HCA HealthOne

Clinical Nurse Coordinator Med Tele

$40.35 - $58.87 / hour
Hourly Wage Estimate: 40.35 - 58.87 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. As a Clinical Nurse Coordinator Med Tele, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. Youll help shape decisions that elevate both patient outcomes and the future of nursing. Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. What you will do in this role: Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care. Participates in the ongoing assessment of the quality of patient care services provided in the unit, in collaboration with other members of the management team. Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. Supports a patient-first philosophy and engages in service recovery when necessary. Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including employee rounding, hourly rounds, and other initiatives. Provides recommendations related to interviewing, selecting, and training new staff. Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization. Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines. Supports proper inventory control and assists with managing supplies and equipment. The Clinical Nurse Coordinator provides leadership through the collaboration of the Director/Designee through planning, organizing, coordinating, monitoring and evaluating the care provided for patients. The delivery of care is based on criteria that is age appropriate and is based on the physical, psychosocial, cultural, safety and learning needs of the individual patients. Responsibilities include but are not limited to: fiscal, human resource, and operational functions. The Clinical Nurse Coordinator performs delegated duties consistent with the scope of practice and functions within the philosophy and overall plan of care at Swedish Medical Center and displays positive support for the overall goals, values and mission of Swedish Medical Center. What qualifications you will need: 2 years progressive supervisory or charge nurse experience preferred. 2 years clinical RN experience preferred. Current licensure in the State of Colorado as a Registered Nurse, or current active multistate nursing licensure. Current BCLS through AHA or ARC. Bachelor Science Nursing or Bachelor’s degree in health related field required. Graduate of a certified school of nursing. Benefits HCA HealthONE Swedish, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. " Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future." Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC Senior Vice President and Chief Nurse Executive HCA Healthcare HCA HealthONE, one of the largest and most comprehensive healthcare systems in the Rocky Mountain region, offers more than 170 care sites in the Denver metro area. Offering services across the continuum of care to meet patients’ total healthcare needs, HCA HealthONE includes seven acute care hospitals, a dedicated flagship pediatric hospital, a rehabilitation hospital, CareNow® urgent care clinics, mental health campuses, imaging and surgery centers, physician practices, home and hospice care, and AirLife Denver, which provides regional critical care air and ground transportation. Among HCA HealthONE’s acute care hospitals is Swedish, a proud member of the community for more than 115 years. An acute care hospital with 408 licensed beds, HCA HealthONE Swedish is a national leader in neurosciences and serves as the region’s preeminent referral center for the most advanced stroke treatment and was the state’s first Joint Commission-certified Comprehensive Stroke Center. HCA HealthONE Swedish is also home to a robust robotics program, a certified burn and reconstructive center, and a wide-ranging oncology center. Consistently among the Denver Business Journals’ list of top corporate philanthropists in the Denver-metro area, HCA HealthONE was named as one of the most community-minded organizations by The Civic 50 and contributed more than 1 million through cash and in-kind donations last year alone, along with more than 400M in federal, state and local taxes. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If this opportunity is your next step in your career path, we encourage you to apply for our Clinical Nurse Coordinator Med Tele opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Trident Health System

Clinical Nurse Coordinator Med Tele

$40.35 - $58.87 / hour
Hourly Wage Estimate: 40.35 - 58.87 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. As a Clinical Nurse Coordinator Med Tele, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. Youll help shape decisions that elevate both patient outcomes and the future of nursing. Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. What you will do in this role: Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care. Participates in the ongoing assessment of the quality of patient care services provided in the unit, in collaboration with other members of the management team. Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. Supports a patient-first philosophy and engages in service recovery when necessary. Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including employee rounding, hourly rounds, and other initiatives. Provides recommendations related to interviewing, selecting, and training new staff. Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization. Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines. Supports proper inventory control and assists with managing supplies and equipment. The Clinical Nurse Coordinator provides leadership through the collaboration of the Director/Designee through planning, organizing, coordinating, monitoring and evaluating the care provided for patients. The delivery of care is based on criteria that is age appropriate and is based on the physical, psychosocial, cultural, safety and learning needs of the individual patients. Responsibilities include but are not limited to: fiscal, human resource, and operational functions. The Clinical Nurse Coordinator performs delegated duties consistent with the scope of practice and functions within the philosophy and overall plan of care at Swedish Medical Center and displays positive support for the overall goals, values and mission of Swedish Medical Center. What qualifications you will need: 2 years progressive supervisory or charge nurse experience preferred. 2 years clinical RN experience preferred. Current licensure in the State of Colorado as a Registered Nurse, or current active multistate nursing licensure. Current BCLS through AHA or ARC. Bachelor Science Nursing or Bachelor’s degree in health related field required. Graduate of a certified school of nursing. Benefits HCA HealthONE Swedish, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. " Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future." Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC Senior Vice President and Chief Nurse Executive HCA Healthcare HCA HealthONE, one of the largest and most comprehensive healthcare systems in the Rocky Mountain region, offers more than 170 care sites in the Denver metro area. Offering services across the continuum of care to meet patients’ total healthcare needs, HCA HealthONE includes seven acute care hospitals, a dedicated flagship pediatric hospital, a rehabilitation hospital, CareNow® urgent care clinics, mental health campuses, imaging and surgery centers, physician practices, home and hospice care, and AirLife Denver, which provides regional critical care air and ground transportation. Among HCA HealthONE’s acute care hospitals is Swedish, a proud member of the community for more than 115 years. An acute care hospital with 408 licensed beds, HCA HealthONE Swedish is a national leader in neurosciences and serves as the region’s preeminent referral center for the most advanced stroke treatment and was the state’s first Joint Commission-certified Comprehensive Stroke Center. HCA HealthONE Swedish is also home to a robust robotics program, a certified burn and reconstructive center, and a wide-ranging oncology center. Consistently among the Denver Business Journals’ list of top corporate philanthropists in the Denver-metro area, HCA HealthONE was named as one of the most community-minded organizations by The Civic 50 and contributed more than 1 million through cash and in-kind donations last year alone, along with more than 400M in federal, state and local taxes. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If this opportunity is your next step in your career path, we encourage you to apply for our Clinical Nurse Coordinator Med Tele opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Promed Staffing Resources

