$88,854 - $142,166 / year

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner. Duties Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment. Perform telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, the member and significant others to develop and implement a successful discharge plan. Process, finalize and facilitate inbound requests that are received from providers. Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy. Facilitate/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities, specialty providers and ancillary providers to utilize for all lines of business. Identification of potential areas of improvement within the provider network. Identify and initiate referrals for appropriate members to the various L.A. Care programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. High risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. Document in platform/system of record. Utilize designated software system to document reviews and/or notes. Receive incoming calls from providers, professionally handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all inquiries in a professional and courteous manner. Perform other duties as assigned. Duties Continued Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting . Preferred: Managed Care experience performing UM and CM at a medical group or management services organization. Experience with Managed Medi-Cal, Medicare, and commercial lines of business. Skills Required: Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. Effectively utilizes computer and appropriate software and interacts as needed with L.A. Care Information System. Knowledge of personal computer, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials. Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team Excellent time management and priority-setting skills. Maintains strict member confidentiality and complies with all HIPAA requirements. Strong verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Certified Case Manager (CCM)Required Training Physical Requirements LightAdditional Information May work on occasional weekends and some holidays depending on business needs. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)

Illinois Licensed Registered Nurse Care Coach - Remote

CircleLink Health

$15 / visit

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

Supervisor, Utilization Management RN

Sanford Health North River, ND

$102,183 - $163,492 / year

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff’s responsibilities and activities. This includes, but not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations. This role assists in triaging identified issues/problems and forming resolution within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures. This position serves as a formal and informal instructor, and escalates issues/concerns to the appropriate person when outside of their scope. This position is responsible in assisting with and development and maintenance of a successful and cohesive unit, with high level of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the UM department are operating in accordance with the organization's mission, values and strategic goals, which are focused on quality care delivery and continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership. The position supports the UM Manager/Director. This role also assists UM Educator/Manager/Director in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency checklist, and orientation checklists necessary to meet education and training needs of UM staff. The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports. Duties Ensures adequate/appropriate distributions of workforce, assignments and time off requests. Participates in the hiring and termination process providing recommendations with appropriate supporting documentation. Monitors of staff's performance including productivity and compliance with regulatory requirements, compliance with policies. Identifies, communicates and coaches to improve staff performance. Develops tools, job aids, and workflows to optimize the process flow, performance and productivity of the UM team. Completes intermittent and annual staff evaluations. Serves as the primary resource for all business-related questions/issues raised by staff; escalates to appropriate leader/team when necessary. Recommends and implements process improvement measures to achieve department's performance measures outcomes and goals. Plans and oversees UM activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members. Maintains all assigned reporting responsibilities, conducts regular audits to ensure compliance with community, industry and organizational standards including regulatory requirements. Serves as a super-user on electronic programs and systems used by the department. Assists in the development of programs, workflows, tools, training materials, orientation checklists, and competency checklist necessary to meet educational needs. Trains new staff, remediation of seasoned staff and cross training as needed in specified business lines. Serves as a leader and role model as well as technical and informational resource for staff and peers. Duties Continued Fosters a culture that encourages employee contribution to ensure that the department maintains an environment in which quality flourishes. Services as member/resource/liaison to the Interdisciplinary Care Team. Recommends resources to improve performance standards in terms of Utilization Management. Collaborates with peers and colleagues within the organization to address process improvements, member's needs, department and organizational enhancements and communicate development as appropriate. Participates on internal and external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible for the daily workflow and leading the work of assigned staff. This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff. Performs other duties as assigned. Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: Minimum of 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case/Care/Utilization Management in an acute care or health plan setting. Minimum of 3 years leading process, program, or staff or supervisory experience. Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement. Skills Required: Knowledge of state, federal and regulatory requirements in Care/Case/Utilization Management. Strong verbal and written communication skills. Computer literacy with proficiency with Microsoft Word, Excel, etc. and ability to learn core departmental computer systems and software. Excellent organizational, time management, and interpersonal skills. Must be detailed-oriented, energetic, and an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Required Training Physical Requirements LightAdditional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)

