Remote Nursing Jobs

Nurse Navigator 1 - Site Disease Group - Full Time/Remote

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . Location: Remote CORE JOB FUNCTIONS Triages new patient appointments to the appropriate provider(s) and assures timely scheduling of initial appointments. Reviews outside medical records for appropriate scheduling. Assess barriers to care and refers to support services, local, and national organizations when needed. Educates on the treatment plan for patients based on diagnosis. Supports patients throughout the care continuum. Counsels individuals and patients on positive health practices. Collaborates with a multidisciplinary team of experts to outline best treatment for patients. Performs holistic evaluation of specialty population, making use of enhanced proven techniques and procedures to achieve better results. Implements the improvement of patient care, and healthcare policies and resources. Mentors other healthcare professionals by functioning as a preceptor or coordinating preceptors for visiting professionals, students, new graduates, and orienteers. Maintains professional knowledge by affiliating with professional and technical organizations, and participating in applicable continuing education programs, conferences, seminars, and workshops. Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Bachelor’s Degree Certification and Licensing: Registered Nurse Licensing (RN) Experience: Minimum 2-3 years of relevant work experience Knowledge, Skills and Attitudes: Ability to maintain effective interpersonal relationships Ability to communicate effectively in both oral and written form Skill in collecting, organizing and analyzing data Proficiency in computer software (i.e. Microsoft Office) and Electronic Medical Record system(s) Department Specific Functions Assess patient needs upon initial encounter and periodically throughout navigation, matching unmet needs with appropriate referrals and support services. Identifies potential and realized barriers to care and facilitates referrals as appropriate to mitigate barriers. Reviews, patients’ medical records, test results and any other documentation required for the first visit. Facilitates timely scheduling of appointments, diagnostic testing, and procedures to expedite the plan of care and to promote continuity of care. Participates in coordination of the plan of care with the multidisciplinary team, promoting timely follow-up on treatment and supportive care recommendations. Serves as a liaison for patients, families, caregivers, staff, and referring physicians Greet patients on the day of clinic and provide them with personalized schedule, education, and appropriate resources. Orients and educates patients, families, and caregivers to the cancer healthcare system, multidisciplinary team member roles and available resources. Help to explain treatment recommendations to patients and caregivers and appropriately answer questions. Work with referring physicians to understand their preferences for communication about patients’ test results, treatment progress and manage those communications Communicates with physicians as needed by phone, emails or in person for new patient referrals and scheduling priorities. Help eligible patient’s access appropriate clinical trials Track individual patients’ progress along care continuum; identify potential bottlenecks and perform appropriate interventions Work with oncology administrators to understand any changes in reporting metrics. Identify bottlenecks in the patient pathway and gaps in care; propose process improvement measures to address them Communicates with other staff to coordinate patient care activities. Participate with other members of the healthcare team to provide patients with supportive care services. Refers patients to local and national community support groups/services Coordination of Educational Activities : Identify and document individual patient’s barriers to learning Educate patients and families about disease process, treatment options, potential side effects Assist patients with treatment decision making; develop and use decision aids as appropriate Provide pre and post-operative education to all groups Educate patients about survivorship, set expectations for the post-treatment transition, remain available to patients and families for questions during the continuum of treatment and at survivorship. Assist with identification of survivors and delivery of the survivorship care plan. Advocate for patient and support with end-of-life/palliative care decisions Educate patients and families about diet, exercise, smoking cessation and other wellness and cancer prevention strategies Psychosocial Support Administer psychosocial screening at patients’ at time of intake; repeat screening at regular intervals or as needed Make referrals to social worker, financial counselor, or support services as needed; facilitate scheduling and monitor patients to ensure follow-though Check in with patients via phone on day prior to surgery and/or treatment start; ensure patients know exactly what to expect before, during and after procedure Facilitates shared decision making with the patients, caregivers, families, and care team. Supports a smooth transition of patients from active treatment into survivorship, chronic cancer management, and end-of life care. Promotes advances care planning by assisting patients in formulating a discussion with their care team. Multidisciplinary Clinical Support Help determine which patients are eligible for clinical trial participation. Facilitate new patient referrals into the clinical trials program. Attend Tumor Board Conference and be available for coordination of care recommended post conference. Maintain communication with the tumor registry when needed. Actively solicit and record feedback from referring physicians and their staff; develop recommendations for improving clinical operations to better meet their needs Meet with physicians who have the potential to become referral sources for the cancer program to provide information about the cancer center and its related programs. Track new patients throughout the care continuum through the EPIC and ensure key follow-up time points are met. Ensures documentation of patient encounter and provided services. Collaborate with marketing and communications departments in events as needed. Assist in developing patient education materials. Develop collaborative relationships with local individuals, agencies and organizations that provide cancer education and support for cancer patients Collaborate with community outreach programs designed to increase public awareness of cancer, cancer prevention and the importance or regular screening Leadership Responsibilities : Must be able to perform job duties as an independent professional and as a team player; organizational skills sufficient to set own priorities and facilitate work team progress. Contributes to the nurse navigator program and role development, implementation, and evaluation within the healthcare system and community. Orients new staff to their group and is cross trained to other groups Attends staff meetings and other meetings as needed Ensure compliance with mandatory in-services and employee health procedures. Actively supports and participates in performance improvement activities Ensures compliance with all facility policies and procedures and all HIPPA, ACHA, JCAHO, OSHA standards and regulations The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

Aesthetic Nurse Practitioner

The Skin Clique

Skin Clique is a medically founded, nationwide aesthetics practice redefining how skin health is delivered. Rooted in science and evidence-based care, Skin Clique integrates skin health into the broader health conversation through personalized treatment plans and flexible care models. With a national footprint and a commitment to clinical excellence, Skin Clique is advancing skin health as an essential part of overall wellness. Aesthetic & Wellness Nurse Practitioner 1099 Independent Contractor | PRN / Flexible | Training About Skin Clique Our providers build their own patient relationships, set their own availability, and grow a practice on their own terms, backed by a nationwide support system that handles the business side so they can stay focused on the clinical side. The Opportunity This is a 1099 independent contractor role. You bring your clinical excellence, your reputation in your community, and your passion for patient care. Skin Clique plugs you into a nationwide network, handles the operational side, and gives you a framework to grow - whether you're just starting in aesthetics or you're an experienced injector ready to expand. What this looks like in practice: You deliver in-home and/or on-location aesthetic services (tox, filler, biostimulators, microneedling, and chemical peels) directly to patients in your community You sell skincare to patients in person or online You can also offer virtual wellness prescriptions, including GLP-1, Rx hair loss, Rx derm, HRT You set your own schedule and determine your own availability You grow your patient base by showing up consistently in your community - Skin Clique's systems, support, and brand work behind the scenes to help you do it You earn industry-leading compensation based on services provided and skincare sold You operate within Skin Clique's clinical and business framework, with full back-end support You have a path to expand into brick-and-mortar if and when that's the right next step for you What Skin Clique Handles The aesthetics industry moves fast, and running the business side while delivering exceptional patient care is a lot to manage. We handle the operational complexity so you can stay in your zone: Medical malpractice insurance coverage Collaborating physician provided for supervision requirements (if applicable) 24/7 clinical support so you're never navigating a patient situation alone Electronic medical record system and clinical documentation platform All products and supplies needed for patient appointments are provided Clinical protocols, safety standards, and best practices Payment processing, so no merchant accounts, processing fees, or checkout headaches on your end Ongoing education, mentorship, and a nationwide provider community Business frameworks and practice growth support What You Bring We work with providers at all stages - from those just stepping into aesthetics + wellness to experienced injectors with an established patient following. What matters is clinical excellence, a genuine connection to your community, and the drive to grow. Requirements Active NP license with board certification Full prescriptive authority in your state Current BLS or ACLS certification Availability to commit 10+ hours per week to your Skin Clique practice Strong fine motor skills for procedural aesthetic treatments Ability to work independently while adhering to Skin Clique clinical standards Commitment to complete Skin Clique's preferred training program and demonstrate safe, effective treatment administration before seeing patients Entrepreneurial mindset and comfort with self-directed work Preferred Existing patient network or community presence in your area Prior experience in aesthetics, injections, and patient acquisition Training Requirement All Skin Clique providers are required to complete our clinical protocols training before treating patients. This ensures every provider in our network meets the same standard of safe, skilled care and that you're fully prepared and confident before your first patient. Compensation & What's Included As a 1099 contractor, you are not eligible for employer-sponsored benefits. What you do receive: Among the highest compensation rates in the aesthetics industry Personal discounts on Skin Clique services and products CME and continuing education opportunities Exclusive training opportunities with industry-leading partners Medical malpractice insurance coverage Collaborating physician for supervision compliance Annual performance-based bonus eligibility Is This the Right Fit? This opportunity is a great fit for NPs and PAs who want the flexibility to practice aesthetics in their community, on their own schedule, with a team behind them. Whether you're new to aesthetics and looking for a supported entry point, or you're an experienced provider ready to grow — there's a path here for you, including the option to expand into brick-and-mortar down the road. If you're drawn to doing meaningful clinical work in a way that actually fits your life, we'd love to connect. Skin Clique is committed to building a diverse, inclusive provider network and is an equal opportunity organization. We are committed to being an equal opportunity employer and deeply value diversity. We strive to create a welcoming and inclusive environment where all employees feel respected and supported.

