Telehealth Jobs | Credenza

RN Triage Nurse

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

RN Triage Nurse

Anchor Health Petaluma, CA

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

Registered Nurse RN Case Manager

DaVita Kidney Care North Sacramento, CA

$42 - $55 / hour

Posting Date 05/29/2026 2420 Del Paso RdSte 135, Sacramento, California, 95834-9673, United States of America RN Case Manager - Position Highlights Location: Stockton, CA (Hybrid - Remote) This is a hybrid, field based role requiring a dedicated home office and the ability to travel 3-4 days per week within an assigned territory. Coverage includes the Stockton, CA market surrounding areas. Territory assignments may change cased on business needs. Schedule : Monday - Friday Flexibility is required to accommodate patient needs and nephrology partner availability. Employment Type: Full-Time This position functions autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system for ESRD and CKD patients. This position provides coordination of care between the patient, family, physician, provider and care teams, the community, and Regional Operations Manager. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita’s vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US. Our more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. We’ve proven that integrating care achieves the triple aim of improved patient quality of life, better outcomes and lower total cost of care. What sets DaVita IKC apart is that we not only provide great care management but we start with our heart with our patients and each other. We focus on creating both a great experience for our patients and a special place to work for our teammates. We’re on a mission to revolutionize kidney care, with a vision of making integrated care the standard of care for all renal patients. To help us achieve our vision, we’re investing extensively in developing both our model of care and our team. When you join DaVita IKC, you're joining a compassionate team committed to quality patient care. Through our commitment to training, growth and quality we consistently achieve superior clinical outcomes while giving teammates the opportunity to excel in an award-winning environment that enables them to thrive both professionally and personally. Qualifications for the Shining Star for our DaVita IKC Registered Nurse are: A.D.N degree from accredited school of nursing required; B.S.N preferred; three-year diploma from accredited diploma program may be substituted for nursing degree Current Registered Nurse (RN) license in the state of practice required Continuing education credits maintained as required by state of practice required Minimum of five (5) years’ experience in clinical nursing is strongly preferred Minimum of three (3) years’ experience in renal nursing preferred Case management experience is required. In lieu of case management experience, 3 or more years of experience assessing patient needs, developing and managing individualized care plans, coordinating services across interdisciplinary teams, and supporting patients through complex healthcare transitions is required Certified Nephrology Nurse (CNN) or Certified Case Manager (CCM) preferred Demonstrated knowledge and understanding of data and managing to clinical, financial, and patient satisfaction outcomes Demonstrated experience and effectiveness in change agent role Demonstrated knowledge and understanding of CQI techniques Previous experience in healthcare performance coaching required Current CPR certification required Ability to modify personal practice patterns to adapt to new / electronic processes and increased productivity expectations as it pertains to Capella implementation Current driver’s license in state employed with positive driving record and able to meet requirements of insurance coverage required Basic computer skills and proficiency in MS Word and Outlook required Functional proficiency with DaVita specific clinical software programs, including Capella, required within 90 days of employment Home office with internet connectivity at minimum of 1MB upload and 1MB download speed required Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen." Why wait? Explore a career with DaVita today. Go to http://careers.davita.com to learn more or apply. What We’ll Provide: More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning. #LI-JD2 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $42.00 - $55.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Nurse Practitioner Licensed in Florida

Pharmko Orlando, 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.

RN Triage Nurse

Anchor Health Petaluma, CA

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

Care Coordinator-RN

Renown Health Reno, NV

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

Care Manager (RN) - Must live in IA

Molina Healthcare Des Moines, IA

$25.08 - $51.49 / hour

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

Registered Nurse (RN) | Medical Call Center

Avera Health Sioux Falls, SD

$27.75 - $41.25 / hour

Location: Avera Palm Place Worker Type: Regular Work Shift: Day/Evening/Weekend/Holiday Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $27.75 - $41.25 Position Highlights 3:00pm-11:30pm; 48hrs/2wks including every third weekend and holiday. Student Loan Repayment: Position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. Each month an extra payment of $167 (up to $10,000) from Avera will help pay down your principal balance faster. $3 SHIFT DIFFERENTIAL is available for hours worked between 7p and 7a, $2 on weekends, and $5 on weekend nights! You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for applicable assessment, triage, planning, education on interventions/options, education and evaluation of outcomes. This role provides support and follow-up calls per outlined protocols, facilitating referrals to local physicians and community services and ensures hand-offs between services are completed. What you will do Completes assessment of patient with pertinent health data. Collects caller symptoms/reason for all to analyze assessment data to provide caller with sound nursing assessment and alternatives following the nursing process and Avera Medical Call Center Assessment Guidelines/Triage criteria, policies and procedures. Analyzes the assessment data in determining problem focus, triage disposition, and appropriate referral. Identifies expected outcome individualized to the caller/patient and explains the expected outcome to gain cooperation & understanding. Develops nursing care plans by obtaining medical histories; documenting patient condition, psychological status, and influencing social factors; developing a nursing diagnosis; establishing care objectives; defining nursing interventions, schedules and timetables. Refer caller/patient appropriately to medical care, hospital-based services or community resources as identified in plan of care. Collaborates with clinics, departments, and providers to obtain and communicate vital patient information for continued care. Documents patient care services by charting in patient and department records. Maintains competence in nursing capabilities outlined by leadership. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice. Upon Hire Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Population Health Nurse Care Manager

Terrebonne General Health System New York, NY

Day (United States of America) Department: 100 - 839700 TG - Quality and Patient Safety Position Description: To focus on improving the clinical and financial services of selected patient population meeting condition specific criteria. To provide professional services of a Care Manager in the role of a navigator to coordinate comprehensive healthcare services. These responsibilities include, but are not limited to: patient assessment, care planning, coordination of resources, patient and caregiver education, and patient advocacy across the continuum of care. The goal is to improve patient compliance with prescribed treatment, coordination of follow-up care upon discharge and to prevent exacerbation of illness requiring readmission. Targeted diagnosis include but are not limited to Asthma, COPD, Diabetes, Heart Failure, Pneumonia, and Stroke. Qualifications: Graduate of an accredited school of nursing, RN, BSN preferred. CM or CPHQ certified preferred. 3-5 years clinical experience preferred, preferably in the Telemetry or Critical Care areas working with identified patient population and discharge planning of this population. Demonstrated leadership ability. Possesses effective verbal and written communication skills. Must be licensed to practice as a registered nurse in Louisiana.

