Telehealth Jobs

RN Telehealth Full-time
L.A. Care Health Plan

Delegation Oversight Clinical Auditor RN II

L.A. Care Health Plan Los Angeles, CA
$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of L.A. Care (LAC) is in compliance with all UM regulatory requirements and new legislation through the maintenance of required policies/procedures/workflows/ processes/audit tools necessary to meet the requirements. This position utilizes a rapid team approach for needed improvements identified through external audits of delegated entities. This position assist in maintaining continuous quality improvement in the Delegation Oversight Clinical Audit unit ensuring that departmental/divisional and organizational goals are accomplished through overseeing and facilitating compliance of the Plan Partners, Participating Provider Groups (PPG), Specialty Health Plans (SHP), and contracted provider network as managed by the Delegation Oversight Department. This position is responsible, as part of the oversight team, for ensuring compliance of the Plan Partners and/or Participating Physician Groups (PPG) to regulatory, contractual and L.A. Care requirements. This position is responsible for performing annual and focused audits. This position also acts as a liaison between the Plan Partners and PPGs and L.A. Care Health Plan regarding UM issues. The position assists in improving access and utilization performance of Plan Partners and PPGs by being a resource for best practices and providing continuous feedback. Additionally, the oversight responsibility of this position includes reporting to management and providing consultation/instructional/coaching recommendations to improve overall compliance of Plan Partners and PPGs with all regulations and standards. Duties Continually ensures delegate compliance with UM Policies/Procedures, Letter Templates, Workflows, Processes, and Audit Tools in compliance with all regulatory requirements/new legislation. Works collaboratively with Regulatory Affairs & Compliance. Stay abreast of new UM legislation, regulations, or other changes impacting UM in order to put processes in place for compliance. Prepares the Delegation Oversight Clinical Audit team for internal audits and for conducting PP/PPG audits, developing mechanisms for tracking/ trending of progress for --UM/PPG (internal) and PP (external) for compliance with UM standards, and identities system/individual areas for improvement through these processes. Prepares the Delegation Oversight Department for review by external regulatory bodies. Ensures that the Delegation Oversight Department is continually prepared for external review with staff daily work conducted in a manner that meets regulatory requirements. Ensures that the Delegation Oversight Clinical Audit unit functions as a team in preparing needed documents for an external review. Completes annual, focused and periodic audit activities timely and thoroughly including identification of deficiencies, response to mitigation, review and response to CAPs. Identifies repeat deficiencies. Assures audit documentation is clear, complete and accurate. Completes periodic monitoring of PP or PPG performance in critical deficiency areas. Completes follow-up audits and related reports and recommendations. Identifies options to assist PP or PPGs with continued or significant deficiencies. Updates audit tools to meet regulatory, contractual and L.A. Care requirements. Develops and conducts ongoing monitoring activities including but not limited to file reviews and letters and supplemental reports. Present summary results to L.A. Care's UM Committee. Communicates with assigned PP and PPGs on an ongoing basis. Develop mechanism to track and trend progress of PP and PPG's compliance to UM standards and identify system wide issues. Maintains confidentiality in compliance with all Health Insurance Portability and Accountability Act (HIPAA) requirements. Assists co-workers with special projects or work volume as required. Actively identifies and implements efforts to improve the quality, effectiveness and efficiency of job functions. Actively identifies and makes recommendations to supervisor ideas to improve the quality effectiveness and efficiency of departmental and health services functions. Communicates to supervisors any barriers to completing assignments or daily work in an efficient and effective manner. Duties Continued Provides training, education and consultation as necessary to PP and PPGs. Collaborates with other Clinical Auditors on identifying topics and developing agendas for the JOM's and PP visits/communication. Develops and implements procedures to assure compliance with care coordination and documentation of linked and carved out services. Conducts Interrater Reliability Testing (referral management and oversight) for new staff/physicians and annually or as needed for existing staff/physicians. Works with other departments as necessary to facilitate teamwork for creating and/or improving interdepartmental processes to meet regulatory requirements. Clinical Auditor (Performance Monitoring): In addition to the responsibilities above, the Clinical Auditor (Performance Monitoring) position ensures compliance of the delegates (Participating Physician Groups, Plan Partners and Vendors) with regulatory, contractual and L.A. Care business requirements. This position is responsible for delegation oversight continuous monitoring activities and monitoring corrective action plans from the annual and focused audits. The position also acts as a liaison between the Plan Partners, PPGs and Vendors regarding Utilization Management (UM) issues; assists in improving access and utilization performance of PPGs by being a resource for best practice and providing continuous performance feedback. Additionally, the oversight responsibility of this position includes attendance at UM Committee, Delegation Oversight Committee, Sanctions Committee, Internal Compliance Committee, and Joint Operation Meetings. It includes monitoring supplemental UM reports, reporting to management as well as consultation/coaching/instructional activities to improve overall compliance with all regulations and standards. Clinical Auditor (Behavioral Health): In addition to the duties above, the Clinical Auditor (Behavioral Health) designs an audit program specific to ensuring delegates are meeting behavioral health regulatory requirements. This ensures Specialty Health Plans and Plan Partners are in compliance with regulatory, contractual, and L.A. Care business requirements. This position is responsible for developing and maintaining annual audit tools, policy requirements specific to delegates, and a monitoring program to continually receive and aggregate Behavioral Health specific performance requirements. The position acts as a liaison between Specialty Health Plans and Plan Partners regarding Behavioral Health issues, assists in improving access and Behavioral Health performance by being a resource for best practice and providing continuous performance feedback. Additionally, the oversight responsibility includes liasing with internal Behavioral Health units, the Medical Director of Behavioral Health, attendance at UM Committee, Delegation Oversight Committee, Sanctions Committee, Internal Compliance Committee, and Joint Operation Meetings. It includes monitoring supplemental UM reports, reporting to management as well as consultation/coaching/instructional activities to improve overall compliance with all regulations and standards. Performs other duties as assigned. Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 7 years in a clinical setting with at least 3 years in a managed care setting in Utilization Management/Case Management. Skills Required: Knowledge of issues pertaining to Medi-Cal and other HMO & IPA contracts, & payers. Ability to manage and organize large volumes of data. Knowledge of accreditation entities and their requirements. Excellent verbal and written communication skills and excellent interpersonal skills. Good working knowledge of regulatory requirements/standards. Ability to work independently. Ability to solve complex issues and identify creative solutions. Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
RN Telehealth Full-time
Cheyenne Regional

Virtual Care Registered Nurse

Cheyenne Regional Cheyenne, WY
Job Requirements A Day in the Life of a Virtual Care RN The Virtual Care Nurse works onsite at the virtual care hub and provides expert-level nursing care and clinical nursing support through virtual platforms to enhance patient care, improve workflow efficiency, and support bedside staff. This role leverages telehealth technology to deliver patient assessments, education, coordination, and clinical documentation in collaboration with interdisciplinary teams. The Virtual RN functions at the highest level of clinical proficiency, serving as a clinical resource, mentor, and leader within the interdisciplinary healthcare team. Why Work at Cheyenne Regional? Employer Sponsored Medical, Dental, and Vision Plans 403(b) and 457(b) retirement options with 4% employer match Life Insurance Short Term and Long-Term Disability Insurance Employer Sponsored Wellness Program Employee Assistance Program ANCC Magnet Hospital 21 PTO days per year (increases with tenure) Tuition Reimbursement Program Dedicated Loan Forgiveness Advisory Service Here is What You Will Be Doing: Conduct virtual patient assessments using video, audio, and remote monitoring tools, and complete all required electronic health record (EHR) admission documentation. Anticipate and respond to changes in patient condition through proactive surveillance and collaboration with bedside teams to support early identification and escalated warnings related to high-risk patient populations. Assist with patient admissions, discharge education, and medication reconciliation Provide real-time patient education and care plan reinforcement Support chronic disease management and follow-up care while guiding patients through lifestyle habits and medication compliance for illnesses such as COPD, CHF, diabetes, and hypertension. Assist with dual-nurse medication verifications, medication reconciliation and real-time checklist tracking. Partner with bedside nurses, physicians, and interdisciplinary teams to deliver coordinated patient care and manage data communication during critical events. Review discharge instructions, confirm patient readiness, and lead video-based discharge education for patients and families. Provide real-time support, guidance, and clinical recommendations to onsite staff. Assist with care transitions and referrals across care settings Ensure continuity of care through timely communication and documentation Serve as a clinical expert and mentor, coaching and supporting nurses in clinical and professional practice Adhere to all regulatory, compliance, and telehealth standards Participate in quality improvement initiatives and data tracking Desired Skills: Ability to make fast, accurate clinical decisions from a distance. Ability to balance multiple digital chat streams, video queues, an documentation tasks at once. Ability to establish trust, rapport and promote empathy through a screen. Ability to provide clear, concise instructions via various technology platforms. Ability to operate cameras, monitors, and specialized remote patient monitoring hardware. Proficient skills in EPIC and secure communication networks. Advanced knowledge of triage systems, admission and discharge criteria, escalation pathways and chronic disease management. Here is What You Need: Associate's degree or higher from an accredited school of nursing Two (2) or more years of experience in adult critical care, emergency services, or telemetry License (must meet one of the following): Current Wyoming Registered Nurse (RN) License from the Wyoming State Board of Nursing Current enhanced Nurse Licensure (eNLC) 14 Days: Cheyenne Regional AHA RQI within fourteen (14) calendar days of start date Nice to Have: Bachelor's degree in nursing (BSN) Critical Care Nurse (CCRN) certification Certified Emergency Nurse (CEN) certification About Cheyenne Regional: Cheyenne Regional Medical Center was founded in 1867 as a tent hospital by the Union Pacific Railroad to treat workers injured while building the transcontinental railroad. Today, we are the largest hospital in the state of Wyoming, employing over 2,000 people, and treating over 350,000+ patients from southeastern Wyoming, western Nebraska, and northern Colorado. We pride ourselves on patient and employee experience by living our core values of I ntegrity, Cari n g, Compa s sion, Res p ect, Serv i ce, Teamwo r k and E xcellence to great health. Our team makes a difference every day by providing trusted healthcare expertise through a passionate and I.N.S.P.I.R.E.(ing) approach with a personal touch. By living our values, we aim to achieve our goal of becoming a 5-star rated hospital, providing critical support and resources to our community and the greater region we serve. If you are eager to make a difference and passionate about healthcare, we encourage you to apply today!
CNA Telehealth
UW Health