Registered Nurse - Call Center - Part Time Evenings

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Facility: Sanford Broadway Med Ctr Location: Fargo, ND Address: 801 Broadway N, Fargo, ND 58102, USA Shift: 8 Hours - Varied Shifts Job Schedule: Flex Weekly Hours: 24.00 Salary Range: $32.00 - $48.00 Pay Info: $10,000 Sign on Bonus Department Details The My Sanford Nurse call center provides professional telephone triage, patient education, and care coordination to support patients in accessing timely and appropriate care. This role uses clinical judgment and nursing protocols to assess symptoms, provide recommendations, and ensure continuity of care in collaboration with providers and clinic teams. Position Details: This position offers a part time flex evening schedule that can shift up/down 2 shifts. Shifts: 8-hour shifts (3pm-11pm or 4pm-12am) Holiday Requirement: 3 holidays per year Weekend requirement: Every other Fri, Sat,& Sun What We’re Looking For: ✅ Minimum of 3 years of nursing experience required ✅ Strong assessment, critical thinking, and decision-making skills ✅ Proficiency in electronic medical record (EMR) documentation Why Join Us: Utilize your nursing expertise in a phone-based, patient-focused care setting Be part of a supportive and collaborative nursing team Make a meaningful impact by guiding patients to the right level of care Competitive pay and comprehensive benefits Job Summary Responsible for providing telehealth services involving all ages of patients. This includes telephone triage; health information and education; and physician and service referral and other specialty access lines using established protocols, approved references, and specific medical resources. Demonstrates knowledge in decision-making for a diverse client population with a wide range of problems and acuity. Performs effectively in answering caller inquiries and crisis intervention following established protocols with appropriate communication and documentation. Performs ongoing, systematic assessment and data collection, focusing on physiological, psychological and cognitive status. Provides educational and resource referrals based on patient needs. Instructs patients in an articulate and professional manner based on expressed needs and available resources. Demonstrates awareness of legal issues in all aspects of telephone triage. Documents health information accurately. Qualifications Bachelor’s Degree in nursing preferred. Graduate from an accredited nursing program preferred, including, but not limited to, American Association of Colleges of Nursing (AACN), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Nurses performing nursing practice over the telephone require licensure in the states where the patients being served reside. Any additional state licensure requirements must be obtained within first 30 days of employment. Needs and maintains Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS). Obtains and subsequently maintains additional required department specific competencies and certifications. Benefits Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org . Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0270016 Job Function: Nursing Featured: No