Registered Nurse- Clinical Nurse- Medsurg Tele

University of Maryland Medical System Towson, MD

$39.35 - $54.05 / hour

Job Requirements The estimated start date targeted for this position will be in September 2026 This is a night shift position General Summary This role is considered for the new graduate or nurse with less than 12 months experience . The nurse will utilize this time to learn the institution and nursing practice. . It is expected that a nurse in this role successfully meets all requirements of the Nurse Residency Program and Departmental Orientation. Utilizes the institution’s care delivery and professional practice models as the frame of reference for practicing as a professional nurse. Participates in activities to develop own practice, and to support group practice goals at the unit level. Is accountable to patient, family and team members for care provided and to the nurse manager for totality of work performance. Is accountable to hold to the Service Standards and to the Nursing Mission, Vision and Values. II. Principal Responsibilities And Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Clinical Practice/Care Delivery Focus of clinical practice/care delivery and on own learning. Uses/applies evidence-based practice, accesses appropriate resources. Follows unit based protocols, documentation, pathways, etc Involves patient and family in care; follows model of care delivery guidelines. Conducts patient/family needs assessment; initiates and documents patient/family education, seeks guidance in advocating the patient/family needs when appropriate. Delivers care consistent with unit operations to ensure safe, timely, effective, efficient, equitable, patient centered care. Professional Development Responsible for accessing education applicable to own professional development; focus on completion of competencies appropriate for patient care setting. Successful completion of orientation. Accountable for achieving/maintaining requirements for unit practice. Assists with precepting students, unlicensed assistive personnel or peer for isolated days (not accountable for entire orientation); may assist with share days or shadow days. Completes CE’s on an annual basis based on the facility minimum requirements. Service/Quality Becomes familiar with National Hospital Quality Measures, National Patient Safety Goals, Quality Indicators, Nursing Sensitive Indicators, and Facility Annual Operating Plan. Aware of patient and team member satisfaction scores and contributes to unit initiatives for improvement. Participates in some or all elements of research/EBP/QI. Provides high quality, safe, patient centered care with focus on exceeding service expectations. Maintains regulatory requirements for overall readiness; participates in tracer activities when requested. Patient Safety Takes action to correct observed risks to patient safety. Reports adverse events and near misses to appropriate management authority. Implements policies, procedures, and guidelines consistently in the performance of assigned duties. Develops effective working relationships and maintains good communication with other team members. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge. Participates in hospital, departmental and/or unit patient safety initiatives. Operations Supports Charge Nurse role and demonstrates basic understanding of the role. Actively contributes to teamwork (cooperates with peers, flexible with assignments, takes admissions as required, etc). Attends briefings/staff meetings regularly. Aware of and supports unit, nursing division, and organizational governance structure. Participates in recruitment and retention activities at the unit level. Provides feedback in peer review as requested. Work Experience Work Experience Qualifications Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required. Over 1 /2 years of experience licensed in the state without a preceptor. Current AHA BLS certification required. Basic computer skills are required. Effective verbal and written communication skills. Benefits Benefits Benefits All your information will be kept confidential according to EEO guidelines. For this role specifically, join us and receive a competitive $20,000 sign-on bonus 30-days following your start of employment Compensation: Pay Range: $39.35 - $54.05 Other Compensation (if Applicable): Review the 2025-2026 UMMS Benefits Guide

Clinical Nurse Manager - Philadelphia, PA

UnitedHealthcare Philadelphia, PA

$91,700 - $163,700 / year

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This manager will manage RN case managers, CHWs, and BHAs, in accordance with established Compass (formerly Care Model) and ICP Programs, as well as all UHC requirements. Manage productivity and expected outcomes across the teams, engage staff. Must be a critical thinker and have experience in complex care management, chronic conditions, and behavioral health management to manage, lead and advise the teams as a subject matter expect. This role also requires submission of state reports, presentations and public speaking. Data trending, extracting, capturing and analysis are also an essential element of this role. This position is required to be Located in Philadelphia, PA and will require travel 25% If you are located in PA, you will have the flexibility to work remotely* as you take on some tough challenges 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 Active unrestricted Pennsylvania RN license Case Management Certification 5+ years managing people 3+ years of experience with Medicaid Fluent Microsoft word and Excel Proven excellent writing, and public speaking skills Driver's License and access to a reliable transportation Preferred Qualifications Undergraduate degree RN or SW or Clinical Degree 5+ years of Clinical Experience 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 $91,700 to $163,700 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.

