Telehealth Jobs

RN Pediatric Utilization Review Telehealth Part-time
Children's Healthcare of Atlanta

Utilization/Clinical Review RN -PRN

Children's Healthcare of Atlanta Atlanta, GA
Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Variable Work Day(s) Variable Shift Start Time 6:00 AM Shift End Time 5:00 PM Worker Sub-Type PRN Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description Participates as a member of a multidisciplinary team in completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external customers. This role is PRN and requires (6) 8-hour days per month with 1 day being on the weekend. We'll be open to offering more if possible. Some Holidays are required as well. Training/Orientation will be 3 days/week (8-hour days) for 8-10 weeks. Onsite Orientation is needed 3-4 days for first week. This role will be remote BUT regular meetings/trainings require being onsite at the Support Center in Atlanta GA. Experience 3 years of experience in a healthcare setting; pediatrics preferred Preferred Qualifications Bachelor of Science in Nursing Previous experience with MCG and/or InterQual systems 2 years of experience in hospital or insurance related utilization review highly preferred Education Graduation from an accredited school of nursing Certification Summary Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the Enhanced Nurse Licensure Compact Knowledge, Skills, and Abilities Working knowledge of financial aspects of third-party payors and reimbursement Effective decision-making/problem-solving skills Demonstration of creativity in problem-solving Must possess above-average computer skills Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of employment Job Responsibilities Provides clinical information to insurance companies as needed for completion of pre-certification process as noted in Children's Healthcare of Atlanta utilization management plan. Evaluates all patients, including critical care, for appropriateness of admission type and setting, utilizing a combination of clinical information, screening criteria, and third-party information within 24 hours or next business day. Initiates and facilitates physician communications relative to utilization review process when indicated without prompting and follows up to ensure completion, including peer-to-peer reviews, securing admission orders, and reporting quality issues. Reviews concurrently all inpatients, including critical care, every three days or sooner if payor requests, including information regarding patient's medical condition, intensity of services being utilized, treatment plan, and established review criteria. Ensures all pertinent information is documented into various systems for utilization review process. Gathers and reviews relevant medical information and documents utilization review process outcome based on system accepted utilization criteria on the accepted current review forms and in computer systems. Supports organizational efforts to ensure accurate capture of admission status and level of care using Epic and escalating cases for status change where necessary. Refers denied cases to appropriate personnel and provides assistance and/or clinical support to aid in appeal process. Serves as resource to Case Management for facilitation of patients moving to appropriate level of care and notifying when patients no longer meet medical necessity to aid in discharge planning. Meets productivity (10-12 reviews/day) and quality assurance (95%) standards and demonstrates utilization review proficiency with the successful completion and passing of McKesson Interrater Reliability testing. Attends all required onsite, telephonic, and mandatory department meetings. Participates in department activities to help promote utilization review process, aids in denial prevention, and serves as resource to peers and team members. Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 1575 Northeast Expy NE Job Family Nursing-Non Bedside
RN Telehealth Part-time
Cincinnati Children's

Experienced Registered Nurse, RN, Nurse Helpline

Cincinnati Children's Cincinnati, OH
Primary Location Remote Department DPIC Shift Rotating (United States of America) Schedule Part time Weekly Hours 24 FTE 0.6 Employee Status Regular JOB RESPONSIBILITIES Compliance - Patient Services Staff - Sustain a working understanding of regulatory requirements and accreditation standards. Support leadership in Compliance efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Be mindful and judicious in monitoring safety and departmental policies and procedures. Ensure all individual certifications and Safety College requirements are fulfilled in a timely basis. Work with department managers, nurse council and magnet representatives to identify and share safety best practices. Be mindful of CCHMCs processes and compliance with CMS standards and freely communicate safety and compliance concerns to leadership team members. Interprofessional Practice - Demonstrates consistent integration of the Interprofessional Practice Model (IPM) in all aspects of practice. Clinical inquiry & performance review to improve practice - Follows standards and guidelines; implements clinical changes and research-based practices developed by others; recognizes the need for further learning to improve patient care; recognizes routine or obvious changing patient situation (e.g., deterioration, crisis); in unusual care situations, seeks help when needed to identify patient problem. Uses self-appraisal performance review and peer review, including annual goal setting, for assurance of competence and professional development to promote safe and ethical practice using the nursing process. Demonstrates openness to coaching and mentoring from others. Facilitates learning by assisting with peer and student learning experiences. Works with department managers, nurse council and magnet representatives to identify, share, implement and evaluate safety best practices. Uses systems thinking - Sees the pieces or components; sees patient and family within the isolated environment of the unit; sees self as key resource to support the family through the healthcare experience through care coordination. Sustains a working understanding of regulatory requirements and accreditation standards. Supports leadership in efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Monitors and complies with safety and departmental policies and procedures. Ensures individual certifications and Safety College requirements are fulfilled in a timely basis. Is mindful of CCHMCs processes and compliance with CMS standards and freely communicates safety and compliance concerns to leadership team members. Patient Care - Age Specific and Culturally Inclusive - Consistently integrates age specific and culturally inclusive concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning. Collaborates with team using shared decision making - Is receptive to the contributions of the interdisciplinary team in team meetings and discussion regarding patient issues. Participates in shared governance at the point-of-care as a member of unit-based councils or by demonstrating awareness and contributing to shared decision making (reading minutes, giving feedback and implementing council decisions). Clinical judgment when performing caring practices - Collects clinical data; follow algorithms, decision trees, and protocols. Matches formal knowledge with clinical events to make appropriate decisions; uses available resources as needed. Documents plan of care, care delivered, and patient and family outcomes. Focuses on the usual and customary needs of the patient and family; anticipates future needs; bases care on standards and protocols; maintains a safe physical environment; acknowledges death as a potential outcome. Consistently integrates age specific concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning. Using self-management support, develops care goals and actions through partnerships with patients and families. Facilitates patient and family learning by providing structured education based on the plan of care goals, and the needs of the patient and family; uses teach back to evaluate effectiveness. Exhibits advocacy, moral agency and response to inclusion - Works on behalf of patient and family; assesses personal values; aware of ethical conflicts/issues that may surface in clinical setting; makes ethical/moral decisions based on rules; represents patient when patient cannot represent self; aware of patients' rights. Assesses cultural inclusion. Recognizes the potential impact of culture on the patient/family experience and incorporates culturally inclusive concepts into patient care. JOB QUALIFICATIONS Associate/Diploma prepared RNs from ACEN, CCNE or NLN CNEA accredited institution requires 2+ years of experience. If hired without a BSN or MSN, must enroll in a BSN or MSN program within 1 year of hire date/RN job date and complete program within 5 years of hire/RN job date. Preferred: BSN from ACEN, CCNE or NLN CNEA accredited institution or MSN are preferred. Multi-State RN License required from Ohio, Kentucky or Indiana. 2 years of work experience in a related job discipline. Foreign graduates must have license validated through TruMeritTM per Ohio Board of Nursing code for Foreign Graduates. About Us At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. Cincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding Recognized as one of America’s Best Large Employers (2025) , America’s Best Employers for New Grads (2025) One of the nation's America’s Most Innovative Companies as noted by Fortune Consistently certified as great place to work A Leading Disability Employer as noted by the National Organization on Disability Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us. Comprehensive job description provided upon request. Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
RN Telehealth Full-time
Cincinnati Children's