NP

Part-time

2 days ago

Chronic Care Management Nurse PractitionerPRN

Altea Healthcare MO

$400 - $500 / day

***Must hold an active Missouri State license and active DEA registration prior to start date.*** Job Title: Chronic Care Management Advanced Practice Provider Location: Remote- Missouri State licensure required Employment Type: Part-Time Compensation: $400 - $500 daily rate Position Overview: We are seeking a licensed Advanced Practice Provider to join our Chronic Care Management program in a part time, fully remote capacity. This role focuses exclusively on non face to face chronic care management services for an established patient population. The provider will manage patients with multiple chronic conditions, ensuring continuity of care, care coordination, and proactive patient engagement in compliance with CMS CCM guidelines. Candidates must hold an active and unrestricted Missouri State license and be comfortable working independently in a remote environment while meeting daily productivity expectations. Key Responsibilities: Provide chronic care management services to patients with two or more qualifying chronic conditions Complete a minimum of 20-2 CCM encounters per workday Conduct non face to face patient interactions including phone calls, care plan reviews, medication reconciliation, and follow up coordination Develop, update, and manage comprehensive electronic care plans Coordinate care with primary care providers, specialists, facilities, and ancillary services as needed Document all patient interactions accurately and timely within the electronic medical record Ensure all CCM activities meet CMS, payer, and organizational compliance standards Identify care gaps and escalate clinical concerns appropriately Participate in quality improvement initiatives related to chronic disease management Maintain productivity, quality, and documentation benchmarks Required Qualifications: Active and unrestricted Nurse Practitioner license in Missouri State National board certification as an NP Minimum of one year of clinical experience managing chronic conditions preferred Strong knowledge of chronic disease management and care coordination principles Comfort with remote work and telephonic patient engagement Excellent clinical documentation and organizational skills Ability to meet daily CCM productivity requirements consistently Strong communication skills and patient centered approach Preferred Qualifications: Previous chronic care management or care coordination experience Experience working with Medicare and CMS CCM programs Prior remote or telehealth experience Familiarity with electronic medical records and CCM workflows Work Schedule Part Time schedule Remote position with required Missouri State licensure

Bilingual - RN (Registered Nurse) | Remote

Carenet Health

$35.50 / hour

Overview: Carenet Health is not authorized to hire in certain states due to internal business considerations: IL, AK, CA, MA, MI, MN, NY, NV, NJ, OR, RI, WA, WV, HI, CT, DE, VT, Puerto Rico Start date: 10/26/2026 Are you...? Looking for a registered nurse position that is challenging, will keep your clinical skills sharp, but being doing so from the comfort of home. Compassion-driven, self-motivated, high-performing registered nurse. Your critical thinking and clinical skills are top-notch. Ready for a fast-paced position where you interact with patients through innovative channels, while keeping your clinical abilities sharp. Want to work for an organization poised for unprecedented growth—that offers work-from-home options Then we should talk. Compensation At Carenet Health, we value the expertise and dedication of our team members, and we are committed to offering an appealing compensation package. The wage for the Bilingual Care Advisor is $35.50 per hour. Health, dental, and vision insurance A 401(k) plan with company match Paid time off (PTO) and holidays Flexible spending accounts (FSAs) Employee wellness programs Career development opportunities Carenet Healthcare Services is seeking RNs (Registered Nurses) to join our team of talented professionals who provide telehealth and virtual care clinical triage assessments, health education and other services to diverse populations of patients and health plan members. At Carenet Health, our nurses play an important role in helping healthcare consumers live their healthiest lives. You may not know our name, but odds are, our nurses or clinical staff have connected with you or someone you know as a trusted, behind-the-scenes partner for our clients—250+ of the nation’s premier health plans, health systems and their partners. About 50,000 times a day, our compassion-focused teams guide people via phone, video, chat and other channels to high-quality and cost-effective care, coach them to improved wellness, and educate them about their healthcare resources and costs. Our nurses and clinical staff support patients across the U.S. and around the world. Our fast-paced positions offer innovative work-at-home capabilities, plus the opportunity to keep your clinical skills sharp and have meaningful interactions with patients in a less physically demanding setting than a traditional clinical environment. We take great pride in our disciplined, evidence-based protocols and individual care approach. Our most effective clinical team members combine clinical expertise, critical thinking and the ability to develop a virtual, meaningful rapport in an empathetic way By focusing on one patient at a time, you’ll leverage your clinical expertise, quick thinking and problem-solving skills to make a difference in thousands of lives every year. Is this you? Bring empathy and a passion for evidence-based care to all you do. Multitasking and attention to detail are your superpowers. You have a strong clinical background and believe part of your job as an RN is to advocate for your patients. You roll with the punches on any given day, with any given interaction, and never lose sight of the need to use your stellar interpersonal and quick assessment skills. You respect different cultures and know that rule-following is essential to your personal integrity and your employer’s quality compliance. A typical week in the life of this position: Work independently to make clinical decisions on routine patient care matters (at your license level) Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions Communicate with our organization’s clients as needed and other team members, verbally and digitally Monitor your own performance with dashboard metrics and look for ways to improve Participate in coaching sessions to improve performance Document all patient/member interactions via management software For eight consecutive years, Inc. Magazine has named Carenet as one of America’s fastest-growing private companies. You may not know our name, but odds are, we have connected with you or someone you know as a trusted, behind-the-scenes partner for our clients. What’s important to us? Being an integrity-driven organization that can truly change people’s lives Serving others joyfully and individually—we’re driven by the power of personal connection Pioneering next-generation healthcare consumer and clinical engagement experiences An entrepreneurial mindset A work/life balance What’s required: If you can meet these position requirements below, please complete the following APPLICATION NEXT STEPS Complete our online assessments (please set aside at least 30 minutes) Must complete the assessment within 24-48 hours before the exam link expires. Assessment link will be available as soon as you have successfully complete your application. A min of 3 years as a Registered Nurse with recent direct patient care experience; Three (3) years preferred in a high acuity level i.e. ICU, CC, ER, med-surg, telemetry, and or Tele - Health, Telephonic Triage. Must currently reside and have a Multi-State (compact) unrestricted RN license in one of the following states: AL, AR, CO, FL, GA, IA, ID, IN, KS, KY, LA, ME, MS, MO, MT, NE, NM, NC, ND, NH, OK, SC, SD, TN, TX, VA, WI, WY Ability to become licensed in additional states as required. must be bilingual in English and Spanish. Minimum of an associate's degree from a two-year technical college or technical school, or diploma nursing program; Bachelor's degree preferred More important information: Full-time positions available (36-40 hours per week) Your schedule will include at least two weekend days every two weeks. Differential pay may be earned for certain shifts. Training is 2-4 weeks, with the first two weeks during daytime hours. 100% Attendance is required. Training is done in a virtual, interactive classroom setting. For work-from-home positions, your home office must meet certain certification requirements that would be explained to you during the interview process.

Certified Medical Assistant | Remote

Carenet Health

$17 / hour

Overview: Carenet Health is not authorized to hire in certain states due to internal business considerations: AZ, CA, CO, ME, NE, NJ, NY, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto Rico Start date: 11/19/2026 At Carenet, we foster collaboration, creativity and innovation. Our promises to our team members include empowering growth through trust, opportunity and accountability. We are looking for people who want to work with an entrepreneurial spirit and deliver market-leading performance! If you are passionate about healthcare and supporting patients with their healthcare needs, empathetic, patient focused and enjoys interacting with patients, patient representatives, providers, pharmacies and more, then this may be the position for you. Did we mention this was a remote, work from home position? Compensation At Carenet Health, we value the expertise and dedication of our team members, and we are committed to offering an appealing compensation package. The wage for the Certified Medical Assistant is $17.00 per hour. Health, dental, and vision insurance A 401(k) plan with company match Paid time off (PTO) and holidays Flexible spending accounts (FSAs) Employee wellness programs Career development opportunities Responsibilities and Duties Receive and respond to prescription refill requests through various communication channels, including phone, email, fax, and Telephone Encounter. Verify the validity and accuracy of prescription refill requests received, ensuring compliance with regulatory guidelines. Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures. Demonstrate exceptional customer service skills when interacting with internal and external stakeholders, providing clear and comprehensive information. Compile and analyze data to track key performance indicators related to prescription refill processing, presenting findings to departmental leadership, and identifying trends. Adhere to assigned schedules and quality metrics, maintaining productivity and efficiency in prescription refill processing. Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs. Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required . Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/Experience: Minimum of High School Diploma or GED; Minimum of three years’ experience in a retail pharmacy; Extensive knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules; Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements; Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies; Preferred Education, Experience & Skills Bilingual, National Certification, Language Ability: Ability to read, analyze, and interpret company software, guidelines, health references, professional journals, technical procedures, or governmental regulations. Ability to effectively present information and respond to questions. General writing skills and ability to produce work free from typographical or spelling errors. Math Ability: Ability to calculate figures and amounts. Ability to apply concepts of basic algebra. Reasoning Ability: Ability to deal with and solve problems using solid judgment skills. Technical skills: Basic PC and keyboarding skills required . Ability to handle multiple line phone systems, pagers and paging systems preferred. Working knowledge of Microsoft Office, Internet and e-mail Certificates and Licenses: Current, unrestricted License is required . Pharmacy Technician: Certified Pharmacy Technician ( CPhT ) current, unrestricted license Medical Assistant: must be certified by the American Association of Medical Assistants or as a Registered Medial Assistant by the American Medical Technologists . Additional Information Completion of assessments may be required before moving forward in the hiring process. Assessments must be completed independently — any unauthorized completion (during or after the process) will result in disqualification or termination. If you’re ready to bring empathy, energy, and genuine care to every call — we’d love to have you on our team. Join Carenet Health and make every conversation count. Carenet Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. Please note that we are not accepting resumes for this position from external staffing agencies or recruiters. To be considered for this role, please submit your application directly through our official career portal. Protect Yourself from Recruitment Scams At Carenet Healthcare , we are committed to the safety and trust of all potential job candidates. Please be mindful about any potential scam, offering false employment opportunities and issuing fake offer letters . Carenet communicates using our e-mail domain: @carenethealth.com To report suspicious job ads or emails, email our recruiting team at recruiting@carenethealth.com and include as much detail as possible (e.g., job board where the false ad was placed, documentation that will assist us in the investigation). If you believe you have been a victim of a crime, contact the local authorities or the FBI’s Internet Crime Complaint Center at ic3.gov . For more information on job scams, visit the Federal Trade Commission at https://www.consumer.ftc.gov/articles/0243-job-scams .