Complex Care Manager RN - Charlottesville, VA Market

UnitedHealthcare Charlottesville, VA

$28.94 - $51.63 / hour

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Complex Care Manager, RN will be managing complex members and is responsible for facilitating, promoting and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients (High risk stratification). Care Manager will manage the care of members in their homes or other community settings by completing telephonic and or face to face health risk assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent. The care manager will provide clinical and medical management services, including care management, health assessments, interventions, and discharge planning. Work is generally self-directed and not prescribed; so, it will be important to function in a less structured work environment. Primary Responsibilities Engaging members/families telephonically and/or face to face to coordinate services, community resources, and treatment needs Delivering a holistic approach to coordinated care based on the member's needs using a person centered philosophy Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file Creating, reviewing and revising care plans and focusing on a holistic approach Functioning as an advocate for member Collaborating with the member's PCP to deliver and coordinate necessary services Building relationships with members and their families; assisting them with coordination of health choices Ensuring cases are documented in a timely manner Coordination with other state agencies, community resources and providers Act as the primary point of contact for Members and the Interdisciplinary Care Team (ICT) 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 licensure in the state of Virginia 2+ years of recent experience in case management, home care, long term care and/or experience in acute or rehab care setting 1+ years of experience directly working with individuals with complex medical or behavioral needs Basic level of proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet), including the ability to type and talk at the same time and toggle between multiple applications Willingness to travel (up to 25%) within a designated geographical region of Virginia for home/site visits Driver's license and access to reliable transportation and proof of automobile insurance for vehicle being used Broadband internet capability from home office Preferred Qualifications CCM certification Experience with Medicare and/or Medicaid Experience with complex populations Managed care/case management experience 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 $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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.

RN, Telephone Triage, Weekends (Remote)

Cook Children's Health Care System Fort Worth, TX

Location: Medical Center Office Building (901 7th Ave) Department: Telephone Triage Shift: Weekend Shift (United States of America) Standard Weekly Hours: 20 Summary: A registered nurse, who performs nursing care for the caller, patient, and family via the telephone. Works interdependently within the guidelines of medical protocols and nursing standards of performance. Uses verbal communication and data-collection skills in carrying out the nursing process. Collaborates with callers on the telephone and with colleagues in other health disciplines to meet the individual health and illness needs of the patient and family. Saturday/Sunday (10) hour shifts 8am - 6pm Orientation is Monday - Thursday 5p - 11p for 12 weeks on-site Must be local to DFW area Education: Graduate of an accredited nursing program 5 years pediatric experience required 3 years pediatric ED/UCC and/or Critical Care experience preferred Good organizational, interpersonal, communication skills & computer skills Certification/Licensure: Current license to practice professional nursing in the State of Texas About Us: Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