Experienced Registered Nurse, Non-Acute, Nurse Helpline, Full-Time

Cincinnati Children's Cincinnati, OH
Primary Location Remote Department Nurse Helpline Shift Rotating (United States of America) Schedule Full time Weekly Hours 32 FTE 0.8 Employee Status Regular AN AFTER HOURS HELPLINE. Operate when the offices are closed: 4:30PM - 9:00AM MON - FRI & 24/7 On the Weekends. Holiday and Weekend Rotation Required. JOB RESPONSIBILITIES Compliance - Patient Services Staff - Sustain a working understanding of regulatory requirements and accreditation standards. Support leadership in Compliance efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Be mindful and judicious in monitoring safety and departmental policies and procedures. Ensure all individual certifications and Safety College requirements are fulfilled in a timely basis. Work with department managers, nurse council and magnet representatives to identify and share safety best practices. Be mindful of CCHMCs processes and compliance with CMS standards and freely communicate safety and compliance concerns to leadership team members. Interprofessional Practice - Demonstrates consistent integration of the Interprofessional Practice Model (IPM) in all aspects of practice. Clinical inquiry & performance review to improve practice - Follows standards and guidelines; implements clinical changes and research-based practices developed by others; recognizes the need for further learning to improve patient care; recognizes routine or obvious changing patient situation (e.g., deterioration, crisis); in unusual care situations, seeks help when needed to identify patient problem. Uses self-appraisal performance review and peer review, including annual goal setting, for assurance of competence and professional development to promote safe and ethical practice using the nursing process. Demonstrates openness to coaching and mentoring from others. Facilitates learning by assisting with peer and student learning experiences. Works with department managers, nurse council and magnet representatives to identify, share, implement and evaluate safety best practices. Uses systems thinking - Sees the pieces or components; sees patient and family within the isolated environment of the unit; sees self as key resource to support the family through the healthcare experience through care coordination. Sustains a working understanding of regulatory requirements and accreditation standards. Supports leadership in efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Monitors and complies with safety and departmental policies and procedures. Ensures individual certifications and Safety College requirements are fulfilled in a timely basis. Is mindful of CCHMCs processes and compliance with CMS standards and freely communicates safety and compliance concerns to leadership team members. Patient Care - Age Specific and Culturally Inclusive - Consistently integrates age specific and culturally inclusive concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning. Collaborates with team using shared decision making - Is receptive to the contributions of the interdisciplinary team in team meetings and discussion regarding patient issues. Participates in shared governance at the point-of-care as a member of unit-based councils or by demonstrating awareness and contributing to shared decision making (reading minutes, giving feedback and implementing council decisions). Clinical judgment when performing caring practices - Collects clinical data; follow algorithms, decision trees, and protocols. Matches formal knowledge with clinical events to make appropriate decisions; uses available resources as needed. Documents plan of care, care delivered, and patient and family outcomes. Focuses on the usual and customary needs of the patient and family; anticipates future needs; bases care on standards and protocols; maintains a safe physical environment; acknowledges death as a potential outcome. Consistently integrates age specific concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning. Using self-management support, develops care goals and actions through partnerships with patients and families. Facilitates patient and family learning by providing structured education based on the plan of care goals, and the needs of the patient and family; uses teach back to evaluate effectiveness. Exhibits advocacy, moral agency and response to inclusion - Works on behalf of patient and family; assesses personal values; aware of ethical conflicts/issues that may surface in clinical setting; makes ethical/moral decisions based on rules; represents patient when patient cannot represent self; aware of patients' rights. Assesses cultural inclusion. Recognizes the potential impact of culture on the patient/family experience and incorporates culturally inclusive concepts into patient care. JOB QUALIFICATIONS Associate/Diploma prepared RNs from ACEN, CCNE or NLN CNEA accredited institution requires 2+ years of experience. If hired without a BSN or MSN, must enroll in a BSN or MSN program within 1 year of hire date/RN job date and complete program within 5 years of hire/RN job date. Preferred: BSN from ACEN, CCNE or NLN CNEA accredited institution or MSN are preferred. Multi-State RN License required from Ohio, Kentucky or Indiana. Must Reside in the Tri-State (OH, KY, IN). 2 years of work experience in a related job discipline. Foreign graduates must have license validated through TruMeritTM per Ohio Board of Nursing code for Foreign Graduates. About Us At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. Cincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding Recognized as one of America’s Best Large Employers (2025) , America’s Best Employers for New Grads (2025) One of the nation's America’s Most Innovative Companies as noted by Fortune Consistently certified as great place to work A Leading Disability Employer as noted by the National Organization on Disability Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us. Comprehensive job description provided upon request. Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
RN Telehealth Full-time
University of Rochester Medical Center