Med/Surg Tele RN – Nights | Bastrop, LA

$2,002 / week
Looking for your next travel adventure in Louisiana? This 13-week Med/Surg Tele night shift assignment offers competitive weekly pay and a schedule designed to help you actually rest between shifts. If you're an experienced Med/Tele RN ready to hit the ground running, keep reading. Assignment Details - Specialty: Medical Surgical / Telemetry (RN) - Location: Bastrop, LA (West Monroe/Monroe area recommended for housing) - Start: ASAP / Per assignment agreement - Length: 13 weeks - Shift: 3x12 nights, 7:00 PM – 7:00 AM - Shifts are typically grouped together to support a healthy sleep schedule - Schedule flexibility may be required outside of approved RTO - Pay: $2,002.00 gross per week Requirements - Active Louisiana RN license or multistate compact license - BLS certification (AHA) – must be on file at time of submission - ACLS certification (AHA) – must be on file at time of submission - Med/Tele RN experience required A Note on Housing Housing availability in Bastrop can be limited. Most travelers stay in the West Monroe or Monroe area. We strongly recommend securing housing prior to submission. Apply today — submit your profile and certifications to get the process started fast.
Austin Regional Clinic

Registered Nurse (OB/GYN Centralized Phone Triage) - Remote Opportunity *New Hire Signing Bonus*

ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/ PURPOSE Under general supervision, provides routine nursing care via telephone within the limits of nursing knowledge, education, licensure, experience and ethical, legal standards of care. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization. ESSENTIAL FUNCTIONS Assesses and prioritizes medical needs via telephone and directs patients to appropriate and necessary care. Calls pharmacy with prescription refills as prescribed by and under the direction of the physician. Guides evaluation including instructing patient/caller how to evaluate normal/abnormal symptoms, effectiveness of treatment and when to call back. Documents symptoms/complaints, nursing assessment, advice and patient/caller response. Follows policies, procedures, and protocols to ensure consistency and departmental effectiveness as well as improve health care outcomes of patients/callers and their access to appropriate health care. Collects data and make assessments, develops a working diagnosis, determines interventions and disposition per guidelines. Demonstrates best practices and quality care. Assesses the physical, social, and emotional needs of patients and families. Teaches and counsels patients and families concerning heath assessment and care including prevention of disease and health maintenance. Accurately and completely reports and documents status, care rendered, response to care, provider orders, contacts with patient and/or other healthcare providers. Accurately and completely performs patient follow-up activities including laboratory results and diagnostics, appointments, referrals, medications, and call backs. Participates in orienting, training, and guiding team members. Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct. Regular and dependable attendance due to teamwork, face to face interaction with patients and/or working with equipment. Follows the core competencies set forth by the Company, which are available for review on CMSweb. Works holiday shift(s) as required by Company policy. OTHER DUTIES AND RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education and Experience Education: High school diploma or equivalent. Graduation from an accredited school of nursing. Experience: Required: One (1) or more years of RN experience or one (1) or more years of nursing experience working in triage. Preferred: Telephone triage experience. Previous experience in an ambulatory, hospital, or home health setting. Bilingual in English and Spanish. Certificate/License Current licensure as a Registered Nurse (RN) in the State of Texas. Required to maintain a current registered nursing license during employment. Knowledge, Skills and Abilities Knowledge of all activities associated with the delivery of quality nursing practices and duties assigned to this role. Skill in nursing practices within the scope of responsibilities assigned to this role. Skill in organization and efficiency. Ability to manage multiple nursing activities simultaneously with frequent interruptions in a fast –paced environment Ability to have excellent attention to detail. Ability to utilize computer software and associated programs to triage and send reports to appropriate agencies or clinics. Ability to use nursing judgment as an adjunct to the computer Software Program to reach appropriate dispositions and care advice. Ability to respond appropriately to emergency situations. Ability to apply nursing principles, practices and techniques. Ability to exercise initiative and judgment in selecting proper treatment. Ability to engage others, listen and adapt response to meet others’ needs. Ability to align own actions with those of other team members committed to common goals. Ability to demonstrate personal responsibility and accountability and reflect a positive image in dress and demeanor. Skill at finding and providing solutions that are customized to meet customers’ needs and concerns. Ability to apply standardized processes appropriately; continuously improving processes. Ability to collaborate with other groups and departments to reach common goals. Ability to continuously adapt and contribute to meet growth and market needs of the company and own career. Ability to demonstrate functional capabilities in areas related to job roles; continuously seek to advance knowledge. Ability to readily learn and apply information technology applications and take responsibility for updating skills. Excellent computer and keyboarding skills, including familiarity with Windows. Excellent verbal and written communication skills. Ability to manage competing priorities. Ability to perform job duties in a professional manner at all times. Ability to understand, recall, and communicate, factual information. Ability to understand, recall, and apply oral and/or written instructions or other information. Ability to organize thoughts and ideas into understandable terminology. Ability to apply common sense in performing job. Ability to understand and follow instructions and guidelines. Work Location: Training and orientation at our Administrative facility. Work-from-home opportunities after ~90 days. Must reside in Texas and be willing to attend on-site training and occasional in-person department meetings in Austin, TX. Work Schedule: Monday-Friday 8:30am to 5:30pm
Tucson Medical Center