RN / REGISTERED NURSE - CARE COORDINATOR

Beebe Healthcare Lewes, DE

$36.20 - $59.73 / hour

Why Beebe? Become part of the Beebe team—an inclusive, mission‑driven organization located in a vibrant coastal community. At Beebe, you’ll build a rewarding career while making a meaningful impact on the health and well‑being of our patients. Join a team committed to excellence, collaboration, and compassionate care, and experience the fulfillment that comes from supporting a community that trusts and values the work you do every day. In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,250 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview Under the supervision of Beebe Healthcare Population Health Care Coordination leadership, the Care Coordination Clinical Nurse II (CC CN II) is a licensed professional Registered Nurse (RN) who provides care coordination services to patients in the home, primary care office, and community settings via face to face, telephonic, or virtual platform (telehealth). Upon successful completion of the required new employee 90-day probationary period onsite at the Population Health Building, the clinical nurse is responsible for assessing, monitoring, and providing ongoing care for patients followed by the Beebe Care Coordination episodic and longitudinal Chronic Care Management (CCM) programs. This position requires knowledge of clinical nursing, health and wellness coaching, and care coordination. In collaboration with the patient and family as well as the multidisciplinary care team, the CC CN II helps each patient define and achieve their goals of care. As part of episodic or longitudinal CCM, the CC CN II supports the Beebe Medical Group (BMG) primary and specialty care providers and staff through population health management of high and rising risk patients by improving the efficiency, quality, and cost of health care services. In this role, the CC CN II will be expected to collaborate with patients to facilitate healthy behaviors through health coaching to foster healthy diet, exercise, medication, and disease management. The CC CN II helps patients learn strategies and skills designed to stabilize symptoms and disease progression through ongoing support and reinforcement of the plan of care. This role positively impacts the patient's quality of care and ability to access care and reduces unnecessary costs and capitalizing on revenue generating opportunities. Key functions include building relationships with patients, functioning as a team member in the patient's continuum of care, improving patient experience, mitigating avoidable hospital readmissions, closing care gaps, and identifying social determinant of health barriers that impact the patient's ability to maintain optimal health and wellness. Strong communication and clinical skills are required. Responsibilities Assists in the management of patients with chronic diseases following established protocols and systems for disease management in collaboration with providers. Promotes positive behavioral changes to facilitate medication compliance and reduction in tertiary care utilization. Assist patients with self-management of chronic disease process including patient goal setting, teach-back method of learning, and promotion of patient advocacy that extends into the wider community. Assists patients and families with coordination of healthcare services including outside organizations. Act as a client advocate partnering with Community Health Workers (CHWs) to provide assistance with social determinant of health (SDoH) needs; initiating referrals to community-based organizations as needed. Develop and evaluate a patient plan of care and determine areas of improvement and education. Monitors patient's healthcare pathway to ensure adherence, removes obstacles and identifies progress toward desired care outcomes; intervenes to overcome deviations in the expected plan of care; reviews the care plan with patients in conjunction with providers; interacts with the multi-disciplinary care team to negotiate and expedite scheduling and completion of tests, procedures, and consults. Collaborates with Care Coordination leadership to participate in and implement process improvement and quality improvement initiatives to maximize patient care outcomes. Engages physician and practice team in proactive patient management by addressing medical and behavioral health care needs, follow-up, and referrals. Utilizes high risk patient data registries, hospital and payer reports, and other reports to identify and outreach targeted populations benefiting from care coordination programs. Offers and coordinates care for complex patients in the practice setting or home as necessary to reinforce disease management education utilizing teach back methods; assist with completion of health care proxy, advanced care planning, or community resource navigation. Contributes to comprehensive care plans in collaboration with providers and the multidisciplinary health care team based on evidence-based best practices for chronic illness care. Participates in developing patient-centered care plans that address problems /barriers/goals and executes action plans relevant to obstacles in chronic condition management. Provides referrals to appropriate community resources and support programs and closes the loop by ensuring that patients can access and follow through on these referrals. Collaborates with Population Health Care Coordination leadership to engage and educate providers and teams on newest trends and optimal work patterns to improve the quality of patient care coordination. Reviews high-cost patients with the multidisciplinary care team to understand drivers of cost, current treatment plan, future course and prognosis. Ensure advance directives and appropriate referrals are addressed such as palliative/hospice and makes recommendations for cost reduction. Improves quality by assisting with closing care gaps. Reduces healthcare costs by preventing avoidable hospital admissions/readmissions and unnecessary utilization of healthcare resources. Assess and address social determinant of health barriers in collaboration with Care Coordination Community Health Workers (CHWs). Promotes patient self-management of chronic conditions. Identify and submit referrals to address patient behavioral health needs. Care coordinate high-risk patients with chronic conditions and high risk stratification scores utilizing payer, claims, PRAPARE tool, demographic, and co-morbidities data including but not limited to COPD, CHF, Diabetes, HTN, and increased acute care and ED utilization. Ensure optimized primary care and specialty provider visit scheduling for managing chronic conditions. Employee/Team/Provider Engagement. Demonstrate effective communication, collaboration, and team-based mentality. Demonstrate ability to build relationships with patients. Participate in patient huddles/team meetings. Maintain patient care standards following established Beebe Healthcare Population Health Care Coordination health education and information guidelines. Organize work and utilize time efficiently based on knowledge and procedures. Assume responsibility for his/her own professional development and for sharing knowledge with others. Responsible for knowledge and compliance with all Beebe Healthcare policies and procedures. Maintain professional manner and appearance. Other duties as assigned. Qualifications Minimum of two (2) years of work in the healthcare field BLS (CPR & AED) certification issued by the American Heart Association (AHA) Previous nursing experience in a Clinic/Outpatient environment Previous work using Electronic Health Records (EMR) Bilingual English/Spanish language skills are a definite plus Proficiency with MS Office Suite (Word, Excel, and Outlook) Credentials Active RN License - State of Delaware or Compact State BLS - Basic Life Support (AHA) Education Graduate of an accredited nursing school Entry USD $36.20/Hr. Max USD $59.73/Hr.

