary offering care management, pharmacy, and behavioral health solutions to improve member outcomes.
The job profile for this position is Nurse Case Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Position Scope Hours for the position: Must be able to work an 8-hour-shift between the business hours of 9a-9p EST. Flexibility is required to meet business needs. Must be open to work evenings. Role Summary: The Nurse Case Manager serves as a customer advocate, partnering with members, families, and providers to coordinate care and support navigation of the healthcare system. This role focuses on whole-person health, behavior change, and delivering high-quality, customer-centered outcomes aligned with Care Solutions cultural beliefs. Key Responsibilities: • Partner with customers to develop, implement, and document individualized care plans. • Use motivational interviewing, behavior change strategies, and shared decision-making to support health goals. • Coordinate care with providers, caregivers, and internal clinical partners to support whole-person health. • Engage customers through telephonic, digital, and written communication channels. • Track and document activities, outcomes, and progress in medical management systems. • Follow standard operating procedures and meet defined case management performance measures. • Maintain clinical expertise through required training and continuing education. Required Qualifications: • Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory. • Minimum of two (2) years of full-time direct patient care experience as an RN. • Nursing degree from an accredited nursing program. • Ability to work an 8-hour shift between 9:00 a.m. and 9:00 p.m. EST, including evenings as business needs require. • Strong communication skills across telephonic and digital platforms. • Proficiency with Microsoft Word, Excel, Outlook, and clinical documentation systems. Preferred Qualifications: • Case management certification (URAC-recognized) obtained within four (4) years of hire. • Experience working in remote, telephonic, or digital care management environments. • Strong organizational skills with the ability to manage multiple priorities in a fast-paced setting. • Demonstrated ability to work effectively with culturally diverse populations. • Flexibility to support non-standard shifts or occasional on-site meetings or audits 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 annual salary of 77,500 - 129,100 USD / yearly, 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
LifeChef Health & OnPoint Nutrition: a healthcare organization offering chronic care services combining nutrition, medically tailored meals, remote patient monitoring, and virtual clinical support to manage diabetes, heart disease, obesity, and metabolic health.
Position Overview LifeChef Health is building a next-generation chronic care platform combining Registered Dietitians, medically tailored meals, remote patient monitoring, and personalized clinical support to improve outcomes for patients with diabetes, heart disease, obesity, and other chronic conditions. We are seeking a compassionate, tech-savvy Remote Telehealth RN to support patients with chronic conditions through virtual engagement, remote patient monitoring (RPM), and interdisciplinary care coordination. This role focuses on helping patients improve adherence, stay connected to care, and achieve better health outcomes through proactive outreach and personalized support. This role is ideal for nurses who enjoy building long-term patient relationships and proactively helping patients improve their health outcomes. Key Responsibilities Remote Patient Monitoring (RPM): ● Monitor daily/weekly biometric data (e.g., blood pressure, glucose, weight) ● Identify trends, abnormalities, and gaps in care ● Escalate clinical concerns to providers as appropriate ● Document and track patient data in the EMR/RPM platform Care Coordination: ● Serve as a primary point of contact for assigned patients ● Coordinate care between providers, specialists, and ancillary services ● Support medication adherence and care plan compliance ● Assist with transitions of care (e.g., post-discharge follow-up) Patient Engagement & Coaching: ● Conduct regular virtual check-ins (phone/video) ● Provide education on chronic disease management and lifestyle changes ● Support patients enrolled in the LifeChef program (nutrition, weight, metabolic health) ● Encourage adherence to personalized care plans Documentation & Compliance: ● Maintain accurate, timely documentation in accordance with RPM/CCM billing requirements ● Ensure compliance with HIPAA and all regulatory standards ● Track time and activities to support reimbursement workflows Qualifications ● Active, unrestricted RN license — must reside in a Nurse Licensure Compact (NLC) state and hold or be eligible for a multistate RN license ● Minimum 3+ years clinical experience (primary care, chronic care, or care management preferred) ● Experience with RPM, CCM, or care coordination programs strongly preferred ● Experience with telehealth, chronic care management, remote patient monitoring (RPM), or care coordination strongly preferred ● Comfortable engaging patients by phone, SMS, and virtual platforms ● Strong communication and patient engagement skills ● Bilingual Spanish/English preferred ● Comfortable using EMRs and digital health platforms ● Highly organized, proactive, and able to work independently ● Interest in lifestyle medicine, nutrition, or metabolic health is a plus Work Environment ● 100% remote position ● Flexible scheduling with defined patient touchpoints ● Collaborative, team-based environment with physicians, APPs, and health coaches Why This Role is Unique ● Focus on proactive, relationship-based care, not task-based nursing ● Opportunity to work at the intersection of clinical care, lifestyle medicine, and technology ● Be part of LifeChef Health’s innovative care model that is redefining how we manage chronic disease Pay: $75,000.00 - $95,000.00 per year Benefits: • Dental insurance • Health insurance • Paid time off Work Location: Remote
Prisma Health is a not-for-profit healthcare organization based in South Carolina that operates hospitals, clinics, and community health services across the state.
Inspire health. Serve with compassion. Be the difference. Job Summary Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience and recovery, and providing needed follow up to patients and/or family members. Coordinates patient responses requiring further intervention with appropriate Nurse Manager. Works independently and/or under indirect supervision of the Nurse Manager. Remote position for SC Residents Essential Functions • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. • Conduct non–face-to-face post-discharge outreach calls to patients within the CMS-required timeframe. • Review discharge summaries, medication lists, and follow-up instructions prior to patient contact. • Medication reconciliation and coordination support. • Assess patient understanding of discharge plan, symptom management, and medication adherence. • Records patient responses and advice provided, documents any variations. Provides appropriate follow up as indicated by patient responses and needs. • Identify early signs of potential complications and escalate concerns to the provider or care team. • Schedule appointments directly with the patient’s primary care provider. • Coordinate with front desk and clinical teams to secure timely appointment availability. • Document all outreach attempts, patient interactions, and outcomes in the EHR according to Prisma Health and CMS requirements. • Provide/Reinforce education provided at discharge, including when to contact the provider versus seek emergency care. • Support readmission prevention efforts by ensuring appropriate follow-up and addressing barriers to care. • Review and address open care gaps (e.g., hypertension control, diabetes monitoring, preventive screenings, wellness visits). • Educate patients on the importance of completing overdue screenings or visits and assist in scheduling. • Collaborate with providers, care coordinators, and case management teams to ensure continuity of care. • Participate in team discussions and quality improvement initiatives related to department effectiveness and patient outcomes. • Maintain awareness of required documentation and billing requirements to ensure compliance. • Provide hypertension-focused education on home blood pressure monitoring, medication adherence, lifestyle modifications, and follow-up importance. • Assess and intervene for elevated blood pressure readings or medication concerns by escalating to the provider and facilitating appropriate follow-up. • Collects patient data and completes required forms with appropriate responses according to the unit standards; identifies patient's problems/needs and sets priorities; identifies problems requiring further referral and/or follow-up; observes and records latest diagnostic results; performs advanced nursing observations using critical thinking skills. • Develops a plan for follow up care based on nursing process, and which incorporate the plans of other disciplines and continuing or emerging care needs; include the patient/family in developing or revising plan. • Care provided conforms to accepted practice standards; provides correct telephonic care advice and other follow up instructions according to patient care standards; demonstrates understanding of age-related characteristics and needs of patients served; explains nursing procedures and discharge teaching in appropriate forms; evaluates care measures instituted; identifies situations that require immediate action and provides appropriate plan; understands and demonstrates respect for patient rights and confidentiality, and identifies mechanism for management of any ethical issues. • Performs other duties as assigned. Supervisory/Management Responsibilities • This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements • Education - Associate degree in Nursing. Bachelor's degree in Nursing preferred. • Experience - One (1) year experience as a registered nurse. In Lieu Of • In lieu of an associate’s degree in nursing (AD N), will accept an RN diploma or certificate with a current RN compact/multistate license recognized by the NCSBN Compact State or a license to practice as an RN in the state the team member is working. Required Certifications, Registrations, Licenses • Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working. Knowledge, Skills and Abilities • N/A Work Shift Location Blount Memorial Hospital Facility 7002 Value-Based Care and Network Services Department 70029261 Ambulatory Quality and Reliability Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business delivering program management, technology, and consulting services to government and private-sector clients.
At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation. Job Type: Full-time (40 hours/week) Schedule: Monday–Friday, 8:00 AM – 5:00 PM Max Salary: W-2 ($60,000-$63,000) Location: Remote (U.S. – Work from home) Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed. About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements. Key Responsibilities • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals. • Assess payment determinations using clinical information and established guidelines. • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement. • Provide clear, well-documented rationales for service approvals or denials. • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements. • Support quality control activities to meet corporate and team objectives. • Provide guidance to LPN team members and support non-clinical staff through training and discussions. • Assist with special projects and additional responsibilities as assigned. Minimum Qualifications Licensure: • Active, unrestricted RN license in the U.S. and in the state of hire OR • Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education: • Associate Degree in Nursing OR • Graduate of an accredited School of Nursing. Experience: • Two years of clinical experience plus at least two years in one of the following: • Home Health • Utilization/Medical Review • Quality Assurance Skills & Competencies: • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings. • Ability to interpret and apply medical review criteria and clinical guidelines. • Proficiency in Microsoft Office and word processing software. • Strong analytical, organizational, and decision-making skills. • Ability to work independently while managing priorities effectively. • Excellent customer service, communication, and critical thinking skills. • Ability to handle confidential information with discretion. Preferred Qualifications • Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred). • Proficiency in using multiple screens and software programs simultaneously. If you are a detail-oriented RN with a passion for medical review, we encourage you to apply! What to Expect Next: After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).
A Pennsylvania-based quality improvement organization focused on healthcare program integrity, advocacy, and improving care for vulnerable populations; hires nurses for remote utilization review and quality roles.
Are you a registered nurse ready to take your career in an exciting new direction—one where your expertise truly makes a difference? Join Pennsylvania’s premier Quality Improvement Organization and step into a dynamic role focused on advocacy and program integrity through compliance management. Here, you’ll champion the needs of vulnerable populations, safeguard the quality of care, and influence healthcare outcomes on a meaningful scale. Enjoy the freedom of working from home, the flexibility and autonomy to manage your workday, and the opportunity for continuous professional growth—all while being part of a passionate, mission-driven team dedicated to improving healthcare across the Commonwealth. Are you a registered nurse ready to take your career in an exciting new direction—one where your expertise creates real, lasting impact? Join Pennsylvania’s premier Quality Improvement Organization and play a vital role in protecting healthcare quality, advocating for vulnerable populations, and ensuring the integrity of critical healthcare programs. In this rewarding role, you’ll use your clinical knowledge outside of the traditional bedside setting to review and audit claims, support program integrity initiatives, and advocate for beneficiaries across the Commonwealth. You’ll enjoy the flexibility of working from home, the autonomy to manage your work, and meaningful opportunities for professional growth—all while contributing to a mission that truly matters. • What You’ll Do • Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards • Support program integrity efforts by identifying trends, risks, and opportunities for improvement • Advocate for beneficiaries, with a strong focus on protecting and improving care for vulnerable populations • Apply nursing judgment to analyze medical records, documentation, and billing data • Collaborate with interdisciplinary teams, providers, and stakeholders to promote best practices • Contribute to quality improvement initiatives that strengthen healthcare delivery across Pennsylvania • What We’re Looking For • Active, unrestricted Registered Nurse (RN) license • Strong clinical background with the ability to apply nursing judgment analytically • Interest in advocacy, quality improvement, and healthcare program integrity • Excellent written and verbal communication skills • Ability to work independently while managing multiple priorities • Comfort with technology and electronic medical records Experience in utilization review, case management, quality improvement, compliance, or claims review is a plus—but not required. • Why Join Us • Mission-driven work with Pennsylvania’s leading Quality Improvement Organization • Make a real impact on healthcare quality and outcomes for vulnerable populations • Remote work – enjoy the convenience and balance of working from home • Autonomy and flexibility in how you manage your workday • Advocacy-focused role that values your nursing voice and expertise • Career development opportunities to grow beyond traditional nursing roles • Supportive, collaborative team culture committed to excellence and integrity If you’re a registered nurse seeking purpose-driven work, professional growth, and the flexibility to balance your life and career—this is your opportunity. Apply today and help shape the future of healthcare quality in Pennsylvania. • Requirements • Be available as a full-time consultant, approximately 37.5 hours per week; • Possess a current license to practice as a Registered Nurse issued by the Pennsylvania • State Board of Nursing; or possess a non-renewable temporary practice permit issued • by the Pennsylvania State Board of Nursing. Resources possessing non-renewable • temporary practice permits must obtain licensing as a Registered Nurse within the • one-year period as defined by the Pennsylvania State Board of Nursing; • Possess a documented work history of three (3) or more years of professional • experience with medical assistance, health care services or human services or any • equivalent combination of experience and training; • Possess basic computer skills, including familiarity with Microsoft Office programs. • Principal Duties and Responsibilities (RN – Medical Assistance Inpatient Utilization Review & Discharge Planning) • Conduct clinical utilization reviews for medical–surgical inpatient hospitalizations under the Medical Assistance (MA) Program by evaluating medical records, admission criteria, continued stay indicators, and treatment plans to determine medical necessity, appropriateness, and level of care. • Apply registered nursing clinical judgment and evidence-based medical–surgi
BJC HealthCare is a large nonprofit health system serving the St. Louis region, operating hospitals, clinics, and physician groups across Missouri and Illinois.