Registered Nurse (RN) | Remote

Carenet Health

$34 / hour

Overview: Carenet Health is not authorized to hire in certain states due to internal business considerations: IL, AK, CA, MA, MI, MN, NY, NV, NJ, OR, RI, WA, WV, HI, CT, DE, VT, Puerto Rico Start date: 10/26/2026 Are you a compassionate, self-motivated registered nurse with top-notch critical thinking and clinical skills? Seeking a challenging yet remote registered nurse position that keeps your abilities sharp? Imagine a fast-paced role engaging with patients through innovative channels, all from the comfort of your home. Join us in an organization poised for unprecedented growth, offering work-from-home options. With excellent coaching and support, you'll be part of a collaborative team of RNs across the country. If you're ready to contribute to a dynamic healthcare environment, apply now and shape the future of healthcare from the convenience of your home. Compensation At Carenet Health, we value the expertise and dedication of our team members, and we are committed to offering an appealing compensation package. The wage for the Care Advisor is $34.00 per hour. Health, dental, and vision insurance A 401(k) plan with company match Paid time off (PTO) and holidays Flexible spending accounts (FSAs) Employee wellness programs Career development opportunities The Care Advisor is a licensed Registered Nurse reporting to the Clinical Services team. They provide quality driven telephonic clinical assessments, health education, and utilization management services to a diverse population of callers/patients/members. A Care Advisor provides triage assessments to individuals or defined patient populations using telecommunications, in accordance with computer-based algorithms, protocols, and guidelines. The Care Advisor uses critical thinking, essential multitasking skills and effective communication. They use their clinical knowledge to assess, disposition, make recommendations for care, provide education and health information. Essential Duties and Responsibilities Using the Nursing Process, provides nursing assessments within the standards outlined in the state Nurse Practice Act Provides assessments to individuals or defined patient populations using telecommunications in accordance with computer-based algorithms, protocols, and guidelines Using the defined process, adheres to nursing standards, company policies and shared principles when providing clinical assessments and health education Uses the nursing process to identify patient care needs, risk and safety issues, educational opportunities, and appropriate health care referrals: Processes calls based on Quality Management guidelines. Demonstrates compliance with all product’s specific performance metrics Regular, reliable attendance and timeliness Must work 4 weekend shifts per month- either in every Saturday schedule or every other weekend. Other duties as assigned Education: Current, unrestricted, RN licensure in a compact state which is your state of residence. Licensure in other States as required by law or client contract will be assigned within 30 days of hire. Must reside in a compact state and maintain a compact multistate license. Current home state RN license in good standing. Registered nurse is responsible and accountable for safe clinical practice, knowledgeable of customers and regulatory expectations in the clinical area. Minimum of an associate degree from a two-year college or technical school or Diploma Nursing Program; BSN preferred. CEU subscription provided at hire- use with Carenet Health email- RNs required to maintain mandatory number of credits per year to maintain all assigned license. RN must attend training 100% of hours and must pass intra-training testing components. Experience: Minimum 3 years of Registered Nurse clinical experience. Experience in ER, adult and pediatric care, Medical/Surgical, Home Health and Hospice or other acute areas preferred. Telephone triage experience and understanding of health benefit plans and the insurance industry are helpful, but not required. Bilingual skills are a plus. Functional/Technical Knowledge, Skills and Abilities Required: Ability to apply clinical knowledge to effectively meet clinical business standards. Fully competent in product delivery and business requirements. Ability to run multiple computer programs at the same time. Identify opportunities for improvement and recommend workable solutions. Exercises judgement within defined practices and procedures to determine appropriate action. Ability to determine when to escalate issues appropriately and in a timely manner. Builds rapport with members and effectively influences member behavior. Comprehensive communication (listening, reflection, and clarification) skills. Manages time effectively. Must currently reside and have a Multi-State (compact) unrestricted RN license in one of the following states: AL, AR, CO, FL, GA, IA, ID, IN, KS, KY, LA, ME, MS, MO, MT, NE, NM, NC, ND, NH, OK, SC, SD, TN, TX, VA, WI, WY Ability to become licensed in additional states as required More important information: Full-time positions available (36-40 hours per week) Your schedule will be evenings and will include at least two weekend days every two weeks. Differential pay may be earned for certain shifts. Training is 2-4 weeks, with the first two weeks during daytime hours. 100% Attendance is required. Training is done in a virtual, interactive classroom setting. For work-from-home positions, your home office must meet certain certification requirements that would be explained to you during the interview process. Compensation & Benefits At Carenet Health, we value the expertise and dedication of our team members, and we are committed to offering an appealing compensation package. The salary range for the Registered Nurse role is $34.00 per hour. In addition, we offer a comprehensive benefits package that includes health, dental, and vision insurance, a 401(k) plan with company match, paid time off (PTO) and holidays, flexible spending accounts (FSAs), employee wellness programs, and career development opportunities. Additional Information Note: Completion of assessments may be required before an applicant can move forward. Completing assessments must be done independently. Any discovery of unauthorized completion, whether during or after the hiring process, will result in disqualification or termination. Carenet Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. Please note that we are not accepting resumes for this position from external staffing agencies or recruiters. To be considered for this role, please submit your application directly through our official career portal.

Clinical Reviewer-PRN (RN) (Remote)

Acentra Health

$28.37 - $38 / hour

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision-making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles. Job Summary and Responsibilities: Acentra Health is looking for a Clinical Reviewer to join our growing team. Job Summary: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements. ***Position is remote*** ** Required Work Hours: On-call weekends, holidays and evenings** Responsibilities: Assures accuracy and timeliness of all applicable review type cases within contract requirements. Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. In collaboration with Supervisor, responsible for quality monitoring activities. Maintains current knowledge base related to review processes and clinical practices. Functions as providers' liaison for customer service issues and problem resolution. Performs all applicable review types as workload indicates. Fosters positive and professional relationships with internal and external customers. Attends training and scheduled meetings for current/updated information. Cross trains to provide flexible workforce to meet client/customer needs. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications: Required Qualifications Active, unrestricted Registered Nurse (RN) License in any state, or an RN compact state License. A minimum of 2+ years of experience with federal CMS case processing. Knowledge of medical records and medical terminology. Skilled in reviewing, interpreting, and abstracting data from medical records. Strong clinical assessment and critical thinking skills. Excellent verbal and written communication skills. Must be proficient in Microsoft Office and internet/web navigation. Preferred Qualifications Knowledge of IRO Accreditation (URAC) standards. Knowledge of Independent Review Organization (IRO). Knowledge of Medicare (CMS) guidelines. Experience with Medical Appeals. Ability to work in a team environment. Flexibility and strong organizational skills. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. This position includes access to select Acentra Health benefits and programs, such as participation in the Acentra Health 401(k) Plan with company match, access to wellness and employee discount programs, and Employee Assistance Program (EAP) resources. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! We are committed to providing a secure and positive hiring experience. Depending on the role, interviews may be conducted virtually, in person, or through a combination of both. As part of our recruitment process, candidates may be asked to participate in identity verification measures to help ensure the integrity of the hiring process. ~ The Acentra Health Talent Acquisition Team Visit us at http://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range: USD $28.37 - USD $38.00 /Hr.