Supervisor, Appeals and Grievances Clinical Operations RN

Yukon-Kuskokwim Health Corporation

$102,183 - $163,492 / year

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing the day-to-day clinical operations of the A&G department, and monitoring the A&G RN staff responsibilities and activities. This includes, but is not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations. This role assists in triaging identified issues/problems and forming resolutions within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Appeals & Grievances and supporting regulations, policies, protocols, and procedures. This position serves as a formal and informal instructor, and escalates issues/concerns to the appropriate person when outside of their scope. This position is responsible for assisting with and development and maintenance of a successful and cohesive unit, with a high level of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the A&G department are operating in accordance with the organization's mission, values and strategic goals, which are focused on quality care delivery and continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A Care's culturally diverse membership. The position supports the A&G Clinical Manager. This role also assists the A&G Leadership in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency checklist, and orientation checklists necessary to meet education and training needs of A&G staff. The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports. Duties Ensures adequate/appropriate distributions of workforce, assignments and time off requests. Participates in the hiring and termination process providing recommendations with appropriate supporting documentation. Monitors staff’s performance including productivity and compliance with regulatory requirements, compliance with policies. Identifies, communicates and coaches to improve staff performance. Develops tools, job aids, and workflows to optimize the process flow, performance and productivity of the A&G team. Completes intermittent and annual staff evaluations. Serves as the primary resource for all business-related questions/issues raised by staff; escalates to appropriate leader/team when necessary. Recommends and implements process improvement measures to achieve department's performance measures outcomes and goals. Plans and oversees A&G clinical activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members. Duties Continued Maintains all assigned reporting responsibilities, conducts regular audits to ensure compliance with community, industry and organizational standards including regulatory requirements. Serves as a super-user on electronic programs and systems used by the department. Assists in the development of programs, workflows, tools, training materials, orientation checklists, and competency checklist necessary to meet educational needs. Trains new staff, remediation of seasoned staff and cross training as needed in specified business lines. Serves as a leader and role model as well as technical and informational resource for staff and peers. Fosters a culture that encourages employee contribution to ensure the department maintains an environment in which quality flourishes. Serves as a member/resource/liaison to the A&G Operations Team. Recommends resources to improve performance standards in terms of Appeals & Grievances. Collaborates with peers and colleagues within the organization to address process improvements, member's needs, department and organizational enhancements and communicate development as appropriate. Participates on internal and external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Performs other duties as assigned. Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: At least 8 years of RN acute/clinical care experience. At least 2 years in a lead/supervisory experience. Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement. Preferred: Previous experience in Medicare/ Medicaid in a managed care/ health plan environment.Skills Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/Case/Utilization Management/Quality. Strong verbal and written communication skills. Computer literacy with proficiency in Microsoft Word, Excel, etc. and ability to learn core departmental computer systems and software. Excellent organizational, time management, and interpersonal skills. Must be detailed-oriented, energetic, and an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Required Training Physical Requirements LightAdditional Information This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call. This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)

Registered Nurse (2993)

US Heart and Vascular

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

Registered Nurse Phone Triage

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

Managed Long Term Services and Supports Nurse Specialist RN II

St. Luke's University Health Network West Walnut, PA

$88,854 - $142,166 / year

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Managed Long-Term Services and Supports (MLTSS) Nurse Specialist RN II applies advanced clinical judgment and critical thinking skills to facilitate appropriate physical and behavioral healthcare and social services for L.A. Care members. Utilizes assessments, member-centered care planning, direct provider coordination/collaboration and psychosocial wraparound services to promote effective utilization of available Health Plan benefits including, but not limited to Community Based Adult Services (CBAS), Skilled Nursing Facility (SNF) services, Intermediate Care Facility for Developmentally Disabled (ICF/DD) services, CalAIM Community Supports, Palliative and Hospice Care. Scope of work includes care coordination functions and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management (CM). This position is responsible for assessing, planning, coordinating, and monitoring care needs to ensure members receive high-quality, cost-effective care that promotes independence and quality of life. The MLTSS Nurse Specialist RN II conducts comprehensive health assessments and is a member of an interdisciplinary team that is key in identifying the physical, psychological and social needs of the member. The MLTSS Nurse Specialist RN II collaborates with Skilled Nursing Facilities (SNF), Intermediate Care Facility - Developmentally Disabled (ICF-DD), Community Based Adult Services (CBAS) Centers, Residential Care Facilities for the Elderly (RCFE), Preferred Provider Groups (PPG), CalAIM providers (i.e. Community Supports Vendors), Palliative and Hospice Care Providers and cross functional units to facilitate coordination of services. This position may require provider onsite visits as needed. Duties Responsible for performing assessments and clinical review of medical records to determine appropriate care including physical health, behavioral health, and social determinants of health needs for members referred to; MLTSS administered programs. Responsible for UM authorization functions for services requiring prior authorizations in a timely manner with adherence to regulatory requirements. Identify and address gaps in care or overutilization, including overlapping services. Engages with members by conducting telephonic nursing follow up and care coordination when necessary, including transitions of care for Long Term Care (LTC) and ICF/DD populations. Provides direction to non-clinicians who assist members with accessing services and arranges for all services required while coordinating with the health care team to eliminate duplication of services. Interfaces with Medical Directors, social workers, and interdisciplinary care team (ICT). Participates in ICT meetings and makes recommendations for MLTSS and other programs. Establishes relationships with referral sources and community resources, such as external providers and care coordinators, while maintaining strict member confidentiality and complying with all Health Insurance Portability and Accountability Act (HIPAA) requirements. Performs oversight and monitoring of provider performance for adherence to regulatory standards and contractual agreements. Participate in provider audits and quality improvement initiatives. Partners with Provider Network Management (PNM) and participates in Joint Operations Meetings (JOM). Duties Continued Facilitates care coordination with and provides education on available services to internal and external entities to improve member's short- and long-term goals in collaboration with member, caregivers, family, support systems, and physicians. A person-centered approach minimizes member confusion, and ensures the best care is delivered in the most appropriate setting. Documents accurately and comprehensively based on the standards of practice and current organization policies. Performs other CM and UM functions as assigned and as needed /required by L.A. Care, to maintain regulatory requirements and company objectives. Performs other duties as assigned. Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: At least 3 years of clinical nursing experience in direct patient care, such as ambulatory care, home care, palliative care, hospice care OR experience in Utilization Review or Care Management will be considered in lieu of direct patient care that may include at least 2 years of relevant Licensed Vocational Nurse (LVN) experience in a UM or CM capacity substituted for 1 year of RN experience. Clinical experience working with individuals with chronic illnesses, comorbidities, and/or disabilities in a UM/CM environment. Preferred: Experience in utilization review, skilled nursing, home health, discharge planning, behavioral health, community resources, and/or other home and community-based agencies. Skills Required: Excellent verbal and written communication skills; with effective charting practices. Excellent organizational, time-management and priority-setting skills. Strong clinical skills with a knowledge of care needs for elderly, disabled, and/or frail populations and has applied knowledge of End-of-Life care. Customer Service Skills: Provision of excellent customer service required due to frequent communication with providers, members and interdisciplinary team. Technical Skills: Must be computer literate and proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint, Teams). Ability to effectively utilize computer and appropriate software and interacts as needed with L.A. Care Information System. Ability to maintain strict member confidentiality and complies with all HIPAA requirements. Preferred: Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Certified Case Manager (CCM)Required Training Physical Requirements LightAdditional Information Required: Travel to offsite locations for work. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)