RN, Quality Assurance

University of Rochester Medical Center New York, NY
$73,528 - $95,586 / year
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500179 CVSL - QA SMH Work Shift: UR - Day (United States of America) Range: UR URCC 214 Compensation Range: $73,528.00 - $95,586.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations. Responsibilities: The Project Nurse primary responsibilities include: Serves as the primary internal contact for national and state cardiac/vascular registry data management questions, issues or concerns, but not limited to clinical data collection, validation, delivery, reconciliation, and data management activity timeliness. Concurrently and retrospectively reviews medical records and data to identify patient care, process, and system issues (hospital and external) related to the care of the cardiac/vascular patients. Analyzes reports and clinical data to identify trends impacting quality outcomes. Works closely with the Hospital Quality Office, the Department of Medicine/Surgery Quality Teams and providers/staff from the Division to identify opportunities for clinical safety and quality improvement, and works with the team developing initiatives to improve quality outcomes. The position provides flexible hours, does not require nights/weekends/holidays, and allows for partially remote work from home. ESSENTIAL FUNCTIONS Project Nurse/Quality Analyst Utilizes national/state registries and other data sources to analyze patient outcomes, identify patterns and trends in care delivery in order to create safety/quality initiatives for Cardiac/Vascular patients. Participates in root cause analyses and creates required documents as needed. Completes audits on patient records and clinical documentation for quality purposes. Assists with work related to the Quality Collaboratives the Department is involved in. Serves as a liaison to outpatient clinics. Quality Improvement Develops project work-plans using Quality Improvement principles. Utilizes evidence-based practice in facilitating ongoing quality improvement efforts to drive better patient outcomes. Participates in initiatives for LOS reduction Leads multidisciplinary teams on quality improvement initiatives. Leads and facilitates Division Morbidity and Mortality Conferences in collaboratin with the Physicial QAL Regularly reports quality improvement activities and quality outcomes to providers and clinical staff and is responsible for presentation of this work at various Department and Hospital level committees. Maintains knowledge of current trends, issues and research in Quality Improvement. Registry Data Coordinating Accurately identifies patients for inclusion in the national and state databases through the application of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases to identify opportunities for improved outcomes, reduced cost, improved LOS and best practice utilization of resources. Complete and accurate collection of preoperative, operative and postoperative data through the effective utilization of the EMR and other Hospital databases. Demonstrates appropriate utilization of resources necessary for accurate and timely data entry into the program’s database. Demonstrates applicability of the methodology and the reliability of definitions utilized by reviewers within the program through inter-rater reliability, (IIR) testing Reporting: Establishes effective working relationships with members of the department, Nursing, and all other Hospital Departments. Serves as an educational resource on the national/state registries and Cardiac Quality Program. Identifies areas for streamlining and process improvement in the data collection process. Prepares reports utilizing the national and state databases as requested. Attends Department and Division level Quality Meetings/Conferences. Participates in scheduled teleconferences with other national/state chart reviewers; attends the national registry conference annually. Other Duties as assigned Participates in other Quality/PI work as assigned Collection of patient reported outcome measures, which may contain patient contact via telephone, email, or face to face interaction. MINIMUM EDUCATION & EXPERIENCE Current valid NYS Registered Nurse license required, Bachelor’s degree preferred Minimum of 4 years clinical nursing experience, including 1 year of experience with clinical chart review, monitoring of clinical data/performance and performance/process improvement required. Clinical experience in perioperative nursing, inpatient surgical unit, or surgical clinic preferred. Quality improvement or patient safety knowledge and experience preferred. KNOWLEDGE, SKILLS AND ABILITIES Ability to interact with all members of the cardiac/vascular team and administrative staff in a professional and courteous manner required. Detail oriented with strong organizational and prioritization skills and ability to work independently under general guidance required. Proficiency in Microsoft Office (Word, Excel, PowerPoint, Access), software/web applications, and electronic medical record required. Statistical knowledge preferred Clinical chart review and abstraction experience preferred Quality Assurance and Process Improvement (QA/PI) experience preferred The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
NP Telehealth Telehealth Per Diem
HarmonyCares

PRN Nurse Practitioner, Per Visit Telehealth (Must live in Indiana)

HarmonyCares Indianapolis, IN
Overview HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us Accountable Care Organization 401K Retirement Plan Paid Orientation and Training Established in 11 states A+ rated malpractice coverage with tail coverage No holidays, no hospital rounds More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits . Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties and Responsibilities Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit Takes history, examines, determines diagnoses. Provides written documentation of patient visit, per NCQA standards Takes patient vital signs, as necessary. Places case management referrals and communicates with PCP as necessary. Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis. Performs all clinical duties while observing OSHA Universal Precautions Maintains patient confidentiality Attends required meetings and in-services and participates in committees, as requested Participates in professional development activities and maintains professional licenses and affiliations In this role you may work with. . . Teammates Physicians Medical Staff Patients Caregivers Agency Nurses Providers Vendors Qualifications Required Knowledge, Skills, and Experience Active/unrestricted nurse practitioner license to practice in coverage states Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA) Active BLS Certification Current enrollment in Medicare/Medicaid Must maintain a valid driver’s license and good driving record Outstanding EHR skills Preferred Knowledge, Skills and Experience Geriatric training/experience Skill in teamwork and maintaining effective working relationships with patients, medical staff, and the public Conditions of this role to be aware of. . . Adaptability to differing weather conditions and patients’ home/residential environments Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing Regular lifting/carrying items weighing up to 50 pounds Ability to ride in automobile or van up to 150 miles daily in urban and/or rural settings. Ability to drive, if necessary Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.
RN Telehealth Full-time
Allegheny Health Network

RN Nurse Navigator- Weekends, AHN

Allegheny Health Network
$34.29 - $54.25 / hour
Company Allegheny Health Network Job Description 4 10-hour shifts (8a-6p) Friday-Monday Preferred candidates will live within 50 miles of the Pittsburgh or Erie PA region General Overview Serves as the consistent point of contact for referring physicians, patients, caregivers, families, and the community. Facilitates patient flow, including coordination of appointments and assists the patient with accessing clinical and supportive care services within the Network. The RN Nurse Navigator coordinates all aspects of care in collaboration with the multidisciplinary team for all adult patients within specialized disease state to ensure they receive quality and comprehensive services. Identifies community needs and provides education, screening, support, referrals, coordination of care, and any other assistance identified as necessary. Essential Responsibilities Oversees community outreach, high risk populations and disease specific sites to establish and sustain working relationships within the network (health plan, physicians, office staff, social services staff, financial counselor, dietician, etc.). Educates and coordinates care regarding patient's diagnosis, treatment options, course of treatment, clinical trial information and resources available. Works with health care team to ensure safe handoff, coordination of care between facilities as well as inpatient to outpatient or outpatient to inpatient coordination of care. Works with High-Risk Care Teams to reduce re-admissions. May work with and/or assist Registry staff with data collection, patient outcomes and updates care delivery models. Coordinates appointments including all aspects of the multi-disciplinary team (physicians, consults, supportive care services, etc. and accompanies patients as needed to appointments. Ensures that medication adherence issues are addressed. Works with AHN physician offices/facilities to identify at-risk patients and assists in facilitating appropriate screening processes. Trends data and outcomes as established for the navigation program. Identifies gaps to improve patient care across the continuum. Develops or attends an existing clinical care conference to report out on active patients to the multidisciplinary team. May identify bereavement needs of families and develop plan of care. Performs other duties as assigned or required. Qualifications Minimum Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) 1-3 year(s) nursing experience in the specialty required. CPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred Bachelor's Degree in Nursing Certification in area of expertise. Valid PA driver's license may be required. Older Adults Protective Services Act (OAPSA) clearance may be required depending on location. Disclaimer The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum $34.29 Pay Range Maximum $54.25 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
RN Telehealth Full-time
University of Iowa Healthcare

Staff Nurse - Integrated Call Center (90%)