Nursing Assistant - eICU, Nights

UW Health Madison, WI
Work Schedule: 90% FTE, Night shift, 12-hour shifts, 6:30pm - 7:00 am. 2 in 6 weekends. Hours may vary based on the operational need of the department. Pay: External hires may be eligible for up to a $2700 sign on bonus (pro-rated based on FTE). Additional components of pay include: - Weekend differential -Evening and Night shift differential Be part of something remarkable Join the #1 hospital in Wisconsin! Based in an off-site center, UW Health eICU is an electronic Intensive Care Unit that is staffed by a team of experts. Critical care doctors and nurses observe and communicate with patients and the bedside care teams at multiple locations through use of advanced technology. We are seeking a Telehealth Nursing Assistant (CNA, NA) to: Become part of a dedicated group of professionals who excel in the remote care of critical care patients both internally and regionally. Admit, transfer, and discharge patients from inpatient units and Surgical Services in eCareManager to and from the correct locations into ECM (eCareManager). Verify that patient records and information transfers into ECM. Qualifications High School Diploma or GED Preferred Work Experience Prior clinical or nursing assistant experience in long-term care facility Preferred Licenses & Certifications Listed on the State of Wisconsin Nurse Assistant/Home Health Aid Registry Upon Hire Required and Certified Medication Aide (CMA) or Trained Medication Aide (TMA) Upon Hire Required Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Job Description UW Hospital and Clinics benefits UW Health Administrative Facilities - UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others.
CNA Telehealth
UW Health

Nursing Assistant, eICU - Day/Night

UW Health Madison, WI
Work Schedule: 75% FTE, 30 hours per week, Day/Night rotation 6:30pm - 7am and 6:30am-7pm (5 shifts in a two week preiod), 2 in 6 weekend and holiday rotation. Hours may vary based on the operational need of the department. Pay: External hires may be eligible for up to a $2250 sign on bonus (pro-rated based on FTE). Additional components of pay include: - Weekend differential -Evening and Night shift differential Be part of something remarkable! Join our growing eICU! Join the #1 hospital in Wisconsin! Based in an off-site center, UW Health eICU is an electronic Intensive Care Unit that is staffed by a team of experts. Critical care doctors and nurses observe and communicate with patients and the bedside care teams at multiple locations through use of advanced technology. We are seeking a Telehealth Nursing Assistant (CNA, NA) to: Become part of a dedicated group of professionals who excel in the remote care of critical care patients both internally and regionally. Admit, transfer, and discharge patients from inpatient units and Surgical Services in eCareManager to and from the correct locations into ECM (eCareManager). Verify that patient records and information transfers into ECM. Qualifications High School Diploma or GED Preferred Work Experience Prior clinical or nursing assistant experience in long-term care facility Preferred Licenses & Certifications Listed on the State of Wisconsin Nurse Assistant/Home Health Aid Registry Upon Hire Required and Certified Medication Aide (CMA) or Trained Medication Aide (TMA) Upon Hire Required Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Job Description UW Hospital and Clinics benefits UW Health Administrative Facilities - UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others.
NP Telehealth
Midi Health

Nurse Practitioner - Missouri

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

RN Triage Nurse

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

Everyday Care Advanced Practice Provider (NP or PA) - Responsive Care

Devoted Health CO
$120,000 - $155,000 / year
Job Description This role is 40 hours/week, fully remote and must be located within one of the contiguous 50 states. You must be able and willing to work Monday-Friday 8-hour shifts per week 8am-5pm MST/PST preferred, but willing to consider EST/CST working hours. About Responsive Care: Responsive Care is a cornerstone of the company's care model, designed to meet members where they are — through digital-first, highly accessible, and thoughtfully coordinated care. Our Everyday Care APPs operate at the intersection of clinical excellence, innovation, and technology, ensuring members receive the right care at the right time, in the right way. We bridge the gap between chronic disease management and acute care needs, supporting members across various teams throughout the company. A bit about this role: This position represents an amazing opportunity for an Advanced Practice Provider ( NP or PA) with a big heart and entrepreneurial spirit who is passionate about chronic disease management. EDC, an integral part of Responsive Care, is the company's centralized hub for ongoing clinical management — a model built on a collaborative, shared patient management relationship with our members' primary care providers. In this role, you will work alongside a cross-functional team to deliver innovative care across Digital and traditional platforms. You will serve as a member of our ONE PCP team, as a prescriber of centralized prescription renewals and refills and also you will manage centralized results. You will utilize and help improve our home-grown technology and electronic health information platform to carry out virtual visits as well as managing asynchronous prescription refills for patients. Required skills and experience: APP with three or more years working in outpatient clinical practice ideally with experience in management of hypertension, hyperlipidemia and primary and secondary prevention of atherosclerotic cardiovascular disease. Minimum of 2 years of experience concentrated in primary care or a subspecialty with heavy focus on hypertension and lipid management required (e.g. cardiology, nephrology, neurology, endocrinology, primary care, urgent care). Licensure and certification For Nurse Practitioners: active and in-good-standing RN and APRN licenses. For Physician Assistants: an active and in-good-standing Physician Assistant license. Role licensure and certification in good standing is required and the ability to get licensed in requested states within 90 days of hire date, starting at offer letter signing. You will be required to get licensed in additional states as needed. We believe in making it easy for you to focus on patient care. Devoted Health will cover all costs and provide full administrative support for obtaining and maintaining licenses in all required states. Desired skills and experience: Skilled APP with thorough understanding of cardiometabolic condition management including disease process, treatment modalities, medication management and lifestyle modification as it pertains to hypertension, hyperlipidemia, and primary care management of coronary artery disease and diabetes. Comfortable working across Digital (live portal chat) and emerging AI-powered clinical tools (e.g., prescribing support and triage agents) as an active participant in testing, feedback, and iterative improvement — not just as an end user. Virtual care experience is preferred along with a strong desire to continue practicing clinical nursing and performing virtual visits - you believe in the mission of bringing care to where the patient lives. STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps. Experience with or strong interest in centralized results management, live digital/chat-based patient engagement, and AI-enabled clinical workflows is a plus. Proficiency in English and Spanish preferred for this position. Your Responsibilities and Impact will include: Conduct focused and thorough assessments of patients with conditions that impact chronic health including hypertension, hyperlipidemia, coronary artery disease, and diabetes who are running out of medications. We expect that 40-60% of your clinical effort will be performing virtual visits. Formulate accurate diagnoses and develop individualized treatment plans for patients with chronic medical conditions, including medication management, lifestyle modifications, and monitoring recommendations. Manage a refill inbox for patients with chronic health conditions in accordance with established protocols and guidelines. We expect that 40-60% of your clinical effort will be spent managing a prescription refill queue. Participate in centralized results management workflows, ensuring timely review, triage, and follow-up on lab and diagnostic results across the patient panel in accordance with established risk-tiering protocols. Leverage Digital (live portal chat) and AI-assisted clinical tools — including agent-supported prescribing and inbox triage workflows — to improve efficiency, consistency, and safety in medication renewal, results management, and patient communication, while providing clinician feedback to help refine these tools as they evolve. Identify and evaluate risk factors, comorbidities and possible contraindications for treatment. Provide counseling on medication adherence, potential side effects. Collaborate closely with a cross-functional care team — including PCPs, specialists, and other the company team members such as pharmacy, clinical nursing, and social work — as well as interfacing with family members and caregivers as needed to coordinate holistic care for the member, to ensure continuity of care and deliver a collaborative care plan. Utilize our home grown electronic health information system for visits while also providing feedback on how to improve the interface. Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines. Participate in quality improvement initiatives and ongoing professional development to stay current on best practices and advancements in cardiometabolic care. Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations. Salary Range: $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K Employer-sponsored health insurance and dental and vision plan with low or no premium #LI-Remote The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience. Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
NP Telehealth
Devoted Health