Registered Nurse Virtual Nurse - Med Surg

Summary A virtual registered nurse (RN) is responsible for the remote patient management and care in the inpatient setting. The virtual RN serves as a member of the healthcare team by collaborating, communicating, and facilitating care with all clinicians, patients and families. The virtual RN supports nurses from a remote location who are working in the patient care unit. Essential Functions Provides direct and indirect patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure safe patient care through a virtual platform. Gathers initial nursing histories, assesses patients' conditions and develops individual care plans in collaboration with direct care nurse; maintains patient documentation. Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all units, and notes patients' condition. Notifies appropriate clinician regarding any unusual or unexpected events or problems requiring direct physician consultation. Works with direct care RN to implement and reinforce patient instructional needs with patient and family offering informational material and pointing out special areas of concern through a virtual platform . Evaluates outcomes of patient care and working with the direct care nurse, adjusts nursing care processes as necessary to ensure optimal patient care. Identifies and resolves workplace health and safety issues. May serve as secondary RN when appropriate to do so through a virtual platform to confirm medications, patient assessment, laboratory and blood products. Complies with policies, procedures, regulations, and standards and takes corrective action when violations occur. Orients, instructs, and educates assigned personnel. Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards. Performs related duties as assigned. Minimum Qualifications EDUCATION : Graduation from a qualified, nationally accredited nursing program. Bachelor’s Degree in Nursing preferred. EXPERIENCE : A minimum of five (5) years in acute care experience is required. LICENSURE OR CERTIFICATION: Current RN licensure permitting work in the State of Arizona and Basic Life Support (BLS) certification required. Certification in specialty preferred. Knowledge, Skills And Abilities Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care. Knowledge of exam indicators, contraindications and patient preparation. Skill in communicating in a clear and concise manner with staff involved in critical care, and physicians to ensure the proper care of patients. Skill in reading 12-lead EKG. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to complete routine reports and correspondence. Ability to listen and accurately interpret others’ communication or instructions to take appropriate action. Ability to speak and communicate effectively. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables. Ability to fluently work with virtual nursing technology.
Pharmko

Remote Care Manager- RN/ Colorado

CCM/RPM The ideal candidate works in collaboration and continuous partnership with chronically ill patients and their family/caregiver(s), clinic/hospital/specialty provider and staff, and community resources in a team We are seeking a bilingual and remote care manager to join our rapidly growing team at Preventel Health performing Chronic Care Management (CCM), Remote Patient Monitoring (RPM) and Behavioral Health Integration (BHI) by telephonically delivering health and wellness calls to assigned patients. Responsibilities: Remotely providing basic patient coaching and care to improve patient outcomes Develop a care plan with the patient, family/caregiver(s) and provider Monitor patient outcomes, adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner and facilitate changes as needed Coaching and educating patients on improving their Chronic Conditions, preventive care and physician directives Telephone outreach to English and Spanish-speaking patients Facilitate CCM, RPM and BHI program enrollment Concise and accurate documentation Cultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referral Requirements: Must be mininally licensed RN COLORADO Must have good customer service skills Prefer Bilingual (Spanish) Knowledgeable with Microsoft Office Reliable Computer with internet COMPENSATION: Based on a base plus incentive model.
University of Miami Health System

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
Community Medical Centers

RN, ED Inpatient Tele

Overview Opportunities for you! Comprehensive relocation package and concierge service Progressive sign-on incentive paid over time for eligible candidates Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) RN Advancement Pathway for growth, built for nurses, by nurses Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities You love what you do, now love where you do it. At Community Health System, you’ll be part of a dedicated nursing team committed to delivering safe, skilled and compassionate care across our hospitals. As a Registered Nurse, you’ll support a diverse patient population and collaborate closely with interdisciplinary teams to ensure high‑quality, patient-centered outcomes. This role offers the opportunity to apply your clinical expertise in an environment built on teamwork, learning, and continuous improvement. In this role, you provide direct patient care using evidence-based practices, complete thorough assessments and implement individualized care plans to support optimal recovery. You coordinate and communicate with physicians, ancillary staff and families to ensure continuity and clarity throughout each patient’s stay. You maintain accurate, timely documentation and uphold all safety and regulatory standards while actively contributing to a culture of collaboration, professionalism, and accountability. Qualifications High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Current and valid Registered Nurse license to work within the state of California required Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.
Acentra Health

Clinical Reviewer-RN (Remote U.S.)

$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.
UnitedHealthcare

Senior Clinical Admin Nurse RN - Emerging CARE - Remote

$60,200 - $107,400 / year
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together Be part of an exciting opportunity combining your entrepreneurial drive and passion to help others. This is a new program to build trusted relationships with members across the continuum of care as a registered nurse providing guidance and education as appropriate. The goal of this program is to provide a front line clinical resource to provide education and support of members about management of their health and well-being. This role is very customer service oriented and benefits from a nursing generalist background. Candidate must be willing to work weekdays 11:00 am - 8:00 PM CST, including Saturdays 8:00 am - 5:00 PM CST. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Acts as resource to members calling into a customer service setting addressing medical/health questions Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member Provide process and status on previously submitted prior authorizations or pre-determination requests Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility Support and advocate for members and families in complicated medical situations Use good nursing judgement in a variety of scenarios real time Accurately documents member interaction across multiple databases, while on the call and appropriate follow all processes and procedures Educates members in healthcare decision making Takes lead role in setting direction and participating in or developing new program and initiatives to improve performance of new program Ability to collaborate with peers and managers to improve service model performance Assists with the development and implementation of departmental policies and procedures Enjoys working in a fast paced environment and must be able to adapt quickly to change while executing efficiently You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted RN compact license 4+ years of acute nursing experience as an RN 2+ years of case management experience Med-surg, critical care and/or ER experience Basic computer proficiency (ie MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Behavioral health/substance use disorder experience Pediatric experience Utilization management experience Adverse Determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
UVA Health

