Remote RN Jobs

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

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

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.

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.

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.

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 PT 3:30p-11p + rotating Sat & Sun 3:30p-11p 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 PT 3:30p-11p + rotating Sat & Sun 3:30p-11p 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 (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 10p-7a + rotating Sat & Sun 11:30p-8a 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 (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 10:30p-5a + rotating Sat & Sun 11:30p-8a 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 (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 3p-12a + rotating Sat & Sun 3:30p-12a 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 (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 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.

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

Illinois Licensed Registered Nurse Care Coach - Remote

CircleLink Health

$15 / visit

This is a remote role. CircleLink Health is looking for passionate, tech savvy ILLINOIS registered nurses to work remotely and serve patients enrolled in Medicare’s Chronic Care Management Program. In this part time role (requires about 20 to 25 hours per week, depending on caseload), an RN Care Coach will be assigned a group of patients that they will be following and calling each month. In these monthly calls the Care Coach will provide education, coordinate care, close preventive care gaps, and coach on strategies for self-management to keep patients out of the hospital. This Role Requires Precision, Discipline, and Accountability The Care Manager role is not a step back from bedside nursing — it’s a step into a more complex, structured, and performance-driven environment. To succeed, you must bring more than clinical knowledge: ✅ Excellent documentation skills — Your charting must be complete, timely, and accurate. ✅ Strong time management — Case tasks must be prioritized and closed on schedule. ✅ Ownership of outcomes — Each case is closely tracked for quality, compliance, and effectiveness. Expectations are high, and performance is regularly reviewed. This is not a role where details can be missed or timelines pushed — we need professionals who take initiative, stay organized, and consistently deliver. If you’re ready for a challenging, fast-paced environment where your work is held to high standards and makes a real difference, we encourage you to apply. Key Responsibilities: Utilize our specialized care management software to call a full caseload of Medicare patients with two or more chronic conditions (Diabetes, CHF, Chronic Pain, COPD, etc.) on a monthly basis Build and maintain rapport with patients to help coach them to improved health through SMART goals and education on self-management strategies Implement and improve the Plan of Care by updating medications, appointments due, biometrics, symptoms, and interventions made Connect the patient with community resources as needed, including transportation, personal care needs, prescription/DME assistance, social services, etc. Conduct Transitional Care Management activities to high-risk patients discharged from the hospital and the ER to reduce unnecessary readmissions. Close care gaps by encouraging preventive care measures, i.e. annual well visits, vaccines, cancer screens, follow-up/specialist appointments, etc. Fluent in English Self-directed, able to work independently with little supervision while meeting performance metrics Passion for nursing and improving patient outcomes Good with technology and eager to learn and use new software Excellent organizational and time management skills Strong communication and telephonic skills Strong critical thinking and problem-solving skills Education and Experience: Current, unrestricted Illinois RN license is required Proficiency with EHRs (electronic health records) and web-based applications 3 or more years' experience as a Registered Nurse Preferred Education and Experience: Case Management or Chronic Disease Management experience highly preferred Certified Diabetes Educator desired, but not required Experience with Motivational Interviewing or other behavior change communication techniques is a plus. Scheduling and Other Requirements Must have a STRONG internet-connected computer. Equipment is NOT provided by the company. A minimum of 20 hours of day time availability per week is required between 9am and 6pm Eastern, Monday-Sunday You will commit to your own schedule using our software. This is a 1099 contract position with no end date. Care Coaches are responsible for their own equipment, taxes and insurance. Compensation: Compensation is paid at the rate of $15.00 per initial clinical encounter per patient per month. A clinical encounter occurs after two criteria are met: a patient has a successful clinical call and the patient has 20 minutes or more of time in their chart timer. Ex: If in one hour you called and spoke with 2 patients and spent 20 minutes with each of them, your pay for that hour would be $30.00 ($15.00/pt reached x 2). Paid online training Pay Timing: Your first check will be paid monthly via direct deposit, 40 days after the last day of the month of service. This is due to the time it takes Medicare to process reimbursements. All other checks after the first one will be deposited about 30 days after the last day of the month of service. Fraud Alert: CircleLink Health has identified fraudulent emails sent from @joincirclelinkhealth.team, which is NOT affiliated with our company. Official CircleLink emails come only from @circlelinkhealth.com. Please report any suspicious messages to info@circlelinkhealth.com. About CircleLink Health: CircleLink Health is a company of passionate clinicians, technologists and businesspeople tackling the $600B problem of preventable chronic and post-acute complications. We’re building a world-class Care Management platform to enable providers while accelerating the shift to preventative care instead of status quo reactive care. Learn more about us here.