Additional Information About the Role Do you have recent RN experience in the Emergency Department or Medical Surgical Floor? BJC Medical Group is looking for a Part Time Clinical Triage Nurses! Must live within 1 hour of St. Louis, Missouri [ MO or IL] Typing Test Required (minimum speed 35 wpm, 90% accuracy) 40 hours per week- Part Time Benifit Eligible Rotating schedule; 1200-2030 Every other Weekend (1 day) plus holiday rotation required • Ideal candidate: Med Surg, Emergency Room, and/or triage experience in Family Medicine Overview BJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region. Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the communities we serve. Preferred Qualifications Role Purpose The RN – Telehealth (Access Center) provides direct telephonic care to adult and pediatric patients in collaboration with primary care providers. This position uses assessment skills, critical thinking, and clinical judgment to direct patients to the correct level of care. This position also uses multiple computer applications and works in a fast-paced remote environment. Responsibilities • Uses the nursing process, clinical judgment, and decision support materials to assess patients telephonically; directs patients to the appropriate level of care, including scheduling appointments for patients across various resources; ensures accurate and complete communication with primary care providers. • Provides patient education and support, including verbal and written instructions; uses the appropriate tools and techniques to assess the patient’s and/or family’s ability to receive education; takes initiative to problem solve and demonstrates critical thinking skills. • Utilizes various technologies to coordinate patient care, to include multiple software applications, computerized clinical guidelines, specialized telephony equipment, etc. • Applies standard work procedures to tasks, such as routine medication refill requests, ordering testing, scheduling appointments, etc. with a high level of attention to detail. • Collaborates and interacts professionally with other members of the healthcare team, including physicians, advanced practice practitioners (APP), office staff, etc.; works with a multi-disciplinary team to provide appropriate, safe care; displays excellent written and verbal communication skills; provides the highest level of customer service to callers. • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education • Nursing Diploma/Associate's Experience • 2-5 years Supervisor Experience • No Experience Licenses & Certifications • RN Preferred Requirements Education • Bachelor's Degree - Nursing Licenses & Certifications • Basic Life Support (BLS) Benefits and Legal Statement BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date • Disability insurance* paid for by BJC • Annual 4% BJC Automatic Retirement Contribution • 401(k) plan with BJC match • Tuition Assistance available on first day • BJC Institute for Learning and Development • Health Care and Dependent Care Flexible Spending Accounts • Paid Time Off benefit combines vacation, sick days, holidays and personal time • Adoption assistance To learn more, go to our Benefits Summary. • Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
UnitedHealth Group is a large, diversified healthcare company delivering health benefits, care services and healthcare technology across the United States through brands such as UnitedHealthcare and Optum.
Are you a Registered Nurse (RN) who is passionate about providing patient-centered care beyond the walls of a traditional hospital or clinic? Do you want the flexibility of working remotely while still making a meaningful difference in the lives of patients and their families? UnitedHealth Group Inc. is seeking a Part-Time Remote Call Center Nurse (RN) to deliver high-quality telephonic support, guidance, and triage services to patients nationwide. This is an excellent opportunity to combine your clinical expertise with the convenience of work-from-home flexibility, while enjoying competitive hourly pay, growth opportunities, and unique lifestyle perks inspired by the SoHo community. About the Role As a Remote Call Center Nurse RN, you will serve as the first point of contact for patients seeking medical advice, triage, and support. Your role will focus on assessing patient needs, providing evidence-based guidance, and coordinating care plans. You will also support patients in navigating the healthcare system, understanding treatment options, and following through with care recommendations. This is a part-time, remote position, making it ideal for experienced nurses looking for flexibility without compromising on impact or professional growth. Key Responsibilities Provide telephonic nursing assessments and care coordination for patients across diverse demographics. Triage incoming calls, identify urgent needs, and escalate appropriately to physicians or emergency services. Offer health education, self-care recommendations, and guidance on treatment adherence. Collaborate with care management teams, physicians, and specialists to ensure comprehensive patient support. Document all patient interactions in compliance with UnitedHealth Group’s standards and HIPAA regulations. Use evidence-based nursing protocols and clinical judgment to make safe and effective care decisions. Demonstrate empathy, patience, and professionalism in all patient communications. Qualifications & Requirements Required Active, unrestricted Registered Nurse (RN) license in the United States. Minimum of 2 years of clinical experience in hospital, acute care, ER, or telehealth settings. Excellent communication, critical thinking, and decision-making skills. Strong technical skills with ability to work with call center systems, EHR platforms, and digital communication tools. Reliable internet connection and quiet home office environment. Preferred BSN or advanced nursing degree. Prior experience in telehealth, case management, or call center nursing. Bilingual (Spanish/English) skills are a plus. Compensation & Benefits We believe in recognizing the value of nursing expertise with a competitive and rewarding package Hourly Pay $38 – $52 per hour (based on experience and state licensure). Performance Incentives Additional pay for weekend or evening shifts. Work Flexibility Part-time scheduling with opportunities for extra shifts. Health Benefits Comprehensive medical, dental, and vision coverage (for eligible employees). Retirement Savings Plan 401(k) with employer match. Paid Training Full training provided with ongoing education opportunities. Career Advancement Clear pathways to full-time, supervisory, or case management roles. SoHo Lifestyle Benefits Access to optional SoHo coworking hubs for collaboration and networking. Exclusive discounts on wellness, fitness, and dining programs in the SoHo area. Invitations to professional workshops, cultural events, and networking mixers. Work-life balance initiatives to ensure nurses stay refreshed, engaged, and motivated. Why Join UnitedHealth Group? UnitedHealth Group is one of the largest and most respected healthcare organizations in the nation. By joining our team, you’ll have the opportunity to Make a direct impact by supporting patients in real time. Enjoy the flexibility of remote work while maintaining clinical relevance. Access robust training and continuing education resources. Collaborate with healthcare leaders dedicated to innovation and patient-first care. Benefit from inclusive company culture where your voice and expertise matter. Growth & Career Path This role isn’t just part-time work—it’s a pathway to long-term career growth. Successful RNs in this program often advance to Nurse Case Manager Clinical Team Lead Telehealth Supervisor Population Health Nurse Your career development is supported through mentorship, continuing education programs, and leadership training offered by UnitedHealth Group. Employee Testimonial “Transitioning into a remote nursing role with UnitedHealth Group was life-changing. I can still use my clinical skills daily, but I also get the flexibility to manage my schedule. The SoHo networking and wellness benefits are a great bonus, making me feel connected both professionally and personally.” – Current Call Center RN Work Environment Location Remote (with access to SoHo networking and coworking perks). Schedule Part-time with flexible hours,
Santa Barbara Cottage Hospital is a community hospital in Santa Barbara, California, part of the Cottage Health system, offering acute care and specialty services.
A healthcare provider in the United States is seeking a Registered Nurse Telehealth to assist in delivering patient care remotely. The role involves assessing, planning, and implementing individualized treatment with a focus on telehealth support. Candidates should have a nursing degree, relevant experience, and licensure in the state of employment. This position offers opportunities for professional growth within a mission-driven organization committed to serving underserved populations. #J-18808-Ljbffr
Santa Barbara Cottage Hospital is an acute-care hospital in Santa Barbara, California, part of the Cottage Health system, providing inpatient and outpatient healthcare services.
Santa Barbara Cottage Hospital is recruiting for a remote Registered Nurse position that focuses on providing telephonic clinical assessments and health education. The role requires a current RN license and a minimum of three years of clinical experience. Employees can expect a comprehensive benefits package including health, dental, and vision insurance, along with a salary of $34.00 per hour. The successful candidate will thrive in a fast-paced environment while working from home, and must be able to fulfill weekend shift requirements.
Alpha Home Health & Hospice provides home health and hospice services in Washington State and is operated as part of The Pennant Group, a holding company of independent healthcare operating subsidiaries.
Alpha Home Health & Hospice provides compassionate and holistic hospice care in Washington State. We are seeking an experience Hospice RN! Hospice Triage Registered Nurse – 7 On / 7 Off (Evenings/Nights) Alpha Home Health & Hospice Location: Remote, supporting 4 Hospice agencies in WA State Schedule: 7 days on / 7 days off | 5:00 PM – 8:00 AM Wage range: $65,000 to $68,000 Full-Time | Exempt | Eligible for Benefits We are NOT able to hire in the following states: Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, New York, Connecticut, Pennsylvania, Maryland, Delaware, New Jersey or Washington D.C. Make a Difference—When It Matters Most We're looking for a skilled, calm, and responsive Registered Nurse to provide after-hours triage during our 7-on / 7-off evening and overnight schedule (5 pm to 8 am). You'll be the steady voice and clinical presence families rely on during moments of uncertainty, grief, or symptom crisis—often when no one else is available. This role is ideal for an RN who thrives in autonomy, values meaningful end of life support, and can balance periods of high volume with quiet standby time. Key Responsibilities: • Provide on-call clinical triage via phone during evenings, nights, and weekends, assessing patient symptoms and determining appropriate interventions. • Collaborate closely with the interdisciplinary hospice team (physician, social work, chaplain, aides) to ensure coordinated and high-quality care. • Educate patients and families on end-of-life care, symptom management techniques, and available resources. • Maintain accurate and timely patient records in the Electronic Medical Record (EMR), promptly reporting any changes in condition. • Ensure full compliance with all healthcare regulations and standards specific to hospice care. • Adhere to a consistent 7 days on / 7 days off schedule in PST time zone to ensure continuity of care and promote work-life balance. Qualifications • Active Washington State RN license (or compact license if applicable) • Hospice triage experience is a must have requirement • Strong assessment and communication skills, especially in emotionally sensitive situations • Ability to work independently and manage time and priorities effectively • Comfortable with EMR systems (experience with HCHB or similar is a plus) • Current BLS (Basic Life Support) certification. Benefits • Medical, dental, vision, • 401(k) matching • Vacation, holiday pay, and sick time coverage • Paid Life and AD&D, with voluntary increase • Other voluntary plans such as STD, LTD, etc. • EAP, HSA, FSA • Pet Insurance • Supportive leadership, paid training, and orientation We pride ourselves on our quality of care and ethical business practices as well as our foundational Core Values of CAPLICO: • Customer Second (Employee First) • Accountability • Passion for Learning • Love One Another • Intelligent Risk Taking • Celebration • Ownership About Us: At Alpha Home Health & Hospice we value the importance of providing comfort, care, and support to individuals and families facing the challenges of end-of-life care. If you are passionate about making a meaningful impact in the lives of others, we encourage you to apply for the On-call Triage Hospice Nurse position and become part of our dedicated team. Learn more about us on our website: https://alphahomehealthhospice.com/about-us/ The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.
Santa Barbara Cottage Hospital is an acute care hospital in Santa Barbara, California, providing inpatient and outpatient services; it is part of the Cottage Health system.
Santa Barbara Cottage Hospital is seeking full-time Registered Nurses to work remotely. Candidates must have 2+ years of pediatric acute care experience within the last 4 years and a valid nursing license. This role involves assessing patient needs, implementing care plans, and collaborating with a healthcare team. The position emphasizes critical thinking and excellent communication skills, offering competitive compensation and benefits. #J-18808-Ljbffr
ChenMed is a national healthcare company that operates primary care clinics focused on older adults and value-based care models, delivering clinical services across multiple U.S. markets.
ChenMed LLC in Deerfield, Illinois is seeking a Registered Nurse for Telehealth to provide telephonic advice on patient care. This role involves remote assessments, collaboration with caregivers, and documentation to enhance patient wellness. The ideal candidate must have an Associate Degree in Nursing, relevant certifications, and at least 3 years of clinical experience. The position offers a competitive salary and the possibility of bonuses.
Santa Barbara Cottage Hospital is an acute care hospital in Santa Barbara, California, part of the Cottage Health system providing a range of clinical services.
Santa Barbara Cottage Hospital is looking for a dedicated RN to join the National After-Hours Team. This part-time, work-from-home position involves providing telephonic care to members across multiple states. Candidates should possess a current RN license, have at least 3 years of clinical experience, and be skilled in communicating complex medical information. Flexibility in scheduling is essential, especially during weekends and holidays. A home office setup and high-speed internet are required.
HarmonyCares provides home-based primary care services for patients with complex healthcare needs across multiple states, operating a value-based, team-based model focused on in-home and telehealth care.