Clinical Supervisor (RN) - CA Remote

Acentra Health

$83,520 - $104,400 / year

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities: Acentra Health is looking for a Clinical Supervisor (RN) to join our growing team! Job Summary: The Clinical Supervisor (RN) role will oversee and manage the CA UIS (Unsatisfactory Immigration status) Care Coordinator and Case Management activities with a primary focus on maintaining high standards in member engagement and enhanced customer relationships to ensure contract requirements are met successfully. ***This is a remote position, with a preference for candidates located in California, ideally in the Los Angeles or Sacramento areas.*** Responsibilities: Manage and oversee Care Coordination and Discharge Case Management activities. Ensure overall consistency of outreach and coordination efforts. Oversee program to ensure clinical efficiencies, deliverables, and contract functions meet high standards. Provide day-to-day oversight of Case Manager and Care Coordinators. Responsible for utilization reviews as defined by the contract to include prior authorization and retro reviews. Serve as a Subject Matter Expert (SME). Participate as a team member fostering collaborative decision-making among leadership, committees, teams, or work groups of diverse composition. Perform other duties as assigned. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications: Required Qualifications Active, unrestricted Licensed Registered Nurse (RN) or compact license. Associate degree, OR equivalent directly applicable experience in nursing, healthcare administration or related area. A minimum of 5+ years being in health care management. Demonstrated effective verbal and written communication skills essential. Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers. Organizational skills, ability to plan and prioritize multiple assignments essential. Computer proficiency in Microsoft Office applications and other software programs essential to perform job functions. Ability to provide clinical guidance and leadership to care coordination team. Flexibility to travel within CA as needed. Preferred Qualifications Bachelor's degree. Bilingual candidates are preferred, including Spanish, Chinese, Russian, Farsi, and other languages. Current working knowledge of care coordination and case management. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! We are committed to providing a secure and positive hiring experience. Depending on the role, interviews may be conducted virtually, in person, or through a combination of both. As part of our recruitment process, candidates may be asked to participate in identity verification measures to help ensure the integrity of the hiring process. ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range: USD $83,520.00 - USD $104,400.00 /Yr.

NP

Telehealth

1 week ago

Nurse Practitioner - Illinois (IL)

Midi Health

$55 - $75 / hour

Nurse Practitioner Integrated Women’s Care (IWC) Employment Type: Full-Time FLSA Status: Exempt Compensation: $55 - $75 / hour, based on geographic location Reports To: Nurse Practitioner Manager Work Location: Remote — work must be completed within the United States Schedule: Between 7:00 am – 7:00 pm, patient local timezone You built your career caring for women at a time when the healthcare system largely ignored them. You know HRT, you understand the complexity of perimenopause, and you’ve spent years earning the clinical instincts it takes to actually get this right. Now you want to do it at scale — for more patients, with fewer barriers, and in a practice model that matches how you already think and work. That’s what Midi is. A fully virtual, fast-paced clinical environment built specifically around women’s midlife health — and designed for NPs who are ready to practice at their best. THE ROLE You’ll carry a full patient panel, managing perimenopause, menopause, weight, sexual health, mood, and sleep — all virtually. This is ongoing, relationship-based care, which means your patients come back to you — visit after visit, over months and years. You’ll prescribe and independently manage HRT (estrogen, progesterone, testosterone), evaluate patients for pharmacologic weight management including GLP-1 therapies, and make autonomous clinical decisions every day. It’s a high-volume environment. Documentation, follow-through, and productivity benchmarks are part of the job — and the NPs who thrive here don’t fight that reality, they’re built for it. If you’re the kind of clinician who runs efficient visits without sacrificing warmth, closes every loop without being reminded, and moves comfortably between patients and platforms, you’ll feel at home here. WHO THRIVES HERE Our most successful NPs tend to share a few things in common: They are genuinely passionate about women’s midlife health — this isn’t a stopover, it’s their calling They are fluent with technology — EHR, video, AI scribe tools, Slack, clinical decision support — and they adapt quickly when tools change They hold themselves to a high standard without needing to be managed toward it They can carry a full panel, hit productivity targets, and still make every patient feel like the only one They’ve practiced independently long enough to trust their own clinical judgment They believe that listening deeply and documenting accurately are both forms of excellent care MINIMUM QUALIFICATIONS Active board certification: FNP-C / FNP-BC or WHNP-BC 3+ years independently managing perimenopause and menopause patients 3+ years independently prescribing and titrating HRT 3+ years managing a continuous NP patient panel — building ongoing relationships and making autonomous clinical decisions over time 3+ years of synchronous telemedicine experience 1+ year evaluating and prescribing pharmacologic weight management therapies, including GLP-1 agonists Multiple active state licenses (DEA preferred) Preferred: certification in Menopause (MSCP) and/or Obesity Medicine WHY MIDI A patient population that is engaged, informed, and deeply grateful for real care Full clinical autonomy within a supportive, protocol-driven framework Fully remote with scheduling between 7am–7pm patient local time Desirable benefits package Accredited training eligible for Continuing Education (CE) Clinician Professional Development Allowance Paid time off A team that takes women’s health as seriously as you do WORKING ENVIRONMENT This is a fully remote position requiring reliable high-speed internet access and the ability to work effectively in a virtual environment. The role involves prolonged computer use, including extended periods of sitting, video conferencing, and electronic documentation. To support patient access and business needs, occasional evening, weekend, or multi-time-zone coverage may be required. At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs. Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at careers@joinmidi.com . Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history. Please find our CCPA Privacy Notice for California Candidates here .

Case Manager RN (H) Remote

University of Miami Health System

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . The University of Miami UHealth Department of UMHC-SCCC Business Operations has an exciting opportunity for a full time Case Manager RN. The incumbent coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. CORE JOB FUNCTIONS Identifies the patients’ risk factors or obstacles to care, and discharge and readmission risk. Evaluates the plan of care regularly by chart review and patient interviews, as well as collaborates with the medical team to facilitate the patients’ movement through the system. Educates patients and families on the progression of care. Serves as a liaison between patients, families, and healthcare personnel to ensure necessary care is provided promptly, effectively, and in a fiscally responsible manner. Promotes quality care to ensure patients receive medically appropriate services in appropriate status and stay standards. Facilitates ongoing insurance authorization for continued stay. Facilitates regulatory notifications and patient signatures per policy. Maintains knowledge regarding insurance reimbursement policies. Relies on experience and judgement to plan and facilitate discharge and transition plans, and assures they meet the physical, social, and emotional needs of the patient. Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Bachelor’s Degree Certification and Licensing: Registered Nurse Licensing (RN) Experience: Minimum 2 years of relevant experience Knowledge, Skills and Attitudes: Ability to communicate effectively in both oral and written form. Ability to recognize, analyze, and solve a variety of problems. Ability to analyze, organize and prioritize work under pressure while meeting deadlines. Ability to maintain effective interpersonal relationships. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

Nurse Practitioner - Oklahoma (OK) License (Full Time)

Midi Health

$55 - $70 / hour

Nurse Practitioner Integrated Women’s Care (IWC) Employment Type: Full-Time FLSA Status: Exempt Compensation: $55 - $70 / hour, based on geographic location Reports To: Nurse Practitioner Manager Work Location: Remote — must live in the state of Oklahoma; work must be completed within the United States Schedule: Between 7:00 am – 7:00 pm, patient local timezone You built your career caring for women at a time when the healthcare system largely ignored them. You know HRT, you understand the complexity of perimenopause, and you’ve spent years earning the clinical instincts it takes to actually get this right. Now you want to do it at scale — for more patients, with fewer barriers, and in a practice model that matches how you already think and work. That’s what Midi is. A fully virtual, fast-paced clinical environment built specifically around women’s midlife health — and designed for NPs who are ready to practice at their best. THE ROLE You’ll carry a full patient panel, managing perimenopause, menopause, weight, sexual health, mood, and sleep — all virtually. This is ongoing, relationship-based care, which means your patients come back to you — visit after visit, over months and years. You’ll prescribe and independently manage HRT (estrogen, progesterone, testosterone), evaluate patients for pharmacologic weight management including GLP-1 therapies, and make autonomous clinical decisions every day. It’s a high-volume environment. Documentation, follow-through, and productivity benchmarks are part of the job — and the NPs who thrive here don’t fight that reality, they’re built for it. If you’re the kind of clinician who runs efficient visits without sacrificing warmth, closes every loop without being reminded, and moves comfortably between patients and platforms, you’ll feel at home here. WHO THRIVES HERE Our most successful NPs tend to share a few things in common: They are genuinely passionate about women’s midlife health — this isn’t a stopover, it’s their calling They are fluent with technology — EHR, video, AI scribe tools, Slack, clinical decision support — and they adapt quickly when tools change They hold themselves to a high standard without needing to be managed toward it They can carry a full panel, hit productivity targets, and still make every patient feel like the only one They’ve practiced independently long enough to trust their own clinical judgment They believe that listening deeply and documenting accurately are both forms of excellent care MINIMUM QUALIFICATIONS Must live in the state of Oklahoma Active board certification: FNP-C / FNP-BC or WHNP-BC 3+ years independently managing perimenopause and menopause patients 3+ years independently prescribing and titrating HRT 3+ years managing a continuous NP patient panel — building ongoing relationships and making autonomous clinical decisions over time 3+ years of synchronous telemedicine experience 1+ year evaluating and prescribing pharmacologic weight management therapies, including GLP-1 agonists Multiple active state licenses (DEA preferred) Preferred: certification in Menopause (MSCP) and/or Obesity Medicine WHY MIDI A patient population that is engaged, informed, and deeply grateful for real care Full clinical autonomy within a supportive, protocol-driven framework Fully remote with scheduling between 7am–7pm patient local time Desirable benefits package Accredited training eligible for Continuing Education (CE) Clinician Professional Development Allowance Paid time off A team that takes women’s health as seriously as you do WORKING ENVIRONMENT This is a fully remote position requiring reliable high-speed internet access and the ability to work effectively in a virtual environment. The role involves prolonged computer use, including extended periods of sitting, video conferencing, and electronic documentation. To support patient access and business needs, occasional evening, weekend, or multi-time-zone coverage may be required. At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs. Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at careers@joinmidi.com . Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history. Please find our CCPA Privacy Notice for California Candidates here .