University of Iowa Healthcare Iowa City, IA
The Integrated Call Center is seeking a Staff Nurse at 90% time. The Staff Nurse provides support via telephone and electronic communication forums to UI Healthcare patients, referring entities and business partners. Nurses within the Integrated Call Center utilize the nursing process to provide education and care for individual patients or defined patient populations via the telephone. Telehealth nursing practice involves providing guidance to clients who call regarding health problems or symptoms which concern them. The advice, given by the triage nurse, may include coming into the hospital or a clinic, remaining at home and observing the symptoms, or following a treatment regimen. Integrated Call Center nurses utilize their clinical judgment skills in conjunction with established protocols (via a computerized decision support systems) to enable, educate, and encourage people to improve their health and make appropriate use of medical care. Hours: Day/Evening/Night rotating with weekend and holiday rotation. This position is eligible to participate in hybrid work. Hybrid work must be performed at a location within the state of Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location. Assumes accountability for advice provided to callers Assumes responsibility for service provided by self and other staff members under the nurse’s direction Evaluates the quality of nursing care provided by other staff members Participates in the development of unit, division, department, hospital policies, procedures, and protocols Contributes to the solutions of staffing issues Participates in projects/committees for enhanced functioning of the unit and supports department level decision-making Participates in ongoing strategic planning process Participates in the development and implementation of computer applications Provides recognition and support for colleagues Represents the interests of the University and of unit leadership in the use of resources to meet service and productivity demands within unit goals and budgets; strives to promote continual process and quality improvement Contributes to cost containment strategies in unit Maintains knowledge of Standards of Care and other regulatory compliances Consistently makes sound judgments after gathering factual, objective information Demonstrates tolerance for change Incorporates the principles of Service Excellence to ensure positive patient/customer relations Maintain knowledge of Telehealth Nursing Practice Administration and Practice Standards Develops and maintains knowledge of the full range of UI faculty, staff, and services offered by the University of Iowa Health Care Keep current with nursing and health care knowledge base and to pursue further enhancements of job-related knowledge Builds and sustains relationships and develops collaborative working relationships Maintains competency in age appropriate communications skills for all age groups. Maintains interpersonal relationships and communications with caller that exemplifies the highest level of guest relations with an unfailing courteous and helpful approach without regard to the caller’s manner Responds efficiently and effectively to requests from internal and external customers, assessing the need, prioritizing the request, offering appropriate alternatives, and connecting them with the appropriate resource or handling the request if the information is within the scope of the call center Offers constructive feedback and solutions to problems Ensures that information is documented and recorded per departmental procedures Monitors calls appropriately to assure that appropriate individuals are notified, information is communicated, and resources are arranged Remains calm and constructive in conflict situations Develops, and implements, patient/family teaching plan based on identified health education needs and the condition and age of the patient Evaluates and documents effectiveness of patient/family teaching through follow up telephone calls Participates in the orientation of new nursing staff and the ongoing education of nursing personnel, as directed by the Director or designee Collaborates with unit nursing staff to develop/share best practices Invests in own continuous learning and skill enhancement Required Qualifications An Associate’s Degree in Nursing, a Diploma in Nursing, a Baccalaureate Degree in Nursing, Professional Master’s of Nursing and Healthcare Practice (MNHP), MSN/Clinical Nurse Leader or a Master’s Degree in Nursing (MSN, MA) is required. Current license to practice nursing in Iowa is required by date of hire. Excellent written and verbal communication skills are required. Demonstrates excellent interpersonal skills with patients/families, nursing staff, and interdisciplinary team members as demonstrated through written and verbal interactions. General computer skills are required. Ability to multi-task; working with computer software & responding to patient calls simultaneously is required. Adaptability in working with computer software programs is required. 3-5 years of RN Clinical Nursing Experience is required. Desired Qualifications Baccalaureate Degree in Nursing or Masters’ Degree in Nursing is highly desired. If Baccalaureate degree in Nursing is not yet obtained, active enrollment in a BSN program is desirable. Experience with Epic system. Previous experience with telephone triage is desired Experience with high-volume public contact/customer service is desired. Comprehensive knowledge of University of Iowa Health Care clinical programs and services is desired. Experience handling a multi-phone line system is desired. Previous experience working with electronic medical records is desired. Application Details In order to be considered for an interview, applicants must upload the following documents and mark them as required to the submission: Resume Cover Letter Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and education verification. For additional questions, please contact kaitlin-luoma@uiowa.edu Additional Information Classification Title: Staff Nurse Appointment Type: SEIU Schedule: Part-time Work Modality Options: Hybrid within Iowa Compensation Pay Level: 6 Contact Information Organization: Healthcare Contact Name: Kaitlin Luoma Contact Email: kaitlin-luoma@uiowa.edu
NP Telehealth Telehealth Part-time
CareMed

Weekend Daytime Telehealth Nurse Practitioner

CareMed New York, NY
CAREMED HEALTH SOLUTIONS REMOTE POSITION Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team to provide medical care to patients in long term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Nurse Practitioners to telemedicine services to patients living in long-term care facilities. NP ROLE AND RESPONSIBILITIES: · Provide primary and preventative care for long-term care patients residing in skilled nursing facilities. · Manage Residents with acute changes in condition. · Prescribe appropriate medications, including controlled substances in accordance with State law. · Order, review, and/or follow-up with treatments and diagnostic testing. · Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. · and/or the care plan. NP QUALIFICATIONS AND EDUCATION REQUIREMENTS · Current, unrestricted NP license. · Board Certification. · DEA licensure. · Clinical background in adult, family, or geriatric specialties. · Experience working in a long-term care setting. · Ability to work with an EMR. · Ability to manage patients with advanced illness and multiple chronic conditions. · Ability to work within an interdisciplinary care team to coordinate patient care. NP BENEFITS · Recertification Reimbursement · Malpractice insurance
RN Med-Surg Telehealth Other
Jackson Health System