Illinois Licensed Registered Nurse Care Coach - Remote

CircleLink Health

$15 / visit

This is a remote role. CircleLink Health is looking for passionate, tech savvy ILLINOIS registered nurses to work remotely and serve patients enrolled in Medicare’s Chronic Care Management Program. In this part time role (requires about 20 to 25 hours per week, depending on caseload), an RN Care Coach will be assigned a group of patients that they will be following and calling each month. In these monthly calls the Care Coach will provide education, coordinate care, close preventive care gaps, and coach on strategies for self-management to keep patients out of the hospital. This Role Requires Precision, Discipline, and Accountability The Care Manager role is not a step back from bedside nursing — it’s a step into a more complex, structured, and performance-driven environment. To succeed, you must bring more than clinical knowledge: ✅ Excellent documentation skills — Your charting must be complete, timely, and accurate. ✅ Strong time management — Case tasks must be prioritized and closed on schedule. ✅ Ownership of outcomes — Each case is closely tracked for quality, compliance, and effectiveness. Expectations are high, and performance is regularly reviewed. This is not a role where details can be missed or timelines pushed — we need professionals who take initiative, stay organized, and consistently deliver. If you’re ready for a challenging, fast-paced environment where your work is held to high standards and makes a real difference, we encourage you to apply. Key Responsibilities: Utilize our specialized care management software to call a full caseload of Medicare patients with two or more chronic conditions (Diabetes, CHF, Chronic Pain, COPD, etc.) on a monthly basis Build and maintain rapport with patients to help coach them to improved health through SMART goals and education on self-management strategies Implement and improve the Plan of Care by updating medications, appointments due, biometrics, symptoms, and interventions made Connect the patient with community resources as needed, including transportation, personal care needs, prescription/DME assistance, social services, etc. Conduct Transitional Care Management activities to high-risk patients discharged from the hospital and the ER to reduce unnecessary readmissions. Close care gaps by encouraging preventive care measures, i.e. annual well visits, vaccines, cancer screens, follow-up/specialist appointments, etc. Fluent in English Self-directed, able to work independently with little supervision while meeting performance metrics Passion for nursing and improving patient outcomes Good with technology and eager to learn and use new software Excellent organizational and time management skills Strong communication and telephonic skills Strong critical thinking and problem-solving skills Education and Experience: Current, unrestricted Illinois RN license is required Proficiency with EHRs (electronic health records) and web-based applications 3 or more years' experience as a Registered Nurse Preferred Education and Experience: Case Management or Chronic Disease Management experience highly preferred Certified Diabetes Educator desired, but not required Experience with Motivational Interviewing or other behavior change communication techniques is a plus. Scheduling and Other Requirements Must have a STRONG internet-connected computer. Equipment is NOT provided by the company. A minimum of 20 hours of day time availability per week is required between 9am and 6pm Eastern, Monday-Sunday You will commit to your own schedule using our software. This is a 1099 contract position with no end date. Care Coaches are responsible for their own equipment, taxes and insurance. Compensation: Compensation is paid at the rate of $15.00 per initial clinical encounter per patient per month. A clinical encounter occurs after two criteria are met: a patient has a successful clinical call and the patient has 20 minutes or more of time in their chart timer. Ex: If in one hour you called and spoke with 2 patients and spent 20 minutes with each of them, your pay for that hour would be $30.00 ($15.00/pt reached x 2). Paid online training Pay Timing: Your first check will be paid monthly via direct deposit, 40 days after the last day of the month of service. This is due to the time it takes Medicare to process reimbursements. All other checks after the first one will be deposited about 30 days after the last day of the month of service. Fraud Alert: CircleLink Health has identified fraudulent emails sent from @joincirclelinkhealth.team, which is NOT affiliated with our company. Official CircleLink emails come only from @circlelinkhealth.com. Please report any suspicious messages to info@circlelinkhealth.com. About CircleLink Health: CircleLink Health is a company of passionate clinicians, technologists and businesspeople tackling the $600B problem of preventable chronic and post-acute complications. We’re building a world-class Care Management platform to enable providers while accelerating the shift to preventative care instead of status quo reactive care. Learn more about us here.