Nurse Practitioner / Physician Assistant

Planned Parenthood of Greater Texas Spring, TX

Overview The official job title for this position at PPGT is “Clinician”. The Clinician provides comprehensive reproductive healthcare services to patients at Planned Parenthood of Greater Texas (PPGT). Works as part of the Health Services team in collaboration with Health Services and other team members to meet the clinical needs of patients as outlined in affiliate protocols. Orders, interprets, and records results of clinical tests and consults with supervising physicians as needed. Prescribes medications and makes recommendations for other forms of treatment, including contraception. The Clinician is part of the medical services team providing sexual and reproductive healthcare as outlined in affiliate protocols. Provides services by telehealth and/or in-person visits including: history review, health education, physical exam, counseling, diagnosis, and treatment according to protocols. The Clinician works in partnership with management, Health Services and Chief Operating and Medical Services Officer (COMSO) to provide the highest quality of patient care and excellent patient experience. Participates as a member of a team providing confidential, quality healthcare services, allowing patients to maintain a sense of dignity, trust and safety. There is a dual reporting structure for clinicians. Clinicians report directly to the Health Services Regional Director and clinical supervision is provided by the Director of Clinical Services. Performs duties to ensure productivity expectations, patient satisfaction, customer service, and compliance standards are maintained. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities • Performs physical examinations with special emphasis on the reproductive system including breast examinations, pelvic/genital, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized services or procedures as may be indicated by medical policy or protocols (e.g. gender affirming hormone therapy-GAHT). • Orders, and interprets diagnostic studies as indicated and permitted by medical protocols. Performs lab testing per Clinical Laboratory Improvement Amendments (CLIA) regulations and according to PPGT’s lab manual or manufacturer’s directions. • Provides patient care according to all Medical Standards and Guidelines and/or the specific direction of a supervising physician. Consults with organization COMSO or designee when deviates from PPGT Medical Standards and Guidelines (MS&Gs). • Provides relevant health instruction and education to include family planning, sexual counseling, and principles of health promotion • and maintenance. • Documents exam findings and other clinical aspects of direct patient care into the medical record accurately. • Codes billable services accurately based on medical record documentation using accepted practices, i.e. Evaluation and Management (E&M), Current Procedural Terminology (CPT) and diagnosis codes (ICD-10). • Ensures conformity with the policies and procedures of the affiliate, Texas Medical Practice Act, Physician Assistant Licensing Act, Texas Nurse Practice Act, and rules promulgated under those acts. • Recognizes ethical, legal, and professional issues inherent in providing care to health center patients throughout the life cycle. • Initiates and monitors appropriate follow-up according to PPGT Medical Standards and Guidelines on all abnormal test results and referrals. • Remains well informed about current contraceptive technology and reproductive and sexual healthcare issues. • Develops and maintains a collaborative working relationship with the Health Center Manager and support staff resulting in a team effort in meeting center goals. • Develops a level of time management that is conducive to seeing 3-4 clinician visits per hour meeting productivity goals and expectations. • Takes an active role in managing patient satisfaction by practicing patient centered care and providing exemplary customer service to patients. • Responds to medical emergencies as provided in the medical protocols and is responsible for maintenance of emergency box • May assist in supervising and participating in the orientation and proctoring of new clinicians. • Administers, supplies, or prescribes medications/devices, including injections, per delegated orders of the Pharmacist-in-charge and the Chief Medical Officer as outlined in The Manual of Medical Standards and Guidelines and Pharmacy Manual and as per Title 22, Part 11, Chapter 22 of the Texas Administrative Code. • Maintains an active Prescriptive Authority Agreement which is reviewed with authorizing physician annually. Holds Quality Assurance and Improvement meetings and chart reviews as required by the PAA between the authorizing physician and the clinician. • Has unrestricted access to patient protected health information (PHI) on paper and electronic forms health records for purposes of treatment, payment, and/or healthcare operations. The use of a patient’s protected health information should be limited to information needed for the specific task that is being performed or requested by the individual patient. Disclosure of any patient information must be for purposes of treatment, payment or healthcare operation OR must be accompanied by a valid patient authorization. Must adhere to minimum necessary rule. • Embraces the organization’s In This Together customer service standards and uses them with internal and external customers, every person, every time. • Duties and responsibilities may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing. Qualifications Minimum Education Master’s degree (or equivalent) and certification in specialty as a Family Nurse Practitioner (FNP), Women’s Health Nurse Practitioner (WHNP), Certified Nurse Midwife (CNM), Primary Care Nurse Practitioner, or Physician Assistant (PA). Minimum Experience Experience as a Nurse Practitioner, Nurse Midwife, or Physician Assistant in reproductive healthcare or women’s health strongly preferred. In the absence of advance practice experience, candidates must have direct patient care experience (in addition to clinical rotation/externship/internship hours) such as a RN, LVN, Medical Assistant, laboratory technician in a supervised clinical setting such as: hospital, ambulatory surgery center, clinic, nursing home or other related medical setting (excluding home care). Required Licenses or Certifications License to practice as an Advanced Practice Nurse with prescriptive authority in the State of Texas or License to practice as a Physician Assistant by the Texas Medical Board. Must be able to obtain and maintain appropriate licenses listed above and appropriate national certification (NCC, AMCB, AANP, ANCC, or NCCPA) and basic cardiopulmonary resuscitation (CPR) BLS certification course taught by the either American Heart Association (AHA) or American Red Cross (ARC). Agency Standards Must have excellent computer skills with knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Internet. Must have the willingness and ability to adapt to change including advances or new technology. Must have excellent customer service skills and be committed to providing the highest level of customer satisfaction. Other PPGT is an equal opportunity employer. We strictly prohibit unlawful discrimination of any kind, including discrimination on the basis of age; race, color, ancestry, national origin, or ethnicity; citizenship status; sex or gender; gender identity or gender expression or transgender status (including the individual's actual or perceived sex and the individual's gender identity, self-image, appearance, behavior, or expression); sexual orientation (including actual or perceived heterosexuality, homosexuality, bisexuality and asexuality); mental or physical disability; AIDS, AIDS Related Complex, or HIV status; perception of risk of HIV infection; or association with individuals who are believed to be at risk; religion or creed; genetic information; pregnancy status, including related medical conditions; marital status; past, current, or prospective service in the uniformed services; or any other basis protected by law. We are a drug-free and tobacco-free workplace. Applicants have rights under the Federal Employment Laws. To view these notices, please click on the following links: Family and Medical Leave Act (FMLA) poster: Equal Employment Opportunity (EEO) poster; and Employee Polygraph Protection Act (EPPA) poster. Required Knowledge, Skills, and Abilities • Must be able to work all health center hours of operation including evenings and weekends. • Performance of job duties in a health center and/or virtual telehealth environment as defined by position requirements. • Must be able and willing to travel to other locations as needed to provide clinician coverage to centers. • Bilingual in Spanish/English desired. • Demonstrates continued competency in meeting educational and professional standards. • Ability to adhere to the medical protocols of the organization and Planned Parenthood Federation of America (PPFA). • Ability to think strategically and achieve organization’s goals relating to position. • Ability to adhere to the compliance and regulatory requirements pertaining to position. • Possess effective analytical skills. • Strong organizational skills and ability to multi-task. • Ability to manage details and complexity, to handle a variety of tasks simultaneously and to work under pressure. • Ability to exercise initiative, sound judgment, and problem-solving techniques in the decision-making process. • Ability to effectively use organization’s computer systems. • Skilled in verbal and written communications. • Be discreet and safeguard confidential information. • Possess integrity and compliance – can be relied upon to act ethically. • Ability to provide effective, equitable, understandable, and respectful quality care and services that are responsive to the diverse cultural health beliefs and practices, preferred language, health literacy and other communication needs. • Ability to work effectively as a team member. • Ability to lead, manage, direct, and motivate diverse groups of people and possess the skills to delegate and supervise subordinates. • Organizational Awareness: Demonstrates a comprehensive awareness of the impact and implications of decisions and actions on other areas (departments or clinics) within the organization. • Industry Awareness: Remains aware PPFA accreditation standards and of the reproductive health environment’s regulatory compliance requirements. Understands how accreditation standards, regulatory agencies, funding, the external marketplace and competitive environment drives change within the organization. • Work Management: Effectively manages time as a resource; establishes realistic priorities; schedules own time and activities effectively; gives balanced focus and attention to appropriate long- and short-term priorities. Develops action plans and budgets; leverages technology; anticipates obstacles; establishes check points and monitors progress. • Recovery Skills: Responds effectively and acknowledges responsibilities when clients (internal or external) experience problems or mistakes; rectifies the situation to restore client satisfaction; seeks information and collaborates with others to take action to implement permanent fixes. Maintains stable performance and emotions when faced with opposition, pressure, and or stressful conditions. • Interpersonal Sensitivity: Acts in a way that indicates understanding and accurate interpretation of others’ concerns, feelings, strengths and limitations. Uses interpersonal understanding to shape one’s own response. • Building Relationships: Shows genuine interest in others’ needs and opinions; establishes rapport; earns the confidence and trust of others; demonstrates consistency between words and actions; delivers on commitments. • Adaptability or Flexibility: Responds with flexibility to shifting priorities and changing work situations; recovers quickly from problems and setbacks; develops new skills to remain competitive. Adapts easily to change, sees the merits of differing positions, and adapts own positions and strategies in response to new information or changes to a situation. • Coping with Demands of the Position: Uses effective problem solving while working under stress, high volume of work demands and/or time demands; regularly meets deadlines. • Exemplify the organization’s In This Together values: We Tend to the Team; We Respect and Honor All People; We Jump In; We Try and We Learn; We Care for our Business; and We Return to our Mission. Essential Physical Requirements/Working Conditions Must be able to bend, stoop, kneel, crouch, reach, and grasp. Must be able to stand, particularly for sustained periods of time. Must be able to move about on foot to accomplish tasks, such as moving from one work site to another. Must be able to push/pull. Must be able to work primarily with fingers such as picking, pinching, or typing. Must be able to perceive attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Must be able to communicate effectively. Will have substantial movements of the wrists, hands, and/or fingers. Must be able to lift and/or exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or negligible amount of force constantly to move objects. Subject to hazards including a variety of physical conditions such as proximity to moving mechanical parts, moving vehicles, electrical current, or exposure to infectious diseases. Must be able to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices. Health Center environment.