Experienced RN Medsurg Tele- Fulltime, Days- Jackson West M.C

Jackson Health System Miami, FL
Miami, FL Full-Time JW-4th Floor Summary The Clinical Staff Nurse functions as a champion of quality patient care and professional caregiver who demonstrates critical thinking skills and scientific judgment in the anticipation and planning for the care of the patient. The CSN is responsible to perform at a competent level of nursing and consistently demonstrates nursing process. These standards include: assessment, diagnosis, identification of outcomes, planning, implementation, coordination of care, teaching and health promotion and evaluation. The CSN is also responsible to hold the highest standards of professional performance, which include: ethics, cultural diversity, communication, collaboration, evidence based practice, nursing research, quality, resource utilization, and environmental health. These standards of practice encompass the actions and foundation of professional nursing. The CSN will function within the JHS CARE Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The CSN possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Responsibilities Implements and coordinates the delivery of care in collaboration with physician and other provider and healthcare staff. Utilizes the nursing process (assessment, planning, implementation, and evaluation) in applying nursing knowledge. Documents all pertinent information regarding nursing care, care plans and observations. Accounts for narcotics/emergency equipment on each tour of duty. Maintains a working knowledge of facility infection control procedures. Recognizes, questions and reports significant patient findings and/or inconsistencies in medical/nursing orders/treatment regime. Collaborates and seeks corrective action. Selects and individualizes/updates and adheres to clinical procedures/ protocols/standards/ clinical pathways, plans of care/narcotics policies and discharge/teaching plans. Completes and submits patient/unit charges. Recognizes/prioritizes overt/convert unit needs/problems/implements corrective action independently. Assumes charge nurse role when assigned/supervises designated personnel/takes action as needed. Applies the use of logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions and approaches to problems. Provides functional direction and assistance to LPN's and CNA's or MA's, and completes new staff orientation as assigned. Makes rounds on a timely basis to ensure continuity of care. Maintains HIPAA compliance at all times. Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned. Experience Generally requires 1 to 3 years of related experience. Education Associate's degree in Nursing is required. BSN degree is preferred. Any Employee who will be performing Point of Care and testing in the Operating Room, Neuro ICU, NICU, PICU, Pedi-ER, Cath Lab and/or Interventional Radiology areas, the educational degree must be verified at the time of hire. Minimum education level required to be verified is Associate's degree. Skill General Competencies: Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Nursing Competencies: Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices. Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members. Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers. Unit Specific Competencies: Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list. Credentials Valid Florida RN license is required. American Heart Association and any additional applicable life support certification for Healthcare Providers may be required at the unit level upon hire with at least 6 months validity and maintenance at JHS for the duration of employment. Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty. Unit Specific Credential AHA Basic Life Support (BLS) with 6 months validity Working Conditions Physical Requirements - Job function requires extended standing or walking. Must be able to carry objects weighing 21 to 50 pounds. Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices. Jobs in this group require frequent visual acuity to perform activities related to extended use of computers. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).
RN Telehealth Full-time
UnitedHealthcare

Case Manager RN - Remote Nationwide

UnitedHealthcare Minnetonka, MN
$60,200 - $107,400 / year
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. RN Case Managers in the Government Programs Stars Quality program connect with members telephonically to improve member outcomes while enhancing the quality of care. Work Schedule Full time position Operating hours (40 hrs./week): Monday - Friday, 8-hour shift between 8:00am - 5:00pm local time If you are residing in Minneapolis, MN, Minnetonka, MN or Washington, D.C. area , you will be required to work in the office a minimum of four days per week. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Assess the health status of members within the scope of licensure and with the frequency set forth in the program model, or as otherwise identified by the care manager and member Establish goals to meet the identified health care quality needs, addressing and closing quality gaps in care as appropriate Plan, implement, and evaluate responses to the plan of care interventions Work collaboratively within a multidisciplinary team to engage resources and strategies to address medical, behavioral, and social barriers to care Works closely with National Personal Pharmacist Program Team 9NP3) to address member medication and adherence needs Consult with the patient's PCP, specialists, or other health care professionals as appropriate Assess patient needs for appointment scheduling and connecting with community resources, making appropriate referrals for service Follow up with members post transition from hospital or SNF to home in collaboration with the goals of the primary care physician and other treating physicians Completely and accurately document in the required clinical platform Provide members and care givers with counseling and education regarding health maintenance, preventive care, condition trajectory and need for follow-up Verify and document patient and/or caregiver understanding of condition, plan of care and follow up recommendations Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness Maintain credentials essential for practice Demonstrate a commitment to our mission, core values and goals including the ability to integrate values of compassion, integrity, performance, innovation, relationships, and inclusion in the care provided to our members You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications High School Diploma/GED Current and unrestricted Nursing licensure in your state of residence 2+ years of experience as a Licensed Nurse (RN or LPN/LVN) 2+ years of experience in assessing the medical needs of patients with complex medical, behavioral, and/or social needs 2+ years of experience working within interdisciplinary care teams Intermediate level of computer skills (Microsoft Suite) Preferred Qualifications Certified Case Manager (CCM) 6+ months of Case Management experience Medicare or Medicaid quality (Stars, HEDIS, Pharmacy) experience Proven excellent administrative and organizational skills and the ability to effectively communicate with members and their caregivers Telecommuting Requirements Designated quiet workspace in your home (separated from non-workspace areas) and the ability to secure and maintain Protected Health Information (PHI) and/or Protected Information (PI) All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN
NP Telehealth Telehealth Per Diem
HarmonyCares

PRN Nurse Practitioner,Homevisits/Telehealth - Per Visit

HarmonyCares Laurel, MS
Overview HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us Accountable Care Organization 401K Retirement Plan Paid Orientation and Training Established in 11 states A+ rated malpractice coverage with tail coverage No holidays, no hospital rounds More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits . Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties and Responsibilities Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit Takes history, examines, determines diagnoses. Provides written documentation of patient visit, per NCQA standards Takes patient vital signs, as necessary. Places case management referrals and communicates with PCP as necessary. Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis. Performs all clinical duties while observing OSHA Universal Precautions Maintains patient confidentiality Attends required meetings and in-services and participates in committees, as requested Participates in professional development activities and maintains professional licenses and affiliations In this role you may work with. . . Teammates Physicians Medical Staff Patients Caregivers Agency Nurses Providers Vendors Qualifications Required Knowledge, Skills, and Experience Active/unrestricted nurse practitioner license to practice in coverage states Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA) Active BLS Certification Current enrollment in Medicare/Medicaid Must maintain a valid driver’s license and good driving record Outstanding EHR skills Preferred Knowledge, Skills and Experience Geriatric training/experience Skill in teamwork and maintaining effective working relationships with patients, medical staff, and the public Conditions of this role to be aware of. . . Adaptability to differing weather conditions and patients’ home/residential environments Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing Regular lifting/carrying items weighing up to 50 pounds Ability to ride in automobile or van up to 150 miles daily in urban and/or rural settings. Ability to drive, if necessary Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.
RN Telehealth Full-time
Baptist Health (AR)