Everyday Care Advanced Practice Provider (NP or PA) - Responsive Care

Devoted Health AZ
$120,000 - $155,000 / year
Job Description This role is 40 hours/week, fully remote and must be located within one of the contiguous 50 states. You must be able and willing to work Monday-Friday 8-hour shifts per week 8am-5pm MST/PST preferred, but willing to consider EST/CST working hours. About Responsive Care: Responsive Care is a cornerstone of the company's care model, designed to meet members where they are — through digital-first, highly accessible, and thoughtfully coordinated care. Our Everyday Care APPs operate at the intersection of clinical excellence, innovation, and technology, ensuring members receive the right care at the right time, in the right way. We bridge the gap between chronic disease management and acute care needs, supporting members across various teams throughout the company. A bit about this role: This position represents an amazing opportunity for an Advanced Practice Provider ( NP or PA) with a big heart and entrepreneurial spirit who is passionate about chronic disease management. EDC, an integral part of Responsive Care, is the company's centralized hub for ongoing clinical management — a model built on a collaborative, shared patient management relationship with our members' primary care providers. In this role, you will work alongside a cross-functional team to deliver innovative care across Digital and traditional platforms. You will serve as a member of our ONE PCP team, as a prescriber of centralized prescription renewals and refills and also you will manage centralized results. You will utilize and help improve our home-grown technology and electronic health information platform to carry out virtual visits as well as managing asynchronous prescription refills for patients. Required skills and experience: APP with three or more years working in outpatient clinical practice ideally with experience in management of hypertension, hyperlipidemia and primary and secondary prevention of atherosclerotic cardiovascular disease. Minimum of 2 years of experience concentrated in primary care or a subspecialty with heavy focus on hypertension and lipid management required (e.g. cardiology, nephrology, neurology, endocrinology, primary care, urgent care). Licensure and certification For Nurse Practitioners: active and in-good-standing RN and APRN licenses. For Physician Assistants: an active and in-good-standing Physician Assistant license. Role licensure and certification in good standing is required and the ability to get licensed in requested states within 90 days of hire date, starting at offer letter signing. You will be required to get licensed in additional states as needed. We believe in making it easy for you to focus on patient care. Devoted Health will cover all costs and provide full administrative support for obtaining and maintaining licenses in all required states. Desired skills and experience: Skilled APP with thorough understanding of cardiometabolic condition management including disease process, treatment modalities, medication management and lifestyle modification as it pertains to hypertension, hyperlipidemia, and primary care management of coronary artery disease and diabetes. Comfortable working across Digital (live portal chat) and emerging AI-powered clinical tools (e.g., prescribing support and triage agents) as an active participant in testing, feedback, and iterative improvement — not just as an end user. Virtual care experience is preferred along with a strong desire to continue practicing clinical nursing and performing virtual visits - you believe in the mission of bringing care to where the patient lives. STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps. Experience with or strong interest in centralized results management, live digital/chat-based patient engagement, and AI-enabled clinical workflows is a plus. Proficiency in English and Spanish preferred for this position. Your Responsibilities and Impact will include: Conduct focused and thorough assessments of patients with conditions that impact chronic health including hypertension, hyperlipidemia, coronary artery disease, and diabetes who are running out of medications. We expect that 40-60% of your clinical effort will be performing virtual visits. Formulate accurate diagnoses and develop individualized treatment plans for patients with chronic medical conditions, including medication management, lifestyle modifications, and monitoring recommendations. Manage a refill inbox for patients with chronic health conditions in accordance with established protocols and guidelines. We expect that 40-60% of your clinical effort will be spent managing a prescription refill queue. Participate in centralized results management workflows, ensuring timely review, triage, and follow-up on lab and diagnostic results across the patient panel in accordance with established risk-tiering protocols. Leverage Digital (live portal chat) and AI-assisted clinical tools — including agent-supported prescribing and inbox triage workflows — to improve efficiency, consistency, and safety in medication renewal, results management, and patient communication, while providing clinician feedback to help refine these tools as they evolve. Identify and evaluate risk factors, comorbidities and possible contraindications for treatment. Provide counseling on medication adherence, potential side effects. Collaborate closely with a cross-functional care team — including PCPs, specialists, and other the company team members such as pharmacy, clinical nursing, and social work — as well as interfacing with family members and caregivers as needed to coordinate holistic care for the member, to ensure continuity of care and deliver a collaborative care plan. Utilize our home grown electronic health information system for visits while also providing feedback on how to improve the interface. Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines. Participate in quality improvement initiatives and ongoing professional development to stay current on best practices and advancements in cardiometabolic care. Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations. Salary Range: $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K Employer-sponsored health insurance and dental and vision plan with low or no premium #LI-Remote The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience. Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
NP Telehealth Full-time
Pharmko

Nurse Practitioner Licensed in Florida

Pharmko FL
CCM/RPM The medical assistant 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 full-time, bilingual, and remote Medical Assistant (MA) to join our rapidly growing team at Preventel Health performing Chronic Care Management and Remote Patient Monitoring (RPM) by telephonically delivering health and wellness calls to assigned patients. Responsibilities: Remotely providing basic patient coaching and care to improve patient outcomes. Coaching and educating patients on improving their Chronic Conditions, preventive care and physician directives Updating and managing patient care plans based on assessment of patients’ needs and physician directives Schedule appointment scheduling on behalf of physicians Telephone outreach to English and Spanish-speaking patients Facilitate CCM program enrollment Facilitate RPM- remote patient monitoring enrollment Monitor patients outcomes Clear explanation of the benefits of chronic care management Patient eligibility verification 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 · Serve as the contact point, advocate, and information resource for patients and their care team. · Work with patients to plan and monitor health and social needs · Develop a care plan with the patient, family/caregiver(s) and provider · Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner and facilitate changes as needed · Create ongoing process for patients and family/caregiver(s) to determine and request the level of care coordinates support they desire at any given point in time Requirements: Medical Assistant certification Fluent in Spanish Knowledgeable using Excel spreadsheets Computer with internet COMPENSATION: Based on a base plus incentive model.
NP Telehealth
Fast Pace Health

Family Nurse Practitioner

Fast Pace Health Foley, AL
Overview In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. The Provider must be able to work in a team-oriented environment, be flexible to adapt to new technologies and protocols in a quickly evolving practice setting. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere. Why Choose Fast Pace Health? Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Provider you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community. Responsibilities PRIMARY Ability to provide quality care in both clinic and telehealth and meet patient volume goals targeted for tele and in patient as determined. Lead clinic staff, in behaviors, actions and attitude (e.g. X-Ray Technologists, Nurses, and Front Office Specialists) in delivering excellent patient care. Provide guidance as necessary to ensure quality professional services and patient Ability to perform responsibilities included on the SCRIBE job description. Discuss and review patients’ medical history, symptoms, allergies, and current medications. Asking patients situation-specific questions to formulate accurate diagnoses in order to provide guidance as necessary to ensure quality professional services and patient satisfaction. Actively engages with clinical leadership, elevating to management where appropriate to ensure strong patient care and resolution of concerns to ensure adherence to our company values. Ability to meet patient volume goals targeted for tele and in-patient as determined. Ensure accurate completion of patient charts in a timely matter and forwarding charts as appropriate on a daily basis. As well as build and maintain confidence and credibility with all employees. Implement clinical and Telehealth protocols as outlined CMO and Supervising Physicians. Analyze and interpret patients' histories, symptoms, physical findings, and diagnostic information to develop appropriate diagnoses. Deliver excellent patient care through in-patient and virtual diagnostic and therapeutic recommendations with attention to patient-centric care, safety, cost, and reliably accurate information. Ensure that the activities of the Provider are conducted in a manner that is consistent with overall department expectations and are in compliance with Federal and State regulations, guidelines, and requirements including working knowledge of all health information management issues such as HIPAA. Ability to work efficiently in a fast-paced, autonomous environment within both in-patient clinic and virtual settings. Ability to pursue queue of telehealth patients in a timely fashion to ensure proper patient follow up. Order, perform, or interpret the results of diagnostic tests, as well as responsibly prescribe medications and educate patients on continued treatment and care of acute and chronic conditions. Attest and follow clinical practice guidelines by the Office of Medical Affairs. Attend Mandatory monthly meetings with Supervising physicians and E/M training. Ability to perform responsibilities within standard NP protocols. Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training in order to meet and exceed our continued quality of care. Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness. Recommends ideas within the clinic and to telehealth leadership as appropriate to improve overall patient experience and care. Communicates regularly within team in all manners necessary to support excellent patient care. Welcome new employees on their first day in the clinic and facilitate introductions to team members, clinic tours, and an overview of the clinic processes. Actively assist new employees with learning activities and completing required training. Support new employee training by providing job shadowing, demonstration, and coaching opportunities The ability to build and maintain confidence and credibility with all employees. The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers. The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands. Ability to be knowledgeable and comply with Company standards of operations. The ability to promote and maintain a respectful culture of employee, employer and business confidentiality. The ability to consult with patients through virtual communication channels. Preferred experience working as a Telehealth Clinician Perform other duties as assigned by management. PRN Employees are required to work a minimum of 4 shifts per month. Full Time Employees are required to work 12-hour shifts and every other weekend. *** Additional Requirements and responsibilities for Ancillary Providers Responsible for on call periodically throughout the year *** Additional Requirements and responsibilities Level 1: New Grad with up to 1 years of experience as a nurse practitioner Level 2: Nurse practitioner with over 1 years of experience and less than 5 years of experience Level 3: Nurse practitioner with over 5 years of experience and less than 10 years of experience Level 4: Nurse practitioner with over 10 years of experience Experience Requirements and Preferences Education: Master’s Degree in Nursing (MSN) AND Experience: At least 1-2 years of experience as a provider in a relevant practice, such as Urgent Care or Occupational Medical Facility, ER or Trauma Unit, Family Medical Practice is strongly preferred. Current License or Certification: License and DEA must be active, in good standing, and verifiable with the proper regulatory agency. DEA required for all providers; however, where limited by years of practice under state law, DEA will be required within 120 days of provider meeting the minimum years of practice under state law for obtaining DEA. Providers must be able to treat all ages and must meet any credentialing requirements needed; and DOT certification is required to be obtained by FT and PT Providers within 120 days of employment and maintained during employment. Education Requirements Masters Degree in Nursing Compliance Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct. Please refer to the links below for information regarding your rights under certain federal laws: https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf Mississippi Residents Only: In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5). Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.
RN Telehealth Full-time
Molina Healthcare