Overview HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us • Accountable Care Organization • 401K Retirement Plan • Paid Orientation and Training • Established in 11 states • A+ rated malpractice coverage with tail coverage • No holidays, no hospital rounds More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits . Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties And Responsibilities • Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit • Takes history, examines, determines diagnoses. • Provides written documentation of patient visit, per NCQA standards • Takes patient vital signs, as necessary. • Places case management referrals and communicates with PCP as necessary. • Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis. • Performs all clinical duties while observing OSHA Universal Precautions • Maintains patient confidentiality • Attends required meetings and in-services and participates in committees, as requested • Participates in professional development activities and maintains professional licenses and affiliations In this role you may work with. . . • Teammates • Physicians • Medical Staff • Patients • Caregivers • Agency Nurses • Providers • Vendors Qualifications Required Knowledge, Skills, and Experience • Active/unrestricted nurse practitioner license to practice in coverage states • Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA) • Active BLS Certification • Current enrollment in Medicare/Medicaid • Must maintain a valid driver’s license and good driving record • Outstanding EHR skills Preferred Knowledge, Skills And Experience • Geriatric training/experience • Skill in teamwork and maintaining effective working relationships with patients, medical staff, and the public Conditions of this role to be aware of. . . • Adaptability to differing weather conditions and patients’ home/residential environments • Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing • Regular lifting/carrying items weighing up to 50 pounds • Ability to ride in automobile or van up to 150 miles daily in urban and/or rural settings. Ability to drive, if necessary Posted Max Pay Rate USD $145.00/Visit Posted Min Pay Rate USD $85.00/Visit Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.
A healthcare organization providing remote nursing roles.
Job Summary • The Elite Job is seeking dedicated and compassionate individuals for Home-Based Telehealth Nursing positions. As a telehealth nurse, you will provide virtual healthcare consultations and support to patients in Malaysia, offering professional advice and assistance through phone calls or video consultations. This role offers the flexibility of working from home while contributing to improving patient care and outcomes through remote healthcare services. • Key Responsibilities • Conduct virtual patient assessments, provide medical advice, and educate patients on health-related concerns via phone or video consultations. • Review patient records and communicate with other healthcare professionals to ensure coordinated care. • Assist in managing chronic conditions by providing follow-up care and monitoring patient progress remotely. • Respond to patient inquiries, document patient interactions, and provide guidance on treatment plans and medications. • Offer emotional support to patients and families during remote consultations. • Maintain accurate records of patient communications, assessments, and outcomes. • Stay updated on the latest healthcare practices and telemedicine tools to ensure efficient service delivery. • Required Skills and Qualifications • Registered Nurse (RN) with a valid Malaysian nursing license. • Proven experience in clinical nursing, preferably in telemedicine or telehealth. • Strong communication skills, both verbal and written, with the ability to explain medical information clearly to patients. • Proficiency in using telemedicine platforms, electronic health records (EHR), and basic computer software. • Ability to work independently in a remote environment and manage a flexible schedule. • Strong critical thinking, problem-solving, and decision-making skills. • Compassionate, empathetic, and patient-focused attitude towards healthcare. • Experience • Minimum of 2 years of nursing experience in a clinical or telehealth setting. • Experience in telehealth nursing is a plus but not mandatory. • Previous work in patient care, home health, or a similar remote healthcare setting is desirable. • Working Hours • Flexible working hours, with the option to work part-time or full-time. • Availability for evening, night shifts, or weekend hours may be required depending on patient needs. • No specific commute required as this is a fully remote role. • Knowledge, Skills, and Abilities • Knowledge of patient care, medical protocols, and telemedicine technologies. • Ability to assess patient conditions remotely and provide accurate and timely recommendations. • Skilled in managing multiple patient cases at once while maintaining quality care. • Ability to build rapport with patients and provide a reassuring presence in virtual consultations. • Strong organizational and documentation skills. • Ability to work in a fast-paced environment while maintaining professionalism and attention to detail. • Benefits • Competitive salary based on experience and qualifications. • Flexible work schedule to promote a healthy work-life balance. • Professional development opportunities and continuous education. • Work-from-home convenience with the necessary telehealth tools and technology provided. • Opportunities for career advancement in a growing and innovative healthcare field. • Health and wellness benefits for full-time employees. • Why Join The Elite Job? • Work in a supportive and inclusive work environment that values patient care and employee well-being. • Enjoy the flexibility of working from home, reducing commute time and enhancing work-life balance. • Be part of a leading company committed to offering innovative healthcare solutions that make a meaningful impact on patient care. • Contribute to the development of telehealth services that provide access to quality healthcare to individuals across Malaysia. • How to Apply Interested candidates are invited to submit their resume, along with a cover letter detailing their relevant nursing experience and interest in telehealth. Please send your application to the email address provided or apply through our online portal. Only shortlisted candidates will be contacted for interviews.
Uloop Inc. is a company that posts and recruits for job opportunities; this listing is for a telehealth Registered Nurse role based in Miami, Florida.
Uloop Inc. is seeking a Registered Nurse for a part-time telehealth role based in Miami, Florida. The position involves connecting with patients to provide care advice, conducting clinical assessments, and delivering health education. The ideal candidate must have an Associate Degree in Nursing, active licensure, and experience in triage or emergency settings. A commitment to customer service and communication skills are essential, along with a willingness to work weekends.
A healthcare organization providing telehealth services and remote nursing roles.
Role Description Dispensed is seeking passionate and motivated Registered Nurses with strong communication skills and a keen eye for detail, who are committed to delivering high-quality patient care and thorough clinical assessments. Join Team Dispensed as our next Telehealth Nurse and play a key role in shaping a seamless, patient-first care experience. You’ll play a critical role in conducting patient assessments, managing consultations, and ensuring a smooth and supportive experience for every patient. You will • Conduct patient consultations via phone, including screening and documentation • Manage follow-up appointments as required • Collaborate with internal teams, including Medical Assistants, Customer Service, and Clinical Leadership Qualifications • Proficiency with digital tools (e.g. Google Meet, Slack, Deputy, and patient management systems) • Fast, accurate typing skills and the ability to multitask effectively • Strong attention to detail, particularly in clinical documentation • Confidence in following structured processes and clinical protocols • Excellent interpersonal skills - empathy, active listening, and clear communication • Strong time management and organisational skills • Previous telehealth or remote work experience (preferred) Requirements Important to note • This is a fully remote role involving back-to-back telehealth consultations, so you’ll need a quiet, distraction-free workspace and a stable, high-speed internet connection. • Please consider whether this style of work aligns with your preferences and lifestyle before applying. Benefits • Work From Anywhere. • A competitive salary and awesome benefits package. • A supportive and positive work environment. • Opportunities to grow and develop your career. • Opportunity to transform lives through alternative medicine. Apply tot his job Apply To this Job
Dispensed appears to be a healthcare/telehealth organization offering remote patient consultations and services, with this role posted via a recruiting platform.
Role Description Dispensed is seeking passionate and motivated Registered Nurses with strong communication skills and a keen eye for detail, who are committed to delivering high-quality patient care and thorough clinical assessments. Join Team Dispensed as our next Telehealth Nurse and play a key role in shaping a seamless, patient-first care experience. You’ll play a critical role in conducting patient assessments, managing consultations, and ensuring a smooth and supportive experience for every patient. You will • Conduct patient consultations via phone, including screening and documentation • Manage follow-up appointments as required • Collaborate with internal teams, including Medical Assistants, Customer Service, and Clinical Leadership Qualifications • Proficiency with digital tools (e.g. Google Meet, Slack, Deputy, and patient management systems) • Fast, accurate typing skills and the ability to multitask effectively • Strong attention to detail, particularly in clinical documentation • Confidence in following structured processes and clinical protocols • Excellent interpersonal skills - empathy, active listening, and clear communication • Strong time management and organisational skills • Previous telehealth or remote work experience (preferred) Requirements Important to note • This is a fully remote role involving back-to-back telehealth consultations, so you’ll need a quiet, distraction-free workspace and a stable, high-speed internet connection. • Please consider whether this style of work aligns with your preferences and lifestyle before applying. Benefits • Work From Anywhere. • A competitive salary and awesome benefits package. • A supportive and positive work environment. • Opportunities to grow and develop your career. • Opportunity to transform lives through alternative medicine. Apply To This Job Apply tot his job Apply To this Job
Advocate Aurora Health is a large healthcare system operating hospitals and clinics, providing a range of clinical services and healthcare programs across multiple states.
Title: Telehealth Nurse - Atrium Health Wake Patient Access and Care Team (PACT) PT Location: Winston Salem, NC, United States Job Description: Part time job requisition id R247918 Department: 12707 Enterprise Corporate - Patient Access & Care Team: NC/GA Nursing Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional Information: Evenings. Required every other weekend. Required holiday rotation. Pay Range $35.50 - $53.25 EDUCATION/EXPERIENCE: Graduate of an accredited school of nursing for Registered Nurses with a minimum ofthree years ofvaried clinical experience preferred in telephone nurse triage, ambulatory settings, and inpatient medical-surgical inpatient units. LICENSURE, CERTIFICATION, and/or REGISTRATION:Current license to practice as a Registered Nurse (RN) in the State of applicable state and BCLS certification required unless CPR skill 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 within the health system. Demonstrates responsibility for professional and personal development. SKILLS/QUALIFICATIONS: Previous experience with nurse telephone triage or within a nursing call center preferred Excellent customer service skills Experience in multidisciplinary team collaboration Ability to perform 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 within a dynamic environment Basic computer skills with the ability to navigate multiple systems WORK ENVIRONMENT: On-site orientation required Primarily remote: In the event of technology failures while working remotely, must be able to report on site within one hour, and to report on site at the request of leadership. There is potential for the role to transition from remote to performing work duties from a designated work site. Requires the ability to successfully multi-task and to navigate competing priorities PHYSICAL REQUIREMENTS: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum 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.
A digital healthcare/telemedicine organization (Career.zycto / CareerSprint) offering remote telehealth services and virtual nursing roles supporting patients in Singapore.
About Company Imagine a place where your nursing expertise is amplified by technology, reaching patients far and wide. Career.zycto is at the forefront of digital healthcare solutions, empowering medical professionals to deliver unparalleled virtual care. We believe in harnessing innovation to expand access to quality health services, making a tangible difference in people's lives. For a Telehealth Nurse, our dynamic, supportive ecosystem provides the perfect platform to thrive, offering continuous learning and the chance to shape the future of remote patient management. Join us in redefining healthcare delivery. Job Description Are you a compassionate and highly skilled Registered Nurse eager to leverage technology to deliver patient-centric care from the comfort of your home? Career.zycto is seeking a dedicated Telehealth Nurse to join our pioneering remote healthcare team. In this pivotal role, you will be instrumental in providing virtual assessments, education, and support to patients across Singapore, ensuring continuity of care and promoting positive health outcomes. This is an exciting opportunity for a self-motivated professional to contribute to a forward-thinking organization committed to enhancing healthcare accessibility and efficiency through innovative digital platforms. You will utilize cutting-edge telemedicine tools to conduct virtual consultations, manage chronic conditions, provide post-operative follow-ups, and offer health coaching. Your ability to communicate clearly, empathize effectively, and make sound clinical judgments remotely will be key to your success. We are looking for an individual who is not only clinically proficient but also adaptable, tech-savvy, and passionate about the evolving landscape of digital health. If you are ready to embrace a new frontier in nursing and make a significant impact without the daily commute, we encourage you to apply and become a part of our transformative journey in remote patient care. Key Responsibilities • Conduct comprehensive virtual health assessments, triage patient needs, and provide appropriate medical advice or referrals. • Utilize telehealth platforms to deliver patient education on various health conditions, medication management, and preventive care. • Monitor and manage chronic disease patients remotely, tracking progress, and adjusting care plans in collaboration with physicians. • Provide post-discharge follow-up care, ensuring smooth transitions and preventing readmissions. • Document all patient interactions accurately and thoroughly in the electronic health record (EHR) system. • Adhere strictly to clinical protocols, ethical guidelines, and all relevant regulatory standards for telehealth practice in Singapore. • Collaborate effectively with interdisciplinary healthcare teams to ensure holistic patient care. • Participate in ongoing training and professional development to stay current with telehealth best practices and technological advancements. Required Skills • Registered Nurse (RN) license in Singapore (SNB) • Minimum 3 years of clinical nursing experience, with at least 1 year in a remote or telehealth capacity preferred. • Strong clinical assessment and critical thinking skills. • Excellent verbal and written communication abilities. • Proficiency in using electronic health record (EHR) systems and telehealth platforms. • Ability to work independently and manage time effectively in a remote environment. • Strong patient education and coaching skills. • High level of empathy and cultural sensitivity. Preferred Qualifications • Bachelor of Science in Nursing (BSN) or equivalent. • Certifications in telehealth, chronic disease management, or specific medical specialties. • Experience with AI-powered diagnostic tools or virtual monitoring devices. • Fluency in additional local languages (e.g., Mandarin, Malay, Tamil) to serve a diverse patient population. Perks & Benefits • Competitive annual salary and performance-based incentives. • Comprehensive health, dental, and vision insurance plans. • Flexible remote work schedule, promoting work-life balance. • Opportunities for continuous professional development and training in telehealth technologies. • Access to cutting-edge telemedicine tools and resources. • A supportive and collaborative team environment focused on innovation. • Paid time off, including annual leave and sick leave. • Employee wellness programs and mental health support. How to Apply Interested candidates are invited to click on the application link below to submit their resume and a cover letter detailing their relevant experience and interest in a remote telehealth nursing role. Please ensure your application highlights your proficiency in telehealth technologies and your commitment to patient-centered care. Apply tot Apply To This Job
Dispensed is a healthcare provider offering telehealth consultations and patient care services; this telehealth nurse role was posted via CareerSprint.