Oncology Prior Authorization Case Manager, Non-RN - Remote

University of Miami Health System

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work Remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays, at all times they provide communication of progress and or determination to the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates for the best outcome to meet ongoing patient needs that encourages compliance with medical advice. CORE FUNCTIONS: Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services Follows the authorization process using established criteria as set forth by the payer or clinical guidelines Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services Refers to the treatment plan for clinical reviews in accordance with established criteria and guidelines Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare team Identifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options Ensures and Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient. Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests and prioritizes caseload accordingly Maintains knowledge regarding payer reimbursement policies and clinical guidelines. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS: Education: Bachelor’s degree in relevant field; or equivalent Experience: Minimum of 2 years of relevant experience Oncology - Preferred Any relevant education, certifications and/or work experience may be considered The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

Utilization Case Manager (Remote)

University of Miami Health System

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . UMHC-SCCC - Business Operations has an exciting opportunity for a Full time, Remote, Utilization Case Manager position, The incumbent is to complete ongoing reviews for clinical utilization and identifying the need for continued authorization. The Utilization Case Manager coordinates with the Nurse Case Manager as well as the Healthcare team for optimal patient outcomes, while avoiding potential treatment delays and authorization denials. The Utilization Case Manager is accountable for a designated patient caseload and ensures that all necessary criteria for continued authorization remains in place. At all times the case manager provides communication of progress and or determination to the clinical team and or the patient. CORE JOB FUNCTIONS Adhere and perform timely reviews for services requiring an authorization for continuation of care Follows the authorization process using established criteria as set forth by the payer or clinical guidelines Accurate review of coverage benefits and limitations to determine continued appropriateness of services requested Facilitates interdepartmental communication regarding status of continued authorization in advance of patient’s appointment. Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient. Identifies potential delays in treatment by reviewing the treatment plan and proactively communicates with the healthcare team and or patient regarding the potential treatment barrier Maintains knowledge regarding payer reimbursement policies and clinical guidelines. Adheres to University and department level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Bachelor’s degree in relevant field; or equivalent Minimum of 2 years of relevant experience The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

NP

Telehealth

1 week ago

Nurse Practitioner - Georgia-Based (Remote)

Midi Health

$55 - $70 / hour

Nurse Practitioner - Georgia-Based Integrated Women’s Care (IWC) Employment Type: Full-Time FLSA Status: Exempt Compensation: $55 - $70 / hour, based on geographic location Reports To: Nurse Practitioner Manager Work Location: Must live within the state of Georgia to be eligible for this role. Remote role - work must be completed within the United States Schedule: Between 7:00 am – 7:00 pm, patient local timezone You built your career caring for women at a time when the healthcare system largely ignored them. You know HRT, you understand the complexity of perimenopause, and you’ve spent years earning the clinical instincts it takes to actually get this right. Now you want to do it at scale — for more patients, with fewer barriers, and in a practice model that matches how you already think and work. That’s what Midi is. A fully virtual, fast-paced clinical environment built specifically around women’s midlife health — and designed for NPs who are ready to practice at their best. THE ROLE You’ll carry a full patient panel, managing perimenopause, menopause, weight, sexual health, mood, and sleep — all virtually. This is ongoing, relationship-based care, which means your patients come back to you — visit after visit, over months and years. You’ll prescribe and independently manage HRT (estrogen, progesterone, testosterone), evaluate patients for pharmacologic weight management including GLP-1 therapies, and make autonomous clinical decisions every day. It’s a high-volume environment. Documentation, follow-through, and productivity benchmarks are part of the job — and the NPs who thrive here don’t fight that reality, they’re built for it. If you’re the kind of clinician who runs efficient visits without sacrificing warmth, closes every loop without being reminded, and moves comfortably between patients and platforms, you’ll feel at home here. WHO THRIVES HERE Our most successful NPs tend to share a few things in common: They are genuinely passionate about women’s midlife health — this isn’t a stopover, it’s their calling They are fluent with technology — EHR, video, AI scribe tools, Slack, clinical decision support — and they adapt quickly when tools change They hold themselves to a high standard without needing to be managed toward it They can carry a full panel, hit productivity targets, and still make every patient feel like the only one They’ve practiced independently long enough to trust their own clinical judgment They believe that listening deeply and documenting accurately are both forms of excellent care MINIMUM QUALIFICATIONS Must live within the state of Georgia as a condition of employment Active board certification: FNP-C / FNP-BC or WHNP-BC 3+ years independently managing perimenopause and menopause patients 3+ years independently prescribing and titrating HRT 3+ years managing a continuous NP patient panel — building ongoing relationships and making autonomous clinical decisions over time 3+ years of synchronous telemedicine experience 1+ year evaluating and prescribing pharmacologic weight management therapies, including GLP-1 agonists Multiple active state licenses (DEA preferred) Preferred: certification in Menopause (MSCP) and/or Obesity Medicine WHY MIDI A patient population that is engaged, informed, and deeply grateful for real care Full clinical autonomy within a supportive, protocol-driven framework Fully remote with scheduling between 7am–7pm patient local time Desirable benefits package Accredited training eligible for Continuing Education (CE) Clinician Professional Development Allowance Paid time off A team that takes women’s health as seriously as you do WORKING ENVIRONMENT This is a fully remote position requiring reliable high-speed internet access and the ability to work effectively in a virtual environment. The role involves prolonged computer use, including extended periods of sitting, video conferencing, and electronic documentation. To support patient access and business needs, occasional evening, weekend, or multi-time-zone coverage may be required. At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs. Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at careers@joinmidi.com . Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history. Please find our CCPA Privacy Notice for California Candidates here .

NP

Telehealth

1 week ago

Nurse Practitioner - Texas (TX) License

Midi Health

$55 - $70 / hour

Nurse Practitioner Integrated Women’s Care (IWC) Employment Type: Full-Time FLSA Status: Exempt Compensation: $55 - $70 / hour, based on geographic location Reports To: Nurse Practitioner Manager Work Location: Remote — work must be completed within the United States Schedule: Between 7:00 am – 7:00 pm, patient local timezone You built your career caring for women at a time when the healthcare system largely ignored them. You know HRT, you understand the complexity of perimenopause, and you’ve spent years earning the clinical instincts it takes to actually get this right. Now you want to do it at scale — for more patients, with fewer barriers, and in a practice model that matches how you already think and work. That’s what Midi is. A fully virtual, fast-paced clinical environment built specifically around women’s midlife health — and designed for NPs who are ready to practice at their best. THE ROLE You’ll carry a full patient panel, managing perimenopause, menopause, weight, sexual health, mood, and sleep — all virtually. This is ongoing, relationship-based care, which means your patients come back to you — visit after visit, over months and years. You’ll prescribe and independently manage HRT (estrogen, progesterone, testosterone), evaluate patients for pharmacologic weight management including GLP-1 therapies, and make autonomous clinical decisions every day. It’s a high-volume environment. Documentation, follow-through, and productivity benchmarks are part of the job — and the NPs who thrive here don’t fight that reality, they’re built for it. If you’re the kind of clinician who runs efficient visits without sacrificing warmth, closes every loop without being reminded, and moves comfortably between patients and platforms, you’ll feel at home here. WHO THRIVES HERE Our most successful NPs tend to share a few things in common: They are genuinely passionate about women’s midlife health — this isn’t a stopover, it’s their calling They are fluent with technology — EHR, video, AI scribe tools, Slack, clinical decision support — and they adapt quickly when tools change They hold themselves to a high standard without needing to be managed toward it They can carry a full panel, hit productivity targets, and still make every patient feel like the only one They’ve practiced independently long enough to trust their own clinical judgment They believe that listening deeply and documenting accurately are both forms of excellent care MINIMUM QUALIFICATIONS Active board certification: FNP-C / FNP-BC or WHNP-BC 3+ years independently managing perimenopause and menopause patients 3+ years independently prescribing and titrating HRT 3+ years managing a continuous NP patient panel — building ongoing relationships and making autonomous clinical decisions over time 3+ years of synchronous telemedicine experience 1+ year evaluating and prescribing pharmacologic weight management therapies, including GLP-1 agonists Multiple active state licenses (DEA preferred) Preferred: certification in Menopause (MSCP) and/or Obesity Medicine WHY MIDI A patient population that is engaged, informed, and deeply grateful for real care Full clinical autonomy within a supportive, protocol-driven framework Fully remote with scheduling between 7am–7pm patient local time Desirable benefits package Accredited training eligible for Continuing Education (CE) Clinician Professional Development Allowance Paid time off A team that takes women’s health as seriously as you do WORKING ENVIRONMENT This is a fully remote position requiring reliable high-speed internet access and the ability to work effectively in a virtual environment. The role involves prolonged computer use, including extended periods of sitting, video conferencing, and electronic documentation. To support patient access and business needs, occasional evening, weekend, or multi-time-zone coverage may be required. At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs. Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at careers@joinmidi.com . Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history. Please find our CCPA Privacy Notice for California Candidates here .