Registered Nurse Residency-Med/Tele

$33.02 - $56.87 / hour
Registered Nurse Residency Job Code: RN2527 Full Time Nights 7p-7a with weekends rotate This position is eligible for $7500 Sign on Bonus! ABOUT US We are ushering in a new era of healthcare where achieving good health is just the beginning. At UVA Community Health, part of the world-class UVA Health academic health system, we are committed to caring for the whole person by building meaningful connections with our patients i n the local setting of UVA Health’s community hospitals, outpatient locations, and provider offices. By combining our team’s talent and expertise, the breadth of capabilities across the entire UVA Health system, and our dedication to community wellness, we are bringing expert care close to home. As a member of the UVA Community Health team, individuals contribute to patient care decisions, support advanced medical technologies, and experience the satisfaction of making a difference in people’s lives every day. JOB TYPE Classification: Non Exempt Supervises Positions: JOB SUMMARY The Nurse Resident is a Registered Nurse (RN resident) that serves as a leader of the healthcare team at UVA Health Northern VA Culpeper by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement, and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. The RN resident utilizes best scientific evidence and compassion to assist the patient in navigating their health journey. The RN resident accepts responsibility, authority, and accountability for management and provision of care in accordance with the current policies and procedures. QUALIFICATIONS Education: Graduate of an accredited School of Nursing and successful completion of the NCLEX required. 4 Year/Bachelor's Degree in Nursing (BSN) preferred. Experience: Refer to the Life Support Training Policy for additional details. Licensure: Current RN licensure in applicable state required. Additional Skills/Requirements Required: Willingness to learn and demonstrate excellent customer service, verbal and non-verbal communication techniques, interpersonal relationship skills, conflict resolution, and critical thinking and information technology skills. Additional Skills/Requirements Preferred: N/A Competencies: Patient Care: Acts with patient advocacy when implementing the interdisciplinary plan of care. Collaborates with healthcare team to educate patient and their support system. Analyzes, modifies, and implements strategies to progress the patient through their plan of care. Ensures completion of nursing interventions, medical orders, and other related therapies. Prioritizes job duties according to patients' needs and changing acuity levels. Communication: Consistently utilizes appropriate communication tools when communicating within the interdisciplinary team and when handing off patient care. Communicates individualized plan of care to the patient and his/her chosen support system. Uses communication tools such as Situation, Background, Assessment, Recommendation, and Question (SBARQ) to communicate more effectively. Documents appropriate information in a timely manner. Teamwork:Develops and maintains positive relationships with team members/internal customers to provide efficient treatment of patients. Develops team members through mentoring, precepting, orientation, and providing feedback. Resolves conflicts independently, as appropriate. Accepts responsibility for actions and responds positively upon feedback from others. Medical Knowledge: Demonstrates medical skills to provide required patient care. Operates various equipment including portable cardiac monitors, bedside commodes, etc. Provides routine nursing care such as starting IVs, performing dressing changes, etc. for multiple patients in a timely manner. Assists in critical situations including administering CPR. Administers and evaluates medication therapies, performs patient transfers, and transports patients via wheelchair, hospital bed, or stretcher to other departments. The incumbent may be asked to perform additional duties as assigned. PHYSICAL DEMANDS Physical Demand Code: Medium to Heavy Physical Demand: The job requires constant standing, frequently walking, and bending/stooping. Proficient communicative, auditory, and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull 100 lbs. For any weight over 35 lbs., use Safe Handling Equipment. This job description may not include all assigned duties, responsibilities, or aspects of the job described. It may be amended at any time at the sole discretion of UVA Community Health. OTHER May require the use of safety equipment, such as HEPA mask, for infection prevention: Yes On call responsibilities as directed: Yes Ability to travel between campus buildings, remote facilities, and out of town as needed: Yes The base compensation range for this role is $33.02 - $56.87 hourly. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education. Please note that the pay range does not include any applicable incentive compensation programs such as shift differentials, clinical ladders, and other incentives that may be available for those in eligible positions. The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.
Molina Healthcare

Care Manager (RN) - Must live in IA

$25.08 - $51.49 / hour
Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications • Certified Case Manager (CCM). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $25.08 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VIGILINT

Registered Nurse- MSRT/ Flight Nurse - Other Programs

VIGILINT is a unique medical operations company that provides advisory, planning, logistics, medical operations, and crisis management services to high-net-worth individuals, Fortune 500 companies, and government clients. The nature of our clientele and the type of work we engage in demand unparalleled excellence, handled with the utmost discretion. VIGILINT’s team is tight-knit. Our world-class physicians, subject matter experts, and operational staff work side-by-side to solve complex medical emergencies around the globe. The work is fast-paced and different every day. Employees are empowered to lean in, work creatively and collaboratively to find new solutions to emerging problems. MSRT Registered Nurse: Must be available for at least one (1) ~60 day rotation OCONUS annually, plus additional training/screening events. This position will be available to support Mobile Surgical Resuscitation Team activities to include: Provide critical care nursing in austere and limited resource environments Work with other members of a small team to provide direct and individualized nursing care to critical and postoperative patients. This includes routine and invasive hemodynamic monitoring, full spectrum medication administration and medical documentation. Provide consultation and advice to patients and customers as the nursing care subject matter expert Administers intravenous fluids, vasoactive medications and blood products Prepare equipment, and aid providers during examination and treatment of patients Monitor and adjust specialized equipment used on patients, and interpret electronic displays, such as intracranial pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from cardiac monitors, respirators, ventilators, manometers, oxygen pumps, etc. As needed, conduct Critical Care Air Transport (CCAT) missions for ICU level patients Assist with the provision of and direction of routine (Sick Call) medicine Performs special staff functions as required Perform basic medical training and instruction when requested Flight Nurse - Other Programs: Must be available for at least one (1) ~60 day rotation OCONUS annually, plus additional training/screening events.This position will be available to support Critical Care Evacuation Teams, Rotary Wing, and Fixed Wing activities to include:. Provide critical care nursing in austere and limited resource environments Evaluate the condition of critically ill patients upon flight arrival and commencing with treatment Perform advanced critical care interventions and monitors vitals throughout the flight Administer intravenous fluids, vasoactive medications and blood products Prepare equipment, and aid providers during examination and treatment of patients Monitor and adjust specialized equipment used on patients, and interprets electronic displays, such as intracranial pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from cardiac monitors, respirators, ventilators, manometers, oxygen pumps, etc. Manage a ventilator with limited or no additional support Work with other members of a small team Document care provided and complete medical records in accordance with VIGILINT policy Based on qualifications and experience, may function in a leadership position Perform special staff functions as required Perform medical training and instruction when requested Must be a legal resident of one of the 50 U.S. states; residency in a U.S. territory does not meet this requirement. Active SECRET or higher security clearance Current and unrestricted license in the United States or U.S. Territory Current US Board Certification as a CCRN or CEN Current/active civilian practice to maintain clinical currency during non-deployed periods Experience shall include deployment in austere or combat-like conditions in Role 1, 2, or 3 facilities United States citizen Bachelor level graduate from an Accredited Registered Nursing Program Current ACLS, PALS, & BLS training through American Heart Association or Red Cross Current United States Passport that will not expire within 1 year of employment STRONGLY DESIRED QUALIFICATIONS Ability to lift 150 pounds with assistance; carry 80 pounds a distance of 30 feet and push/pull over 200 pounds, must meet the anthropometric standards of assigned platform CFRN certification within 1 year of employment Current PHLTS certification Minimum five (5) years of RN experience (Minimum of eight (8) years’ experience to serve as a SME) Minimum of five (5) years U.S. Military or Government Sponsored experience Minimum of three (3) years’ of CCRN or CEN experience Must meet anthropometric standards of assigned platform Successful candidates may be invited for an in-person assessment process TNCC or ATCN training or equivalents TPATC course completion within 1 year of employment U.S. Military or Government Sponsored deployment within the last 3 years in an austere environment and combat-like conditions Experience working in the Military Special Operations Community Previous experience providing critical care patient transport on flight and ground platforms Previous Forward Resuscitation Surgical Team/Forward Surgical Team (FRST/FST) and/or CCAT experience Base Compensation: Highly competitive within the space. VIGILINT is proud to offer a robust benefits package that includes health, dental, and vision insurance, short-term and long-term disability, AD&D insurance, Healthcare Flexible Spending Plan, 401(k), and paid time off. Equal Employment Opportunity Policy VIGILINT provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
UMass Memorial Health