Role Description Dispensed is seeking passionate and motivated Registered Nurses with strong communication skills and a keen eye for detail, who are committed to delivering high-quality patient care and thorough clinical assessments. Join Team Dispensed as our next Telehealth Nurse and play a key role in shaping a seamless, patient-first care experience. You’ll play a critical role in conducting patient assessments, managing consultations, and ensuring a smooth and supportive experience for every patient. You will • Conduct patient consultations via phone, including screening and documentation • Manage follow-up appointments as required • Collaborate with internal teams, including Medical Assistants, Customer Service, and Clinical Leadership Qualifications • Proficiency with digital tools (e.g. Google Meet, Slack, Deputy, and patient management systems) • Fast, accurate typing skills and the ability to multitask effectively • Strong attention to detail, particularly in clinical documentation • Confidence in following structured processes and clinical protocols • Excellent interpersonal skills - empathy, active listening, and clear communication • Strong time management and organisational skills • Previous telehealth or remote work experience (preferred) Requirements Important to note • This is a fully remote role involving back-to-back telehealth consultations, so you’ll need a quiet, distraction-free workspace and a stable, high-speed internet connection. • Please consider whether this style of work aligns with your preferences and lifestyle before applying. Benefits • Work From Anywhere. 🌍 • A competitive salary and awesome benefits package. 💰 • A supportive and positive work environment. 🌟 • Opportunities to grow and develop your career. 📈 • Opportunity to transform lives through alternative medicine. 💡 Apply To This Job
Advocate Health is a large nonprofit integrated health system formed by the combination of Advocate Aurora Health and Atrium Health, operating hospitals and clinics under Advocate, Atrium and Aurora brands across multiple states.
R247918 Department: 12707 Enterprise Corporate - Patient Access & Care Team: NC/GA Nursing Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional Information: Evenings. Required every other weekend. Required holiday rotation. Pay Range $35.50 - $53.25 EDUCATION/EXPERIENCE: Graduate of an accredited school of nursing for Registered Nurses with a minimum ofthree years ofvaried clinical experience preferred in telephone nurse triage, ambulatory settings, and inpatient medical-surgical inpatient units. LICENSURE, CERTIFICATION, and/or REGISTRATION:Current license to practice as a Registered Nurse (RN) in the State of applicable state and BCLS certification required unless CPR skill 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 within the health system. • Demonstrates responsibility for professional and personal development. SKILLS/QUALIFICATIONS: • Previous experience with nurse telephone triage or within a nursing call center preferred • Excellent customer service skills • Experience in multidisciplinary team collaboration • Ability to perform 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 within a dynamic environment • Basic computer skills with the ability to navigate multiple systems WORK ENVIRONMENT: • On-site orientation required • Primarily remote: In the event of technology failures while working remotely, must be able to report on site within one hour, and to report on site at the request of leadership. There is potential for the role to transition from remote to performing work duties from a designated work site. • Requires the ability to successfully multi-task and to navigate competing priorities PHYSICAL REQUIREMENTS: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum 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.
IntellaTriage provides after-hours nurse triage services for hospice and home health providers, delivering telephone-based clinical support via remote registered nurses; listing posted via CareerSprint.
We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients’ nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients’ care team, and they trust us to support them and their patients during their non-core hours. Learn more at www.intellatriage.com. Why Join Us • Base pay at $25 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $28 an hour within your first 6 months of hire • 3 weeks of paid remote training • Supportive clinical team • Work from home allows you to create a comfortable and personalized workspace • Shorter shifts that provide a better work-life balance and reduce potential for burnout • Working remotely gives you more time to spend with those you love! What do our nurses say? When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared “Helping people. That’s it. And knowing this team has your back—that makes all the difference. People say it takes a special kind of person to do hospice, and I think that’s true. You’re walking with people and their families through one of the most sacred times in life. It’s an honor to support them and guide them through that journey. I’m so grateful to have been chosen for this award.” At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients’ lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward https//intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/ • Active multistate Registered Nurse (RN) license • Hospice, palliative, or end-of-life care is strongly preferred • Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls • Ability and comfort with typing documentation and notes in a fast-paced environment • Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends) • Strong communication and critical thinking skills • Ability to work independently in a remote environment • This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination Key responsibilities • Provide telephone triage for hospice patients and families • Assess patient conditions and determine appropriate next steps • Collaborate with on-call teams to coordinate care and resources • Accurately document all communications and interventions • Maintain a calm and professional demeanor while handling urgent calls. All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $28 an hour within your fist 6 months of hire. All nurses are eligible for a $1 shift differential for overnights and a $1 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances. Apply tot his job Apply To this Job
Careersprint: A recruitment/career platform advertising remote healthcare and telehealth roles; this posting appears to recruit Malaysian RNs for home-based telehealth positions.
Job Summary The Elite Job is seeking dedicated and compassionate individuals for Home-Based Telehealth Nursing positions. As a telehealth nurse, you will provide virtual healthcare consultations and support to patients in Malaysia, offering professional advice and assistance through phone calls or video consultations. This role offers the flexibility of working from home while contributing to improving patient care and outcomes through remote healthcare services. Key Responsibilities • * Conduct virtual patient assessments, provide medical advice, and educate patients on health-related concerns via phone or video consultations. • * Review patient records and communicate with other healthcare professionals to ensure coordinated care. • * Assist in managing chronic conditions by providing follow-up care and monitoring patient progress remotely. • * Respond to patient inquiries, document patient interactions, and provide guidance on treatment plans and medications. • * Offer emotional support to patients and families during remote consultations. • * Maintain accurate records of patient communications, assessments, and outcomes. • * Stay updated on the latest healthcare practices and telemedicine tools to ensure efficient service delivery. • Required Skills and Qualifications • * Registered Nurse (RN) with a valid Malaysian nursing license. • * Proven experience in clinical nursing, preferably in telemedicine or telehealth. • * Strong communication skills, both verbal and written, with the ability to explain medical information clearly to patients. • * Proficiency in using telemedicine platforms, electronic health records (EHR), and basic computer software. • * Ability to work independently in a remote environment and manage a flexible schedule. • * Strong critical thinking, problem-solving, and decision-making skills. • * Compassionate, empathetic, and patient-focused attitude towards healthcare. • Experience • * Minimum of 2 years of nursing experience in a clinical or telehealth setting. • * Experience in telehealth nursing is a plus but not mandatory. • * Previous work in patient care, home health, or a similar remote healthcare setting is desirable. • Working Hours • * Flexible working hours, with the option to work part-time or full-time. • * Availability for evening, night shifts, or weekend hours may be required depending on patient needs. • * No specific commute required as this is a fully remote role. • Knowledge, Skills, and Abilities • * Knowledge of patient care, medical protocols, and telemedicine technologies. • * Ability to assess patient conditions remotely and provide accurate and timely recommendations. • * Skilled in managing multiple patient cases at once while maintaining quality care. • * Ability to build rapport with patients and provide a reassuring presence in virtual consultations. • * Strong organizational and documentation skills. • * Ability to work in a fast-paced environment while maintaining professionalism and attention to detail. • Benefits • * Competitive salary based on experience and qualifications. • * Flexible work schedule to promote a healthy work-life balance. • * Professional development opportunities and continuous education. • * Work-from-home convenience with the necessary telehealth tools and technology provided. • * Opportunities for career advancement in a growing and innovative healthcare field. • * Health and wellness benefits for full-time employees. • Why Join The Elite Job? • * Work in a supportive and inclusive work environment that values patient care and employee well-being. • * Enjoy the flexibility of working from home, reducing commute time and enhancing work-life balance. • * Be part of a leading company committed to offering innovative healthcare solutions that make a meaningful impact on patient care. • * Contribute to the development of telehealth services that provide access to quality healthcare to individuals across Malaysia. • How to Apply Interested candidates are invited to submit their resume, along with a cover letter detailing their relevant nursing experience and interest in telehealth. Please send your application to the email address provided or apply through our online portal. Only shortlisted candidates will be contacted for interviews. Apply tot his job Apply To this Job
A healthcare/telehealth employer (listed as Career.zycto / CareerSprint in the posting) advertising remote nursing roles; limited public company details are provided in the job text.
About Company At Career.zycto, we are at the forefront of digital healthcare innovation, transforming patient care through advanced telehealth solutions. For a Telehealth Nurse, our environment offers unparalleled opportunities to leverage your clinical expertise in a flexible, remote setting. We foster a culture of empathy, continuous learning, and technological empowerment, ensuring you can deliver high-quality, impactful care from anywhere. Join us and be part of a team dedicated to making healthcare accessible and efficient for communities across Singapore, redefining the future of nursing through technology and compassionate service. Job Description Career.zycto is seeking a dedicated and compassionate Telehealth Nurse to join our innovative remote team in Yew Tee, Singapore. In this crucial role, you will be instrumental in delivering high-quality, patient-centered care through virtual platforms, ensuring accessibility and efficiency for our diverse patient population. This is an exciting opportunity for a registered nurse to leverage technology in a dynamic, forward-thinking healthcare environment, providing vital health assessments, education, and support from the comfort of your home. As a Telehealth Nurse, you will utilize secure video conferencing, phone calls, and digital messaging to assess patient conditions, provide medical advice, manage chronic diseases, and offer health education. You will work autonomously while being an integral part of a collaborative clinical team, ensuring seamless coordination of care. This position demands exceptional critical thinking skills, a deep understanding of nursing principles, and a strong commitment to patient advocacy, all delivered with empathy and professionalism in a remote setting. If you are passionate about transforming healthcare delivery and eager to contribute your expertise to a growing telehealth service, we encourage you to apply. You will be empowered to make a real difference in patients' lives, guiding them through their health journeys with expertise and compassion, irrespective of geographical barriers. Embrace the future of nursing with Career.zycto, where your skills will shape innovative care models. Key Responsibilities • Conduct comprehensive virtual health assessments, including symptom evaluation, medical history review, and mental health screenings. • Provide accurate and timely nursing advice, patient education, and health coaching on various medical conditions, medications, and preventive care. • Triage patient calls and virtual consultations to determine the appropriate level of care, referring to specialists or emergency services when necessary. • Document all patient interactions, assessments, interventions, and care plans accurately and thoroughly in the electronic health record (EHR) system. • Monitor and manage chronic disease patients remotely, ensuring adherence to treatment plans and tracking progress. • Collaborate effectively with interdisciplinary healthcare teams, including physicians, specialists, and administrative staff, to optimize patient outcomes. • Maintain strict patient confidentiality and adhere to all regulatory and ethical standards of nursing practice in Singapore. • Utilize telehealth technology proficiently to facilitate virtual consultations and manage patient communications. • Participate in ongoing professional development and training to stay current with best practices in telehealth and nursing. • Develop personalized care plans and follow-up strategies for patients based on their individual needs and health goals. Required Skills • Valid Registered Nurse (RN) license from the Singapore Nursing Board (SNB) • Minimum of 3 years of clinical nursing experience in acute care, primary care, or a related field • Proficiency in using electronic health record (EHR) systems and telehealth platforms • Excellent verbal and written communication skills in English • Strong critical thinking, problem-solving, and decision-making abilities • Ability to work independently and manage time effectively in a remote work environment • Demonstrated empathy, patience, and cultural sensitivity in patient interactions • Strong technical aptitude and comfort with virtual communication tools Preferred Qualifications • Prior experience in telehealth, telephone triage, or remote patient monitoring • Certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) • Experience with chronic disease management programs • Proficiency in additional languages relevant to Singapore's multicultural population (e.g., Mandarin, Malay, Tamil) • Familiarity with Singapore healthcare regulations and guidelines for telehealth services Perks & Benefits • Competitive salary and performance-based incentives • Comprehensive health, dental, and vision insurance coverage • Flexible remote work schedule and work-life balance initiatives • Generous paid time off and public holidays • Dedicated budget for continuous professional development and training • Home office setup allowance and technology support • Employee wellness programs and mental health resources • Opportunities for career advancement within a rapidly expanding company • Supportive and collaborative team environment focused on innovation How to Apply Interested candidates are invited to apply by clicking on the application link below. Please ensure your resume highlights your relevant experience in nursing and any previous exposure to telehealth or remote care. We look forward to reviewing your application and exploring how your skills can contribute to our mission. Apply tot his job Apply To this Job
Virtual Vocations Inc is an online job board specializing in remote and telecommute job listings, connecting employers and jobseekers seeking virtual work opportunities.
To support a 24/7 Occupational Health triage call center, full-time Telephonic Registered Nurses will manage a high volume of incoming calls, provide assessments using proprietary algorithms, and document interactions while working remotely during designated shifts. Key responsibilities Manage and document a rapid flow of incoming telephone calls from clients Complete accurate assessments of symptoms using Medcor's Triage Algorithms Provide superior customer service while adhering to HIPAA compliance policies Required qualifications Valid RN license and current BLS (CPR) certification Ability to handle a high volume of consecutive calls Strong technological skills with a typing speed of at least 30 WPM Willingness to work every other weekend and major U.S. holidays Access to a private space at home for patient privacy and high-speed internet
Placements24 appears to be a recruiting or staffing organization advertising healthcare positions, including remote telehealth nursing opportunities.