Relief B Clinical Nurse (RN) - Clinical Advice Services - Part-time (0.4 FTE) 8-HR Rotating

Stanford Health Care Newark, CA

$111.35 - $126.14 / hour

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Rotating - 08 Hour (United States of America) Preferred Qualifications: 5 years of Acute care experience AND Oncology experience. Telehealth experience preferred. A Nurse who voluntarily agrees to work in a "weekends only" position is not eligible for a premium pay under Section 17.2 of the CRONA CBA. 3 openings available This is a Stanford Health Care job. A Brief Overview The Clinical Nurse (CN) is an RN who provides hands-on care to patients, practicing in an evidence-based manner, within the Scope of Practice of the California Nursing Practice Act, regulatory requirements, standards of care, and hospital policies. Within that role, the CN performs all steps of the nursing process, including assessing patients; interpreting data; planning, implementing, and evaluating care; coordinating care with other providers; and teaching the patient and family the knowledge and skills needed to manage their care and prevent complications. The CN partners with the patient's family wherever possible, considering all aspects of care, to deliver family centered care. As a professional, monitors the quality of nursing care provided. The Clinical Nurse is responsible for his/her own professional development, including licensure, Basic Life Support (BLS) certification, and maintaining current knowledge regarding the assigned patient population. As a member of the nursing profession, the Clinical Nurse contributes to the profession of nursing through such activities as teaching others, sharing expertise In unit or hospital. Please note: A Nurse who voluntarily agrees to work in a "weekends only" position is not eligible for premium pay under Section 17.2. Our Clinical Nurse (RN) job classification is represented by the Committee for Recognition of Nursing Achievement (CRONA). CRONA is an independent union for Registered Nurses at Stanford Health Care and Lucile Packard Children's Health Stanford. For more information, please visit the CRONA website at https://www.crona.org/. NOTE: Advanced Cardiovascular Life Support (ACLS) certification may be required by the cost center in which the position resides. Please check AskHR for a complete listing of those cost centers requiring the ACLS certification. Locations Stanford Health Care What you will do The Helping Role Establishes Therapeutic Relationships: Creates and maintains a climate conducive to healing through being present to the patient and family, identifying and managing discomforts; providing emotional support and information; guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient's goals and culture. Mobilizes the patient's strengths and abilities towards participation in recovery and control over plan of care. Diagnostic and Monitoring Functions: Obtains accurate and relevant assessment data and interprets the data as normal vs abnormal. Determines nursing diagnosis. Monitors and evaluates data as frequently as needed based on stability. Plans and Implements Therapeutic Interventions: Collaborates with the patient, family and members of health care team to develop an individualized plan of care. Implements nursing and medical interventions safely. Evaluates effectiveness of interventions and monitors patient for adverse responses and side effects. Teaching and Coaching, Patient and Staff Teaching: Assesses a patient's and family's learning needs and readiness to learn. Teaches needed information for self-care and illness prevention. Adjusts information and expectations based on responses from patient, developmental levels, physiological and psychological condition, and cultural variations. Teaches other staff members both incidentally and/or through formal roles such as preceptor or super-user. Effective Management of Rapidly Changing Situations: Ability to rapidly grasp problem situations and respond quickly and appropriately. Identifies the need for and activates emergency protocols. Monitors and Ensures Quality Healthcare Practices: Monitors own practices and assists in monitoring others for practices related to patient and employee safety and compliance to standards and policies. Looks for opportunities for continual improvement in patient care and the work environment. Organization and Work Role Functions: Integrates multiple requests and work expectations by setting priorities, delegating tasks appropriately, and seeking assistance as needed. Priorities: Contributes to team building through participation in unit programs and meetings; contributes to positive morale, using constructive and effective conflict resolution skills. Management and Delegation: Learns and utilizes the available technology for communication, documentation, and locating information regarding unusual clinical situations, diagnosis, and treatments. Contributes to the knowledge and skill of other members of the nursing staff through one or more activities such as formal or informal teaching, participation on Shared Governance groups, professional publications and/or presentations. Education: Attains knowledge and competence that reflects current nursing practice. Demonstrates commitment to lifelong learning. Communication: Communicates effectively in a variety of formats in all areas of practice. Leadership: Demonstrates leadership in the professional practice setting and the profession. Professional Practice Evaluation: Evaluates own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations. Education Qualifications Bachelor of Science in Nursing (BSN) from an accredited college or university preferred. Required Knowledge, Skills and Abilities Able to communicate effectively in English. Licenses and Certifications Current American Heart Association Certification for Basic Life Support for Healthcare Providers CA-RN (Registered Nurse) Physical Demands and Work Conditions Physical Demands Frequent (please list each item under Comments). The work involves considerable exertion such as frequent lifting of patients and equipment, bending and stooping, and walking. The work environment involves moderate risks or discomforts which require special safety precautions, e.g. working with risk of exposure of contagious disease, radiation or infection, working with emotionally disturbed patients. Precautions are routine for nearly all situations. The employee might be required to use protective clothing or gear. Blood Borne Pathogens Category I - Tasks that involve exposure to blood, body fluids, or tissues These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $111.35 - $126.14 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Care Manager – Multiple Openings in FL (LPN/LVN)