Care Manager (RN) (Syracuse, NY)

Molina Healthcare Syracuse, NY
$26.41 - $61.79 / hour
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications • Certified Case Manager (CCM). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
RN Telehealth Part-time
Curana Health

Registered Nurse (RN) - National After-Hours Team - Part Time

Curana Health
Registered Nurse (RN) - National After-Hours Team - Part Time Location US-Remote ID 2026-4353 Category Provider Position Type Part-Time At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. Ranked #147 on the Inc. 5000 list of America's fastest-growing private companies, we're just getting started. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place—and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary An RN functions as part of the National After-Hours Team (NAHT), and reports to the NAHT Director of Clinical Operations (DCO) or Clinical Team Lead (CTL). The RN performs activities that fall within the RN scope of practice. This role works in close collaboration with all of the team members and may support multiple providers. The RN works under the direction of the provider, and activities are delegated to the RN by the provider or the DCO/CTL. The RN understands and supports the NAHT models of care including the varying settings including Skilled-Nursing Facilities, Short Term Rehab, Assisted Living Facilities and Independent Living Communities. Essential Duties & Responsibilities The NAHT RN is responsible for providing telephonic care and direction to members and facility staff during various overnight, weekend, and holiday hours. This role is responsible for the delivery of medical care services to a pre-designated group of enrollees in the Midwest Region. In this home-based role you will provide afterhours virtual (primarily telephonic) care for aging residents in various settings. This excellent opportunity affords an autonomous role bringing enormous satisfaction in the care and comfort of our aging population. This is a part time work from home position requiring various shift coverage with a mix of weeknights, weekend, and holiday coverage. Scheduling & Hours: This is a part time work from home position requiring various shift coverage with a mix of weeknights, weekend, and holiday coverage. While shift times can vary, we provide coverage to members on weeknights from 5pm- 8am local time, continuous coverage from Friday at 5pm to Monday at 8am. Holiday coverage is also provided beginning at 5pm of the end of the last business day to 8am of the resumption of business hours. Availability and Coverage expectations for this role While shift times can vary, we provide coverage to members on weeknights from 5pm- 8am local time, continuous coverage from Friday at 5pm to Monday at 8am. Holiday coverage is also provided beginning at 5pm of the end of the last business day to 8am of the resumption of business hours. Availability and Coverage expectations for this role Two Weeknight shifts from 6pm-12am Every other weekend coverage for 12-hour day shifts Overnight and holidays are required for all RNs Holiday scheduling is completed at the beginning of the year for advanced planning Primary Responsibilities : Care Coordination Assist the provider/team with various care coordination activities to support the role of the NAHT APPs Telephonic triage of incoming calls and voicemails to determine the correct level of care. Responsible for collaborating with the nursing facility, APPs, and community members to identify and respond to changes in condition. Assist the provider/team with inbound and outbound communications for members including addressing handoffs, telephonic assessments, and acuity follow-ups. Team Support Assist in the coordination of the follow up of members in the ER. Participate in the onboarding of new clinical staff under the direction of the DCO/CTL; the RN may coordinate onboarding activities and participate in other orientation activities under the direction of the DCO/CTL. Documentation Document all clinical information, telephonic assessments, and activities in the appropriate documentation tool. RN to APP Hand Off One entry by the RN and one responding entry by the APP should be recorded in the appropriate documentation tool. RN is responsible for escalating appropriate calls to the NAHT APP. Use of RN mini soap note for acute change in condition calls escalated to APP. Use of the fall mini soap note for reported falls, escalate to APP. Qualifications Current, unrestricted compact RN license in primary state. (Additional licensure in assigned states must be obtained within 6 months of hire, if home state does not participate in compact license). 3+ years of clinical experience in a hospital, acute care, home health/hospice, direct care, or case management position. Dedicated space for home office set up. Access to high speed internet services Computer/typing proficiency to enter and retrieve data in electronic clinical records. Proficient with Microsoft Word, Outlook, and Excel. Strong problem solving skills. Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others. Ability to flex with change and perform positively and efficiently in production driven environment. Preferred Qualifications : Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs Experience triaging calls Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances. The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment. *The company is unable to provide sponsorship for a visa at this time (H1B or otherwise). We’re thrilled to announce that Curana Health has been named the 147 th fastest growing, privately owned company in the nation on Inc. magazine’s prestigious Inc. 5000 list. Curana also ranked 16 th in the “Healthcare & Medical” industry category and 21 st in Texas. This recognition underscores Curana Health’s impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve. Options Apply Apply Submit a Referral Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances. The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment. *The company is unable to provide sponsorship for a visa at this time (H1B or otherwise). Application FAQs Software Powered by ICIMS www.icims.com
NP Telehealth
Fast Pace Health

PRN - Family Nurse Practitioner

Fast Pace Health Somerset, KY
Overview In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. The Provider must be able to work in a team-oriented environment, be flexible to adapt to new technologies and protocols in a quickly evolving practice setting. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere. Why Choose Fast Pace Health? Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Provider you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community. Responsibilities PRIMARY Ability to provide quality care in both clinic and telehealth and meet patient volume goals targeted for tele and in patient as determined. Lead clinic staff, in behaviors, actions and attitude (e.g. X-Ray Technologists, Nurses, and Front Office Specialists) in delivering excellent patient care. Provide guidance as necessary to ensure quality professional services and patient Ability to perform responsibilities included on the SCRIBE job description. Discuss and review patients’ medical history, symptoms, allergies, and current medications. Asking patients situation-specific questions to formulate accurate diagnoses in order to provide guidance as necessary to ensure quality professional services and patient satisfaction. Actively engages with clinical leadership, elevating to management where appropriate to ensure strong patient care and resolution of concerns to ensure adherence to our company values. Ability to meet patient volume goals targeted for tele and in-patient as determined. Ensure accurate completion of patient charts in a timely matter and forwarding charts as appropriate on a daily basis. As well as build and maintain confidence and credibility with all employees. Implement clinical and Telehealth protocols as outlined CMO and Supervising Physicians. Analyze and interpret patients' histories, symptoms, physical findings, and diagnostic information to develop appropriate diagnoses. Deliver excellent patient care through in-patient and virtual diagnostic and therapeutic recommendations with attention to patient-centric care, safety, cost, and reliably accurate information. Ensure that the activities of the Provider are conducted in a manner that is consistent with overall department expectations and are in compliance with Federal and State regulations, guidelines, and requirements including working knowledge of all health information management issues such as HIPAA. Ability to work efficiently in a fast-paced, autonomous environment within both in-patient clinic and virtual settings. Ability to pursue queue of telehealth patients in a timely fashion to ensure proper patient follow up. Order, perform, or interpret the results of diagnostic tests, as well as responsibly prescribe medications and educate patients on continued treatment and care of acute and chronic conditions. Attest and follow clinical practice guidelines by the Office of Medical Affairs. Attend Mandatory monthly meetings with Supervising physicians and E/M training. Ability to perform responsibilities within standard NP protocols. Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training in order to meet and exceed our continued quality of care. Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness. Recommends ideas within the clinic and to telehealth leadership as appropriate to improve overall patient experience and care. Communicates regularly within team in all manners necessary to support excellent patient care. Welcome new employees on their first day in the clinic and facilitate introductions to team members, clinic tours, and an overview of the clinic processes. Actively assist new employees with learning activities and completing required training. Support new employee training by providing job shadowing, demonstration, and coaching opportunities The ability to build and maintain confidence and credibility with all employees. The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers. The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands. Ability to be knowledgeable and comply with Company standards of operations. The ability to promote and maintain a respectful culture of employee, employer and business confidentiality. The ability to consult with patients through virtual communication channels. Preferred experience working as a Telehealth Clinician Perform other duties as assigned by management. PRN Employees are required to work a minimum of 4 shifts per month. Full Time Employees are required to work 12-hour shifts and every other weekend. *** Additional Requirements and responsibilities for Ancillary Providers Responsible for on call periodically throughout the year *** Additional Requirements and responsibilities Level 1: New Grad with up to 1 years of experience as a nurse practitioner Level 2: Nurse practitioner with over 1 years of experience and less than 5 years of experience Level 3: Nurse practitioner with over 5 years of experience and less than 10 years of experience Level 4: Nurse practitioner with over 10 years of experience Experience Requirements and Preferences Education: Master’s Degree in Nursing (MSN) AND Experience: At least 1-2 years of experience as a provider in a relevant practice, such as Urgent Care or Occupational Medical Facility, ER or Trauma Unit, Family Medical Practice is strongly preferred. Current License or Certification: License and DEA must be active, in good standing, and verifiable with the proper regulatory agency. DEA required for all providers; however, where limited by years of practice under state law, DEA will be required within 120 days of provider meeting the minimum years of practice under state law for obtaining DEA. Providers must be able to treat all ages and must meet any credentialing requirements needed; and DOT certification is required to be obtained by FT and PT Providers within 120 days of employment and maintained during employment. Education Requirements Masters Degree in Nursing Compliance Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct. Please refer to the links below for information regarding your rights under certain federal laws: https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf Mississippi Residents Only: In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5). Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.
NP Telehealth
Fast Pace Health