NP

Telehealth

1 week ago

Nurse Practitioner - Missouri

Midi Health

$55 - $70 / hour

Nurse Practitioner Integrated Women’s Care (IWC) Employment Type: Full-Time FLSA Status: Exempt Compensation: $55 - $70 / hour, based on geographic location Reports To: Nurse Practitioner Manager Work Location: Remote — work must be completed within the United States Schedule: Between 7:00 am – 7:00 pm, patient local timezone You built your career caring for women at a time when the healthcare system largely ignored them. You know HRT, you understand the complexity of perimenopause, and you’ve spent years earning the clinical instincts it takes to actually get this right. Now you want to do it at scale — for more patients, with fewer barriers, and in a practice model that matches how you already think and work. That’s what Midi is. A fully virtual, fast-paced clinical environment built specifically around women’s midlife health — and designed for NPs who are ready to practice at their best. THE ROLE You’ll carry a full patient panel, managing perimenopause, menopause, weight, sexual health, mood, and sleep — all virtually. This is ongoing, relationship-based care, which means your patients come back to you — visit after visit, over months and years. You’ll prescribe and independently manage HRT (estrogen, progesterone, testosterone), evaluate patients for pharmacologic weight management including GLP-1 therapies, and make autonomous clinical decisions every day. It’s a high-volume environment. Documentation, follow-through, and productivity benchmarks are part of the job — and the NPs who thrive here don’t fight that reality, they’re built for it. If you’re the kind of clinician who runs efficient visits without sacrificing warmth, closes every loop without being reminded, and moves comfortably between patients and platforms, you’ll feel at home here. WHO THRIVES HERE Our most successful NPs tend to share a few things in common: They are genuinely passionate about women’s midlife health — this isn’t a stopover, it’s their calling They are fluent with technology — EHR, video, AI scribe tools, Slack, clinical decision support — and they adapt quickly when tools change They hold themselves to a high standard without needing to be managed toward it They can carry a full panel, hit productivity targets, and still make every patient feel like the only one They’ve practiced independently long enough to trust their own clinical judgment They believe that listening deeply and documenting accurately are both forms of excellent care MINIMUM QUALIFICATIONS Must hold multiple state Nurse Practitioner licenses Active board certification: FNP-C / FNP-BC or WHNP-BC 3+ years independently managing perimenopause and menopause patients 3+ years independently prescribing and titrating HRT 3+ years managing a continuous NP patient panel — building ongoing relationships and making autonomous clinical decisions over time 3+ years of synchronous telemedicine experience 1+ year evaluating and prescribing pharmacologic weight management therapies, including GLP-1 agonists Multiple active state licenses (DEA preferred) Preferred: certification in Menopause (MSCP) and/or Obesity Medicine WHY MIDI A patient population that is engaged, informed, and deeply grateful for real care Full clinical autonomy within a supportive, protocol-driven framework Fully remote with scheduling between 7am–7pm patient local time Desirable benefits package Accredited training eligible for Continuing Education (CE) Clinician Professional Development Allowance Paid time off A team that takes women’s health as seriously as you do WORKING ENVIRONMENT This is a fully remote position requiring reliable high-speed internet access and the ability to work effectively in a virtual environment. The role involves prolonged computer use, including extended periods of sitting, video conferencing, and electronic documentation. To support patient access and business needs, occasional evening, weekend, or multi-time-zone coverage may be required. At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs. Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at careers@joinmidi.com . Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history. Please find our CCPA Privacy Notice for California Candidates here .

Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 9:30a-4p CST

IntellaTriage

$25 - $28 / hour

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 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 $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.

Remote Hospice Triage RN FT Monday-Friday 6:30a-4p (No Wknds)

IntellaTriage

$25 - $28 / hour

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 Monday-Friday 6:30a-4p CST, 4 weekdays with one set day off 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 $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.

Remote Hospice Triage RN PT Every Saturday 8:30a-5p CST

IntellaTriage

$27 - $30 / hour

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 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.

Nurse Navigator 1 - Site Disease Group - Remote/Full Time

University of Miami Health System

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . Location: Remote The Nurse Navigator 1 (H) is the initial point of contact for a patient entering the health system and assures timely scheduling of the first appointment, and coordination of care after completion of the first appointment and supports the patient throughout the care continuum. The Nurse Navigator 1 (H) serves as a liaison between patients, families, caregivers, and the multidisciplinary care team. The incumbent demonstrates a commitment to quality patient care, implements creative and innovative ways to meet the diverse needs of the patients and ensures best practices. CORE JOB FUNCTIONS 1. Triages new patient appointments to the appropriate provider(s) and assures timely scheduling of initial appointments. 2. Reviews outside medical records for appropriate scheduling. 3. Assess barriers to care and refers to support services, local, and national organizations when needed. 4. Educates on the treatment plan for patients based on diagnosis. 5. Supports patients throughout the care continuum. 6. Counsels individuals and patients on positive health practices. 7. Collaborates with a multidisciplinary team of experts to outline the best treatment for patients. 8. Performs holistic evaluation of specialty population, making use of enhanced proven techniques and procedures to achieve better results. 9. Implements the improvement of patient care, and healthcare policies and resources. 10. Mentors other healthcare professionals by functioning as a preceptor or coordinating preceptors for visiting professionals, students, new graduates, and orienteers. 11. Maintains professional knowledge by affiliating with professional and technical organizations, and participating in applicable continuing education programs, conferences, seminars, and workshops. 12. Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Bachelor’s degree in relevant field Certification and Licensing: Valid State of Florida Registered Nurse (RN) license Experience: Minimum 2 years of relevant work experience Knowledge, Skills and Attitudes: • Ability to maintain effective interpersonal relationships. • Ability to communicate effectively in both oral and written form. • Skill in collecting, organizing and analyzing data. • Proficiency in computer software (i.e., Microsoft Office). Department Specific Functions Assess patient needs upon initial encounter and periodically throughout navigation, matching unmet needs with appropriate referrals and support services. Identifies potential and realized barriers to care and facilitates referrals as appropriate to mitigate barriers. Reviews, patients’ medical records, test results and any other documentation required for the first visit. Facilitates timely scheduling of appointments, diagnostic testing, and procedures to expedite the plan of care and to promote continuity of care. Participates in coordination of the plan of care with the multidisciplinary team, promoting timely follow-up on treatment and supportive care recommendations. Serves as a liaison for patients, families, caregivers, staff, and referring physicians Orients and educates patients, families, and caregivers to the cancer healthcare system, multidisciplinary team member roles and available resources. Help to explain treatment recommendations to patients and caregivers and appropriately answer questions. Communicates with physicians as needed by phone, emails or in person for new patient referrals and scheduling priorities. Help eligible patient’s access appropriate clinical trials Work with oncology administrators to understand any changes in reporting metrics. Identify bottlenecks in the patient pathway and gaps in care; propose process improvement measures to address them Communicates with other staff to coordinate patient care activities. Participate with other members of the healthcare team to provide patients with supportive care services. Refers patients to local and national community support groups/services Coordination of Educational Activities : Identify and document individual patient’s barriers to learning Educate patients and families about disease process, treatment options, potential side effects Assist patients with treatment decision making; develop and use decision aids as appropriate Provide pre and post-operative education to all groups Educate patients about survivorship, set expectations for the post-treatment transition, remain available to patients and families for questions during the continuum of treatment and at survivorship. Assist with identification of survivors and delivery of the survivorship care plan. Advocate for patient and support with end-of-life/palliative care decisions Educate patients and families about diet, exercise, smoking cessation and other wellness and cancer prevention strategies Psychosocial Support Administer psychosocial screening at patients’ at time of intake; repeat screening at regular intervals or as needed Make referrals to social worker, financial counselor, or support services as needed; facilitate scheduling and monitor patients to ensure follow-though Check in with patients via phone on day prior to surgery and/or treatment start; ensure patients know exactly what to expect before, during and after procedure Facilitates shared decision making with the patients, caregivers, families, and care team. Supports a smooth transition of patients from active treatment into survivorship, chronic cancer management, and end-of life care. Promotes advances care planning by assisting patients in formulating a discussion with their care team. Multidisciplinary Clinical Support Help determine which patients are eligible for clinical trial participation. Facilitate new patient referrals into the clinical trials program. Attend Tumor Board Conference and be available for coordination of care recommended post conference. Maintain communication with the tumor registry when needed. Actively solicit and record feedback from referring physicians and their staff; develop recommendations for improving clinical operations to better meet their needs Meet with physicians who have the potential to become referral sources for the cancer program to provide information about the cancer center and its related programs. Track new patients throughout the care continuum through the EPIC and ensure key follow-up time points are met. Ensures documentation of patient encounter and provided services. Collaborate with marketing and communications departments in events as needed. Assist in developing patient education materials. Develop collaborative relationships with local individuals, agencies and organizations that provide cancer education and support for cancer patients Collaborate with community outreach programs designed to increase public awareness of cancer, cancer prevention and the importance or regular screening Leadership Responsibilities : Must be able to perform job duties as an independent professional and as a team player; organizational skills sufficient to set own priorities and facilitate work team progress. Contributes to the nurse navigator program and role development, implementation, and evaluation within the healthcare system and community. Orients new staff to their group and is cross trained to other groups Attends staff meetings and other meetings as needed Ensure compliance with mandatory in-services and employee health procedures. Actively supports and participates in performance improvement activities Ensures compliance with all facility policies and procedures and all HIPPA, ACHA, JCAHO, OSHA standards and regulations The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