Registered Nurse (2993)

US Heart and Vascular

Registered Nurse (2993) Fully Remote • CVBC - Care Management - Irving - Irving, TX 75062 Overview Education Level Associates Degree Category Other Positions Description US Heart and Vascular is seeking a Remote Registered Nurse Care Manager to join our Value Based Care Management team. M-F No weekends!! Position Summary: The Care Manager will perform telephonic Chronic Care Management, Principal Care Management, Remote Patient Monitoring and Transitional Care Management services to coordinate care for patients with chronic cardiovascular diseases and manage their post-acute care. Responsibilities & Duties: Under the general guidance of nurse manager, practice physicians and advanced practice providers, the RN is primarily responsible for the following: Outreaching referred and eligible patients to introduce care management services, obtain verbal consent for enrollment, and document in EHR per standard operating procedures Make outgoing calls to patients to assist patients in managing their chronic diseases - including education about their conditions and treatment regimens, medication management, appointment management Coordinates care across the continuum for patients with chronic cardiovascular conditions in collaboration with primary cardiologist, advanced practice providers, and other members of the multidisciplinary team within outpatient clinic setting Assesses patient health and SDOH need, documenting and implementing care plans that optimize health outcomes Serves as an important liaison for the interdisciplinary team and community organizations inclusive of other inpatient and outpatient care delivery organizations Provide patient-and-family-centered-care in the outpatient setting and telehealth setting, including triaging calls and patient messages in the EHR Provides patient and caregiver education related to health conditions, patient care, transitions of care, and ongoing chronic care management Evaluates remote patient monitoring technology, diagnostics, and laboratory results to engage advanced practice provider for appropriate patient care and interventions Ensures all CMS documentation and billing guidelines are adhered to in EHR Requirements: Requires excellent clinical, communication and organizational skills Requires multitasking and critical analysis Must be able to function independently within the limits of the position Ability to function in a team environment Demonstrate knowledge and competence in care management inclusive of transitional care management and complex care management Demonstrate knowledge and competence in basic cardiovascular technology, i.e., EKG, patient assessment and management of care, labs/hospital test results Strong understanding of population health concepts and clinical documentation requirements Able to demonstrate interpersonal skills to be approachable and understandable to patients, families, and care team members Minimum of an associate's degree in nursing; graduate of an accredited nursing program. Currently licensed to practice as registered nurse with a compact license or licensure for Alabama, Arizona, Kansas, Louisiana, Georgia and Texas Current BLS for Healthcare Providers certification Share job details to

Registered Nurse Phone Triage

Yukon-Kuskokwim Health Corporation

Position Summary: Responsible for the delivery of patient care through the nursing process of assessment, nursing diagnosis, planning, implementation and evaluation. The Registered Nurse in this role is responsible for promptly answering calls from patients from area villages and conducting comprehensive triage assessments over the phone. Using established triage protocols, the nurse will accurately assess patients' medical needs, collaborate with healthcare professionals, and provide guidance to ensure optimal patient outcomes. Additionally, this position involves serving as a knowledgeable resource for colleagues and patients while applying age-specific and culturally sensitive considerations when delivering remote village triage care. The nurse actively supports the mission of Yukon Kuskokwim Health Corporation, with a specific focus on remote village triage services. Position Qualifications: Minimum Education: Must have completed a program of education in nursing from an NLN approved institution. Minimum Experience: Preferred one year experience in health care setting as a Registered Nurse conducting telephone triage. License, Certification, Registration: Must be licensed in good standing in the State of Alaska as a Registered Professional Nurse. Current BLS. The successful candidate will be required to pass and maintain competencies for this position. Equipment/Tools: Office equipment (i.e. computer, telephone, fax machine, copy machine), other telecommunication equipment. Specialized Knowledge and Skills Proficient oral and written communication skills, essential for conducting remote patient assessments and providing clear guidance over the phone. Able to practice nursing as described in the Alaska Statutes regarding the practice of Registered Nursing, ensuring compliance with all relevant regulations. Strong cognitive and technical knowledge required to effectively manage patient care across the continuum of remote triage services. Flexibility with work schedule and the ability to make independent decisions within prescribed limits, adapting to the unique demands of remote triage nursing. Utilization of the nursing process in the provision of patient care, including accurate assessment, treatment administration, interpretation of diagnostic tests, and patient/family/significant other education. Knowledge of medical terminology, enabling effective communication with patients and healthcare professionals. Competence in working within a patient care setting, particularly in a remote telephonic environment. Strong foundational nursing skills to address a wide range of medical inquiries and emergencies over the phone. Ability to read, analyze, and interpret general professional journals, technical procedures, and governmental regulations, ensuring adherence to guidelines and procedures. Effective documentation of actions involved in care delivery and communication with patients and colleagues. Theoretical knowledge of the nursing process, care management, and continuity of care, with the ability to apply these concepts to remote triage services. Proficiency in mathematical skills, including addition, subtraction, multiplication, and division, as well as the ability to compute rates, ratios, and percentages for accurate assessment and triage decisions. Problem-solving skills to address practical challenges and adapt to a variety of concrete variables in remote patient care. Interpretation of instructions furnished in written, oral, diagrammatic, or schedule form, facilitating effective triage assessments and patient interactions. Supervisory Responsibilities -None Benefits Include: Generous PTO – starting at 4.5 weeks per year, accrued over time Eleven paid holidays Comprehensive healthcare coverage Life and Disability Insurance Flexible Spending Account Retirement plans Employee Wellness Center Plus More! C#