Clinical Triage Specialist (RN)- Gastroenterology & Colon and Rectal Surgery (PA & NJ Residents Only)

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Clinical Triage Specialist (CTS) (RN) - Access Center will compassionately deliver an exceptional patient experience and provide clinical support to CTS-MA team members by serving as a clinical resource. The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller’s symptoms will be assessed and triaged using approved nursing protocols and guidelines to assist in obtaining the appropriate level of care and/or self-care advice. JOB DUTIES AND RESPONSIBILITIES: Answers telephones, prioritizes clinical triage calls, follows clinical protocols, and coordinates services, as needed. Verifies patient demographic information and accurately enters the updated information into electronic health record. Serves as an escalation point for clinical patient issues and other POD team members requiring clinical support, and provides clinical advice based on clinical protocols and procedures. Manages and responds to escalated electronic patient messages whenever not answering inbound patient calls and uses clinical judgment to prioritize and accommodate patients. Creates a positive patient experience at every encounter, attempting to independently resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role. Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center. Utilizes all resources and guidelines at his/her disposal to effectively assess, prioritize, advise, schedule appointments, or refer calls when necessary to the appropriate medical facility or personnel. Accurately documents symptoms/complaints, nursing assessment, advice provided and patient/caller response. Partners with other Access Center teams/PODs and respective practice clinical team on behalf of the patient to assist with clinical concerns, medication refills, or scheduling appointments. Other duties as assigned. EDUCATION: Graduate of an accredited nursing program. Active Registered Nurse licensure in the state of Pennsylvania and New Jersey or other nursing compact state and other states as deemed necessary by state law. TRAINING AND EXPERIENCE: Minimum 2 years recent clinical experience in a physician office, home health, critical care and/or emergency room is required. Strong communication skills Focused on compliance Demonstrates continuous growth Quality-driven Service-oriented Excels at time management Strong problem-solving skills Ability to work from home in accordance with the Network Work from Home Policy if needed. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Care Manager (RN) - STARS - Must live in IA

Molina Healthcare Des Moines, 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) • Experience with HEDIS measures, Medicare Regulations and STARS 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.

Advice RN - Nurse Advice Call Center

Providence Brea, CA

$48.03 - $74.56 / hour

Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time of interview! Under the direction of the Supervisor/Manager, this position is responsible for triaging incoming calls, assessing needs and providing appropriate healthcare options including facilitating referral to primary providers, health care facilities and community resources. In addition, this position will be responsible for educating the caller regarding immediate health care advice, possible health related risks, as well as wellness/prevention behaviors and opportunities. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Graduate of an accredited school of nursing. California Registered Nurse License upon hire. Case management or acute care experience in a healthcare setting; 2 years preferred. 2 years - Acute or ambulatory nursing experience; 7 years preferred. Preferred Qualifications: Bachelor's Degree - Nursing or related field. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits . Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act . About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer . We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 433988 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Nursing Department: 7520 NURSE ADVICE CALL CENTER CA HERITAGE SERVICES Address: CA Brea 955 W Imperial Hwy Work Location: St Jude Heritage Medical Grp-W Imperial Hwy Brea Workplace Type: On-site Pay Range: $48.03 - $74.56 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