Molina Healthcare Miami, FL

$24 - $38 / hour

Come join us for our upcoming virtual hiring event! Event Date & Time: Thursday, June 25th at 12:00pm EST Register here today: Florida Care Manager Virtual Hiring Event – Molina Healthcare Event Date & Time: Wednesday, July 1st at 12:00pm EST Register here today: Florida Care Manager Virtual Hiring Event – Molina Healthcare Event Date & Time: Tuesday, July 7th at 12:00pm EST Register here today: Florida Care Managers & Care Review Clinicians Virtual Hiring Event 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 assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments. • Develops and implements care 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. • Collaborates with licensed care managers/leadership as needed or required. • 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. • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • 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. • Ability to demonstrate responsiveness in all forms of communication, and 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(s) proficiency. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). #PJHS #LI-AC1 #HTF 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: $24 - $38 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Nurse Practitioner / Physician Assistant

Planned Parenthood of Greater Texas Spring, TX

Overview The official job title for this position at PPGT is “Clinician”. The Clinician provides comprehensive reproductive healthcare services to patients at Planned Parenthood of Greater Texas (PPGT). Works as part of the Health Services team in collaboration with Health Services and other team members to meet the clinical needs of patients as outlined in affiliate protocols. Orders, interprets, and records results of clinical tests and consults with supervising physicians as needed. Prescribes medications and makes recommendations for other forms of treatment, including contraception. The Clinician is part of the medical services team providing sexual and reproductive healthcare as outlined in affiliate protocols. Provides services by telehealth and/or in-person visits including: history review, health education, physical exam, counseling, diagnosis, and treatment according to protocols. The Clinician works in partnership with management, Health Services and Chief Operating and Medical Services Officer (COMSO) to provide the highest quality of patient care and excellent patient experience. Participates as a member of a team providing confidential, quality healthcare services, allowing patients to maintain a sense of dignity, trust and safety. There is a dual reporting structure for clinicians. Clinicians report directly to the Health Services Regional Director and clinical supervision is provided by the Director of Clinical Services. Performs duties to ensure productivity expectations, patient satisfaction, customer service, and compliance standards are maintained. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities • Performs physical examinations with special emphasis on the reproductive system including breast examinations, pelvic/genital, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized services or procedures as may be indicated by medical policy or protocols (e.g. gender affirming hormone therapy-GAHT). • Orders, and interprets diagnostic studies as indicated and permitted by medical protocols. Performs lab testing per Clinical Laboratory Improvement Amendments (CLIA) regulations and according to PPGT’s lab manual or manufacturer’s directions. • Provides patient care according to all Medical Standards and Guidelines and/or the specific direction of a supervising physician. Consults with organization COMSO or designee when deviates from PPGT Medical Standards and Guidelines (MS&Gs). • Provides relevant health instruction and education to include family planning, sexual counseling, and principles of health promotion • and maintenance. • Documents exam findings and other clinical aspects of direct patient care into the medical record accurately. • Codes billable services accurately based on medical record documentation using accepted practices, i.e. Evaluation and Management (E&M), Current Procedural Terminology (CPT) and diagnosis codes (ICD-10). • Ensures conformity with the policies and procedures of the affiliate, Texas Medical Practice Act, Physician Assistant Licensing Act, Texas Nurse Practice Act, and rules promulgated under those acts. • Recognizes ethical, legal, and professional issues inherent in providing care to health center patients throughout the life cycle. • Initiates and monitors appropriate follow-up according to PPGT Medical Standards and Guidelines on all abnormal test results and referrals. • Remains well informed about current contraceptive technology and reproductive and sexual healthcare issues. • Develops and maintains a collaborative working relationship with the Health Center Manager and support staff resulting in a team effort in meeting center goals. • Develops a level of time management that is conducive to seeing 3-4 clinician visits per hour meeting productivity goals and expectations. • Takes an active role in managing patient satisfaction by practicing patient centered care and providing exemplary customer service to patients. • Responds to medical emergencies as provided in the medical protocols and is responsible for maintenance of emergency box • May assist in supervising and participating in the orientation and proctoring of new clinicians. • Administers, supplies, or prescribes medications/devices, including injections, per delegated orders of the Pharmacist-in-charge and the Chief Medical Officer as outlined in The Manual of Medical Standards and Guidelines and Pharmacy Manual and as per Title 22, Part 11, Chapter 22 of the Texas Administrative Code. • Maintains an active Prescriptive Authority Agreement which is reviewed with authorizing physician annually. Holds Quality Assurance and Improvement meetings and chart reviews as required by the PAA between the authorizing physician and the clinician. • Has unrestricted access to patient protected health information (PHI) on paper and electronic forms health records for purposes of treatment, payment, and/or healthcare operations. The use of a patient’s protected health information should be limited to information needed for the specific task that is being performed or requested by the individual patient. Disclosure of any patient information must be for purposes of treatment, payment or healthcare operation OR must be accompanied by a valid patient authorization. Must adhere to minimum necessary rule. • Embraces the organization’s In This Together customer service standards and uses them with internal and external customers, every person, every time. • Duties and responsibilities may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing. Qualifications Minimum Education Master’s degree (or equivalent) and certification in specialty as a Family Nurse Practitioner (FNP), Women’s Health Nurse Practitioner (WHNP), Certified Nurse Midwife (CNM), Primary Care Nurse Practitioner, or Physician Assistant (PA). Minimum Experience Experience as a Nurse Practitioner, Nurse Midwife, or Physician Assistant in reproductive healthcare or women’s health strongly preferred. In the absence of advance practice experience, candidates must have direct patient care experience (in addition to clinical rotation/externship/internship