RN Triage Nurse

Anchor Health

Anchor Health is looking for a compassionate RN Triage Nurse (Full-Time) to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision of the Nurse Manager, the Triage Nurse is responsible for patient triage via the nurse phone line and Call Center agents, in collaboration with Clinic Administrators, providers, and other departments. The Triage Nurse provides quality patient care in compliance with local, state, and federal regulations, as well as accreditation standards. Principal Responsibilities: Responds to triage calls on the nurse phone line, assessing patient needs and providing appropriate guidance. Manages inquiries on the pharmacy phone line, ensuring timely and accurate responses. Conducts patient assessments over the phone Determines urgency based on a telephone assessment and the patient’s medical history in the electronic medical record (EMR). Utilizes clinical decision-making tools, including algorithms that replicate physician logic, to guide scheduling decisions. Escalates high-risk cases involving symptoms such as chest pain, abdominal pain, or severe headaches, ensuring immediate ER referral or ambulance coordination. Provides home care guidance to patients who do not require emergency services. Maintains thorough documentation of consultations and treatments in the NextGen Electronic Health Record system. Coordinates appointments for non-emergency patients and consults with physicians as necessary. Acts as a resource for patient inquiries when designated as "Ask a Nurse," addressing routine questions such as vaccination schedules. Serves as a clinical resource and role model for nursing staff, promoting best practices. Manages workload effectively, prioritizing tasks and completing them promptly. Assists with medical chart reviews and compiles data for audits and reports. Supports policy development, collaborating with the Managing Nurse to establish nursing protocols and procedures. Ensures clear, concise, and accurate triage documentation. Provides patient education, offering guidance on self-care and medical conditions. Communicates professionally with staff, consultants, patients, families, and the community. Resolves conflicts proactively, improving patient satisfaction through timely responses. Participates in team meetings, training sessions, and planning discussions as needed. Performs additional duties as assigned to support clinical operations. Requirements: Licensed by the State of California as a Registered Nurse. Current BLS certification from the American Heart Association or the American Red Cross. At least one year of experience in an ambulatory care setting. Excellent verbal and written communication skills, including strong organizational, detail-oriented, and interpersonal skills. Proficiency in computer skills and word processing. Employee Benefits: At Anchor Health, we believe in taking care of those who take care of others. If you work 30+ hours per week, you’ll enjoy competitive pay and a robust benefits package that includes: Medical, Dental, Vision Paid time off (vacation, sick leave) 401(k) Short- and long-term disability plans (LTD/STD). Life insurance policy REMOTE position

RN

Telehealth

2 months ago

Evenings Digital Triage Registered Nurse (Contract)

Galileo

$46 - $55 / hour

About Us Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Regional and national health plans, employers, and Fortune 500 organizations trust Galileo as the leading solution to improve population health. Founded by Dr. Tom X. Lee, the healthcare pioneer behind One Medical and Epocrates, Galileo is a team of leading innovators from healthcare, technology, and human-centered design. Our mission is to apply that talent and scientific thinking to transform society by solving our largest, toughest healthcare problems, while at the same time bringing patient and provider closer. About the Role The Digital Triage Nurse is a critical role on the Galileo care team. This individual will collaborate with our multidisciplinary team to ensure our patients receive the highest quality care when they have a clinical concern. This is a 6-month contract position at 40 hours/week. We have several openings with specific schedules noted in the below application questions. Hours for this role will be predominately for our evening shifts. Here’s what you’ll do: Triage and provide clinical support for incoming patient communications Conduct phone assessments of clinical symptoms to determine the best path of care Assist in the development of processes and systems for urgent care and virtual triage Collaborate with clinical care teams to provide excellent patient care for primary and urgent care patients About You: We look for passionate people who are invested in solving complex problems that impact millions of lives. You should be excited about fixing what’s broken to improve care quality and health outcomes for everyone. We believe in a culture that fosters teamwork, excellence, sound decision-making, and excellent clinical care—one that is based on mutual respect and trust. We appreciate individuals who are open and honest about what they’re looking for so we can ensure it’s a fit on both sides. We would love to hear from you if you have the following or equivalent experience: Licensed RN with 2+ years experience doing clinical triage, preferably in ER or primary care setting Active Nurse License Compact (NLC) Active RN license(s) in NY, NV, MI, MN, OR, CA, MA, CT or IL a plus Excellent knowledge of chronic disease states, complex medical conditions, and exceptional ability to complete clinical phone assessments; experience in high acuity clinical environments (eg, ED, ICU) a plus Passionate about continual improvement of the broader system by which we support people in a higher quality, lower cost way Skilled in communicating urgent needs to a diverse group of patients and across teams Skilled in written communication and technology Experience providing culturally appropriate education to patients and their families targeted to their medical literacy level Experience functioning and collaborating on multidisciplinary care teams Possesses excellent problem solving skills and an ability to overcome systematic hurdles in order to fulfill patient needs Experience in geriatrics is a plus Bi-lingual in English and Spanish is a plus Physical Requirements: Employee must be able to meet the following requirements with or without a reasonable accommodation: This is primarily a sedentary position. Physical requirements may include lifting up to 10 pounds, manual dexterity, near/far visual acuity, keyboarding, the ability to hear, understand, and distinguish speech, sitting, standing, walking, and screen usage 8 or more hours per day. Compensation: $46/hr (regular hours) and $55/hr (premium hours) Benefits: Medical / Dental / Vision insurance Flexible Spending Account Health Savings Account + match Company paid STD/LTD, AD&D, and Life insurance Paid Family Leave Paid Time Off 401K + match How We Hire Galileo Health is an equal-opportunity employer and welcomes applicants from all backgrounds. We have recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. We will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments or access to any financial accounts; and/or conduct text-only interviews. If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission .

RN

Telehealth

2 months ago

Overnight Digital Triage Registered Nurse

Galileo

$46 - $55 / hour

About Us Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Regional and national health plans, employers, and Fortune 500 organizations trust Galileo as the leading solution to improve population health. Founded by Dr. Tom X. Lee, the healthcare pioneer behind One Medical and Epocrates, Galileo is a team of leading innovators from healthcare, technology, and human-centered design. Our mission is to apply that talent and scientific thinking to transform society by solving our largest, toughest healthcare problems, while at the same time bringing patient and provider closer. About the Role The Digital Triage Nurse is a critical role on the Galileo care team. This individual will collaborate with our multidisciplinary team to ensure our patients receive the highest quality care when they have a clinical concern. This is a remote, full-time position at 40 hours/week. We are hiring for a RN who can work Sunday through Thursday from 11:00pm to 7:30am ET. Here’s what you’ll do: Triage and provide clinical support for incoming patient communications Conduct phone assessments of clinical symptoms to determine the best path of care Assist in the development of processes and systems for urgent care and virtual triage Collaborate with clinical care teams to provide excellent patient care to primary and urgent care patients About You: We look for passionate people who are invested in solving complex problems that impact millions of lives. You should be excited about fixing what’s broken to improve care quality and health outcomes for everyone. We believe in a culture that fosters teamwork, excellence, sound decision-making, and excellent clinical care—one that is based on mutual respect and trust. We appreciate individuals who are open and honest about what they’re looking for so we can ensure it’s a fit on both sides. We would love to hear from you if you have the following or equivalent experience: Licensed RN with 2+ years experience doing clinical triage, preferably in ER or primary care setting Active Nurse License Compact (NLC) Active RN license(s) in NY, NV, MI, MN, OR, CA, MA, CT or IL a plus Excellent knowledge of chronic disease states, complex medical conditions, and exceptional ability to complete clinical phone assessments; experience in high acuity clinical environments (eg, ED, ICU) a plus Passionate about continual improvement of the broader system by which we support people in a higher quality, lower cost way Skilled in communicating urgent needs to a diverse group of patients and across teams Skilled in written communication and technology Experience providing culturally appropriate education to patients and their families targeted to their medical literacy level Experience functioning and collaborating on multidisciplinary care teams Possesses excellent problem solving skills and an ability to overcome systematic hurdles in order to fulfill patient needs Experience in geriatrics is a plus Bi-lingual in English and Spanish is a plus Physical Requirements: Employee must be able to meet the following requirements with or without a reasonable accommodation: This is primarily a sedentary position. Physical requirements may include lifting up to 10 pounds, manual dexterity, near/far visual acuity, keyboarding, the ability to hear, understand, and distinguish speech, sitting, standing, walking, and screen usage 8 or more hours per day. Compensation: $46/hr (regular hours) and $55/hr (premium hours) Benefits: Medical / Dental / Vision insurance Flexible Spending Account Health Savings Account + match Company paid STD/LTD, AD&D, and Life insurance Paid Family Leave Paid Time Off 401K + match How We Hire Galileo Health is an equal-opportunity employer and welcomes applicants from all backgrounds. We have recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. We will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments or access to any financial accounts; and/or conduct text-only interviews. If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission .

RN

Telehealth

2 months ago

Overnight Digital Triage Registered Nurse

Galileo

$46 - $55 / hour

About Us Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Regional and national health plans, employers, and Fortune 500 organizations trust Galileo as the leading solution to improve population health. Founded by Dr. Tom X. Lee, the healthcare pioneer behind One Medical and Epocrates, Galileo is a team of leading innovators from healthcare, technology, and human-centered design. Our mission is to apply that talent and scientific thinking to transform society by solving our largest, toughest healthcare problems, while at the same time bringing patient and provider closer. About the Role The Digital Triage Nurse is a critical role on the Galileo care team. This individual will collaborate with our multidisciplinary team to ensure our patients receive the highest quality care when they have a clinical concern. This is a remote, full-time position at 40 hours/week. We are hiring for a RN who can work Sunday through Thursday from 11:00pm to 7:30am ET. Here’s what you’ll do: Triage and provide clinical support for incoming patient communications Conduct phone assessments of clinical symptoms to determine the best path of care Assist in the development of processes and systems for urgent care and virtual triage Collaborate with clinical care teams to provide excellent patient care to primary and urgent care patients About You: We look for passionate people who are invested in solving complex problems that impact millions of lives. You should be excited about fixing what’s broken to improve care quality and health outcomes for everyone. We believe in a culture that fosters teamwork, excellence, sound decision-making, and excellent clinical care—one that is based on mutual respect and trust. We appreciate individuals who are open and honest about what they’re looking for so we can ensure it’s a fit on both sides. We would love to hear from you if you have the following or equivalent experience: Licensed RN with 2+ years experience doing clinical triage, preferably in ER or primary care setting Active Nurse License Compact (NLC) Active RN license(s) in NY, NV, MI, MN, OR, CA, MA, CT or IL a plus Excellent knowledge of chronic disease states, complex medical conditions, and exceptional ability to complete clinical phone assessments; experience in high acuity clinical environments (eg, ED, ICU) a plus Passionate about continual improvement of the broader system by which we support people in a higher quality, lower cost way Skilled in communicating urgent needs to a diverse group of patients and across teams Skilled in written communication and technology Experience providing culturally appropriate education to patients and their families targeted to their medical literacy level Experience functioning and collaborating on multidisciplinary care teams Possesses excellent problem solving skills and an ability to overcome systematic hurdles in order to fulfill patient needs Experience in geriatrics is a plus Bi-lingual in English and Spanish is a plus Physical Requirements: Employee must be able to meet the following requirements with or without a reasonable accommodation: This is primarily a sedentary position. Physical requirements may include lifting up to 10 pounds, manual dexterity, near/far visual acuity, keyboarding, the ability to hear, understand, and distinguish speech, sitting, standing, walking, and screen usage 8 or more hours per day. Compensation: $46/hr (regular hours) and $55/hr (premium hours) Benefits: Medical / Dental / Vision insurance Flexible Spending Account Health Savings Account + match Company paid STD/LTD, AD&D, and Life insurance Paid Family Leave Paid Time Off 401K + match How We Hire Galileo Health is an equal-opportunity employer and welcomes applicants from all backgrounds. We have recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. We will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments or access to any financial accounts; and/or conduct text-only interviews. If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission .

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.

Case Manager - Registered Nurse - Southeast Region

CVS Health

$60,522 - $129,615 / year

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services. Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. Prepares all required documentation of case work activities as appropriate. Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. Provides educational and prevention information for best medical outcomes. Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation. Required Qualifications Candidates must live in the Southeast Region (States Include- FL, GA, AL, MS, NC, SC, TN, AR, LA) Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence 3+ years clinical practical experience with preference in the following areas: diabetes, Congestive Heart Failure (CHF), Chronic Kidney Disease (CKD), post-acute care, hospice, palliative care, cardiac, home health with Medicare members 2+ years case management, discharge planning and/or home health care coordination experience 2+ years of experience with Microsoft Word, Excel, and Outlook Preferred Qualifications Previous work from home experience in a healthcare related field Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills Ability to work independently Certified Case Manager National professional certification (CRC, CDMS, CRRN, COHN, or CCM) Efficient and effective computer skills including navigating multiple systems and keyboarding Education Associate's Degree in Nursing or Nursing Diploma (REQUIRED) Bachelor's Degree in Nursing (PREFERRED) License Active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 07/16/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Clinical Guide Part A: Utilization Management Nurse