Family Nurse Practitioner

Fast Pace Health Pearl River, LA
Overview In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. The Provider must be able to work in a team-oriented environment, be flexible to adapt to new technologies and protocols in a quickly evolving practice setting. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere. Why Choose Fast Pace Health? Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Provider you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community. Responsibilities PRIMARY Ability to provide quality care in both clinic and telehealth and meet patient volume goals targeted for tele and in patient as determined. Lead clinic staff, in behaviors, actions and attitude (e.g. X-Ray Technologists, Nurses, and Front Office Specialists) in delivering excellent patient care. Provide guidance as necessary to ensure quality professional services and patient Ability to perform responsibilities included on the SCRIBE job description. Discuss and review patients’ medical history, symptoms, allergies, and current medications. Asking patients situation-specific questions to formulate accurate diagnoses in order to provide guidance as necessary to ensure quality professional services and patient satisfaction. Actively engages with clinical leadership, elevating to management where appropriate to ensure strong patient care and resolution of concerns to ensure adherence to our company values. Ability to meet patient volume goals targeted for tele and in-patient as determined. Ensure accurate completion of patient charts in a timely matter and forwarding charts as appropriate on a daily basis. As well as build and maintain confidence and credibility with all employees. Implement clinical and Telehealth protocols as outlined CMO and Supervising Physicians. Analyze and interpret patients' histories, symptoms, physical findings, and diagnostic information to develop appropriate diagnoses. Deliver excellent patient care through in-patient and virtual diagnostic and therapeutic recommendations with attention to patient-centric care, safety, cost, and reliably accurate information. Ensure that the activities of the Provider are conducted in a manner that is consistent with overall department expectations and are in compliance with Federal and State regulations, guidelines, and requirements including working knowledge of all health information management issues such as HIPAA. Ability to work efficiently in a fast-paced, autonomous environment within both in-patient clinic and virtual settings. Ability to pursue queue of telehealth patients in a timely fashion to ensure proper patient follow up. Order, perform, or interpret the results of diagnostic tests, as well as responsibly prescribe medications and educate patients on continued treatment and care of acute and chronic conditions. Attest and follow clinical practice guidelines by the Office of Medical Affairs. Attend Mandatory monthly meetings with Supervising physicians and E/M training. Ability to perform responsibilities within standard NP protocols. Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training in order to meet and exceed our continued quality of care. Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness. Recommends ideas within the clinic and to telehealth leadership as appropriate to improve overall patient experience and care. Communicates regularly within team in all manners necessary to support excellent patient care. Welcome new employees on their first day in the clinic and facilitate introductions to team members, clinic tours, and an overview of the clinic processes. Actively assist new employees with learning activities and completing required training. Support new employee training by providing job shadowing, demonstration, and coaching opportunities The ability to build and maintain confidence and credibility with all employees. The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers. The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands. Ability to be knowledgeable and comply with Company standards of operations. The ability to promote and maintain a respectful culture of employee, employer and business confidentiality. The ability to consult with patients through virtual communication channels. Preferred experience working as a Telehealth Clinician Perform other duties as assigned by management. PRN Employees are required to work a minimum of 4 shifts per month. Full Time Employees are required to work 12-hour shifts and every other weekend. *** Additional Requirements and responsibilities for Ancillary Providers Responsible for on call periodically throughout the year *** Additional Requirements and responsibilities Level 1: New Grad with up to 1 years of experience as a nurse practitioner Level 2: Nurse practitioner with over 1 years of experience and less than 5 years of experience Level 3: Nurse practitioner with over 5 years of experience and less than 10 years of experience Level 4: Nurse practitioner with over 10 years of experience Experience Requirements and Preferences Education: Master’s Degree in Nursing (MSN) AND Experience: At least 1-2 years of experience as a provider in a relevant practice, such as Urgent Care or Occupational Medical Facility, ER or Trauma Unit, Family Medical Practice is strongly preferred. Current License or Certification: License and DEA must be active, in good standing, and verifiable with the proper regulatory agency. DEA required for all providers; however, where limited by years of practice under state law, DEA will be required within 120 days of provider meeting the minimum years of practice under state law for obtaining DEA. Providers must be able to treat all ages and must meet any credentialing requirements needed; and DOT certification is required to be obtained by FT and PT Providers within 120 days of employment and maintained during employment. Education Requirements Masters Degree in Nursing Compliance Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct. Please refer to the links below for information regarding your rights under certain federal laws: https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf Mississippi Residents Only: In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5). Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.
RN Med-Surg Telehealth Full-time
Northwell Health

Registered Nurse - Med Surg/Tele

Northwell Health New Hyde Park, NY
$63 - $94 / hour
195642 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care. Determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. Develops patient outcome statement (s) and establishes individualized patient goals; identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.). Exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy; collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion; performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique. Applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary; administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions; participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. 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 Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. 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
UnitedHealthcare

Discharge Care Manager Nurse, RN - Remote in Pennsylvania

UnitedHealthcare Philadelphia, PA
$60,200 - $107,400 / year
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Discharge Care Manager at UnitedHealth Group, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. The Discharge Care Manager (DCM) will coordinate and document the discharge plan in collaboration with other key clinical care team members. The DCM will also follow the member while in the acute inpatient setting. If you are located in the state of Pennsylvania, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Evaluation of member discharge needs including delays in care and readmission prevention plan Collaboration with providers and members to coordinate care post discharge Participate in rounds with the Medical Director to discuss cases as needed Identification of internal or community-based program support or resources Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged Assist with coordination of difficult cases needing placement in an alternate level of care facility Documentation of discharge activities as outlined in standard operating procedures and data entry strategies Participate in team meetings, education discussions and related activities Works collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor of Science in Nursing Current, unrestricted Compact RN license in the state of Pennsylvania 5+ years of recent experience in the acute inpatient hospital setting 2+ years of experience of discharge planning and/or case management Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements Proficient in typing skills and software applications that includes, but is not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook Designated work space and access to install secure high speed internet via cable/DSL in your home Permanent residence within the state of Pennsylvania Preferred Qualifications: Case Management Certification InterQual/MCG Guidelines or other nationally recognized practice guidelines Experience working as a nurse in the state of Florida Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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.
NP Telehealth
Fast Pace Health