hours) such as a RN, LVN, Medical Assistant, laboratory technician in a supervised clinical setting such as: hospital, ambulatory surgery center, clinic, nursing home or other related medical setting (excluding home care). Required Licenses or Certifications License to practice as an Advanced Practice Nurse with prescriptive authority in the State of Texas or License to practice as a Physician Assistant by the Texas Medical Board. Must be able to obtain and maintain appropriate licenses listed above and appropriate national certification (NCC, AMCB, AANP, ANCC, or NCCPA) and basic cardiopulmonary resuscitation (CPR) BLS certification course taught by the either American Heart Association (AHA) or American Red Cross (ARC). Agency Standards Must have excellent computer skills with knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Internet. Must have the willingness and ability to adapt to change including advances or new technology. Must have excellent customer service skills and be committed to providing the highest level of customer satisfaction. Other PPGT is an equal opportunity employer. We strictly prohibit unlawful discrimination of any kind, including discrimination on the basis of age; race, color, ancestry, national origin, or ethnicity; citizenship status; sex or gender; gender identity or gender expression or transgender status (including the individual's actual or perceived sex and the individual's gender identity, self-image, appearance, behavior, or expression); sexual orientation (including actual or perceived heterosexuality, homosexuality, bisexuality and asexuality); mental or physical disability; AIDS, AIDS Related Complex, or HIV status; perception of risk of HIV infection; or association with individuals who are believed to be at risk; religion or creed; genetic information; pregnancy status, including related medical conditions; marital status; past, current, or prospective service in the uniformed services; or any other basis protected by law. We are a drug-free and tobacco-free workplace. Applicants have rights under the Federal Employment Laws. To view these notices, please click on the following links: Family and Medical Leave Act (FMLA) poster: Equal Employment Opportunity (EEO) poster; and Employee Polygraph Protection Act (EPPA) poster. Required Knowledge, Skills, and Abilities • Must be able to work all health center hours of operation including evenings and weekends. • Performance of job duties in a health center and/or virtual telehealth environment as defined by position requirements. • Must be able and willing to travel to other locations as needed to provide clinician coverage to centers. • Bilingual in Spanish/English desired. • Demonstrates continued competency in meeting educational and professional standards. • Ability to adhere to the medical protocols of the organization and Planned Parenthood Federation of America (PPFA). • Ability to think strategically and achieve organization’s goals relating to position. • Ability to adhere to the compliance and regulatory requirements pertaining to position. • Possess effective analytical skills. • Strong organizational skills and ability to multi-task. • Ability to manage details and complexity, to handle a variety of tasks simultaneously and to work under pressure. • Ability to exercise initiative, sound judgment, and problem-solving techniques in the decision-making process. • Ability to effectively use organization’s computer systems. • Skilled in verbal and written communications. • Be discreet and safeguard confidential information. • Possess integrity and compliance – can be relied upon to act ethically. • Ability to provide effective, equitable, understandable, and respectful quality care and services that are responsive to the diverse cultural health beliefs and practices, preferred language, health literacy and other communication needs. • Ability to work effectively as a team member. • Ability to lead, manage, direct, and motivate diverse groups of people and possess the skills to delegate and supervise subordinates. • Organizational Awareness: Demonstrates a comprehensive awareness of the impact and implications of decisions and actions on other areas (departments or clinics) within the organization. • Industry Awareness: Remains aware PPFA accreditation standards and of the reproductive health environment’s regulatory compliance requirements. Understands how accreditation standards, regulatory agencies, funding, the external marketplace and competitive environment drives change within the organization. • Work Management: Effectively manages time as a resource; establishes realistic priorities; schedules own time and activities effectively; gives balanced focus and attention to appropriate long- and short-term priorities. Develops action plans and budgets; leverages technology; anticipates obstacles; establishes check points and monitors progress. • Recovery Skills: Responds effectively and acknowledges responsibilities when clients (internal or external) experience problems or mistakes; rectifies the situation to restore client satisfaction; seeks information and collaborates with others to take action to implement permanent fixes. Maintains stable performance and emotions when faced with opposition, pressure, and or stressful conditions. • Interpersonal Sensitivity: Acts in a way that indicates understanding and accurate interpretation of others’ concerns, feelings, strengths and limitations. Uses interpersonal understanding to shape one’s own response. • Building Relationships: Shows genuine interest in others’ needs and opinions; establishes rapport; earns the confidence and trust of others; demonstrates consistency between words and actions; delivers on commitments. • Adaptability or Flexibility: Responds with flexibility to shifting priorities and changing work situations; recovers quickly from problems and setbacks; develops new skills to remain competitive. Adapts easily to change, sees the merits of differing positions, and adapts own positions and strategies in response to new information or changes to a situation. • Coping with Demands of the Position: Uses effective problem solving while working under stress, high volume of work demands and/or time demands; regularly meets deadlines. • Exemplify the organization’s In This Together values: We Tend to the Team; We Respect and Honor All People; We Jump In; We Try and We Learn; We Care for our Business; and We Return to our Mission. Essential Physical Requirements/Working Conditions Must be able to bend, stoop, kneel, crouch, reach, and grasp. Must be able to stand, particularly for sustained periods of time. Must be able to move about on foot to accomplish tasks, such as moving from one work site to another. Must be able to push/pull. Must be able to work primarily with fingers such as picking, pinching, or typing. Must be able to perceive attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Must be able to communicate effectively. Will have substantial movements of the wrists, hands, and/or fingers. Must be able to lift and/or exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or negligible amount of force constantly to move objects. Subject to hazards including a variety of physical conditions such as proximity to moving mechanical parts, moving vehicles, electrical current, or exposure to infectious diseases. Must be able to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices. Health Center environment.