OB Hub RN - ONSITE

Baptist Health (AR) Little Rock, AR
Video Testimonial " data-jobs-name="Jobs" data-jobs-type="plain-text" data-jobs-value="" data-category-name="Category" data-category-type="plain-text" data-category-value="NURSING" data-id="a2bc0875-a4e6b90f-672213c3"> "> Job Details Department: Fetal Heart Monitoring Shift: Night Working Hours: 1730-2000 Summary The RN in the Neonatal Escalation Safety Telemetry (NEST) program is responsible for remote monitoring of fetal tracings for obstetric patients across all BH hospitals. The nurse provides continuous vigilance and tele-nursing focused on early prevention/intervention of abnormal fetal heart rate tracing within Baptist Health. This remote operation is staffed by skilled labor and delivery RNs, providing essential remote monitoring of fetal tracings for obstetric patients across multiple healthcare facilities. As an RN in this role, you will collaborate with bedside teams across various Labor and Delivery units within our system to provide additional observation of fetal tracings. Your primary responsibilities will include early identification, notification, and escalation of concerning tracings, while advocating for evidence-based practices and guiding fellow nurses in their professional growth. Other Information MINIMUM REQUIREMENTS Active and unencumbered licensure as a Registered Nurse in Arkansas or eligibility through Compact state agreements is required. BSN is preferred. A minimum of 3 years of labor and delivery experience in a level 2,3, or 4 facility is required. Current Healthcare Provider CPR/BLS is required Must hold certification through NCC as RNC-EFM or obtain within 6 months of hire. Electronic Fetal Monitoring Certification is required within 1 year of hire. Completion of an AWHONN Advanced or Intermediate Fetal Monitoring course within the last three years is required. Applicants without a recent course must complete the Intermediate and/or Advanced Fetal Monitoring course within six months of hire. Must obtain 20 contact hours annually, fifty percent of which must be clinically focused. Academic course credits can be substituted for contact hours on a one-to-one (1:1) credit hour exchange basis. KNOWLEDGE, SKILLS, AND ABILITIES Demonstrated evidence of professional growth through certification or education. Proficiency in interpreting fetal tracings and identifying physiological abnormalities. Effective communication skills, both written and verbal Strong clinical leadership abilities This job will be authorized 72.00 hours bi-weekly. "> Department: Fetal Heart Monitoring Shift: Night Working Hours: 1730-2000 Minimum Requirements Active and unencumbered licensure as a Registered Nurse in Arkansas or eligibility through Compact state agreements is required. BSN is preferred. A minimum of 3 years of labor and delivery experience in a level 2,3, or 4 facility is required. Current Healthcare Provider CPR/BLS is required Must hold certification through NCC as RNC-EFM or obtain within 6 months of hire. Electronic Fetal Monitoring Certification is required within 1 year of hire. Completion of an AWHONN Advanced or Intermediate Fetal Monitoring course within the last three years is required. Applicants without a recent course must complete the Intermediate and/or Advanced Fetal Monitoring course within six months of hire. Must obtain 20 contact hours annually, fifty percent of which must be clinically focused. Academic course credits can be substituted for contact hours on a one-to-one (1:1) credit hour exchange basis. KNOWLEDGE, SKILLS, AND ABILITIES Demonstrated evidence of professional growth through certification or education. Proficiency in interpreting fetal tracings and identifying physiological abnormalities. Effective communication skills, both written and verbal Strong clinical leadership abilities This job will be authorized 72.00 hours bi-weekly.
RN Med-Surg Telehealth Other
Jackson Health System

Experienced RN Medsurg Tele- Perdiem, Flexible shifts- Jackson West M.C

Jackson Health System Miami, FL
Miami, FL On Call/Pool JW-4th Floor Summary The PRM Clinical Staff Nurse functions as a champion of quality patient care and professional caregiver who demonstrates critical thinking skills and scientific judgment in the anticipation and planning for the care of patient in assigned area(s). The PRM Clinical Staff Nurse is responsible to perform at a competent level of nursing and consistently demonstrates nursing process. These standards include: assessment, diagnosis, identification of outcomes, planning, implementation, coordination of care, teaching and health promotion and evaluation. The PRM Clinical Staff Nurse is also responsible to hold the highest standards of professional performance, which include: ethics, cultural diversity, communication, collaboration, evidence based practice, nursing research, quality, resource utilization, and environmental health. These standards of practice encompass the actions and foundation of professional nursing. The PRM Clinical Staff Nurse will function within the JHS CARE Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The PRM Clinical Staff Nurse possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Responsibilities Implements and coordinates the delivery of care in collaboration with physician and other provider and healthcare staff. Utilizes the nursing process (assessment, planning, implementation, and evaluation) in applying nursing knowledge. Documents all pertinent information regarding nursing care, care plans and observations. Accounts for narcotics/emergency equipment on each tour of duty. Maintains a working knowledge of facility infection control procedures. Recognizes, questions and reports significant patient findings and/or inconsistencies in medical/nursing orders/treatment regime. Collaborates and seeks corrective action. Selects and individualizes/updates and adheres to clinical procedures/ protocols/standards/ clinical pathways, plans of care/narcotics policies and discharge/teaching plans. Completes and submits patient/unit charges. Recognizes/prioritizes overt/convert unit needs/problems/implements corrective action independently. Assumes charge nurse role when assigned/supervises designated personnel/takes action as needed. Applies the use of logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions and approaches to problems. Provides functional direction and assistance to LPN's and CNA's or MA's, and completes new staff orientation as assigned. Makes rounds on a timely basis to ensure continuity of care. Maintains HIPAA compliance at all times. Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned. Experience Generally requires 1 to 3 years of related experience. Education Associate's degree in Nursing is required. BSN degree is preferred. Any Employee who will be performing Point of Care and testing in the Operating Room, Neuro ICU, NICU, PICU, Pedi-ER, Cath Lab and/or Interventional Radiology areas, the educational degree must be verified at the time of hire. Minimum education level required to be verified is Associate's degree. Skill General Competencies: Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Nursing Competencies: Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices. Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members. Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers. Unit Specific Competencies: Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list. Credentials Valid Florida RN license is required. American Heart Association and any additional applicable life support certification for Healthcare Providers may be required at the unit level upon hire with at least 6 months validity and maintenance at JHS for the duration of employment. Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty. Unit Specific Credential AHA Basic Life Support (BLS) with 6 months validity Working Conditions Physical Requirements - Job function requires extended standing or walking. Must be able to carry objects weighing 21 to 50 pounds. Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices. Jobs in this group require frequent visual acuity to perform activities related to extended use of computers. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).
RN Telehealth Part-time
MaineGeneral Health