Family Nurse Practitioner / Physician Assistant

Fast Pace Health Elizabethton, TN
Overview In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. The Provider must be able to work in a team-oriented environment, be flexible to adapt to new technologies and protocols in a quickly evolving practice setting. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere. Why Choose Fast Pace Health? Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Provider you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community. Responsibilities PRIMARY Ability to provide quality care in both clinic and telehealth and meet patient volume goals targeted for tele and in patient as determined. Lead clinic staff, in behaviors, actions and attitude (e.g. X-Ray Technologists, Nurses, and Front Office Specialists) in delivering excellent patient care. Provide guidance as necessary to ensure quality professional services and patient Ability to perform responsibilities included on the SCRIBE job description. Discuss and review patients’ medical history, symptoms, allergies, and current medications. Asking patients situation-specific questions to formulate accurate diagnoses in order to provide guidance as necessary to ensure quality professional services and patient satisfaction. Actively engages with clinical leadership, elevating to management where appropriate to ensure strong patient care and resolution of concerns to ensure adherence to our company values. Ability to meet patient volume goals targeted for tele and in-patient as determined. Ensure accurate completion of patient charts in a timely matter and forwarding charts as appropriate on a daily basis. As well as build and maintain confidence and credibility with all employees. Implement clinical and Telehealth protocols as outlined CMO and Supervising Physicians. Analyze and interpret patients' histories, symptoms, physical findings, and diagnostic information to develop appropriate diagnoses. Deliver excellent patient care through in-patient and virtual diagnostic and therapeutic recommendations with attention to patient-centric care, safety, cost, and reliably accurate information. Ensure that the activities of the Provider are conducted in a manner that is consistent with overall department expectations and are in compliance with Federal and State regulations, guidelines, and requirements including working knowledge of all health information management issues such as HIPAA. Ability to work efficiently in a fast-paced, autonomous environment within both in-patient clinic and virtual settings. Ability to pursue queue of telehealth patients in a timely fashion to ensure proper patient follow up. Order, perform, or interpret the results of diagnostic tests, as well as responsibly prescribe medications and educate patients on continued treatment and care of acute and chronic conditions. Attest and follow clinical practice guidelines by the Office of Medical Affairs. Attend Mandatory monthly meetings with Supervising physicians and E/M training. Ability to perform responsibilities within standard NP/PA protocols. Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training in order to meet and exceed our continued quality of care. Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness. Recommends ideas within the clinic and to telehealth leadership as appropriate to improve overall patient experience and care. Communicates regularly within team in all manners necessary to support excellent patient care. Welcome new employees on their first day in the clinic and facilitate introductions to team members, clinic tours, and an overview of the clinic processes. Actively assist new employees with learning activities and completing required training. Support new employee training by providing job shadowing, demonstration, and coaching opportunities The ability to build and maintain confidence and credibility with all employees. The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers. The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands. Ability to be knowledgeable and comply with Company standards of operations. The ability to promote and maintain a respectful culture of employee, employer and business confidentiality. The ability to consult with patients through virtual communication channels. Preferred experience working as a Telehealth Clinician Perform other duties as assigned by management. PRN Employees are required to work a minimum of 4 shifts per month. Full Time Employees are required to work 12-hour shifts and every other weekend. *** Additional Requirements and responsibilities for Ancillary Providers Responsible for on call periodically throughout the year *** Additional Requirements and responsibilities Level 1: New Grad with up to 1 years of experience as a nurse practitioner; new grad Physician’s Assistant with up to 1 years of experience as a physician’s assistant Level 2: Nurse practitioner with over 1 years of experience and less than 5 years of experience; Physician’s assistant with over 1 years of experience and less than 5 years of experience as a physician’s assistant. Level 3: Nurse practitioner with over 5 years of experience and less than 10 years of experience; Physician’s assistant with over 5 years of experience and less than 10 years of experience as a physician’s assistant. Level 4: Nurse practitioner with over 10 years of experience; Physician’s assistant with over 10 years of experience as a physician’s assistant. Experience Requirements and Preferences Education: Master’s Degree in Nursing (MSN) and/or master’s degree in Physician Assistant Studies (MMS) AND Experience: At least 1-2 years of experience as a provider in a relevant practice, such as Urgent Care or Occupational Medical Facility, ER or Trauma Unit, Family Medical Practice is strongly preferred. Current License or Certification: License and DEA must be active, in good standing, and verifiable with the proper regulatory agency. DEA required for all providers; however, where limited by years of practice under state law, DEA will be required within 120 days of provider meeting the minimum years of practice under state law for obtaining DEA. Providers must be able to treat all ages and must meet any credentialing requirements needed; and DOT certification is required to be obtained by FT and PT Providers within 120 days of employment and maintained during employment. Education Requirements Masters Degree in Nursing Compliance Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct. Please refer to the links below for information regarding your rights under certain federal laws: https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf Mississippi Residents Only: In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5). Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.
RN Pediatric Telehealth Part-time
SSM Health

Registered Nurse - Poison Control Call Center

SSM Health St. Louis, MO
It's more than a career, it's a calling MO-SSM Health 7980 Clayton RD Worker Type: Regular Job Highlights: Join a team where your work matters—every moment, every patient, every community. At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact. Department: Poison Control Schedule: 3:00 PM to 11:30PM. (8 hours shifts) There is an every other weekend requirement with an ABC holiday rotation. Apply today. SSM Health – We bring out the incredible in you, everyday. Job Summary: Creates an environment that leads to a positive patient care experience by evaluating, planning and implementing effective patient care plans within the guidelines of the standards of nursing care and operational guidelines. May acquire knowledge of poison prevention techniques and interpret subtle indications while formulating accurate questions to aid in decision making responses regarding toxicology recommendations. May be responsible for emergency telephone management of poisoning exposures and questions handled for an entire state. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Staffs a telephone service line while acting collaboratively with staff, other health care providers and lay callers. Obtains and documents a complete and accurate history. Provides a calm, reassuring and intelligent interaction with the public and health care professionals. Uses computer for live data collection and documentation, online resources for information gathering, and communication with caller through phone system. Manages beneficial relationships with individuals and departments inside and outside of the ministry structure. Creates an environment that leads to a positive patient care experience by evaluating, planning and implementing effective patient care plans within the guidelines of the standards of nursing care and operational guidelines. May guide treatment advice for both the public and health care providers. May utilize advanced technology with live chat and texting to assist callers with poison information or exposures. May acquire knowledge of toxicological resources that are helpful in managing poison cases. May acquire knowledge of poison prevention techniques and interpret subtle indications while formulating accurate questions to aid in decision making responses regarding toxicology recommendations. Works in a constant state of alertness and safe manner. Performs other duties as assigned. EDUCATION Graduate of accredited school of nursing or education equivalency for licensing EXPERIENCE Three years' registered nurse experience with insight in medical/surgical, pediatric or maternal/child health PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Missouri Division of Professional Registration State of Work Location: Oklahoma Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Evening Shift (United States of America) Job Type: Employee Department: 8254000010 Poison Control Scheduled Weekly Hours: 20 SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. Click here to learn more.
NP Telehealth
Fast Pace Health

Family Nurse Practitioner / Physician Assistant

Fast Pace Health Knoxville, TN
Overview In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. The Provider must be able to work in a team-oriented environment, be flexible to adapt to new technologies and protocols in a quickly evolving practice setting. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere. Why Choose Fast Pace Health? Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Provider you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community. Responsibilities PRIMARY Ability to provide quality care in both clinic and telehealth and meet patient volume goals targeted for tele and in patient as determined. Lead clinic staff, in behaviors, actions and attitude (e.g. X-Ray Technologists, Nurses, and Front Office Specialists) in delivering excellent patient care. Provide guidance as necessary to ensure quality professional services and patient Ability to perform responsibilities included on the SCRIBE job description. Discuss and review patients’ medical history, symptoms, allergies, and current medications. Asking patients situation-specific questions to formulate accurate diagnoses in order to provide guidance as necessary to ensure quality professional services and patient satisfaction. Actively engages with clinical leadership, elevating to management where appropriate to ensure strong patient care and resolution of concerns to ensure adherence to our company values. Ability to meet patient volume goals targeted for tele and in-patient as determined. Ensure accurate completion of patient charts in a timely matter and forwarding charts as appropriate on a daily basis. As well as build and maintain confidence and credibility with all employees. Implement clinical and Telehealth protocols as outlined CMO and Supervising Physicians. Analyze and interpret patients' histories, symptoms, physical findings, and diagnostic information to develop appropriate diagnoses. Deliver excellent patient care through in-patient and virtual diagnostic and therapeutic recommendations with attention to patient-centric care, safety, cost, and reliably accurate information. Ensure that the activities of the Provider are conducted in a manner that is consistent with overall department expectations and are in compliance with Federal and State regulations, guidelines, and requirements including working knowledge of all health information management issues such as HIPAA. Ability to work efficiently in a fast-paced, autonomous environment within both in-patient clinic and virtual settings. Ability to pursue queue of telehealth patients in a timely fashion to ensure proper patient follow up. Order, perform, or interpret the results of diagnostic tests, as well as responsibly prescribe medications and educate patients on continued treatment and care of acute and chronic conditions. Attest and follow clinical practice guidelines by the Office of Medical Affairs. Attend Mandatory monthly meetings with Supervising physicians and E/M training. Ability to perform responsibilities within standard NP/PA protocols. Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training in order to meet and exceed our continued quality of care. Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness. Recommends ideas within the clinic and to telehealth leadership as appropriate to improve overall patient experience and care. Communicates regularly within team in all manners necessary to support excellent patient care. Welcome new employees on their first day in the clinic and facilitate introductions to team members, clinic tours, and an overview of the clinic processes. Actively assist new employees with learning activities and completing required training. Support new employee training by providing job shadowing, demonstration, and coaching opportunities The ability to build and maintain confidence and credibility with all employees. The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers. The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands. Ability to be knowledgeable and comply with Company standards of operations. The ability to promote and maintain a respectful culture of employee, employer and business confidentiality. The ability to consult with patients through virtual communication channels. Preferred experience working as a Telehealth Clinician Perform other duties as assigned by management. PRN Employees are required to work a minimum of 4 shifts per month. Full Time Employees are required to work 12-hour shifts and every other weekend. *** Additional Requirements and responsibilities for Ancillary Providers Responsible for on call periodically throughout the year *** Additional Requirements and responsibilities Level 1: New Grad with up to 1 years of experience as a nurse practitioner; new grad Physician’s Assistant with up to 1 years of experience as a physician’s assistant Level 2: Nurse practitioner with over 1 years of experience and less than 5 years of experience; Physician’s assistant with over 1 years of experience and less than 5 years of experience as a physician’s assistant. Level 3: Nurse practitioner with over 5 years of experience and less than 10 years of experience; Physician’s assistant with over 5 years of experience and less than 10 years of experience as a physician’s assistant. Level 4: Nurse practitioner with over 10 years of experience; Physician’s assistant with over 10 years of experience as a physician’s assistant. Experience Requirements and Preferences Education: Master’s Degree in Nursing (MSN) and/or master’s degree in Physician Assistant Studies (MMS) AND Experience: At least 1-2 years of experience as a provider in a relevant practice, such as Urgent Care or Occupational Medical Facility, ER or Trauma Unit, Family Medical Practice is strongly preferred. Current License or Certification: License and DEA must be active, in good standing, and verifiable with the proper regulatory agency. DEA required for all providers; however, where limited by years of practice under state law, DEA will be required within 120 days of provider meeting the minimum years of practice under state law for obtaining DEA. Providers must be able to treat all ages and must meet any credentialing requirements needed; and DOT certification is required to be obtained by FT and PT Providers within 120 days of employment and maintained during employment. Education Requirements Masters Degree in Nursing Compliance Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct. Please refer to the links below for information regarding your rights under certain federal laws: https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf Mississippi Residents Only: In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5). Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.
RN Telehealth
UnitedHealthcare