RN Triage Nurse

Anchor Health Petaluma, CA

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

Care Coordinator-RN

Renown Health Reno, NV

Position Purpose This position provides face to face, virtual or telephonic care. Collaborates with their team members both clinical and non-clinical. Coordinates services provided for patients with chronic, or behavioral health/chemical dependency needs across the lifespan to improve the quality of care and satisfaction. Identifies social determinants of health and clinical symptomology needing intervention and works within the framework of the IDT to build a longitudinal plan of care and satisfy goals. Nature and Scope This position shall coordinate all components of Care Coordination services to provide for individual patients’ health care needs thorough the continuum of care. This includes Care Coordination which involves deliberately organizing patient care activities and sharing information among all the participants concerned with a patients care to achieve safer, and more effective care. This means patients’ needs and preferences are known ahead of time and communicated at the right time to the right people, and that this information is used to provide safe, appropriate, and effective care to the patient. The Care Coordinator will follow the Renown policies and procedures. The Care Coordinator will follow the Care Coordination Model of Care and Standard work as defined by CMSA. The scope includes potential for cross training within the department Care Coordination roles to cover for departmental vacations, illness and vacancies. Position Will Be Responsible For The Following Strong interpersonal communication skills both verbal and written. Remains productive and offers help and support to team members. Collaborate with the patient, family, providers and team members to develop a patient centered Plan of Care and support patient with self-management goals. Coordinates alternative community resources to include Home Health Care, REMSA, Durable Medical Equipment, Social Determinants and Community Partners to promote and assist the patient to have a safe environment of their choice and in alignment with the patient. Facilitate, problem solve with patients, families, providers and other health care professionals to effectively resolve patient care issues. Understands how to navigate Care Coordination process of Assessment, Planning, Goal Setting, Intervention, and Evaluation with the ability to utilize these components to provide for the individual health care needs and promote positive outcomes (quality). Helps with transitions of care and organizes medical information. Knowledge of applicable regulatory requirements and community resources Knowledge of continuous quality improvement process. Philosophy consistent with the corporate culture of Renown Health Initiates, updates and revises: Assessments, Patient Outreach Encounter documentation and Longitudinal Plan of Care within the Health Planet module in Epic Ability to document in the MIDAS system any grievances, complaints, or compliments identified. May be responsible for other duties as assigned. This position may be patient facing, in person, e-visits, home visit, virtual or telephonic. This position does not provide patient care Disclaimer The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. Minimum Qualifications Requirements - Required and/or Preferred Name Description Education: Must have working-level knowledge of the English language, including reading, writing, and speaking English. Appropriate education to obtain and maintain Registered Nursing licensure in the State of Nevada. Experience One year experience as an RN preferred. License(s) Applicants with Care Management or Home Health experience preferred. Ability to obtain and maintain a State of Nevada RN license at time of hire. Ability to obtain and maintain a valid State of Nevada driver's license and ability to pass Renown Health's Department of Motor Vehicle Report criteria. (excludes 200373). Required for this position Fingerprints must be able to pass Nevada Division of Public and Behavioral Health (DBPH) background checks upon hire and every 5 years per State of Nevada Revised Statue (NRS 449.123) to remain in this position. Certification(s) Current BLS certification by American Heart Association (AHA) standards required at time of hire for cost centers: 200372, 200373 and 530704. Utilization or Case Management Certification desirable. Computer / Typing Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