Our client, a cutting-edge digital health platform, is seeking a dedicated and experienced Remote Telehealth Registered Nurse specializing in Dermatology. This fully remote position allows you to leverage your clinical expertise to provide high-quality patient care from anywhere within the US. You will be instrumental in delivering virtual consultations, educating patients on dermatological conditions, and supporting treatment plans. The ideal candidate will possess a strong clinical background in dermatology nursing, excellent communication skills, and a passion for utilizing technology to improve healthcare access. You will work closely with board-certified dermatologists to assess patient needs, review visual information, and contribute to effective treatment strategies. This role requires a high degree of autonomy, excellent organizational skills, and the ability to provide compassionate care in a virtual setting. Your primary focus will be on patient education, symptom management, and facilitating appropriate follow-up care, ensuring a seamless and supportive patient journey. Responsibilities: Conduct virtual patient assessments and consultations for dermatological concerns via secure telehealth platforms. Educate patients on various skin conditions, treatment options, and preventative care measures. Review patient-submitted photos and medical histories to assist dermatologists in diagnosis and treatment planning. Monitor patient progress and provide follow-up care and support as directed by the dermatology team. Triage patient inquiries and concerns, escalating to physicians when necessary. Document patient interactions, assessments, and care plans accurately and thoroughly in electronic health records (EHR). Collaborate effectively with a multidisciplinary team of healthcare professionals. Ensure compliance with all telehealth regulations, HIPAA guidelines, and patient privacy standards. Assist in developing and refining telehealth protocols and patient education materials. Promote a positive and empowering patient experience through empathetic and clear communication. Qualifications: Valid RN license in the United States. Minimum of 3 years of experience as a Registered Nurse, with at least 2 years specifically in a dermatology setting. Experience with telehealth platforms and electronic health records (EHR) systems. Strong understanding of common dermatological conditions, treatments, and patient care principles. Excellent verbal and written communication skills, with the ability to explain complex medical information clearly. Proficient in digital communication tools and comfortable working in a remote environment. High level of organization, attention to detail, and time management skills. Ability to work independently with minimal supervision. A proactive approach to patient care and a commitment to continuous learning. Tech-savviness and adaptability to new technologies. This is a fantastic opportunity to join an innovative healthcare provider and contribute to the future of dermatology care, all while enjoying the benefits of a fully remote position. Make a difference in patients' lives from **Sacramento, California, US**, and beyond.
IntellaTriage provides after-hours nurse triage services for hospice and home health providers, operating a remote team of registered nurses using client-customized protocols to support patients and families during non-core hours.
We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients’ nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients’ care team, and they trust us to support them and their patients during their non-core hours. Learn more at www.intellatriage.com. Why Join Us • Base pay at $27 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $30 an hour within your first 6 months of hire • 3 weeks of paid remote training • Supportive clinical team • Work from home allows you to create a comfortable and personalized workspace • Shorter shifts that provide a better work-life balance and reduce potential for burnout • Working remotely gives you more time to spend with those you love! What do our nurses say? When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared: “Helping people. That’s it. And knowing this team has your back—that makes all the difference. People say it takes a special kind of person to do hospice, and I think that’s true. You’re walking with people and their families through one of the most sacred times in life. It’s an honor to support them and guide them through that journey. I’m so grateful to have been chosen for this award.” At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients’ lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/ • Active multistate Registered Nurse (RN) license • Hospice, palliative, or end-of-life care is strongly preferred • Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls • Ability and comfort with typing documentation and notes in a fast-paced environment • Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends) • Strong communication and critical thinking skills • Ability to work independently in a remote environment • This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination Key responsibilities • Provide telephone triage for hospice patients and families • Assess patient conditions and determine appropriate next steps • Collaborate with on-call teams to coordinate care and resources • Accurately document all communications and interventions • Maintain a calm and professional demeanor while handling urgent calls. Every Weekend Hospice Triage RNs, once trained to their originally assigned team are paid $27 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $30 an hour within your fist 6 months of hire. All nurses are eligible for a $2 shift differential for overnights and a $2 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances.
A healthcare organization posting telehealth nursing opportunities, focused on remote patient monitoring and virtual care services.
The Telehealth Nurse (RN/LVN) is responsible for providing remote clinical support, patient monitoring, triage, education, and care coordination for home health patients through telehealth and remote patient monitoring (RPM) programs. This role serves as the primary clinical contact for patients enrolled in telehealth services and plays a critical role in early identification of health concerns, intervention, prevention of hospitalizations, and improving patient outcomes. The Telehealth Nurse conducts virtual patient interactions, reviews RPM alerts and vital signs, documents all encounters in the EMR, escalates clinical concerns appropriately, and collaborates closely with field clinicians, physicians, and care coordination teams. Salary $80,000-$95,000 Key Responsibilities Remote Patient Monitoring & Virtual Care • Monitor daily patient biometric data including • Blood pressure • Pulse oximetry • Weight • Blood glucose • Heart rate • Temperature • Review and respond to RPM alerts in a timely manner based on established clinical protocols. • Conduct scheduled and as-needed telehealth calls/video visits with patients and caregivers. • Identify early signs of clinical deterioration and intervene appropriately. • Provide ongoing chronic disease management support for conditions such as • CHF • COPD • Diabetes • Hypertension • Post-hospital recovery • Reinforce physician orders, medication compliance, diet, and care plans during telehealth interactions. Patient Triage & Escalation • Perform remote nursing assessments and symptom triage. • Escalate urgent or worsening patient conditions to • Physicians • Field Clinicians • Clinical managers • Emergency services when appropriate • Coordinate interventions to prevent avoidable ER visits and hospital readmissions. • Document all patient interactions, assessments, and escalations in the EMR. Patient Engagement & Education • Educate patients and caregivers on • Use of telehealth/RPM equipment • Disease management • Medication adherence • Symptom monitoring • When to seek medical attention • Support patient engagement and encourage compliance with daily monitoring requirements. • Assist patients experiencing technology or connectivity challenges. • Build therapeutic relationships with patients through consistent communication and follow-up. Clinical Coordination • Collaborate with • Home health nurses • Therapists • Physicians • Branch leadership • Intake and scheduling teams • Communicate significant patient status changes promptly to the care team. • Support continuity of care between hospital discharge and home recovery. • Participate in interdisciplinary case conferences as needed. Documentation & Compliance • Maintain accurate and timely EMR documentation for all telehealth encounters. • Ensure compliance with • HIPAA regulations • Medicare and Medicaid guidelines • Home health documentation standards • Organizational telehealth policies • Follow established telehealth workflows and escalation protocols. Quality & Performance • Support organizational goals related to • Reduction in hospital readmissions • Reduce LUPAs • Reduce missed visits • Improved patient satisfaction • Increased patient engagement • Better clinical outcomes • Meet productivity and responsiveness expectations for telehealth encounters and alert management. • Participate in quality improvement initiatives and telehealth program optimization efforts. Qualifications Education • Graduate of an accredited nursing program required. • Associate or Bachelor of Science in Nursing (ASN/BSN) preferred. Licensure/Certifications • Active and unrestricted RN or LVN/LPN license in the applicable state required. • BLS certification required. • Telehealth, case management, or chronic care management certifications preferred. Experience • Minimum 1–3 years of nursing experience required. • Experience in one or more of the following preferred • Home health • Telehealth • Remote patient monitoring (RPM) • Care management • Chronic disease management • Post-acute care • Familiarity with EMR/EHR systems required. • Knowledge of Medicare home health regulations preferred. Required Skills • Strong clinical assessment and triage skills • Excellent phone and virtual communication skills • Ability to recognize early warning signs of patient decline • Strong documentation and organizational skills • Ability to multitask and manage high call volumes • Comfortable using telehealth platforms and digital health technology • Compassionate and patient-centered communication style KPIs / Performance Metrics • RPM alert response times • Patient call completion rates • Telehealth adherence and patient engagement • Reduction in avoidable hospitalizations/readmissions • Documentation accuracy and timeliness • Patient satisfaction scores • Escalation and intervention effectiveness • Decrease in LUPA rates • Decrease in missed visits • Productivity metrics (daily calls, monitored patients, completed follow-ups) Physical & Work Requirements • Prolonged periods of sitting and computer use. • Ability to work in a fast-paced remote monitoring environment. • May require evening/weekend rotation depending on patient coverage needs. • Remote or hybrid work environment may be available based on organizational needs. 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IntellaTriage is a company that provides after-hours nurse triage services for hospice and home health providers, offering remote nurse call management and care coordination using client-customized protocols.
We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients' care team, and they trust us to support them and their patients during their non-core hours. Learn more at www.intellatriage.com. Why Join Us • Base pay at $25 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $28 an hour within your first 6 months of hire • 3 weeks of paid remote training • Supportive clinical team • Work from home allows you to create a comfortable and personalized workspace • Shorter shifts that provide a better work-life balance and reduce potential for burnout • Working remotely gives you more time to spend with those you love! What do our nurses say? When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared: "Helping people. That's it. And knowing this team has your back—that makes all the difference. People say it takes a special kind of person to do hospice, and I think that's true. You're walking with people and their families through one of the most sacred times in life. It's an honor to support them and guide them through that journey. I'm so grateful to have been chosen for this award." At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients' lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/ Requirements • Active multistate Registered Nurse (RN) license • Hospice, palliative, or end-of-life care is strongly preferred • Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls • Ability and comfort with typing documentation and notes in a fast-paced environment • Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends) • Strong communication and critical thinking skills • Ability to work independently in a remote environment • This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination Key Responsibilities • Provide telephone triage for hospice patients and families • Assess patient conditions and determine appropriate next steps • Collaborate with on-call teams to coordinate care and resources • Accurately document all communications and interventions • Maintain a calm and professional demeanor while handling urgent calls. Benefits All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $28 an hour within your fist 6 months of hire. All nurses are eligible for a $2 shift differential for overnights and a $2 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances.
Meta is a global technology company (formerly Facebook) that develops social media platforms and virtual reality products; not primarily a healthcare employer.
The Telehealth Nurse (RN/LVN) is responsible for providing remote clinical support, patient monitoring, triage, education, and care coordination for home health patients through telehealth and remote patient monitoring (RPM) programs. This role serves as the primary clinical contact for patients enrolled in telehealth services and plays a critical role in early identification of health concerns, intervention, prevention of hospitalizations, and improving patient outcomes. • The Telehealth Nurse conducts virtual patient interactions, reviews RPM alerts and vital signs, documents all encounters in the EMR, escalates clinical concerns appropriately, and collaborates closely with field clinicians, physicians, and care coordination teams. • Salary $80,000-$95,000 Key Responsibilities • Remote Patient Monitoring & Virtual Care • Monitor daily patient biometric data including: • Blood pressure • Pulse oximetry • Weight • Blood glucose • Heart rate • Temperature • Review and respond to RPM alerts in a timely manner based on established clinical protocols. • Conduct scheduled and as-needed telehealth calls/video visits with patients and caregivers. • Identify early signs of clinical deterioration and intervene appropriately. • Provide ongoing chronic disease management support for conditions such as: • CHF • COPD • Diabetes • Hypertension • Post-hospital recovery • Reinforce physician orders, medication compliance, diet, and care plans during telehealth interactions. • Patient Triage & Escalation • Perform remote nursing assessments and symptom triage. • Escalate urgent or worsening patient conditions to: • Physicians • Field Clinicians • Clinical managers • Emergency services when appropriate • Coordinate interventions to prevent avoidable ER visits and hospital readmissions. • Document all patient interactions, assessments, and escalations in the EMR. • Patient Engagement & Education • Educate patients and caregivers on: • Use of telehealth/RPM equipment • Disease management • Medication adherence • Symptom monitoring • When to seek medical attention • Support patient engagement and encourage compliance with daily monitoring requirements. • Assist patients experiencing technology or connectivity challenges. • Build therapeutic relationships with patients through consistent communication and follow-up. • Clinical Coordination • Collaborate with: • Home health nurses • Therapists • Physicians • Branch leadership • Intake and scheduling teams • Communicate significant patient status changes promptly to the care team. • Support continuity of care between hospital discharge and home recovery. • Participate in interdisciplinary case conferences as needed. • Documentation & Compliance • Maintain accurate and timely EMR documentation for all telehealth encounters. • Ensure compliance with: • HIPAA regulations • Medicare and Medicaid guidelines • Home health documentation standards • Organizational telehealth policies • Follow established telehealth workflows and escalation protocols. • Quality & Performance • Support organizational goals related to: • Reduction in hospital readmissions • Reduce LUPAs • Reduce missed visits • Improved patient satisfaction • Increased patient engagement • Better clinical outcomes • Meet productivity and responsiveness expectations for telehealth encounters and alert management. • Participate in quality improvement initiatives and telehealth program optimization efforts. Qualifications • Education • Graduate of an accredited nursing program required. • Associate or Bachelor of Science in Nursing (ASN/BSN) preferred. • Licensure/Certifications • Active and unrestricted RN or LVN/LPN license in the applicable state required. • BLS certification required. • Telehealth, case management, or chronic care management certifications preferred. • Experience • Minimum 1–3 years of nursing experience required. • Experience in one or more of the following preferred: • Home health • Telehealth • Remote patient monitoring (RPM) • Care management • Chronic disease management • Post-acute care • Familiarity with EMR/EHR systems required. • Knowledge of Medicare home health regulations preferred. • Required Skills • Strong clinical assessment and triage skills • Excellent phone and virtual communication skills • Ability to recognize early warning signs
Montu is an Australian healthtech company focused on alternative healthcare services, operating the Alternaleaf clinic, the SAGED clinician education platform, and pharmacy dispensing solutions.