Inpatient Care Management Nurse RN - Remote PST MST or CST

UnitedHealthcare Phoenix, AZ
$60,200 - $107,400 / year
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. You'll enjoy the flexibility to work remotely * from the Pacific, Mountain, or Central Time Zone regions within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (i.e. MCG/Interqual criteria) Discuss cases with facility healthcare professionals to obtain plans-of-care Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management Participation in discussions with the Clinical Services team to improve the progression of care to the most appropriate level Consult with the Medical Director, as needed, for complex cases and make appropriate referrals to downstream partners Apply clinical expertise when discussing case with internal and external Case Managers and Physicians Identify delays in care or services and manage with MD Follow all Standard Operating Procedures in end to end management of cases Obtain clinical information to assess and expedite alternate levels of care Facilitate timely and appropriate care and effective discharge planning Participate in team meetings, education, discussions, and related activities Maintain compliance with Federal, State and accreditation organizations Identify opportunities for improved communication or processes Participate in audit activities and meetings You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted RN license in state of Residence 3+ years of clinical nursing experience practicing clinically (Acute Inpatient, SNF/AIR/LTAC, Emergency Department, Urgent Care, Doctor's Office, School Nurse) Experience in acute, long term care, acute rehabilitation, or skilled nursing facilities 1+ years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms Designated workspace and access to install secure high-speed internet via cable/DSL in home Preferred Qualifications: Bachelor's degree Compact license Managed Care experience Experience performing discharge planning Ability to work independently Demonstrated effective verbal and written communication skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
LPN Psych Telehealth
Fast Pace Health

Behavioral Health Clinical Specialist (LPN or RN)- Remote

Fast Pace Health Franklin, TN
Overview Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Behavioral Health Clinical Specialist (LPN or RN) to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment. Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities. Why Choose Fast Pace Health? Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Behavioral Health Clinical Specialist you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community. Responsibilities The Behavioral Health Clinical Specialist (LPN or RN) position involves consistent, quality customer service to both internal staff members and external patients. The clinical specialist will serve in a dual role as both assisting the Care Coordinator and the Behavioral Health Call Center. He or she will actively be involved in patient care by providing a resource for patient questions, concerns, and case management. He or she will listen to the patients’ requests and take appropriate action to respond, including communicating with providers about patient or medication concerns, communicating with the pharmacy to verify prescriptions or to call in refills, completing prior authorization forms, school medication forms, assisting with patient letters, and provide information to clinics who are referring to behavioral health services. The clinical specialist will also assist with referrals to other specialties, communicate with insurance if needed, communicate with local areas to investigate services to assist the patient needs, and assist with crisis management by communicating with the provider if hospitalization is needed. He or she will serve as a resource to ensure patients are scheduled for follow-up after hospitalization, investigates non-compliance, and assists with ways to increase compliance with visits and obtaining medication. In managing these requests, the clinical specialist will be asked to keep up with patient time spent for care coordination for billing and staffing with providers. As an additional team member of the call center, you will assist the call center specialists with scheduling of intake & follow-up appointments, assisting with online registration and check-in, assisting patients with use of technology to see providers, verifying insurance for eligibility for behavioral health services, input of patient insurance information in the system, creating chart for patient in prescription system, ensuring any intake triage orders are given to patient and scanned in the chart if applicable before the first appointment, and completing outside referrals from our behavioral health providers. The clinical specialists will consistently demonstrate proficient data entry skills, knowledge of insurance billing while maintaining confidentiality. It is essential that they demonstrate efforts to maintain and improve job-specific competencies, and perform other duties as assigned. This is a fully remote role with flexible schedule options Monday-Friday 8am-7pm CST. What You Will Do: Promote the five principles of Fast Pace: Communication, Teamwork, Empowerment, Quality of Care, and Friendliness. Answers and Coordinates phone calls Triage Appropriately Recording Telephone encounters via EHR system Communicate and staff with providers regarding patient concerns, refill requests, or medication issues Obtain Medical release as needed for patient requested forms Confirm appointments with patients Verify insurances Collect co-pays or fees for service Completing Prior Authorization and Override forms for medication approval Complete knowledge of EHR including updating pharmacy information for patients Faxing info from EHR Obtain and Scan required documents into EHR Knowledge of registering a new patient Update patient information Print profiles, schedules, and recall lists Place patients on the recall list, take patients off and attach appointments Patient and provider schedules Respond appropriately to agitated patients Review schedules to ensure accuracy and fill appointment opportunities Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training. Experience Requirements and Preferences Education: Degree as a Licensed Practical Nurse (LPN) or Registered Nurse (RN) AND Experience: At least 1 year of healthcare experience as a LPN or RN is required Experience in behavioral health setting preferred Electronic appointment scheduling experience preferred Strong customer service experience Excellent Verbal communication skills Proven ability to Multi-Task Problem Solving and critical thinking skills a plus Education Requirements High School Diploma or Its Equivalent Compliance Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct. Please refer to the links below for information regarding your rights under certain federal laws: https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf Mississippi Residents Only: In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5). Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.
RN Utilization Review Telehealth
UnitedHealthcare

Utilization Management RN - Optum West - Remote in PST or MST

UnitedHealthcare Sacramento, CA
$29 - $52 / hour
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse at UnitedHealth Group, you will make sure our health services are administered efficiently and effectively. You'll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready to make an impact? ***Although this position is remote, applicants must be located in Pacific or Mountain Time Zones*** If you are located in Pacific or Mountain time zones, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Positions in this function require unrestricted compact RN licensure Function is responsible for utilization management which includes Prior Authorization Review of skilled nursing facility, acute inpatient rehabilitation and long-term acute care hospital Determines medical appropriateness of level of care following evaluation of medical guidelines and benefit determination Generally, work is self-directed and not prescribed Works with less structured, more complex issues Identify solutions to non-standard requests and problems Translate concepts into practice Act as a resource for others; provide explanations and information on difficult issues It feels great to have autonomy, and there's also a lot of responsibility that comes with it. In this role, you'll be accountable for making decisions that directly impact our members. And at the same time, you'll be challenged by leveraging technologies and resources in a rapidly changing, production-driven environment. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Compact RN License 3+ years of Managed Care and/or clinical experience Prior Utilization Management experience (not case management) Proven basic computer skills with MS Outlook, Word and Excel Preferred Qualifications: Prior-authorization experience Multi-specialty experience Experience in a skilled nursing facility or inpatient rehabilitation facility Multiple EMR experience including Epic, Cerner, TMC, Meditech or Care Advance Knowledge of Milliman Criteria *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
RN Telehealth Part-time
BJC HealthCare

Clinical Nurse - After Hours Answer Line

BJC HealthCare St. Louis, MO
Additional Information About the Role Answer Line Overview The Answer Line After Hours Service provides after-hours exchange and nurse triage services for over 300 subscribing community pediatricians in the St. Louis and surrounding areas. Answer Line RNs utilize triage guidelines, critical thinking skills, and physician preferences to determine the most appropriate plan of care for each patient. These services are provided Monday-Friday from 4:30pm – 8:00am and 24/7 on weekends. Location Almost all staff work remote, though we do have office space at BJC @ The Commons, 5th floor (4249 Clayton Ave, St. Louis, MO 63110) Staff are expected to work their shift in the call center if experiencing connectivity issues at home Minimum 2-5 years of nursing experience in a variety of the following areas: Emergency Department, NICU, PICU, telephone triage, pediatric primary care office, or pediatric General Medicine Benefits eligible Part-time; three 8-hr shifts; 24 hours per week Monday - Friday Evenings: 4:30pm-12:30am Occassional night shifts (up to four for every 6-week schedule); 12am-8am Every other weekend (Saturday and Sunday); days; primarily 7am-3pm or 8am-4pm, but shifts may vary Holiday rotation Seasonal on-call requirement BJC Nursing Career Ladder The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC Registered Nurse Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description. Additional Preferred Requirements At least 3 years of pediatric nursing experience Computer/typing skills Overview St. Louis Children’s Hospital is dedicated to improving the health and lives of children. As one of the top-ranked children’s hospitals in the country, St. Louis Children’s provides care in more than 50 specialty areas through a dedicated team of physicians, nurses, staff and volunteers. Along with inpatient and outpatient medical care, the hospital offers education, wellness and injury-prevention programs to fulfill its mission to “do what’s right for kids.” Providing comprehensive, high-quality care and serving as an advocate for children has been St. Louis Children’s commitment since its inception in 1879. Today, the hospital serves patients and families across a 300-mile service area, and has seen patients from all 50 states and more than 80 countries. St. Louis Children’s consistently ranks among America’s Best Children’s Hospitals by U.S.News & World Report in all surveyed categories. In 2021, St. Louis Children’s was one of eight children’s hospitals to rank in the top 25 of all 10 specialties. The hospital’s academic and physician partner, Washington University School of Medicine, is one of the top-ranked medical schools in the United States. Since 2005, St. Louis Children’s has been designated as a Magnet® hospital for nursing excellence from the American Nurses Credentialing Center® (ANCC). Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience No Experience Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Education Bachelor's Degree - Nursing Experience
RN Utilization Review Telehealth
L.A. Care Health Plan