Bilingual - RN (Registered Nurse) | Remote

Carenet Health

$35.50 / hour

Overview: Carenet Health is not authorized to hire in certain states due to internal business considerations: IL, AK, CA, MA, MI, MN, NY, NV, NJ, OR, RI, WA, WV, HI, CT, DE, VT, Puerto Rico Start date: 10/12/2026 Are you...? Looking for a registered nurse position that is challenging, will keep your clinical skills sharp, but being doing so from the comfort of home. Compassion-driven, self-motivated, high-performing registered nurse. Your critical thinking and clinical skills are top-notch. Ready for a fast-paced position where you interact with patients through innovative channels, while keeping your clinical abilities sharp. Want to work for an organization poised for unprecedented growth—that offers work-from-home options Then we should talk. Compensation At Carenet Health, we value the expertise and dedication of our team members, and we are committed to offering an appealing compensation package. The wage for the Bilingual Care Advisor is $35.50 per hour. Health, dental, and vision insurance A 401(k) plan with company match Paid time off (PTO) and holidays Flexible spending accounts (FSAs) Employee wellness programs Career development opportunities Responsibilities: Carenet Healthcare Services is seeking RNs (Registered Nurses) to join our team of talented professionals who provide telehealth and virtual care clinical triage assessments, health education and other services to diverse populations of patients and health plan members. At Carenet Health, our nurses play an important role in helping healthcare consumers live their healthiest lives. You may not know our name, but odds are, our nurses or clinical staff have connected with you or someone you know as a trusted, behind-the-scenes partner for our clients—250+ of the nation’s premier health plans, health systems and their partners. About 50,000 times a day, our compassion-focused teams guide people via phone, video, chat and other channels to high-quality and cost-effective care, coach them to improved wellness, and educate them about their healthcare resources and costs. Our nurses and clinical staff support patients across the U.S. and around the world. Our fast-paced positions offer innovative work-at-home capabilities, plus the opportunity to keep your clinical skills sharp and have meaningful interactions with patients in a less physically demanding setting than a traditional clinical environment. We take great pride in our disciplined, evidence-based protocols and individual care approach. Our most effective clinical team members combine clinical expertise, critical thinking and the ability to develop a virtual, meaningful rapport in an empathetic way By focusing on one patient at a time, you’ll leverage your clinical expertise, quick thinking and problem-solving skills to make a difference in thousands of lives every year. Is this you? Bring empathy and a passion for evidence-based care to all you do. Multitasking and attention to detail are your superpowers. You have a strong clinical background and believe part of your job as an RN is to advocate for your patients. You roll with the punches on any given day, with any given interaction, and never lose sight of the need to use your stellar interpersonal and quick assessment skills. You respect different cultures and know that rule-following is essential to your personal integrity and your employer’s quality compliance. A typical week in the life of this position: Work independently to make clinical decisions on routine patient care matters (at your license level) Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions Communicate with our organization’s clients as needed and other team members, verbally and digitally Monitor your own performance with dashboard metrics and look for ways to improve Participate in coaching sessions to improve performance Document all patient/member interactions via management software For eight consecutive years, Inc. Magazine has named Carenet as one of America’s fastest-growing private companies. You may not know our name, but odds are, we have connected with you or someone you know as a trusted, behind-the-scenes partner for our clients. What’s important to us? Being an integrity-driven organization that can truly change people’s lives Serving others joyfully and individually—we’re driven by the power of personal connection Pioneering next-generation healthcare consumer and clinical engagement experiences An entrepreneurial mindset A work/life balance Qualifications: What’s required: If you can meet these position requirements below, please complete the following APPLICATION NEXT STEPS Complete our online assessments (please set aside at least 30 minutes) Must complete the assessment within 24-48 hours before the exam link expires. Assessment link will be available as soon as you have successfully complete your application. A min of 3 years as a Registered Nurse with recent direct patient care experience; Three (3) years preferred in a high acuity level i.e. ICU, CC, ER, med-surg, telemetry, and or Tele - Health, Telephonic Triage. Must currently reside and have a Multi-State (compact) unrestricted RN license in one of the following states: AL, AR, CO, FL, GA, IA, ID, IN, KS, KY, LA, ME, MS, MO, MT, NE, NM, NC, ND, NH, OK, SC, SD, TN, TX, VA, WI, WY Ability to become licensed in additional states as required. must be bilingual in English and Spanish. Minimum of an associate's degree from a two-year technical college or technical school, or diploma nursing program; Bachelor's degree preferred More important information: Full-time positions available (36-40 hours per week) Your schedule will include at least two weekend days every two weeks. Differential pay may be earned for certain shifts. Training is 2-4 weeks, with the first two weeks during daytime hours. 100% Attendance is required. Training is done in a virtual, interactive classroom setting. For work-from-home positions, your home office must meet certain certification requirements that would be explained to you during the interview process.

Registered Nurse (RN) | Remote

Carenet Health

$34 / hour

Overview: Carenet Health is not authorized to hire in certain states due to internal business considerations: IL, AK, CA, MA, MI, MN, NY, NV, NJ, OR, RI, WA, WV, HI, CT, DE, VT, Puerto Rico Start date: 10/12/2026 Are you a compassionate, self-motivated registered nurse with top-notch critical thinking and clinical skills? Seeking a challenging yet remote registered nurse position that keeps your abilities sharp? Imagine a fast-paced role engaging with patients through innovative channels, all from the comfort of your home. Join us in an organization poised for unprecedented growth, offering work-from-home options. With excellent coaching and support, you'll be part of a collaborative team of RNs across the country. If you're ready to contribute to a dynamic healthcare environment, apply now and shape the future of healthcare from the convenience of your home. Compensation At Carenet Health, we value the expertise and dedication of our team members, and we are committed to offering an appealing compensation package. The wage for the Care Advisor is $34.00 per hour. Health, dental, and vision insurance A 401(k) plan with company match Paid time off (PTO) and holidays Flexible spending accounts (FSAs) Employee wellness programs Career development opportunities Responsibilities: The Care Advisor is a licensed Registered Nurse reporting to the Clinical Services team. They provide quality driven telephonic clinical assessments, health education, and utilization management services to a diverse population of callers/patients/members. A Care Advisor provides triage assessments to individuals or defined patient populations using telecommunications, in accordance with computer-based algorithms, protocols, and guidelines. The Care Advisor uses critical thinking, essential multitasking skills and effective communication. They use their clinical knowledge to assess, disposition, make recommendations for care, provide education and health information. Essential Duties and Responsibilities Using the Nursing Process, provides nursing assessments within the standards outlined in the state Nurse Practice Act Provides assessments to individuals or defined patient populations using telecommunications in accordance with computer-based algorithms, protocols, and guidelines Using the defined process, adheres to nursing standards, company policies and shared principles when providing clinical assessments and health education Uses the nursing process to identify patient care needs, risk and safety issues, educational opportunities, and appropriate health care referrals: Processes calls based on Quality Management guidelines. Demonstrates compliance with all product’s specific performance metrics Regular, reliable attendance and timeliness Must work 4 weekend shifts per month- either in every Saturday schedule or every other weekend. Other duties as assigned Qualifications: Education: Current, unrestricted, RN licensure in a compact state which is your state of residence. Licensure in other States as required by law or client contract will be assigned within 30 days of hire. Must reside in a compact state and maintain a compact multistate license. Current home state RN license in good standing. Registered nurse is responsible and accountable for safe clinical practice, knowledgeable of customers and regulatory expectations in the clinical area. Minimum of an associate degree from a two-year college or technical school or Diploma Nursing Program; BSN preferred. CEU subscription provided at hire- use with Carenet Health email- RNs required to maintain mandatory number of credits per year to maintain all assigned license. RN must attend training 100% of hours and must pass intra-training testing components. Experience: Minimum 3 years of Registered Nurse clinical experience. Experience in ER, adult and pediatric care, Medical/Surgical, Home Health and Hospice or other acute areas preferred. Telephone triage experience and understanding of health benefit plans and the insurance industry are helpful, but not required. Bilingual skills are a plus. Functional/Technical Knowledge, Skills and Abilities Required: Ability to apply clinical knowledge to effectively meet clinical business standards. Fully competent in product delivery and business requirements. Ability to run multiple computer programs at the same time. Identify opportunities for improvement and recommend workable solutions. Exercises judgement within defined practices and procedures to determine appropriate action. Ability to determine when to escalate issues appropriately and in a timely manner. Builds rapport with members and effectively influences member behavior. Comprehensive communication (listening, reflection, and clarification) skills. Manages time effectively. Must currently reside and have a Multi-State (compact) unrestricted RN license in one of the following states: AL, AR, CO, FL, GA, IA, ID, IN, KS, KY, LA, ME, MS, MO, MT, NE, NM, NC, ND, NH, OK, SC, SD, TN, TX, VA, WI, WY Ability to become licensed in additional states as required More important information: Full-time positions available (36-40 hours per week) Your schedule will be evenings and will include at least two weekend days every two weeks. Differential pay may be earned for certain shifts. Training is 2-4 weeks, with the first two weeks during daytime hours. 100% Attendance is required. Training is done in a virtual, interactive classroom setting. For work-from-home positions, your home office must meet certain certification requirements that would be explained to you during the interview process. Compensation & Benefits At Carenet Health, we value the expertise and dedication of our team members, and we are committed to offering an appealing compensation package. The salary range for the Registered Nurse role is $34.00 per hour. In addition, we offer a comprehensive benefits package that includes health, dental, and vision insurance, a 401(k) plan with company match, paid time off (PTO) and holidays, flexible spending accounts (FSAs), employee wellness programs, and career development opportunities. Additional Information Note: Completion of assessments may be required before an applicant can move forward. Completing assessments must be done independently. Any discovery of unauthorized completion, whether during or after the hiring process, will result in disqualification or termination. Carenet Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. Please note that we are not accepting resumes for this position from external staffing agencies or recruiters. To be considered for this role, please submit your application directly through our official career portal.