Registered Nurse, Hospital at Home, 24 Hours, 7A-7P

$37.51 - $81.95 / hour
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $37.51 - $81.95 (based on a full time schedule of 40 hours per week). Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations. Schedule Details: Holidays - Every Third Holiday, Sunday through Saturday, Weekends - Every Third Weekend Scheduled Hours: 7A-7:30P Shift: 1 - Day Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 10020 - 6614 Hospital At Home Union: MNA-Memorial/Hahnemann This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, coordinating, delivering and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice while delivering optimal family-centered patient care. Manages and directs day-to-day work responsibilities for the Hospital at Home program to assure optimal patient flow and satisfaction. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Participates in performance improvement initiatives and demonstrates use of Quality Improvement in daily operations. 4. Ensures compliance with regulatory agencies such as Joint Commission, DPH, etc. Develops and maintains procedures necessary to meet regulatory requirements. 5. Complies with all health and safety regulations and requirements. 6. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 7. Develops and maintains established departmental policies, procedures, and objectives. 8. Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures. 9. Maintains open lines of communication with Program leadership, other departments, staff, physicians, resident staff, and other support personnel. 10. Maintains, regular, reliable, and predictable attendance. 11. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. Current unrestricted Driver’s license. 3. BLS is a requirement for every RN unless an advance certification is current (ex ACLS, PALS, NRP). In addition, unit specific certification and competencies are defined in the Unit Profile. Preferred: 1. Bachelor of Science degree in Nursing. Experience/Skills: Required: 1. Minimum 5 year’s Nursing experience. 2. Thorough knowledge of the discipline of Nursing. Preferred: 1. Homecare or Telehealth experience. 2. Phlebotomy, IV insertion and telemetry experience. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered heavy. Position requires travel from operations center to local hospitals and patient residences with primary work being indoors in an alternative patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.
Infirmary Health

Virtual Registered Nurse

Responsibilities Plans, implements, coordinates, and evaluates comprehensive care for designated patients to ensure quality of care and continuity of care delivery through telehealth platforms. Qualifications Minimum Qualifications: Associate Degree in Nursing Licensure, Registration, Certification: BLS One of the following: Current Alabama RN license Current Multi State RN License in accordance with Nurse Licensure Compact (NLC) for Alabama* *Infirmary Health abides by the NLC requirements and guidelines for the state of Alabama Desired Qualifications: Bachelor of Science in Nursing Working knowledge of EHR systems and/or EPIC, Microsoft systems, and a strong understanding of HIPPA and data security within telehealth platforms
UC San Diego Health