Triage Registered Nurse (RN) - Maine Dartmouth Geriatrics; Per Diem

MaineGeneral Health Augusta, ME
Job Description Summary: Are you passionate about working with the geriatric population? Do you thrive in a collaborative, small-office setting where you can truly connect with your patients and team? If so, this opportunity may be a perfect fit. We’re looking for a Triage RN to join our Geriatric Medicine team at the Ballard Center in Augusta. In this role, you’ll play a vital part in supporting patients and caregivers through high-quality triage, education, and coordination of care. Job Description: Position: Triage Registered Nurse (RN) Location: Ballard Center, Augusta Schedule: Per Diem Shift: Days (M-F) ​What You'll Do: E licits questions, concerns, and information from the caller to assess symptoms, determine acuity, identify appropriate algorithm/protocol, and develop a treatment plan. Provides professional advice, education, and options based on assessment, established algorithm/protocol, and clinical judgment. When appropriate, dispatches appropriate discipline personnel or emergency response units. Provides referrals to healthcare providers and community resources when appropriate, including locations, hours, and contact information. Assists caller with scheduling appointments at referral sources when appropriate. Performs administrative duties to coordinate patient care, including data collection, answering phones, scheduling tests/procedures and appointments, calling in prescriptions and determining insurance coverage. Documents calls, responses, and referrals. Performs follow-up calls to evaluate effectiveness of care and need for additional care. What You'll Bring: Active Maine RN licensure or ability to obtain in a timely fashion 1 year of RN experience preferred Previous practice experience, helpful Strong assessment skills, especially over the phone Excellent teamwork, communication, and collaboration skills Proven and demonstrated critical thinking skills Ability to react calmly, objectively, and effectively in emergency situations Why Choose MaineGeneral: Competitive compensation Work-Life Balance: Earned time off, paid parental leave, and more Financial Security: 403(b) retirement plan with up to 4% company match Career Growth: Professional development and advancement opportunities Scheduled Weekly Hours: 0 Work Shift: Job Exempt: No Benefits: Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future. Physical Wellness: We offer wellness programs and resources to provide employees access to resources for a healthy lifestyle. Emotional Wellness: When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household. Financial Wellness: Access the wages you’ve already earned before payday with Payactiv, giving you greater flexibility over your finances. We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan. Career Mobility: Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource – they’re how we grow our business and care for our community. Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .
RN Telehealth Full-time
McLaren Health Care

Care Coordinator Registered Nurse - Remote in Michigan

McLaren Health Care Flint, MI
Department: Care Coordinator RN (Remote in Michigan) Position Summary: As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual’s health needs, using clinical and community resources to promote quality, cost effective outcomes. Integrates evidenced based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient centric.Provides targeted interventions to avoid hospitalization and emergency room visits. Essential Functions and Responsibilities: Provides telephonic and face-to-face comprehensive assessment and care management services to patients as part of an interdisciplinary team. Uses multi-dimensional assessment skills, risk assessment and screening tools to target high risk and vulnerable populations. Assesses over time the health care, educational, and psychosocial needs of the patient/caregiver.Uses standardized assessment tools such as depression screening, functionality, and health risk assessment. Provides follow up with patient/family when patient transitions from one setting to another.Completes timely post-hospital follow up: Medication reconciliation, PCP or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers. Uses clinical judgment to determine level of care and collaborates with the PCP, patient and interdisciplinary team, including continuum of care settings and community. Required: RN with a valid unrestricted Michigan license. Three (3) years clinical nursing experience serving chronically ill patients and extensive knowledge of issues associated with chronic care and geriatrics. Preferred: RN, BSN. Three (3) years experience in a health plan or Physician Organization environment with care coordination, care management, and/or population health. Telephonic care management experience. Home care and/or hospice experience. Complex Care Management course completion or CCM. Additional Information Schedule: Full-time Requisition ID: 26003363 Daily Work Times: 8am-5pm Hours Per Pay Period: 80 On Call: No Weekends: No
Healthcare Telehealth Full-time
Pharmko

RN: Remote Care manager, Puerto Rico

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

Medical Assistant - Call Center

Methodist Healthcare System San Antonio, TX
Do you have the career opportunities as a(an) Medical Assistant - Call Center you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nations leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications Full time (Monday - Friday, days), no nights, no on call, no weekends, no holidays Seeking a Medical Assistant for our practice who provides clinical expertise to ensure all patients receive high quality, efficient care. We are an amazing team th at work s hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now. What you will do in this role: You will prepare patients for examination and treatment by taking patient histories and vital signs You will prepare exam and treatment rooms with the necessary instruments for your patients including preparation and maintenance of supplies and equipment for treatments, including sterilization You will give injections and assist with lab testing and phlebotomy You will assist physicians in preparing for minor surgeries and physicals You will answer telephone calls to the practice and screens for referral What Qualifications you will need: EXPERIENCE: One year of Medical Assisting or other direct clinical patient care experience in a healthcare setting. High School Diploma or GED Required CERTIFICATION/LICENSE: 3 ways to qualify : Medical Assistant Certification - required . Acceptable certifications are RMA, CCMA, CMA, NCMA, NRCMA certification, or ABR-OE credentials is acceptable OR Medical Assistants who recently graduated (within the last 12 months) from a Medical Assisting training program must obtain Medical Assistant certification within 60 days of employment. OR Candidates/incumbents with one year of Medical Assistant work experience who do not possess Medical Assistant Certification must obtain Medical Assistant Certification within one year of hire date. Benefits HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Supporting HCA Healthcares 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Assistant - Call Center opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
RN Med-Surg Telehealth Full-time
Tennova Healthcare

Registered Nurse Medsurg Tele

Tennova Healthcare Concord, TN
Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-appropriate care and education. Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. Assists physicians during procedures within the scope of documented competency and skill level. Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. Documents patient care and education thoroughly and promptly in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. Telemetry RN: Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs. Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians. Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health. Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements.
RN Telehealth Full-time
Main Line Health

Registered Nurse (RN) - Transfer Center

Main Line Health Radnor, PA
Could you be our next Transfer Center Registered Nurse (RN) at our Care Operation Center located in Radnor, PA? Why work as a Transfer Center Nurse within Main Line Health? Make an Impact! Come be a part of our team at our Care Operation Center (VCOC) located at Radnor, PA! In your role as a Transfer Center Nurse, you will coordinate all transfers into and out of Main Line Health acute care facilities. You will also coordinate the appropriate admission level of care and bed placement of all urgent/emergent direct admissions into acute care hospitals. The work you will be doing will make a tremendous impact in helping with patient transfers! Develop and Grow Your Career! You are encouraged to attend MLH Education & Development Classes that offer a variety of relevant courses, tools, and resources to help achieve your personal and professional goals. On-going feedback and career development are provided by your Manager through the use of performance appraisals and 1:1 communication to further develop yourself professionally. Get Involved! Become engaged by joining hospital & system-wide Nursing Committees, Unit Councils, evidence-based research projects, precepting new staff, and more! Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care. Position-Specific Benefits Include You are eligible for up to 4 weeks of paid time off per year. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free! Position Transfer Center Registered Nurse (RN) Shift Experience: Three years of clinical nursing experience preferably in a critical care setting Two years of acute hospital case management experience Education BSN required; MSN preferred Licensures/Certifications PA RN license OR a multi-state license verified in one of the approved states through the Nursing Licensure Compact.
CMA Telehealth Full-time
Cottage Health