RN Triage Nurse

Anchor Health

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

RN Triage Nurse

Anchor Health Petaluma, CA

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

RN Triage Nurse

Anchor Health CA

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

Yukon-Kuskokwim Health Corporation Bethel, AK

Registered Nurse Coordinator -Focus Care Clinic

Position Summary: Responsible for the delivery of patient care through the nursing process of assessment, nursing diagnosis, planning, implementation, and evaluation. The Registered Nurse in this role is responsible for the day-to-day operations of the Focus Care Clinic, ensuring efficient delivery of care for common acute diagnoses. This position involves conducting rapid, high-quality patient assessments, implementing evidence-based protocols, and managing clinic workflow to ensure timely service. Additionally, this position serves as the operational lead, overseeing support staff, managing medical inventory, and ensuring the clinic meets all regulatory and safety standards. The RN Coordinator acts as a knowledgeable resource for both colleagues and patients, applying age-specific and culturally sensitive considerations to a diverse patient population within a fast-paced clinical setting. The nurse actively supports the mission of Yukon Kuskokwim Health Corporation by increasing access to care and maintaining clinical excellence within the Focus Care environment. Position Qualifications: Minimum Education: Must have completed a program of education in nursing from an NLN approved institution. Minimum Experience: Preferred one year leadership experience in the health care setting as a Registered Nurse. License, Certification, Registration: Must be licensed in good standing in the State of Alaska as a Registered Nurse. Current BLS. The successful candidate will be required to pass and maintain competencies for this position. Equipment/Tools: Office equipment (i.e. computer, telephone, fax machine, copy machine), other telecommunication equipment. Specialized Knowledge and Skills: Proficient oral and written communication skills, essential for conducting remote patient assessments and providing clear guidance over the phone. Able to practice nursing as described in the Alaska Statutes regarding the practice of Registered Nursing, ensuring compliance with all relevant regulations. Strong cognitive and technical knowledge required to effectively manage patient care across the continuum of remote triage services. Flexibility with work schedule and the ability to make independent decisions within prescribed limits, adapting to the unique demands of remote triage nursing. Utilization of the nursing process in the provision of patient care, including accurate assessment, treatment administration, interpretation of diagnostic tests, and patient/family/significant other education. Knowledge of medical terminology, enabling effective communication with patients and healthcare professionals. Competence in working within a patient care setting, particularly in a remote telephonic environment. Strong foundational nursing skills to address a wide range of medical inquiries and emergencies over the phone. Ability to read, analyze, and interpret general professional journals, technical procedures, and governmental regulations, ensuring adherence to guidelines and procedures. Effective documentation of actions involved in care delivery and communication with patients and colleagues. Theoretical knowledge of the nursing process, care management, and continuity of care, with the ability to apply these concepts to remote triage services. Proficiency in mathematical skills, including addition, subtraction, multiplication, and division, as well as the ability to compute rates, ratios, and percentages for accurate assessment and triage decisions. Problem-solving skills to address practical challenges and adapt to a variety of concrete variables in remote patient care. Interpretation of instructions furnished in written, oral, diagrammatic, or schedule form, facilitating effective triage assessments and patient interactions. Supervisory Responsibilities: Supervises nursing and support staff of Focus Care Clinic. Serves as consult to staff and manages staffing for Focus Care Clinic. May be assigned supervision of additional staff as needed. Benefits Include: Generous PTO – starting at 4.5 weeks per year, accrued over time Eleven paid holidays Comprehensive healthcare coverage Life and Disability Insurance Flexible Spending Account Retirement plans Employee Wellness Center Plus More! C#

Service Center Registered Nurse - Relief

Yakima Valley Farm Workers Clinic Salem, NY

$41.66 - $51.03 / hour

Join our team as a Service Center Registered Nurse at Lancaster Family Health Center in Salem, OR! Are you a compassionate and skilled Registered Nurse with a knack for delivering excellent patient care over the phone? Do you thrive in fast-paced environments and love providing immediate support to patients? Join our team and make a real impact on our patients’ lives by ensuring patient needs are met promptly and effectively through inquiries, care coordination, efficient communication, triage, and first-call resolution! As a Registered Nurse in our Service Center, you’ll be the first point of contact for many of our patients, answering questions, offering guidance, and providing essential triage with empathy and expertise. Working alongside a team of service center scheduling agents and other experienced nurses, your role will focus on first-call resolution, aiming to resolve patient needs in a single call and ensure that each patient feels cared for and supported. Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. We invite you to explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families! Position Highlights: This is a relief (on-call) position EMR system is EPIC $41.66-$51.03/hour DOE with the ability to go higher for highly experienced candidates Additional pay for your bilingual skills What You’ll Do: Patient Triage: Assess the urgency of patient needs, gathering pertinent information to ensure appropriate responses and directing care as necessary Patient Inquiries: Respond to patient questions regarding medications, treatments, and general healthcare information Care Coordination: Guide patients to the right resources, send messages to providers, and advise on next steps. Work with the healthcare team to create and implement care plans, coordinate referrals, and educate patients about medications and side effects Efficient Communication: Collaborate with our local team of nurses to ensure consistency, quality, and warmth in every patient interaction. First-Call Resolution: Aim to resolve patient concerns during the initial call to foster trust and patient satisfaction Comprehensive Care: During patient calls, discuss main concerns, take health information, and document information in the electronic medical record (EMR) system Qualifications: Associate’s Degree or higher in Nursing 1 year of outpatient or clinical RN experience is preferred Active WA/OR RN license; Dual Washington/Oregon licensure required within 120 days Nurse Licensure Compact (NLC): If the RN holds a license from a participating NLC state, they must provide proof of primary state of residence and proof of completed suicide‑prevention training during the first week of onboarding. If relocating to Washington, the RN must obtain a Washington RN license within 6 months of hire and update their primary state of residence within 60 days of relocation. BCLS within 90 days of hire; ACLS and PALS preferred Spanish bilingual proficiency is preferred at a level 10 Our Mission Statement “Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.” Our mission celebrates inclusivity. We are committed to equal-opportunity employment. Visit our website at www.yvfwc.com to learn more about our organization.