(RN) Prior Authorization UM Case Manager - Hybrid - 141189

$161,172 - $212,558 / year
Payroll Title: CASE MGR EX CEH Department: PHSO - CLINICAL OPERATIONS Hiring Pay Scale $161,172 - $212,558 / Year Worksite: La Jolla Appointment Type: Career Appointment Percent: 100% Union: HX Contract Total Openings: 1 Work Schedule: Days, 8-Hour Shift, Monday-Friday #141189 (RN) Prior Authorization UM Case Manager - Hybrid Filing Deadline: Wed 9/30/2026 Apply Now UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. UCSD Layoff from Career Appointment : Apply by 09/21/2026 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants : Eligible Reassignment clients should contact their Disability Counselor for assistance. This position may work a hybrid schedule, which includes a combination of working both onsite at Greenwich Drive and remote. Current department requirement is on-site one day per week. DESCRIPTION UC San Diego Health is proud to be a four-time Magnet-designated organization and has now earned Magnet with Distinction from the American Nurses Credentialing Center (ANCC). Magnet is the gold standard for nursing excellence, achieved by only about 10% of hospitals worldwide. Magnet with Distinction is awarded to the highest-performing Magnet organizations, with only a select few earning this prestigious honor. This recognition reflects our commitment to transformational leadership, professional nursing excellence, innovation, exceptional patient outcomes, and an empowering practice environment where nurses thrive. The Population Health Care Connections Hub consists of a team of RN with case management experience who perform telephonic outreach to high-risk patients to help prevent avoidable events. Most of these calls are for patients who discharge from an acute inpatient stay and /or it could be for internal provider referrals for our patients who may need additional help while at home. This role requires someone who has strong initiative, critical thinking skills, and previous case management experience. Previous experience with EPIC and Care Port a plus. Knowledge of community resources is critical to help patients with their care coordination needs. A strong understanding of payers, community resources, DME, HH, and skilled nursing facilities in the area is critical to being successful in this role While not required, a cover letter is highly recommended when applying to this position. MINIMUM QUALIFICATIONS Must be a graduate from an accredited school of Nursing. RN license issued by the State of California. Minimum two (2) years of recent RN experience in inpatient case management and recent ambulatory RN CM experience. Proven background in managing high-risk patients post-discharge. Strong preference for experience in telephonic outreach with high-risk patient populations and working with insurance companies. Proficiency in Information Systems and computer programs such as Word and Excel. Must possess excellent interpersonal and communication skills. Must be able to work within a team environment. PREFERRED QUALIFICATIONS BSN or Master's Degree. ACM and/or CCM certificate. Epic knowledge and experience. SPECIAL CONDITIONS Must have access to high-speed internet when working remotely. Must be able to work various hours and locations based on business needs. Employment is subject to a criminal background check and a pre-employment physical. Pay Transparency Act Annual Full Pay Range: $161,173 - $212,558 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $77.19 - $101.80 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). Apply Now If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team! Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community . The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. a. "Misconduct" means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC’s policies addressing some forms of misconduct: UC Sexual Violence and Sexual Harassment Policy UC Anti-Discrimination Policy Abusive Conduct in the Workplace
Molina Healthcare

Care Manager (RN)

$25.08 - $51.49 / hour
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications • Certified Case Manager (CCM). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $25.08 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
MaineHealth

Registered Nurse (RN) - Virtual Nursing

$37.09 - $50.17 / hour
Description MaineHealth Corporate Nursing Req #: 90444 Full Time (Monday through Friday 1130-2000) MaineHealth’s Virtual Nursing team is seeking a Full Time Registered Nurse (RN) to join our innovative virtual care program. This hybrid role provides virtual discharge education and support to patients, ensuring a smooth and safe transition from hospital to home. The RN will collaborate with the interdisciplinary team, review discharge instructions and medications, and use telehealth technology to deliver high-quality patient education. Ideal candidates have an active Maine RN license, acute care experience, strong communication skills, and comfort with technology. Join us in advancing patient-centered care through virtual innovation. Summary The Virtual Nurse will be a member of a new team at MaineHealth responsible for supporting hospital-based care teams, focused on improving quality, patient and family experience, bedside care team experience, and improving hospital efficiency of care. The Virtual Nurse will use virtual communication channels including synchronous video conferencing, secure asynchronous chat, and telephonic tools to interact with patients admitted to a MaineHealth hospital. The Virtual Nurse is also responsible for providing patients with virtual health assessments and treatment solutions through virtual rounds. This position requires collaboration with clinical staff and other care team members across MaineHealth to meet the diverse and continually changing challenges of the healthcare environment. Required Minimum Knowledge, Skills, And Abilities (KSAs) EducationBachelor of Science Degree in Nursing (BSN) preferred. Must matriculate to a BSN program within 1 year of hire with completion attained within 5 years of hire. Evidence of 10 hours of ongoing education per year. License/Certifications:Current license to practice as a Registered Professional Nurse in the State of Maine. BLS certification is also required. Experience:At least 5 years of Acute Care RN work experience. Additional Skills/Requirements Required:Demonstrates the skills necessary to interact effectively with patients, families, and healthcare team members. Additional Skills/Requirements Preferred:Proficiency in the use ofACLS, PALS,and EPIC systems. Additional Information MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally. We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage. The pay range for this position is $37.09to $50.17 per hour. Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE). In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives. If you have questions about this role, please contact amanda.oliveira@mainehealth.org Hiring Scam Alert MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org. Notice Regarding Maine Employer Surveillance Statute:Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras. Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
UnitedHealthcare

Utilization Management Nurse RN

$60,200 - $107,400 / year
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. The nurse will complete their case within the time expectations while providing high quality reviews. The Utilization Management Nurse will perform their job functions, adhering to both Optum and OPAS policies and procedures, which include but are not limited to the following Schedule: Monday - Friday (40 Hours a Week) Flexible start times with the ability to support evening, weekend and holiday shifts. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Follows directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, inclusion of appropriate medical literature references, and use of national criteria guidelines. Adheres to company policies and procedures as well as policies, procedures, and laws Understands and complies with HIPAA confidentiality requirements Support and promote OPAS, Optum, and the enterprise goals and mission Build relationships across Optum, OPAS, OGA and our clients Collaborate with peers to assure continuity of communication and execution of deliverables as needed Adheres to quality and productivity expectations Participate in and contribute to meetings as appropriate Maintains organization on the team and ensures everyone conducts themselves professionally Remains up to date with all learning modules, competencies, and state required licenses Performs other related duties, tasks, and processes as required by leadership Ability to establish priorities, be self-motivated, work independently, and follow instructions with supervision and structure Positive attitude and the ability to function as a collaborative team member You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Associate's degree Unrestricted Registered Nurse license in your state of residence 3+ years of bedside nursing experience in adult ED/telemetry/ICU/CCU Advanced level of proficiency with Microsoft applications and software, internet navigation and utilization Ability to type 45 wpm Preferred Qualifications: Working knowledge of InterQual and MCG Prior experience with utilization management Working knowledge of Word Strong, effective verbal and written communication skills *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #GREEN
Baylor Scott & White Health