Devoted Health

$85,000 - $95,000 / year

Job Description Schedule: The weekly schedule choice is either Monday - Friday 10am-7pm EST OR Tuesday - Saturday 9am-6pm EST A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient, behavioral health, and/or post-acute authorization review in alignment with CMS and Medicare Advantage regulations. Reviews medical records to evaluate the medical necessity and appropriateness of requested inpatient and/or post-acute services in accordance with established clinical criteria and CMS guidelines. Your Responsibilities and Impact will include: Review Medical Records: Conduct prospective (pre-service), concurrent, and retrospective utilization review to evaluate medical necessity, appropriate level of care (Inpatient vs. Observation), and post-acute services in accordance with established clinical criteria and CMS guidelines. Evaluate Treatment Plans: Assess the appropriateness, timing, and setting of requested services, ensuring alignment with medical necessity criteria and Medicare Advantage requirements. Recommend alternative levels of care when clinically appropriate. Inpatient & Behavioral Health Review: Perform initial, concurrent, and discharge reviews for inpatient and behavioral health admissions. Ensure admission status accuracy and regulatory compliance with CMS timeliness (TAT) standards. Post-Acute Review: Conduct initial authorization and concurrent review for post-acute services (SNF, LTACH, ARU, Home Health), evaluating ongoing medical necessity and appropriate length of stay. Issue NOMNC when coverage criteria are no longer met. Medical Director Collaboration: Refer cases that do not meet criteria to the Medical Director for secondary review and final determination. Prepare clinical summaries and coordinate peer-to-peer (P2P) discussions. Manage authorization reopen requests as appropriate. Resource Stewardship: Monitor utilization of inpatient and post-acute services to promote appropriate resource use while maintaining high-quality, member-centered care. Regulatory & Documentation Compliance: Maintain accurate, defensible documentation of all determinations. Ensure adherence to CMS regulations, Medicare Advantage requirements, and internal compliance standards. Required skills and experience: Unrestricted RN license with a minimum of 4 years of clinical experience. Minimum 3 years of Utilization Management or Inpatient UR experience within a health plan or hospital setting. Strong knowledge of CMS regulations and Medicare Advantage requirements. Experience preparing cases for Medical Director review Able to work in a fast paced environment that is constantly evolving. Desired skills and experience: Experience with AI/LLM Certified in InterQual #LI-Remote #LI-DS1 Salary Range: $85,000-$95,000 / year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience. Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Pediatric Registered Nurse

Imagine Pediatrics

$40 - $47 / hour

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The primary location for this position is remote (CST required). Expected schedule will be 3x12s (Monday-Wednesday or Wednesday-Friday) 7:00am-7:00pm CST. Nurses must reside in Tennessee, Missouri, Louisiana or Illinois. What You’ll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem. You leverage an integrated technology platform and are complimented by an entire interdisciplinary team including MDs, APPs, social workers, navigators, pharmacists, and dietitians. In this role, you will: Provide professional and friendly proactive care and triage for clinical issues. Embed a family centered care philosophy in care delivery. Demonstrate cultural competence and sensitivity as ability to work with culturally diverse populations and seek out additional resources when needed. Transition of care for ED/IP/UC care coordination with clinical providers following discharge. Perform a comprehensive assessment of a patient’s clinical, psychosocial, discharge planning and financial needs. Establishes clinical milestones and goals related to these issues. Establish rapport and a relationship with the patient and family in order to understand their needs and expectations and to assist them in setting realistic and mutual goals. Integrate an awareness of cultural factors in the patient/family interview process and elicit clinically relevant cultural information. Establish, in conjunction with the physician, the patient and interdisciplinary team, a comprehensive plan of care to appropriately address clinical milestones. Communicate plan of care, including changes and issues related to plan of care to patient/family, physicians and other members of the healthcare team. Gather sufficient information from all relevant sources to determine the effectiveness of the plan of care to assure it is done in an accurate, safe, timely and cost-effective manner. Document all care management assessments and interventions. Refer to Social Worker or Behavioral Health for complex psychosocial and discharge planning issues (per criteria) and ensures appropriate follow-up. Consults with other members of the interdisciplinary team (dietary, pharmacy, etc.) to provide safe discharge as appropriate. Perform other duties as assigned What You Bring & How You Qualify First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with special health care needs gets the care and support they deserve. You will need: Licensed RN in at least one state with eligibility to register for other state licensures. Bachelors in nursing from an accredited university required. 5+ years of pediatrics experience required Outpatient (primary care and/or subspecialty), home health, complex care, pediatric ICU, emergency medicine, etc. strongly preferred 1+ years' experience in care coordination or case management experience preferred Bilingual Spanish preferred Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We’re guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward — together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Clinical Care Coordinator - RN (Remote within Florida) Template FL UM/CM