Company Description Montu is Australia's largest healthtech business with a focus on alternative healthcare. Founded in 2019, it supports patients, doctors and pharmacies through its Alternaleaf clinic, offers accredited healthcare education to clinicians via its SAGED platform, and dispensing solutions to pharmacies across Australia through Leafio. Montu is also the founding member of Cannabis Council Australia, a non-for-profit advocacy body that advances legislative change across the healthcare landscape. Our mission is to make alternative healthcare more affordable and accessible for the millions who could benefit. Montu has been recognised as Australia’s fastest-growing tech company in the Deloitte TechFast 50 for two consecutive years (#1 in 2022 and 2023), achieving remarkable revenue growth of 26,000% and 9,000%. Named #1 on LinkedIn’s Top Startups Australia 2024, Montu has cemented its position as the largest business of its kind outside North America and continues to evolve on its journey. This role is an Australia-based, fully work-from-home position. Job Description We are looking for passionate Registered Nurses who are based in Western Australia to join Montu to support patients through their medical journey at our Alternaleaf Clinic. In this fully remote role, your main role will be to conduct structured assessment consultations, gathering key clinical insights and guiding patients through treatment expectations. Your work ensures each patient receives safe and timely care. The role requires a commitment to a structured 3-day workweek (0.6 FTE) (roster details including days / times outlined below). Please note there is no flexibility with this roster. If you're dedicated to providing quality care from the comfort of your own home, we want to hear from you. Key Responsibilities: - Conduct high-volume telehealth assessment consults daily - Provide empathetic, non-judgmental care while maintaining clear emotional boundaries - Accurately document consult outcomes to support safe and effective prescribing - Respond to patient enquiries, provide follow-up support, and escalate issues as needed - Liaise with prescribers and the wider Patient Care team to ensure continuity of care - Deliver care from your desk in a highly structured, fast-paced environment with scheduled breaks - Support the team with general admin tasks and contribute to a collaborative, remote-first culture Roster: The role requires a commitment to a structured 3-day workweek (0.6 FTE): All times are in WAST: - Mon to Wed - 11am to 7pm - Wed to Fri - 11am to 7pm Please note there is no flexibility with this roster. If you're dedicated to providing quality care from the comfort of your own home, we want to hear from you. Qualifications We’re looking for emotionally intelligent, adaptable nurses who thrive in fast-paced, structured environments. If you're a strong communicator with exceptional emotional regulation and a commitment to patient care, this role offers the chance to make a real impact while working from the comfort of home. Key Requirements: - Commitment to working part-time hours 3 days per week - Located in Western Australia - Current AHPRA registration as a Registered Nurse, with no practice restrictions - Minimum 3 years post-grad clinical nursing experience - Skilled in patient assessments, care planning, and risk screening - Experience with chronic disease management - Mental health nursing and/or medicinal cannabis experience is highly regarded - Previous telehealth or virtual care experience - Confident in conducting remote consultations - Strong IT proficiency is essential - Flexible and adaptable to shifting patient needs and tech updates - Emotionally resilient and able to maintain professionalism under pressure Additional Information You will be joining a high-performing, fast-paced team where your work drives meaningful impact in a leading tech company at the intersection of healthcare. We take pride in our driven and results-focused culture, where ambitious individuals can push the boundaries of innovation and contribute to better outcomes for Australians. Other benefits include: - Gaining access to SAGED courses and more through the Greenhouse learning platform fosters continuous growth and development. - Enjoying discounts with over 450 retailers through our Reward and Recognition platform. - Full-time, work-from-home role. - Mental health support through our wellbeing platform, Unmind. - Private health insurance discount through Medibank. - Up to 8 weeks of paid parental leave. - Swag kits to celebrate key milestones in your journey with us. - Enhance your home office with our work from home equipment allowance benefit. - Being part of one of the fastest-growing industries in Australia, improving the lives of hundreds of thousands of patients. #LI-GQ1 #LI-Remote We are committed to facilitating a barrier-free recruitment process and work environment. If you require any accommodations, we welcome you to let us know so we can work with you to participate fully in our recruitment experience.
WelbeHealth is a healthcare organization focused on providing care services for seniors, including remote care and care coordination programs.
Role Description • The WelbeHealth Advocate Nurse provides outstanding continuity of care when the PACE center is closed within their scope of practice. Responsibilities include: • Answering phones after hours (evening, nights, weekends, and holidays). • Resolving logistical issues that arise both over the phone and during visits to participants’ residences or acute care settings. • Consulting with other clinical staff on call, as needed. • This role is different because WelbeHealth Advocate Nurses at WelbeHealth: • Work a fully remote, flexible schedule. • Build relationships with participants rather than providing short-term care. • On the day-to-day, you will: • Handle calls (inbound/outbound) as assigned, responding as appropriate within their scope of practice, and consulting with other clinicians, including on-call providers. • Coordinate telehealth meetings between participants and clinicians. • Ensure timely care delivery, as well as resolve basic issues, escalating to management as necessary. • Troubleshoot and effectively resolve logistical care delivery issues relating to aspects such as transportation, medication delivery, and hospital discharge when daytime care teams or responsible central teams are not available. • Support the clinical care and home health teams to manage smooth care transitions between settings (hospitals, skilled nursing facilities, etc.), escalating changes in participants’ conditions as appropriate. • Qualifications • Graduate of an Accredited School of Nursing with an unencumbered RN license. • Nursing knowledge and skills necessary to treat frail, elderly participants and manage complex clinical situations. • Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations. • Excellent clinical, organizational, and communication skills in settings with seniors, their families, and interdisciplinary team members. • Able to work assigned shift which may include days, evenings, nights, weekends, holidays, and overtime. • Requirements • Seeking a WelbeHealth Advocate Nurse that ideally has triaging experience. • Benefits • 401k savings + match. • 1 hour of sick time accrued for every 30 hours worked. • Compensation consists of base salary plus bonus. • Competitive total rewards package that includes comprehensive healthcare coverage. • Broad range of additional benefits for team members who work 20 or more hours per week. • PT Compensation: $47.74 — $63.02 USD. COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com.
WellSpan Health is an integrated health system serving central Pennsylvania and northern Maryland, operating hospitals, medical practices, and community health services.
Schedule Full-Time: 40 hours/week Monday - Friday, 8:30am-5:00pm This position will support our OBGYN practices. General Summary Provides virtual nursing care to a diverse population of patients by using remote monitoring technology software and related electronic health record. Works in partnership with the Clinical Nurse and in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Coordinates care planning with other disciplines. Coaches and mentors novice nurses. WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest. WellSpan Medical Group The WellSpan Medical Group is comprised of almost 5,000 employees and growing fast! We have medical practices that represent 51 specialty areas of medicine across 77 locations throughout Central Pennsylvania and Northern Maryland. Wherever your patient care interests fall - whether it’s caring for babies, to end of life care, or anywhere in between to include urgent care - join our amazing team and learn for yourself why WellSpan was just recognized in the Forbes’ list of the 100 best employers in Pennsylvania, with a ranking of No. 24! Working together, our goal is to improve lives through exceptional care for all, lifelong wellness and healthy communities. Our culture is one of respect, diversity and inclusion.
Alight Solutions is a global provider of benefits administration, human resources and cloud-based employee well-being and health navigation services for employers.
Come make a difference and consider this unique opportunity to step into a rewarding career. About the Role This role will be responsible for providing health coaching, information and support to My Medical Ally/Alight participants by phone and other channels. The Nurse works within a physician-led team to coordinate educational content and other services to meet each participant’s needs. Responsibilities • Informing and supporting participants to seek the best clinical outcomes; not engaging in the practice of nursing or medicine. Educating callers regarding clinical services that are available to them. • Assessing and identifying opportunities to support the patient along their health care journey via a conversational approach. Engaging caller and building rapport. • Educating and supporting patients virtually on complex disease with a focus on cancer diagnoses. • Providing immediate assistance with symptomatic callers and referral, if necessary. • Communicating patient preferences to a physician led team to provide the patient with pertinent health information. • Adhering to all confidentiality and HIPAA requirements as outlined within Alight’s Operating Policies and Procedures. Upholding this regard to any aspect of the data handled or services rendered in the undertaking of the position. • Managing assigned workload, including ongoing client follow-up and customization of report materials with ease. Maintaining timely accurate entry of all case notes and client interactions in database. • Participating in physician conference calls with patients and their families, including in some cases, scheduled calls outside of usual shift. • Conducting feedback surveys with clients to evaluate satisfaction, utilization of services provided and impact of clinical services. Assisting with developing and maintaining policies and procedures. • Maintaining knowledge of all educational materials, web tools, and other corporate employers benefit programs. This ensures providing current informational and navigational support to assigned clients. Requirements • Be a Registered Nurse with a BSN and equivalent experience. The ideal candidate will have a compact state license. • Possess experience in a clinical setting providing direct support to patients and their families from diagnosis through treatment. • Have ability to convey medical information to non-medical audiences. • Possess experience working with a variety of digital/internet media and interest in exploring new information technology. • Be proficient in computer and internet navigation skills. • Provide high quality, professional, customer service. • Be enthusiastic, must enjoy working independently and in a team environment. • Be adaptable to a busy, evolving environment while displaying excellent customer service skills. • Have excellent interpersonal communications skills both written and verbal. Application and Interview By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position. Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations. Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units. We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. Salary Pay Range Minimum : 80,000.00 USD Maximum : 90,000.00 USD Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight DISCLAIMER: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.
Alight Solutions provides cloud-based HR and benefits administration, workforce wellbeing, and benefits navigation services to employers, offering digital health, absence management, and related employee support solutions.
Come make a difference and consider this unique opportunity to step into a rewarding career. Amazing Opportunity and Great Place to Work! Our story At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.” We are passionate about connecting purpose with impact. Alight empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management. Our Benefits With a comprehensive total rewards package, Alight offers programs and plans that support your mind, body, wallet, and life. Benefits include health, dental and vision coverages starting Day One. Additionally, Alight colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities – all within a thriving global organization. Flexible Working So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 6 years in a row. Great Place to Work Thanks to the work of every colleague, Alight has received multiple awards of recognition including “Great Place to Work” for the past 7 years and Fortune’s “Best Companies to Work For.” To learn more about our company culture and awards Click Here. If you, Champion People, seek to Grow with Purpose, and embody the meaning of Be Alight – We invite you to join our team! Learn more at careers.alight.com . About The Role This role will be responsible for providing health coaching, information and support to My Medical Ally/Alight participants by phone and other channels. The Nurse works within a physician-led team to coordinate educational content and other services to meet each participant’s needs. Responsibilities • Informing and supporting participants to seek the best clinical outcomes; not engaging in the practice of nursing or medicine. Educating callers regarding clinical services that are available to them. • Assessing and identifying opportunities to support the patient along their health care journey via a conversational approach. Engaging caller and building rapport. • Educating and supporting patients virtually on complex disease with a focus on cancer diagnoses. • Providing immediate assistance with symptomatic callers and referral, if necessary. • Communicating patient preferences to a physician led team to provide the patient with pertinent health information. • Adhering to all confidentiality and HIPAA requirements as outlined within Alight’s Operating Policies and Procedures. Upholding this regard to any aspect of the data handled or services rendered in the undertaking of the position. • Managing assigned workload, including ongoing client follow-up and customization of report materials with ease. Maintaining timely accurate entry of all case notes and client interactions in database. • Participating in physician conference calls with patients and their families, including in some cases, scheduled calls outside of usual shift. • Conducting feedback surveys with clients to evaluate satisfaction, utilization of services provided and impact of clinical services. Assisting with developing and maintaining policies and procedures. • Maintaining knowledge of all educational materials, web tools, and other corporate employers benefit programs. This ensures providing current informational and navigational support to assigned clients. Requirements • Be a Registered Nurse with a BSN and equivalent experience. The ideal candidate will have a compact state license. • Possess experience in a clinical setting providing direct support to patients and their families from diagnosis through treatment. • Have ability to convey medical information to non-medical audiences. • Possess experience working with a variety of digital/internet media and interest in exploring new information technology. • Be proficient in computer and internet navigation skills. • Provide high quality, professional, customer service. • Be enthusiastic, must enjoy working independently and in a team environment. • Be adaptable to a busy, evolving environment while displaying excellent customer service skills. • Have excellent interpersonal communications skills both written and verbal. Application and Interview By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position. Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations. Our commitment to Inclusion We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful. At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future. As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com . Equal Opportunity Policy Statement Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans. Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations/modifications by contacting their recruiter. Authorization to work in the Employing Country Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight. Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units. We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. Salary Pay Range Minimum : 80,000.00 USD Maximum : 90,000.00 USD Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight DISCLAIMER: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units. Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.
Medcor is a national occupational health services company offering telephonic triage, workplace injury management, and employer-facing medical services, employing remote nurses for 24/7 triage and care coordination.