Evergreen Nephrology Nashville, TN

Nurse Care Manager

$90,000 - $103,000 / year

Who We Are Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants. We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today. Who You Are You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change. Your Role As a Nurse Care Manager supporting the Evergreen Aligned (EGA) team with Evergreen Nephrology, you are responsible for supporting care delivery within the EGA model by partnering with Advanced Practice Providers (APPs) to ensure effective execution of individualized care plans for patients with chronic kidney disease, hypertension, diabetes, and congestive heart failure. This role focuses on enhancing clinical outcomes, patient engagement, and care coordination through education, remote monitoring, medication management, and longitudinal patient support in a virtual care environment. Role Responsibilities Some responsibilities may vary based on specific patient programs, but this role's primary duties include the following: Visit Preparation & Coordination Conducts pre-visit planning by reviewing patient records, identifying care gaps, and ensuring necessary clinical information, laboratory results, and assessments are available for scheduled visits. Care Plan Execution & Clinical Support Reinforces APP-directed care plans through post-visit follow-up and ensures patient understanding and adherence. Monitors completion of key care elements including labs, medications, and referrals. Chronic Kidney Disease Management & Education Provides stage-based CKD education, reinforcing guideline-directed therapies, and key lifestyle strategies. Supports early patient understanding of disease progression and renal replacement options. Hypertension Management & Education Educates accurate home BP monitoring and trends data to identify uncontrolled hypertension or hypotension. Reinforces protocol-driven treatment adjustments and lifestyle interventions. Diabetes Management & Education Reviews SMBG/CGM data to identify glycemic trends and support timely escalation of care. Educates on hypo-/hyperglycemia management and reinforces medication adherence and A1c monitoring. Congestive Heart Failure Management & Education Monitors weight, blood pressure, symptoms, and other clinical indicators to identify early signs of heart failure exacerbation. Reinforce guideline-directed medical therapy, sodium and fluid management, medication adherence, and self-management strategies while facilitating timely escalation of care to prevent avoidable hospitalizations. Medication Management Performs medication reconciliation and identifies adherence barriers, side effects, and safety concerns. Educates patients and coordinates with APPs and pharmacy on refills and therapy optimization. Quality Measures and Care Gap Closures Supports achievement of HEDIS, Medicare Stars, and other value-based care quality measures by partnering with APPs, providers, and quality teams to proactively identify, address, and close care gaps through patient outreach, education, and follow-up. Remote Patient Monitoring (RPM) Conducts proactive outreach for abnormal or missing data and supports device (DM, HTN, CHF) onboarding and troubleshooting. Drives patient engagement and improves data completeness for clinical decision-making. Patient Engagement & Relationship Building Serves as a consistent, trusted point of contact, building rapport through empathetic and culturally competent communication. Addresses concerns and reinforces trust in the care model and longitudinal care. Self-Management Education Delivers simplified, low health literacy education using teach-back methods to confirm understanding. Provides clear, actionable guidance to support self-management and adherence. Cross-Functional Program Collaboration Partners closely with Program Managers, Care Coordinators, Clinical Educators, Pharmacists, Quality, and other interdisciplinary team members to support patient care objectives and program outcomes. Community Provider Collaboration Partners with community nephrologists and primary care providers to ensure coordinated care delivery, address care gaps, support transitions of care, and improve clinical outcomes for patients with chronic conditions. Other duties consistent with this role, as assigned. Required Qualifications Active, unrestricted Registered Nurse (RN) license 2+ years of clinical experience in chronic disease management (CKD, diabetes, or hypertension) Strong patient education and communication skills Experience with electronic health records (EHR) Clinical judgment and data interpretation Patient-centered communication and motivational interviewing Collaboration in multidisciplinary teams Ability to manage multiple patients in a fast-paced virtual environment Strong organizational and follow-through skills Intermediate skills with MS Office Suite of products including Outlook and Teams Able to work effectively in a primarily remote environment: Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Preferred Qualifications Experience in virtual care, care management, or remote patient monitoring Familiarity with value-based care models and quality metrics Bilingual (Spanish/English) (as applicable to patient population) Compensation The base salary pay range for this role is $90,000 to $10 3 ,000 annually. Exact pay is determined based on experience, education, and other role-specific factors. This role is also eligible for a quarterly bonus. Benefits Evergreen Nephrology’s total rewards program is designed to support you in and outside of work. You can expect: Paid time off starting at 4 weeks for full-time employees 12 paid holidays per year Medical, dental, vision and life insurance, including an HSA with employer match Reimbursement for continuing medical education for eligible roles A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure Paid parental leave A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws. If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at talent@egneph .com .

Overnight Digital Triage Registered Nurse

Galileo

$46 - $55 / hour

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

Evenings Digital Triage Registered Nurse (Contract)

Galileo

$46 - $55 / hour

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