Acentra Health

$36.72 / 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 company’s mission, actively engage in problem-solving, and take ownership of your work daily. 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 is looking for a Clinical Care Coordinator RN (Remote within Florida) to join our growing team. Job Summary As a Clinical Care Coordinator RN, you will play a pivotal role in ensuring seamless care coordination and advocacy for patients enrolled in the care management program. In this role, you will act as a trusted patient advocate, facilitating immediate communication between patients and providers to ensure timely access to necessary care and resources. Leveraging your clinical expertise, you will conduct comprehensive medical record reviews, applying appropriate criteria in alignment with contract requirements. Utilizing critical thinking and sound decision-making, you will assess medical necessity while maintaining productivity goals and quality assurance standards. Additionally, you will ensure compliance with NCQA, URAC, and other regulatory guidelines, contributing to the highest standards of patient care. ** To qualify for this role, you must reside and work remotely from the state of Florida ** ** Work Schedule: Monday through Friday, 8:00 AM – 5:00 PM Eastern ** ** Occasional travel (up to 5% annually) within the State of Florida may be required ** ** Access to a dedicated, private, and secure workspace at home, free from distractions, to ensure productivity and confidentiality. ** ** Access to reliable, high-speed internet service. ** Responsibilities Ensure the responsible and comprehensive delivery of services to enrollees, supporting high-quality patient care. Conduct initial assessments for supervisor/lead evaluation to determine appropriate case manager or health coach assignments. Actively participate in interdisciplinary team meetings, collaborating on assessments and care coordination to ensure optimal patient outcomes. Proactively contribute to quality management program activities, supporting the Health Services team in delivering high-performance outcomes. Assist in achieving and maintaining accreditations for designated programs by ensuring compliance with regulatory standards. Provide education, guidance, and resources to beneficiaries, families, and providers to promote informed healthcare decisions. Review and interpret patient records, applying established criteria to assess medical necessity and appropriateness of care. Determine approval or escalate cases to a physician consultant when necessary, ensuring all decisions—including denials—are clearly documented with sufficient rationale. Accurately abstract and document case data and medical information using appropriate review tools in a timely manner. Ensure the accurate and timely submission of all administrative and review-related documentation to the appropriate parties. Conduct ongoing reassessments of the review process, identifying opportunities for improvement and implementing necessary changes. Build and maintain positive, professional relationships with internal and external stakeholders to facilitate effective care coordination. Stay up to date by attending training sessions and scheduled meetings, applying the latest policies and procedures in clinical reviews. Maintain strict confidentiality of medical records by adhering to HIPAA regulations, using secure systems, and safeguarding sensitive information. Utilize professional communication—both verbal and written—following Acentra Health's policies, procedures, and guidelines. Actively cross-train to support other contracts within the Acentra Health network, ensuring a flexible workforce that adapts to client and consumer needs. The list of responsibilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary. Qualifications: Required Qualifications/Experience: Must have an active, unrestricted Registered Nurse (RN) Florida state license and/or Compact State Clinical license. 2+ years of pediatric experience, demonstrating expertise in pediatric care. Graduate of an accredited Associate, Bachelor’s, Master’s degree program or a Diploma in Nursing. Valid driver’s license with a clean Motor Vehicle Record (MVR) and reliable transportation for up to 5% annual travel within the state of Florida. Strong clinical assessment and critical thinking skills, enabling effective patient evaluation and care coordination. This role requires fingerprinting for the state of Florida. Preferred Qualifications/Experience: Proficiency in computer systems, including care management applications, internet-based tools, and Microsoft Office (Word, Excel). Experience in medical record abstracting, ensuring accurate and efficient data retrieval. Knowledge and familiarity with public sector health coverage systems (e.g., Medicare/Medicaid). Knowledge of current Utilization Review Accreditation Commission (URAC) standards and compliance requirements. Knowledge of National Committee for Quality Assurance (NCQA) standards and best practices. Excellent verbal and written communication skills, ensuring clear, professional interactions with patients, providers, and stakeholders. Comprehensive understanding of care management principles, ethics, and service delivery standards. Solid prioritization and organizational abilities, managing workload efficiently while maintaining high-quality standards. Knowledge of customer service principles, ensuring a patient-centered approach to care. Proficient telephonic interviewing skills, enabling effective assessments and engagement. Ability to accept and apply feedback professionally, continuously improving performance and productivity. Familiarity with medical record organization, medical terminology, and disease processes, ensuring accuracy in case review and documentation. #LI-SD1 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. 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 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. Visit us at Acentra Health 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: Up to USD $36.72/Hr.

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