Medcor is looking to hire full-time Telephonic Registered Nurses for our remote 24/7 Occupational Health triage call center! The hours for this position include 8 or 10 hour shifts between the hours of 9am CST - 7p CST. For example, shifts could include 11a-7p or 9a-5p. The start date for this triage class will be 7/6/2026. Job Type: Full-time - 40 hours per week Salary: $28 per hour with additional shift differential pay available for evenings, nights & weekends By joining our nursing team, you will be helping thousands of employers better manage their workplace injuries and improve the quality of healthcare for their employees. Nurses who are successful in this position must be able to talk on the phone for long periods while typing and navigating through various software applications simultaneously. Our nurses must be able to visualize an injury while on the phone and clarify details about the injury while following our propriety algorithms to guide the triage of the injured worker. Training: Training for this role will last 5-6 weeks, with 2.5 weeks of classroom instruction and 2.5 weeks of precepting. These first 5-6 weeks of training are held Monday through Friday, from 8a-4p CST. The training schedule is non-negotiable, and all training must be successfully completed within a 6-week time frame. Following training, you will transition to your permanent schedule between the hours of 9a and 7p CST with an every-other-weekend requirement and holiday rotation. Changes to the permanent schedule are not allowed within the first 12 months of employment as these are based on our business needs. A typical day in the life of a Medcor Triage RN: • Manage a rapid flow of incoming telephone calls from Medcor customers in a call center environment • Document each call efficiently and accurately • Monitor and track individual as well as call center goals, productivity metrics, and statistics • Reflect all shift activities using the phone system and be responsible for personal schedule adherence • Provide superior customer service to Medcor’s clients and employees • Complete accurate assessment of symptoms and/or concerns utilizing Medcor’s Triage Algorithms • Follow HIPAA Compliance Policies You Must • Have a valid RN license and current BLS (CPR) certification • Be able to handle a high volume of consecutive calls • Have strong technological skills as well as a typing speed of at least 30 WPM • Work a major U.S. holiday rotation • Work every other weekend • Have effective written, verbal, and interpersonal communication skills. Ability to read, analyze, and interpret triage tools and information along with care instructions to injured employees and their managers. • Be able to talk and/or hear. You are required to sit and use your hands. Specific vision abilities required by this job include close vision for computers and written work with the ability to adjust focus • Be able to work on a computer for long periods • Have a private space in your home with 4 walls and a door for patient privacy • Have access to high-speed internet (no satellite) within your primary residence • Be able to receive and apply feedback It's a Plus If • You have call center experience • You have occupational health experience At Medcor, we’re passionate about caring for our advocates as much as you are passionate about caring for your patients! Join our team and receive the support you need to be successful in your practice and to focus on your patients. In addition to a collaborative work environment, we offer great pay and benefits and emphasize your wellness. Here’s why people love working for Medcor: • Stability! We’ve been around since 1984. • Potential for retention and performance incentives • Opportunities galore! Medcor has a lot more to offer than just this job. There are opportunities to move vertically, horizontally, and geographically. Annually, 20% of our openings are filled by internal employees. The fact is, opportunity exists here! • Training! We believe in it and we’ll train and support you to be the best you can be. We feel we offer more training than most other companies. • We have an open-door policy. Do you have something to say? Speak your mind! We encourage it and we look forward to how you can help our organization. Benefits We don’t just advocate for our clients and our patients; we also advocate for ourselves. Our benefits include paid time off, health and dental insurance, 401K with match, education reimbursement, and more. To learn more about Medcor’s Culture click here. Medcor Philosophy Medcor embraces a set of simple, interconnected practices that everyone can tailor to their own life and work. To preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. Medcor is a tobacco-free and smoke-free workplace! EOE/M/F/Vet/Disability We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. #indeedsponsored
WelbeHealth operates PACE (Program of All-Inclusive Care for the Elderly) centers delivering comprehensive medical and community-based services to help seniors remain safely in their homes and communities.
**LOCATION: REMOTE ** SCHEDULE: 4, 10hr shifts per week **SHIFT: details regarding shift/schedule will be discussed further, as they are based on current needs. WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model. The WelbeHealth Advocate Nurse provides outstanding continuity of care when the PACE center is closed within their scope of practice. The WelbeHealth Advocate Nurse is accountable for answering phones after hours (evening, nights, weekends, and holidays), resolve logistical issues that arise both over the phone and during visits to participants’ residences or acute care settings, and consulting with other clinical staff on call, as needed. This role is different because WelbeHealth Advocate Nurses at WelbeHealth: • Work fully remote and are not on call • Build relationships with participants rather than providing short-term care We care about our team members. That’s why we offer: • Medical insurance coverage (Medical, Dental, Vision) • Work/life balance - We mean it! 17 days of personal time off (PTO), paid holidays observed annually, and 6 sick days • 401k savings + match • Comprehensive compensation package including base pay and bonus • And additional benefits On the day-to-day, you will: • Handle calls (inbound/outbound) as assigned, responding as appropriate within their scope of practice, and consulting with other clinicians, including on-call providers • Coordinate telehealth meetings between participants and clinicians • Ensure timely care delivery, as well as resolve basic issues, escalating to management as necessary • Troubleshoot and effectively resolve logistical care delivery issues relating to aspects such as transportation, medication delivery, and hospital discharge when daytime care teams or responsible central teams are not available • Support the clinical care and home health teams to manage smooth care transitions between settings (hospitals, skilled nursing facilities, etc.), escalating changes in participants’ conditions as appropriate Qualifications and Requirements: • Graduate of an Accredited School of Nursing with an unencumbered RN license • Nursing knowledge and skills necessary to treat frail, elderly participants and manage complex clinical situations • Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations • Excellent clinical, organizational, and communication skills in settings with seniors, their families, and interdisciplinary team members • Able to work assigned shift which may include days, evenings, nights, weekends, holidays, and overtime We are seeking a WelbeHealth Advocate Nurse that ideally has triaging experience. If you’re ready to join a holistic care team that values both its participants and providers, we’d love to hear from you! Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications. Compensation Offering $47.74—$63.02 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com
WelbeHealth provides coordinated care services for older adults through PACE programs, offering clinical care, care management, and support services to help seniors remain safely in the community.
Role Description The WelbeHealth Advocate Nurse provides outstanding continuity of care when the PACE center is closed within their scope of practice. Responsibilities include: • Answering phones after hours (evening, nights, weekends, and holidays) • Resolving logistical issues that arise both over the phone and during visits to participants’ residences or acute care settings • Consulting with other clinical staff on call, as needed This role is different because WelbeHealth Advocate Nurses at WelbeHealth: • Work a fully remote, flexible schedule • Build relationships with participants rather than providing short-term care On the day-to-day, you will: • Handle calls (inbound/outbound) as assigned, responding as appropriate within their scope of practice, and consulting with other clinicians, including on-call providers • Coordinate telehealth meetings between participants and clinicians • Ensure timely care delivery, as well as resolve basic issues, escalating to management as necessary • Troubleshoot and effectively resolve logistical care delivery issues relating to aspects such as transportation, medication delivery, and hospital discharge when daytime care teams or responsible central teams are not available • Support the clinical care and home health teams to manage smooth care transitions between settings (hospitals, skilled nursing facilities, etc.), escalating changes in participants’ conditions as appropriate Qualifications • Graduate of an Accredited School of Nursing with an unencumbered RN license • Nursing knowledge and skills necessary to treat frail, elderly participants and manage complex clinical situations • Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations • Excellent clinical, organizational, and communication skills in settings with seniors, their families, and interdisciplinary team members • Able to work assigned shift which may include days, evenings, nights, weekends, holidays, and overtime Requirements • Seeking a WelbeHealth Advocate Nurse that ideally has triaging experience Benefits • 401k savings + match • 1 hour of sick time accrued for every 30 hours worked • Competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits for team members who work 20 or more hours per week Compensation PT Compensation: $47.74 — $63.02 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. Please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses.
UnitedHealth Group is a large diversified healthcare company. Optum is its care delivery and health services division providing clinical services, technology, and population health management.
Optum WA, is seeking a RN Call Assist to join our team in Everett, WA. 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. Position in this function is under general supervision the Staff RN/Consulting Nurse is responsible for providing telephone triage assessment to Primary Care patients by using state of the art telecommunications, information technology and approved protocols; to clients ensuring the efficient use of medical and nursing, facilities and equipment and to provide excellent customer service. Schedule: Week 1: Sun 7am-7pm, Mon 7am-7pm, Tues 7am-7pm, Wed Off, Thurs Off, Fri Off, Sat Off = 32 hours Week 2: Sun 7am-7pm, Mon 7am-7pm, Tues 7am-7pm, Wed Off, Thurs Off, Fri Off, Sat Off = 32 hours If you have the ability to work PST hours, you’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Position Highlights & Primary Responsibilities: • Utilizes clinical expertise and approved protocols to provide health advice to consumers with clinical questions and makes referrals for health services as appropriate via telephone • Be able to document calls in applicable system in a timely manner and exhibits a willingness to master new work routines and methods • Documents all inquiries according to department standards for legal/statistical purposes • Excellent written and verbal communication skills • Be able to problem solve issues independently as well as work with teams collaboratively situations require assessment, decision-making within the framework of established protocols, excellent listening and communication skills, knowledge of computers, critical thinking skills and the nursing process • Speaks with a pleasant, professional phone voice and provides superior customer service to internal and external customers • Ensures performance standards are met and accepts constructive feedback 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 WA State or Compact RN license • 3+ years of experience in a clinical setting (Med/Surg, critical care, ER, etc.), disease management, home health, discharge planning, utilization review, patient education and telephonic nursing • Ability to work PST work schedule to include: Week 1: Sun 7am-7pm, Mon 7am-7pm, Tues 7am-7pm, Wed Off, Thurs Off, Fri Off, Sat Off = 32 hours, Week 2: Sun 7am-7pm, Mon 7am-7pm, Tues 7am-7pm, Wed Off, Thurs Off, Fri Off, Sat Off = 32 hours Preferred Qualifications: • Bachelor of Science in Nursing • American Academy of Ambulatory Care Nursing (AAACN) • 1+ years of Call Center Nursing experience • Case Management experience 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 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.
At Caresola, we believe every Medicare member deserves more than just coverage—they deserve ongoing support, guidance, and advocacy throughout their healthcare journey. We provide personalized care navigation for Medicare members, helping individuals stay connected, informed, and supported through appointments, follow-ups, and day-to-day healthcare decisions. Our role is not to sell plans, but to walk alongside each member—ensuring nothing falls through the cracks and that every person feels confident navigating their care. Through consistent check-ins and thoughtful coordination, we help simplify a complex system and create a more connected, proactive healthcare experience. Because every member matters.
Most remote LPN jobs are glorified call centers. This one isn’t. At CareSola, you’ll manage a dedicated panel of Medicare patients — the same people, every month. You’ll know their names, their conditions, their families, and their goals. When a patient’s blood pressure spikes, you’re the one who catches it. When someone can’t afford their medication, you’re the one who finds a solution. You’re not answering random calls. You’re a consistent, trusted presence in your patients’ lives. Your Day (Monday–Friday, No Nights or Weekends) 9:00 AM – Review RPM dashboard, flag critical readings, message stable patients 10:00 AM – Outbound patient calls: medications, barriers, care plan updates 1:00 PM – Continue calls; coordinate referrals; assist patients with resources 3:00 PM – Documentation, care plan updates, time logs 5:00 PM – Done States Covered This position serves patients across all NLC compact states, currently including: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Requirements: Active NLC multistate compact license (LPN/LVN) required Must reside in one of these states: TX, FL, TN, AZ, UT, NC, SC Must hold primary state of residence in an NLC member state At least 1 year of clinical experience in any setting Comfortable making outbound phone calls and building rapport with elderly patients Proficiency with computers, EHR systems, and basic documentation tools Reliable internet (25 Mbps download minimum) and a quiet, HIPAA-compliant home workspace Computer with 8GB RAM, i5/Ryzen 5 or equivalent, SSD storage, and USB wired headset Preferred: Background in chronic care management, remote patient monitoring, home health, or care coordination Bilingual English/Spanish Familiarity with Medicare billing codes (99490, 99457, G0023, G0019) Experience working remotely
Make 12 outbound calls per day to your assigned patient panel Review RPM biometric data each morning (blood pressure, glucose, weight) and flag abnormal readings Coordinate care across four Medicare programs: CCM, RPM, Principal Illness Navigation (PIN), and Community Health Integration (CHI) Update care plans in the EHR; coordinate with physicians, pharmacies, and specialists Connect patients with community resources for social needs (food, transportation, housing) Document all patient interactions with detailed, billable time logs
Founded In 2020, Lavender Is The Largest Nurse-owned And Operated Online Psychiatry And Therapy Office In The United States. Our Extraordinary Team Of 100+ Talented And Like-minded Folks Works Remotely From Across The United States, Canada And The Philippines To Collaboratively Increase Access To High-quality, High-touch Mental Healthcare. Lavender Is a Human-first Organization And Our People Embody A bias towards action A capacity for self-direction Originality and creative instincts Courageous and bold thinking And the potential to achieve even more If you’re looking for a fast-paced, constantly evolving environment where your voice matters and you can truly have an impact creating high-quality, user-centric mental health services, we want to hear from you!