Utilization Management Claims Review Nurse RN II

L.A. Care Health Plan Los Angeles, CA
$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical claims to ensure services were medically necessary, appropriately documented, accurately billed, and compliant with established clinical policies and regulatory standards. This position supports payment integrity initiatives through retrospective and pre-payment review processes, helps reduce unnecessary denials, and monitors for potential fraud, waste, and abuse (FWA). The UM Claims Review Nurse RN II collaborates closely with internal teams to ensure accurate adjudication and compliance. This position collaborates closely with internal stakeholders and external entities to support compliance with state, federal, and accreditation requirements. Duties Perform claims pre-payment review by supporting the Claims team in evaluating flagged claims prior to adjudication to ensure services are medically necessary, documentation supports billed services, coding is accurate and aligned with authorization when applicable, and unnecessary denials are reduced through accurate clinical validation. Conduct comprehensive retrospective reviews, applying established clinical criteria, policies, and regulatory guidelines to determine medical necessity and appropriateness of services rendered. Complete Provider Dispute Review (PDR) clinical evaluations for disputed claims requiring medical necessity scrutiny and clinical determination. Apply internal and external clinical policies, including those developed by the Clinical Policy team, to ensure compliance with guidelines intended to limit fraud, waste, and abuse (FWA). Ensure adherence to federal and state regulations, and accreditation standards. Monitor trends related to contested claims and identify potential FWA concerns; escalate findings in accordance with organizational compliance protocols. Collaborate with internal teams to support payment integrity initiatives. Provide clear, well-documented clinical rationales supporting approval, denial, or adjustment decisions. Maintain productivity and quality standards consistent with departmental expectations. Participate in audits, regulatory readiness activities, and quality improvement initiatives as assigned. Document review outcomes clearly and accurately within designated systems, ensuring audit readiness and traceability. Remain current with evolving clinical guidelines, coding standards, reimbursement methodologies, and regulatory requirements. Perform other duties as assigned.Duties Continued Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: At least 5 years of experience in Clinical Nursing. At least 3 years of experience with Medi-Cal and Medicare in a managed care environment. Experience in performing and creating clinical documentation. Experience in regulatory compliance for a health plan. Preferred: Experience with Provider Dispute Review (PDR) processes. Experience applying clinical guidelines (e.g., InterQual, MCG, or internally developed criteria) in processes. Prior experience in payment integrity, compliance, or fraud, waste, and abuse (FWA) monitoring.Skills Required: Knowledge of medical necessity criteria, reimbursement principles, and managed care operation. Working knowledge of clinical policies. Working knowledge of CPT/HCPC Codes, and ICD-10. Proficient in claims processing systems and electronic medical record platforms. Strong problem-solving skills and the ability to identify discrepancies, assess risk, and recommend actionable solutions. Strong verbal and written communication skills. Ability to work independently with a high degree of initiative, organization, and self-direction. Ability to work effectively with diverse teams in cross-functional work groups. Ability to multitask, re-prioritize tasking, and streamline day-to-day operations. Familiarity with regulatory and accreditation standards (e.g., CMS, Medi-Cal, NCQA). Understanding of the managed care industry and market conditions. High organizational and time-management skills. Preferred: Strong analytical and investigative skills with the ability to synthesize clinical and claims information into clear, defensible determinations are highly valued. Advanced knowledge of medical necessity criteria tools such as InterQual or MCG. Extensive knowledge in claims reviews includes retrospective reviews, pre-payment claims review, and medical necessity determinations. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Required Training Physical Requirements LightAdditional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
NP Telehealth
Fast Pace Health

PRN - Family Nurse Practitioner

Fast Pace Health Alcalde, KY
Overview In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. The Provider must be able to work in a team-oriented environment, be flexible to adapt to new technologies and protocols in a quickly evolving practice setting. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere. Why Choose Fast Pace Health? Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Provider you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community. Responsibilities PRIMARY Ability to provide quality care in both clinic and telehealth and meet patient volume goals targeted for tele and in patient as determined. Lead clinic staff, in behaviors, actions and attitude (e.g. X-Ray Technologists, Nurses, and Front Office Specialists) in delivering excellent patient care. Provide guidance as necessary to ensure quality professional services and patient Ability to perform responsibilities included on the SCRIBE job description. Discuss and review patients’ medical history, symptoms, allergies, and current medications. Asking patients situation-specific questions to formulate accurate diagnoses in order to provide guidance as necessary to ensure quality professional services and patient satisfaction. Actively engages with clinical leadership, elevating to management where appropriate to ensure strong patient care and resolution of concerns to ensure adherence to our company values. Ability to meet patient volume goals targeted for tele and in-patient as determined. Ensure accurate completion of patient charts in a timely matter and forwarding charts as appropriate on a daily basis. As well as build and maintain confidence and credibility with all employees. Implement clinical and Telehealth protocols as outlined CMO and Supervising Physicians. Analyze and interpret patients' histories, symptoms, physical findings, and diagnostic information to develop appropriate diagnoses. Deliver excellent patient care through in-patient and virtual diagnostic and therapeutic recommendations with attention to patient-centric care, safety, cost, and reliably accurate information. Ensure that the activities of the Provider are conducted in a manner that is consistent with overall department expectations and are in compliance with Federal and State regulations, guidelines, and requirements including working knowledge of all health information management issues such as HIPAA. Ability to work efficiently in a fast-paced, autonomous environment within both in-patient clinic and virtual settings. Ability to pursue queue of telehealth patients in a timely fashion to ensure proper patient follow up. Order, perform, or interpret the results of diagnostic tests, as well as responsibly prescribe medications and educate patients on continued treatment and care of acute and chronic conditions. Attest and follow clinical practice guidelines by the Office of Medical Affairs. Attend Mandatory monthly meetings with Supervising physicians and E/M training. Ability to perform responsibilities within standard NP protocols. Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training in order to meet and exceed our continued quality of care. Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness. Recommends ideas within the clinic and to telehealth leadership as appropriate to improve overall patient experience and care. Communicates regularly within team in all manners necessary to support excellent patient care. Welcome new employees on their first day in the clinic and facilitate introductions to team members, clinic tours, and an overview of the clinic processes. Actively assist new employees with learning activities and completing required training. Support new employee training by providing job shadowing, demonstration, and coaching opportunities The ability to build and maintain confidence and credibility with all employees. The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers. The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands. Ability to be knowledgeable and comply with Company standards of operations. The ability to promote and maintain a respectful culture of employee, employer and business confidentiality. The ability to consult with patients through virtual communication channels. Preferred experience working as a Telehealth Clinician Perform other duties as assigned by management. PRN Employees are required to work a minimum of 4 shifts per month. Full Time Employees are required to work 12-hour shifts and every other weekend. *** Additional Requirements and responsibilities for Ancillary Providers Responsible for on call periodically throughout the year *** Additional Requirements and responsibilities Level 1: New Grad with up to 1 years of experience as a nurse practitioner Level 2: Nurse practitioner with over 1 years of experience and less than 5 years of experience Level 3: Nurse practitioner with over 5 years of experience and less than 10 years of experience Level 4: Nurse practitioner with over 10 years of experience Experience Requirements and Preferences Education: Master’s Degree in Nursing (MSN) AND Experience: At least 1-2 years of experience as a provider in a relevant practice, such as Urgent Care or Occupational Medical Facility, ER or Trauma Unit, Family Medical Practice is strongly preferred. Current License or Certification: License and DEA must be active, in good standing, and verifiable with the proper regulatory agency. DEA required for all providers; however, where limited by years of practice under state law, DEA will be required within 120 days of provider meeting the minimum years of practice under state law for obtaining DEA. Providers must be able to treat all ages and must meet any credentialing requirements needed; and DOT certification is required to be obtained by FT and PT Providers within 120 days of employment and maintained during employment. Education Requirements Masters Degree in Nursing Compliance Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct. Please refer to the links below for information regarding your rights under certain federal laws: https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf Mississippi Residents Only: In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5). Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.