Clinical Support Medical Assistant, Navigation Center

Cottage Health Goleta, CA
$26 - $40 / hour
Job Description Cottage Health seeks a Clinical Support Medical Assistant, Navigation Center for their CH Navigation Center department responsible for telephone assessment of patient’s needs under the direction of Cottage Navigation Center Leadership. Assists the clinical support nurse's and Navigator Specialists and Leads in the day-to-day call center functions to aid in exceptional patient experience. Qualifications QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Graduate of an accredited Medical Assistant program or 1 year of equivalent work experience. Certifications, Licenses, Registrations: Minimum: Certified Medical Assistant in the state of California within 18 months of hire or transfer. Preferred: California State Certified Medical Assistant. Technical Requirements: Minimum: Knowledge of clinical practices and medical terminology, Ability to understand use, function, interpret, document and keep records. Familiarity with MS Office, Microsoft Outlook, and Electronic Medical Records. Preferred: Experience with Epic and CRM. Years of Related Work Experience: Minimum: 1 year of medical assistant experience in a clinic setting. Preferred: Minimum of 3 years of medical scribe experience in a clinic or hospital setting. Experience using call center phone systems . About Us Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, CA, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love. Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work. Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter. Pay for non-physician positions is determined based on related years of experience and internal equity. Eligible employees may also receive additional forms of compensation, including shift differentials, on-call pay, incentive pay, and bonus opportunities, where applicable. Manager and above positions may participate in Cottage Health’s annual management incentive program. Physician compensation is determined based upon specialty and may include bonus potential. For more information on our comprehensive Total Rewards offerings, please visit https://cottagehealth.org/careers/total-rewards . If you're already a Cottage Health employee, please apply on this link only.
RN Pediatric Telehealth Full-time
UPMC

Pediatric Clinical Care Manager (RN) - Flexible Location

UPMC Pittsburgh, PA
Purpose: Are you an experienced nurse with pediatric experience? Do you want to make a difference in the lives of families in the community? UPMC Health Plan is looking for you! We are hiring a full-time Clinical Care Manager to provide telephonic and face-to-face pediatric case management. The Clinical Care Manager will provide case management to pediatric patients receiving Shift Care services. Children will be provided case management both telephonically and face-to-face in the selected candidate's surrounding communities. Mileage reimbursement is offered. This position can be based anywhere in Pennsylvania dependent upon the selected candidate's location. This position will work daylight hours, Monday through Friday. As a Clinical Care Manager, you will be responsible for care coordination and health education with identified Health Plan members through face-to-face collaboration with members and their caregivers and providers. You will identify members' medical, behavioral, and social needs and barriers to care. You will then develop a comprehensive care plan that assists members to close gaps in preventive care, addresses barriers to care, and supports the member's self-management of chronic illness based on clinical standards of care. You will collaborate and facilitate care with other medical management staff, other departments, providers, community resources, and caregivers to provide additional support. Responsibilities: Assist member with transition of care between health care facilities including sharing of clinical information and the plan of care. Document all activities in the Health Plan's care management tracking system following Health Successfully engage member to develop an individualized plan of care in collaboration with their primary care provider that promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. Coordinate and modify the care plan with member, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan and system departments as appropriate. Review member's current medication profile; identify issues related to medication adherence, and address with the member and providers as necessary. Refer member for Comprehensive Medication Review as appropriate. Refer members to appropriate case management, health management, or lifestyle programs based on assessment data. Engage members in the Beating the Blues or other education or self-management programs. Provide members with appropriate education materials or resources to enhance their knowledge and skills related to health or lifestyle management. Contact members with gaps in preventive health care services and assist them to schedule required screening or diagnostic tests with their providers. Assist member to schedule a follow up appointment after emergency room visits or hospitalizations. Plan standards and identify trends and opportunities for improvement based on information obtained from interaction with members and providers. Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management interventions. Update the plan of care following review and communicate recommendations to the member and providers. Conduct comprehensive face to face assessments that include the medical, behavioral, pharmacy, and social needs of the member. Review UPMC Health Plan data and documentation in the member electronic health records as appropriate and identify gaps in care based on clinical standards of care. Assist families with the transition from pediatric to adult care. BSN preferred. Minimum of 2 years of experience in a clinical setting and case management nursing required. Minimum 1 year of health insurance experience required. Pediatric nursing experience highly preferred. 1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred. Excellent organizational skills. High level of oral and written communication skills. Computer proficiency required. Licensure, Certifications, and Clearances: Case management certification or approved clinical certification required (or must be obtained within 2 years of hire to remain in role) CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire Automotive Insurance Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) Certified Case Manager (CCM) Driver's License Registered Nurse (RN) Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance with renewal Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran
RN Telehealth Full-time
Northwell Health

Navigator Registered Nurse Specialist- Virtual Neurology Connectivity Division (Hybrid)

Northwell Health Great Neck, NY
$78,000 - $130,000 / year
191438 Job Description For the new Virtual Neurology Connectivity Division, the Navigator plans, directs, coordinates and implements programs. Evaluates patients’ status, instructs appropriate staff regarding significant techniques, and acts as a resource person to the health care team. Job Responsibility Reviews all protocols to maintain quality control and patient safety, and to assist Physicians with patient’s compliance. Participates in quality meetings to discuss cases and review clinical outcomes. Meets the educational needs of families and other health care professionals concerning the care of the patients. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor’s Degree in Nursing (BSN) required. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. 3-5 years of technical experience and 0-2 years of leadership / management experience, required. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
RN Telehealth Full-time
Northwell Health

Navigator Registered Nurse Specialist- Virtual Neurology Connectivity Division (Hybrid)

Northwell Health New York, NY
$78,000 - $130,000 / year
191453 Job Description Plans, directs, coordinates and implements programs. Evaluates patients’ status, instructs appropriate staff regarding significant techniques, and acts as a resource person to the health care team. Job Responsibility Reviews all protocols to maintain quality control and patient safety, and to assist Physicians with patient’s compliance. Participates in quality meetings to discuss cases and review clinical outcomes. Meets the educational needs of families and other health care professionals concerning the care of the patients. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor’s Degree in Nursing (BSN) required. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. 3-5 years of technical experience and 0-2 years of leadership / management experience, required. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
RN Utilization Review Telehealth Full-time
Molina Healthcare

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare Long Beach, CA
$30.37 - $59.21 / hour
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications Certified Professional in Healthcare Management (CPHM). Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred. 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: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
RN Telehealth Full-time
Temple Health

Nurse Navigator

Temple Health Philadelphia, PA
Hybrid Remote schedule: mostly work from home position, with varying travel time required to meet the patient Facilitates communication between the patient, their primary care physician and specialists to improve clinical outcomes. Works collaboratively with the patient to foster self-management and compliance to their clinical plan of care. Works collaboratively with physician, hospital and community resources to support the patient's clinical plan of care. Education Bachelor's Degree in Nursing Required Master's Degree in Nursing Preferred Experience 3 years experience in disease or case management services with focus on telephonic management, medical reconciliation and ambulatory care coordination Required General Experience with clinical, hospital-based information systems Required Licenses PA Registered Nurse License Required Multi State Compact RN License Required