Utilization Review RN, PRN

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary Are you seeking an impactful nursing role? As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key role in supporting the healthcare team by optimizing resources and implementing care plans. Communication with health plan departments is important to ensure services meet medical necessity standards. This includes prospective, concurrent, and retrospective reviews. Essential Functions of the Role You will review all cases. Use medical guidelines to evaluate services. Understand patient needs. Resolve complex matters when necessary. Confirm admission status is correct. Collaborate with Utilization Review coordinators when needed. You will communicate with insurance. Talk to doctors about patients. Make sure needed paperwork is completed. You'll report insurance company issues to leadership. Identify and communicate quality assurance or risk management issues promptly when they arise. You will help improve our processes by evaluating, developing, and implementing protocols, policies, and procedures. Key Success Factors Comprehensive understanding of diverse healthcare techniques, practices, and industry-related language. Proficiency in customer engagement, ensuring their concerns are heard and promptly addressed. Thorough understanding of discharge planning, care coordination, utilization assessment and care levels. Knowledge of local and national regulations is needed, like those from the Department of Insurance and Department of Labor. Centers for Medicare and Medicaid Services, Health and Human Services Commission, and National Committee for Quality Assurance are also important. Exceptional communication skills, including articulating thoughts clearly in speech and writing. Personable, with the ability to interact effectively with a diverse range of stakeholders. Problem-solving capability, equipped with critical thinking skills. Ability to juggle multiple tasks and work under time pressures. Belonging Statement We believe that all people should feel welcomed, valued and supported. Qualifications Associate degree. Prior experience of at least (3) three years in the nursing field. Must have a valid nursing registration (RN).
Gillette Children's Hospital and Clinics

Nurse Help Line RN

$39.86 - $68.13 / hour
Nurse Help Line RN 0.9 FTE. Department hours are 7:00 am - 9:30 pm, Monday-Friday. Weekend rotation is required, 7:00 am to 5:30 pm. Holiday coverage required on a rotating basis, 8:00 am to 4:30 pm . This is a remote opportunity; however, the selected candidate must reside in Minnesota or Wisconsin and have the ability to work onsite in St. Paul, MN as needed. Purpose of position The Nurse Help Line RN administers family-centered nursing care to patients, advise patients on health maintenance and disease prevention, and/or provide skilled assistance in navigation of the health care system as appropriate to the developmental, cultural, emotional, and medical, surgical, or rehabilitative needs of the patient and their families. This position will provide a centralized Gillette communication center to patients, providers and staff who are on-call, other care sites and community resources. Specific duties are determined by the work setting and/or the patient population served; however, in all positions at Gillette, serving patients with challenging and complex conditions requires a concentration of specialized staff able to work in highly coordinated teams. We organize care around each patient’s condition which requires staff at multiple levels and across many departments to exhibit exceptional teamwork qualities including communicating efficiently and effectively and adopting the behaviors required for high functioning integrated teams. Compensation & Benefits Information The hourly wage for this opportunity is $39.86 to $68.13. In addition, this position is eligible for shift differential pay, which includes $1.75/hour for weekends, $2.75/hour for evenings, and $4.00/hour for nights. Pay is dependent on several factors including number of hours worked within the field, education, and certification/licensure. Hourly pay just one part of the compensation package for employees. Gillette supports career progression and offers a competitive benefits package that includes a retirement savings match, tuition and certification reimbursement, paid time off, and health and wellness benefits for .5 FTE and above. Core Responsibilities and Duties 1. Patient Care – Delivers patient care over the telephone which optimizes the patient’s health status and outcomes through the use of the nursing process. • Demonstrates thorough assessments. • Creates individualized plans of care that are evidence-based. • Successfully implements interventions. • Effectively prioritizes. • Evaluates patient care based on desired outcomes. • Communicates patient-related nursing data and information to enhance active and informed decision making by patients, families, nurse colleagues, and other healthcare providers. • Effectively triages patient/family/caregiver calls based on urgency and acuity of symptoms, concern or diagnosis. • Collaborates with providers and other members of the health care team in the care of patients. • Reference the medical record for patient information, documentation of patient visits, procedures, and care provided, and to review the plan of care. Completes timely document all interactions with patients and providers when medical direction is given. 2. Family Centered Care - Provides nursing care and health education reflecting specific patient, family, cultural and community needs. • Identifies the learning needs of the population served. • Implements an effective teaching plan. • Employs strategies to promote health in a safe environment. • Seeks opportunity to evaluate effectiveness of health education as culturally and developmentally appropriate. • Adapts to staffing and department workflow needs based on patient care needs and availability of staff and services. 3. Autonomous Practice – Exercises independent judgment that influences care and demonstrates understanding of potential clinical implications. • Supervises, delegates, and provides care based on the abilities and limitations of care personnel and patient acuity. • Identifies and incorporates evidence-based improvements into own daily work. 4. Procedures and Policies –Identifies, interprets, and implements organizational policies and procedures according to regulations, professional and community standards. • Protects the confidentiality of personal health information. 5. Active Engagement – Actively represents the department in committees, task forces, unit activities or other work groups and disseminates information and decisions to colleagues and peers using the Engaged Professional Practice Model. • Ensures accountability through the use of dashboards and promote transparency through reporting of near misses and medical errors. • This includes attending a minimum of 75% of department staff meetings. • Demonstrates meaningful contributions to the productivity of the professional environment of the department. • Supports work of Clinical Shared Governance initiatives. 6. Professional Development and Quality Improvement. • Personal Improvement – Maintains professional competence by pursuing opportunities for continuous learning. • Process Improvement – Identifies and applies basic research methods in a continuous quality improvement approach. • Education – Pursues own professional growth and contributes to the growth of others. • Communication – Engages in honest and appropriate communication with others. • Goals - Demonstrates progress toward or completion of existing goals. • Performs chart audits and review as needed for Quality Improvement compliance and metrics. Qualifications Required Current Registered Nurse (RN) license through the MN Board of Nursing. Documentation of completion of a professional nursing program (RN program). Minimum of 3 years of experience. Preferred Bachelor’s degree in nursing or other healthcare related field. Current certification in CPR-BLS for Health Care Providers by the American Heart Association. Nursing Specialty Certification relevant to the position. Knowledge, Skills, and Abilities Must be interested in working with people with short term or long-term disabilities that begin in childhood. Demonstrated consistent quality customer service skills. Demonstrated strength in communication skills, including listening, verbal, and written are essential to provide care by phone. Demonstrated critical thinking skills. Basic keyboarding and computer skills Able to multitask and prioritize. Able to complete accurate, thorough, specialty-based assessments. Physically able to work hours required and meet physical demands of the position. At Gillette Children’s, we foster a culture where every team member feels a sense of belonging and purpose. We are dedicated to building an environment where all feel welcomed, respected, and supported. Our values are embedded at the heart of our culture. We act first from love, embrace the bigger picture, and work side-by-side with our patients, families, and colleagues to help every child create their own story. Together, we work to ensure patients of all backgrounds and abilities reach their full potential. Gillette Children's is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individual's race, color, creed, sex, religion, national origin, age, disability, marital status, familial status, genetic information, status with regard to public assistance, sexual orientation or gender identity, military status or any other class protected by federal, state or local laws. Gillette Children’s is a global beacon of care for patients with brain, bone and movement conditions that start in childhood. Our research, treatment and supportive technologies enable every child to lead a full life defined by their dreams, not their diagnoses. To learn more about working at Gillette Children's, please visit https://www.gillettechildrens.org/careers . Gillette Children's participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work, Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit https://www.e-verify.gov/ for further details regarding E-Verify.
Penn Medicine