Clinical Reviewer-RN (Remote U.S.)

Acentra Health

$28.37 - $39.19 / hour

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities: Acentra Health is looking for a Clinical Reviewer-RN to join our growing team. Job Summary: The purpose of this position is to review medical records against appropriate criteria in conjunction with contract requirements to determine medical appropriateness. Responsibilities: Assures accuracy and timeliness of all applicable review type cases within contract requirements. Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. In collaboration with Supervisor, responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas. Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns. Performs all applicable review types as workload indicates. Fosters positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process. Attends training and scheduled meetings and for maintenance and use of current/updated information for review. Cross trains and perform duties of other contracts to provide a flexible workforce to meet client/customer needs. The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications: Required Qualifications A minimum of 2 years of clinical experience. An active unrestricted RN in the South Carolina and/or Compact State clinical license per contract requirements. Preferred Qualifications Bachelor’s Degree is preferred Knowledge of the organization of medical records, medical terminology, and disease process required. Strong clinical assessment and critical thinking skills required. Medical record abstracting skills required. Requires excellent written and verbal communication skills. Medical record abstracting skills required. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range: USD $28.37 - USD $39.19 /Hr.

Registered Nurse (ACCESS Program), Remote

Aledade

As an Aledade Registered Nurse supporting ACCESS, you'll play a behind-the-scenes but mission-critical role in transforming how we manage chronic disease at scale. ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) is built to close the gap between clinical data and real patient outcomes, and you'll be at the center of that work — reviewing patient charts, verifying eligibility, establishing baseline tracking, and releasing standing lab orders for cardio-kidney-metabolic (CKM) conditions. Your clinical judgment and precision directly shape whether patients get the right diagnostic path at the right time. And as the program grows, so does the role: you'll have the opportunity to expand into active patient and provider outreach through our telephony platform, Five9, deepening your impact from behind-the-scenes coordination to direct engagement. Candidates should be comfortable working remotely from anywhere within the US, across all US time zones. Primary Duties: Clinical Coordination Review patients entering the ACCESS program using integrated lab data to identify missing baseline tests, verify clinical indications, diagnosis codes, and elapsed time against standing orders for specific tracks (eCKM vs. CKM). Release standing lab orders in the EHR under the Regional ACCESS Director's authority while documenting medical necessity and ordering intent to meet Medicare clinical laboratory billing requirements. Manage daily order queues with speed, precision, and high clinical accuracy to maintain strict turnaround targets and prevent enrollment delays. Continuous Improvement & Program Partnership Act as a subject matter expert on lab ordering processes and workflows while providing clinical expertise to support the interdisciplinary care team Proactively identify friction, error-prone steps, and automation opportunities to directly optimize initial operations Partner and act as a collaborative thought partner with key stakeholders to test workflows, resolve clinical blockers, and drive operational improvements Other duties as assigned Minimum Qualifications: Associate Degree in Nursing (ADN) from an accredited nursing program Minimum of 2 years clinical nursing experience Active, unrestricted multistate Registered Nurse license through the Nurse Licensure Compact (NLC), with willingness to obtain additional individual state licenses as program needs expand — specifically: California, Alaska, Arkansas, Hawaii, Illinois, Massachusetts, Minnesota, Nevada, New York, and Oregon. Experience with protocol-driven or standing-order work (i.e. Releasing orders, executing physician-delegated tasks, or working from clinical protocols rather than case-by-case) Proven reliability in high-volume, repetitive, and detail-critical work Ability to review and synthesize patient records, validate lab history, and identify outstanding diagnostic requirements. Working knowledge of common laboratory panels and their clinical indications, including lipid panels, HbA1c, eGFR, and uACR. Proficiency with electronic health records (EHRs) and order entry. Strong attention to detail and documentation, ensuring accuracy for compliance and billing Ability to adapt and demonstrate resilience in a fast-paced, evolving healthcare setting Ability to work both independently and as part of a multidisciplinary team Preferred Qualifications: Bachelor of Science in Nursing (BSN) Experience in Value Based Care Organizations Active, unrestricted Registered Nurse (RN) license in Tennessee, New Jersey, Texas, Oregon, Mississippi, Kentucky, or Utah Experience with athenaOne/Athena EHR Experience working with diverse and underserved populations Physical Requirements: Prolonged periods of sitting at a desk and working on a computer Ability to maintain sustained attention and focus during high-volume clinical chart reviews Who We Are: Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place. What Does This Mean for You? At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members: Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays 12 weeks paid parental leave for all new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more! At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

Clinical Assessor RN (Remote + Required Travel)

Acentra Health

$67,300 - $93,050 / year

Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities: Acentra Health is looking for a Clinical Assessor to join our growing team. Job Summary: Acentra Health is seeking clinical assessors statewide in North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations in your region. Under the Personal Care Services (PCS) program, services are provided to NC Medicaid Beneficiaries who have a medical condition, cognitive impairment, or disability who demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes. Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, in specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary. The CAP/PCS Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted individuals to remain in or return to a home and community-based setting. Assessments are generally performed in the beneficiary’s primary residence. *Position is hybrid. Candidates should be based within Cabarrus County of North Carolina (Concord & surrounding cities) to be able to cover the field work involved. Responsibilities: Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s). Ensures that PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment. Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards. Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes. Include an interview with family members and informal caregivers who are present at the time of the assessment. Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers. Conduct service plan reviews as needed. Submit the completed assessments using state-approved interface Participate in the Beneficiary’s mediation and appeal processes. Respond to state inquiries regarding assessments conducted. Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned. Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participant currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s). Ensures that CAP services are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment. Ensures that the privacy and dignity of individuals receiving assessment for CAP participation is maintained at the highest standards. Consult, when necessary, with the Beneficiary’s selected case management entity to generate an approvable service plan. Ensure that the randomly selected Service Plan completed by the Beneficiary’s assigned case management entity is appropriate to the Beneficiary’s unmet need for services, based on the severity of their medical condition, functional disability, physical, or cognitive impairment. Include an interview with family members and informal caregivers who are present at the time of the assessment. Submit the completed assessments using state-approved interface Participate in the Beneficiary’s mediation and appeal processes. Respond to state inquiries regarding assessments conducted. Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications: Required Qualifications Registered Nurse (NC or Compact license) Minimum of two years of nursing experience. This position requires travel up to a 60 mile radius. Preferred Qualifications Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred. Experience conducting PCS assessments highly preferred. 2+ years of home healthcare experience preferred. 2+ years of directly-related experience (preferably case management) in the health or medical field, directly related to homecare, long-term care, or personal care is preferred. Experience conducting HCBS waiver assessments highly preferred. Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT. Knowledge and understanding of public sector services and supports. Computer proficiency in Microsoft Excel, Word and Outlook. Ability to utilize computer equipment and web-based software to conduct work. Ability to interact with various office staff as needed to support necessary workflows. Ability to interact with healthcare professionals, patients, their families and other supports. Ability to communicate effectively to individuals and groups through spoken, written and electronic media. Ability to attend to detail, effectively prioritize and execute tasks in a timely manner. Ability to work independently without a high degree of supervision. Develops level of care recommendations based upon clinical evaluations. Participates in training of PCS stakeholders as needed. Ability to use person-centered thinking, planning, and have competency in awareness of the needs of persons with disabilities. Knowledge of North Carolina Medicaid Clinical Policy 3K-1 and 3K-2, and 42 CFR Part 441 Subpart G, 42 CFR § 440.180. Knowledge of eligibility criteria for LOC and Waiver Participation. Knowledge of standards of practice related to Medicaid waivers, home and community-based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations. Participates in training of CAP stakeholders as needed. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Pay Range: USD $67,300.00 - USD $93,050.00 /Yr.

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