We are looking for a part-time Behavioral Health RN to join our Nursing Operations team. This role is perfect for someone with strong clinical expertise, crisis response skills, and a passion for client advocacy. As a key point of clinical support during scheduled coverage, you’ll play an important role in helping clients receive safe, timely, and effective care while contributing to operational excellence and a supportive client experience. This is a part-time 1099 contractor role requiring Monday/Tuesday availability, approximately 16 hours per week. The Opportunity The Behavioral Health RN provides both direct clinical support and coordination that ensures clients receive safe, timely, and effective care. You will serve as the primary point of response for clinical questions, emergencies, and complex client needs, while also facilitating smooth transitions of care during hospitalizations, discharges, and follow-up. Working closely with NPs, NP Managers, and the Care Team, you’ll help maintain high standards of quality and safety and contribute to a consistent and compassionate client experience
Active, unrestricted compact RN license; ability to obtain additional state licenses as needed Bachelor of Science in Nursing (BSN) Minimum 3 years of clinical nursing experience, with at least 2 years in psychiatric or behavioral health settings Demonstrated skill in triage, crisis response, and complex clinical decision-making Experience with care coordination, hospital transitions, and interdisciplinary team collaboration Strong communication and de-escalation skills, with experience supporting clients in high-stress or emotionally charged situations Proven ability to manage competing priorities, maintain timely follow-up, and support quality improvement initiatives Experience conducting chart audits, participating in quality programs, or contributing to compliance processes preferred Comfortable working in a fast-paced, virtual care or telehealth environment Availability to provide services on Mondays and Tuesdays, approximately 16 hours per week
Clinical triage and client support: Respond to clinical questions and provide same-day nursing assessments when needed Address pharmacist inquiries, clarify prescriptions, and manage medications per protocols Support complex clients in completing standardized tools Provide education to clients regarding medications and treatment plans Support the response to client emergencies outside of scheduled appointments, triaging and escalating appropriately Serve as a liaison between the Care Team and nursing staff to help resolve complex care matters or client complaints Contact clients following discharge or intake, as needed, to ensure they have the right supports and referrals Proactively contact clients to encourage engagement in care Address client clinical care concerns directly and work to de-escalate situations as they arise Monitor and complete assigned tasks within the EHR, CRM, and other communication platforms in a timely fashion per standards Coordination of care and clinical operations: Collaborate with Lavender nurse practitioners to support seamless coordination of care as needed Support critical incident response and debriefs in collaboration with clinical leadership Provide oversight and follow-up for high-risk clients using dashboards and Lavender protocols Perform key person interviews for collateral information to inform diagnosis, as appropriate Support complex release of information requests Support Care Circle operations to ensure smooth and efficient care Coordinate care for hospitalized patients by supporting documentation, communication, and consultation with NP Managers when appropriate Support post-acute transitions of care back to Lavender in collaboration with the broader clinical team Quality assurance and process improvement: Support management of the clients of concern list, meetings, and follow-up actions, escalating to QI Council as appropriate Document critical incident debriefs following Lavender’s SOP Participate in Care Circle huddles, share process improvement suggestions, and support quality initiatives Complete requested clinical audits on a regular basis and summarize findings accordingly
An independent licensee of the Blue Cross Blue Shield Association, Highmark Inc., together with its Blue-branded affiliates, collectively comprise the third largest overall Blue Cross Blue Shield-affiliated organization in the country with approximately 8 million members in Pennsylvania, Delaware, West Virginia, New York, and Missouri.
This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent will be supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional) for the specified panel of members.
Required: High School Diploma/GED Substitutions: None Preferred: Bachelor's Degree in Nursing EXPERIENCE Required: 7 years of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience Preferred: Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT) Experience working with the healthcare needs of diverse populations Understanding of the importance of cultural competency in addressing targeted populations LICENSES AND CERTIFICATIONS Required: Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) or WV or DE or NY is required. Other RN license(s), if applicable, must be obtained within the first 6 months of employment. Preferred: Certification in Case Management SKILLS: Written and verbal presentation skills, negotiation skills, and skills in positively influencing others with respect and compassion Broad knowledge of disease processes Understanding of healthcare costs and the broader healthcare service delivery system Proficiency in MS Excel and strong analytic skills with ability to interpret, evaluate and act on clinical and financial data, including analysis of statistical data Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization Ability to work in a high performing team environment that requires flexibility Demonstrated ability to handle multiple priorities in a fast paced environment. Excellent organizational, time management and project management skills Self-directed; self-starter, ability to work successfully with indirect supervision and moderate autonomy LANGUAGE REQUIREMENT (Other than English): None TRAVEL REQUIREMENT: 0% - 25%
Maintain oversight over specified panel of members by performing ongoing assessment of members’ health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support. For assigned case load, create care plans to address members’ identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment. Ensure targeted percentage of patient goal achievement (i.e., realization of member care plan), and other patient outcomes, as applicable, are achieved. Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards. Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by the organization. Other duties as assigned or requested.
Wellbox helps assess and improve the health outcomes of entire populations by empowering people to take a more proactive role in their total health and wellness. We provide comprehensive chronic, preventative and virtual care management solutions that leverage highly experienced licensed RNs and cutting-edge technologies to assess health risks and deliver superior clinical care. Wellbox is committed to creating positive healthcare experiences, enhancing patient engagement and driving better outcomes while maximizing efficiencies within pre-existing workflows and systems.
The Clinical Care Coordinator plays a vital role in supporting patients along their healthcare journey by delivering compassionate, proactive, and evidence-based care coordination in a fully virtual environment. Leveraging clinical expertise, motivational coaching, and strong communication skills, this role engages patients by phone and digital communication to assess their needs, update and monitor personalized care plans, and guide them toward achieving their physical, mental, and preventive health goals. The Clinical Care Coordinator documents all encounters in electronic health record (EHR) systems, identifies and recommends appropriate services or preventive screenings, and helps manage key administrative tasks such as medical record retrieval, appointment coordination, and insurance-related follow-ups. By combining clinical knowledge with patient-centered coaching, the Clinical Care Coordinator empowers patients to understand and follow their treatment plans, overcome barriers to care, and stay actively engaged in improving their long-term health outcomes.
Required Education and Experience: Must have a Practical/ Vocational Nursing License that is clear and active (LPN/ LVN). Must be licensed in the state of residence. Compact license is required if available. Must reside and work in the continental US. Must have a minimum of two years of clinical experience. Experience in care coordination or care management, health coaching, and motivational interviewing a plus. Hands-on experience and comfort with Electronic Medical Records. Experience using Microsoft Office products such as Teams, Outlook, and Excel. Competencies and Preferred Qualifications: Comfort with technology and software while demonstrating proficient computer skills. The ability to stay flexible and quickly adapt to new processes, software changes, and priorities. Understanding healthcare goals provided by the practice while monitoring and recording patient progress against a care plan. Successfully execute motivational coaching to prevent and intervene in multiple diseases. Exercise initiative, judgment, organization, problem-solving, and decision-making. The ability to be productive in a virtual work environment. Collaborate well with medical staff, partners, and organizations. Facilitate patient access to community resources. Excellent verbal and written communication skills are required. Perform care management and patient assessments. Awareness of resource, utilization, and care management best practices. A true passion for caring for patients and guiding them in their health journeys. Position Type and Expected Hours of Work: Full-time, 8 hours daily, Monday - Friday, unless authorized by management. The hours may be worked between 8 am - 6 pm in the patient’s time zone. Physical Requirements: This is a virtual position that requires you to sit or stand at a computer for approximately 40 hours weekly and be able to make phone calls. Some computer setup is required. Work Environment: This opportunity allows you to care for patients virtually from the comfort of your home. We will provide you with the equipment and software needed, such as a computer and headset for internet-based calls. Since we’re dedicated to offering our patients the best care experience possible, a hard-wired, high-speed internet connection and a private space free from outside noise and distraction, including noise and distractions from pets or children, and that complies with HIPAA privacy laws, is required.
Manage and support patients’ healthcare needs via phone and digital conversations. Conduct telephonic patient encounters and document care plans and care plan updates leveraging technology platforms and EHRs. Assign and contribute to care plans that address patients’ physical, mental, and preventative health needs. Virtually coach patients to reach their care goals by following medical treatment plans that include healthy eating, physical activity, stress reduction, etc. Coordinate some administrative aspects of medical record recovery, appointment management, and insurance claims. Proactively suggest services or preventive screenings relevant to each patient.
Our vast talent network trains frontier AI models in the same way teachers teach students: by sharing knowledge, experience, and context that can't be captured in code alone. Today, more than 30,000 experts in our network collectively earn over $2 million a day.
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Personal Health Expert Type: Contract Compensation: $60–$85/hour Location: Remote
Must-Have: 3+ years as an RN, patient advocate, MA, or in a similar health-literate role. Expertise in insurance appeals, payer navigation, lab result interpretation, medication management, or patient portal workflows. Comfortable with creating and interpreting personal health artifacts like timelines and symptom logs. Strong written communication skills to articulate reasoning and encode it into deterministic rubrics.
Develop long-horizon health-admin tasks with deterministic rubrics to evaluate agent performance against verifiable ground truth. Build scenarios in Records and Visits, Medications and Labs, and Payer and Documentation to ensure accurate and structured outputs. Evaluate medical timelines, medication schedules, and insurance appeals for consistency with ground-truth data and known outcomes. Collaborate with AI labs to enhance agent evaluations in personal health navigation. Work independently and asynchronously to meet deadlines and improve task quality and throughput.
One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.
The Opportunity: The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients in concert with their primary care providers. Through advanced technology and a team-based approach, we care for patients 24 hours a day, 365 days a year. Our team is united by intellectual curiosity, inclusiveness, and a powerful mission: transforming healthcare and bringing world-class primary care to everyone. Employment type: Seasonal Employee from August - February 2027 W2 position 40 hours minimum weekly 2 full (entire) rotating A/B weekends per month (weekends includes Saturday and Sunday) Support 2 of 4 company observed holidays (Thanksgiving, day after Thanksgiving, Christmas, New Years Day)
Education, licenses, and experiences required for this role: Completed an accredited FNP program with a national certification Currently licensed in CA with possibility to obtain additional states In the past 5 years, practiced as an Advanced Practitioner for at least: 2 years in an outpatient primary care setting seeing patients of all ages (0+), OR 2 years in an urgent care or emergency medicine setting seeing patients of all ages (0+) Ability to work afternoons and evenings (Current shifts are 7am-6pm PST or 11-10pm PST) Excellent clinical and communication skills with the ability to follow established clinical protocols and workflows An example schedule for this role: Thursday: 7a-6pm Pacific (1 hour break) Friday: 7a-6pm Pacific (1 hour break) Saturday: 7a-6pm Pacific (1 hour break) Sunday: 7a-6pm Pacific (1 hour break) One Medical providers also demonstrate: A passion for human-centered primary care The ability to successfully communicate with and provide care to individuals of all backgrounds The ability to effectively use technology to deliver high quality care Clinical proficiency in evidence-based primary care The desire to be an integral part of a team dedicated to changing healthcare delivery An openness to feedback and reflection to gain productive insight into strengths and weaknesses The ability to confidently navigate uncertain situations with both patients and colleagues Readiness to adapt personal and interpersonal behavior to meet the needs of our patients This is a non-benefited virtual role. Compensation for this position is $80/hr.
Treating patients via tele-health visits, including telephonic triage calls, video visit appointments, and email follow-ups Continuous learning during weekly Clinical Rounds and through other modalities Ongoing collaboration with both virtual and in-office teammates via daily huddles Utilization of your specific clinical training and opportunities to give exceptional care to patients virtually
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Overview: Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Family Summary/Mission: Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Position Summary/Mission: Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. Fundamental Components & Physical Requirements Schedule: Monday-Friday 8AM - 5PM ET Active and unrestricted NJ/Compact License
Required Experience: Active and unrestricted NJ/Compact License Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. Minimum 2+ years CM, discharge planning and/or home health care coordination experience Preferred Experience: Bilingual preferred - Spanish Certified Case Manager is preferred. Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required Education: Associates Degree or Nursing Diploma Required Bachelors Degree Preferred
Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services. Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. Prepares all required documentation of case work activities as appropriate. Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. Provides educational and prevention information for best medical outcomes. Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation.
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Required Qualifications: Registered Nurse (RN) with current, unrestricted state licensure (New York licensure required for NY backfill). Minimum of 5 years of clinical practice experience. Strong clinical assessment, critical thinking, and care coordination skills. Effective written and verbal communication skills. Ability to work independently in a telephonic/remote environment while collaborating effectively with cross‑functional teams. Preferred Qualifications: Prior case management, care management, or utilization management experience. Experience working with Medicaid and/or LTSS populations. Education: Associates Degree in Nursing Bachelor of Science in Nursing (BSN) Preferred
The Case Manager RN is responsible for telephonic and/or face‑to‑face assessment, planning, implementation, and coordination of case management activities for members. The role evaluates members’ medical needs to promote overall wellness, improve short‑ and long‑term outcomes, and support appropriate, cost‑effective care delivery aligned with Aetna/CVS Health benefit plans and clinical policies.
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Schedule Monday - Friday 8:00 AM - 5:00 PM ET Program Overvie: Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Family Summary/Mission: Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Position Summary/Mission: Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.
Required Qualifications: Active and unrestricted Registered Nurse License in East Coast States Minimum 3+ years clinical practical experience with Medicare members (specifically diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac members) Minimum 2+ years CM, discharge planning and/or home health care coordination experience Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills. Ability to work independently Preferred Qualifications: Bilingual Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) Compact RN license or willing and able to obtain multi-state RN licenses if needed Education: Associate's Degree Required, Bachelor's Preferred
Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. Prepares all required documentation of case work activities as appropriate. Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. Provides educational and prevention information for best medical outcomes. Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation.
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