Full-Time Clinical Documentation Review Specialist-RN -Days-Fully Remote

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Summary: The Clinical Documentation Review Specialist is responsible for collaborating with clinicians to assure accurate completion of documentation and development of effective plans of care to assure appropriate utilization and promote appropriate quality patient care and positive patient outcomes. Responsibilities: Documentation Improvement: Reviews clinical documentation for compliance with state, federal, and TJC regulations. Follows up with team for clarification if documentation is unclear. Identifies and documents delays. Collaborates with clinicians to assure accurate completion of documentation and development of effective plans of care. Elevates issues appropriately. Utilization Management: Collects and submits data as indicated. Quality Improvement and Risk Management: Reviews clinical reports for compliance with state, federal, and TJC regulations. Collects and submits data as indicated. Communicates with service line and clinical effectiveness team members. Works with department leadership to develop and implement solutions to issues identified. Credentials: RN (Required) Must have Pennsylvania RN Education or Equivalent Experience: Bachelor of Arts or Science (Required) Education Specialization: Must have BSN from an accredited school of nursing Equivalent Experience: •And 2+ years In Medicare regulations for OASIS, compliance, and coding and/or experience in home care criteria and processes. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
UnitedHealthcare

Registered Nurse (MNA) Surgical Specialties Atrius Health (per diem)

$38.66 - $71.87 / hour
Explore opportunities with Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, PA/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together. As the Registered Nurse, you will be responsible for effective care delivery and management of patient care within a specialty, utilizing the nursing process and adhering to current standards of nursing practice. Communicates and coordinates effectively with all entities involved in the care of the patient to promote safe, high quality care. Making decisions reflecting critical thinking and evidence based nursing practice. Position Details: Location: Remote Specialty: Surgical Specialties Standard hours: Per diem If you are a resident of Massachusetts, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Build therapeutic and supportive relationships with patients and families, providing education and managing care transitions Deliver patient care and follow-up in alignment with RN protocols, including medication administration and chronic disease management Conduct telephone triage, escalate concerns appropriately, and support the clinical team with ongoing care coordination Perform clinical procedures and manage acute conditions during patient visits, ensuring timely documentation in the EMR Contribute to quality improvement initiatives, mentor nursing staff, and uphold high standards of patient service and safety You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Graduate of a State-approved school of nursing Current, unrestricted, license to practice professional nursing in the Commonwealth of Massachusetts American Heart Association Basic Life Support (BLS) Computer experience with the ability to use word processing and spreadsheet programs Electronic medical records (EMR) experience and/or aptitude to master the EMR based on other technology experience Proven to be up to date with current standards of nursing care in Specialty Preferred Qualifications: Bachelor of Science in Nursing (BSN) Advanced Cardiac Life Support (ACLS) may be required based on specialty 2+ years of RN experience Demonstrated solid critical thinking, problem solving, interpersonal and patient interviewing skills Demonstrated ability to interpret clinical information, assess the implication of treatment and develop and implement a plan of care Demonstrated ability to prioritize, multitask, and work in a rapidly changing environment with multiple demands Demonstrated excellence in practice, documentation, and cost-effective care utilization. Maintains high patient satisfaction *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $38.66 to $71.87 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Oak Street Health

Registered Nurse - Bilingual Spanish

$72,627 - $155,538 / 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. Title: Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations Provide clinically competent triage and symptom management to patients who may or may not be physically present Utilize standardized protocols for medication management, prescription refills and prior authorizations. Conduct thorough and accurate reviews of patient medications and update as needed Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels Form relationships with patients and their caregivers to support preventative care and ED/hospital diversion where appropriate Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are Delegation of activities to other clinical care team members to support the needs of our patients Participate in care team meetings to discuss patient care and clinic operations Deliver an exceptional patient experience through service, responsiveness and respectful care Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed Performs other related duties as assigned What we're looking for Required Qualifications: Active Registered Nurse (RN) Licensure in good standing with the applicable state BLS Certification Electronic Medical Record (EMR) experience Ability to maintain patient confidentiality and process information in a confidential manner US work authorization Ability to assess patients without face-to face interaction, strong communication and assessment skill Strongly Preferred Qualifications: Ability to collaborate and communicate with members of an interdisciplinary care team Excellent computer skills with ability to read, interpret and analyze data from various computer systems Effective problem solving and prioritization skills 2+ years of healthcare experience, working as an RN Preferred Qualifications: Previous experience in clinic setting Ability to work independently Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $72,627.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. 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: 01/01/2027 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Aledade

Registered Nurse (ACCESS Program), Remote

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.