RN - Registered Nurse - Clinical Call Center

Sanford Health Sioux Falls, SD

$32 - $48 / hour

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Facility: SF Virtual Care Ctr Location: Sioux Falls, SD Address: 3001 W Opportunity Dr, Sioux Falls, SD 57107, USA Shift: Rotating Job Schedule: Full time Weekly Hours: 30.00 Salary Range: $32.00 - $48.00 Department Details Department hours 24/7/365. Hours of coverage may change to meet the needs of patients, physician offices, and Sanford USD Medical Center departments. This position does not require the ACLS or PALS certifications. This is not a remote position." Job Summary Responsible for providing telehealth services involving all ages of patients. This includes telephone triage; health information and education; and physician and service referral and other specialty access lines using established protocols, approved references, and specific medical resources. Demonstrates knowledge in decision-making for a diverse client population with a wide range of problems and acuity. Performs effectively in answering caller inquiries and crisis intervention following established protocols with appropriate communication and documentation. Performs ongoing, systematic assessment and data collection, focusing on physiological, psychological and cognitive status. Provides educational and resource referrals based on patient needs. Instructs patients in an articulate and professional manner based on expressed needs and available resources. Demonstrates awareness of legal issues in all aspects of telephone triage. Documents health information accurately. Qualifications Bachelor’s Degree in nursing preferred. Graduate from an accredited nursing program preferred, including, but not limited to, American Association of Colleges of Nursing (AACN), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Nurses performing nursing practice over the telephone require licensure in the states where the patients being served reside. Any additional state licensure requirements must be obtained within first 30 days of employment. Needs and maintains Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS). Obtains and subsequently maintains additional required department specific competencies and certifications. Benefits Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org . Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0261506 Job Function: Nursing Featured: No

Transfer Center and Virtual Care RN

Renown Health Reno, NV

Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged with facilitating patient flow into and within the healthcare system by collaborating with Renown leadership, clinical staff, unit staff, providers and transfer center personnel, along with coordinating patient care across the continuum, from admission through discharge, and ensuring effective two-way communication between the medical staff, referring physicians, and other healthcare team members. In collaboration with members of the bedside interdisciplinary healthcare team, participates in the multidisciplinary plan of care for patients, and ensuring effective quality and cost-efficient outcomes. Must demonstrate competence in a fast paced, stressful environment due to demands from multiple sources. In this unpredictable environment, the individual must possess the ability to organize, prioritize and reprioritize shift priorities as needed. Nature and Scope This role performs various RN functions within the RTOC, including Transfer Center RN and Virtual Care RN. The position involves facilitating patient transfers, managing virtual care, and ensuring smooth patient flow across Renown Health. Transfer Center RN: Coordinates incoming and outgoing patient transfers, ensuring seamless communication between care teams, facilities, and physicians while utilizing a strong knowledge of acute care and patient treatment. While operating as the RTOC Charge Nurse, this role also takes on leadership responsibilities in patient flow management, ensuring optimal placement and transfer processes, and collaborating with healthcare teams to meet safety and compliance standards. Virtual Care RN: Provides telehealth services, including virtual assessments, documentation, and patient education, using advanced systems to support multidisciplinary care teams and patients. This position does provide direct patient care. Disclaimer The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. Minimum Qualifications Requirements - Required and/or Preferred Name Description Education: Must have working-level knowledge of the English language, including reading, writing and speaking English. Appropriate education to obtain and maintain State of Nevada Registered Nurse licensure. Bachelor of Science degree in Nursing preferred. Experience Minimum three years of RN experience in an acute patient care setting in medical/surgical, Emergency Department or critical care. Nurses with five or more years’ experience preferred. License(s) Ability to obtain and maintain a State of Nevada Registered Nurse license. Certification(s) Ability to obtain and maintain an Acute-Care Virtual Nurse Certification within three (3) years of hire. Computer / Typing Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

1099 Telemedicine Nurse Practitioner | Flexible Schedule

Allara Health Boston, MA

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're seeking board-certified Nurse Practitioners to provide comprehensive, empathetic, and collaborative care to women, including diagnosis, treatment, and management of chronic and acute conditions. Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits. Collaborate with a multidisciplinary team to deliver the highest standards of care. Complete required training and adhere to company policies and best practices. Promote preventative care and overall well-being through education and evidence-based strategies. Maintain accurate and up-to-date patient records. Dedicate a minimum of 10 patient-facing hours per week, including consults, prescribing medications when appropriate, and providing necessary medical guidance. Charting, addressing patient questions, and responding to administrative tasks and messages. Required Qualifications Required Certification: Active national board certification as a (WHNP, FNP, or similar). Required Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity. Independence: Ability to operate effectively as an independent provider with strong diagnostic and problem-solving abilities. Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion. Webside Manner: Strong ability to connect with patients virtually and provide empathetic care. Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research. Technical Proficiency: Highly skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms. Telemedicine: Experience is a plus! State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required. Please note: All active and pending state licenses held at the time of application are collected and reviewed. Hiring decisions are based on current state hiring needs, which may change over time, and applicants may not move forward if there is no immediate need for their specific license(s). We often revisit opportunities in the future as hiring needs evolve and when licensure, experience, and other role requirements align. What Allara Offers Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks Fully Remote Role: Work from anywhere in the US 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role Flexible Schedules: Set the hours that best fit your lifestyle and availability Malpractice Insurance: Comprehensive coverage provided Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day Collaborative Community: Engage with and learn from a network of dedicated Allara providers Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion. #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

LPN - Advanced Care Planning Specialist, Remote

Aledade Tampa, FL

$28.85 / hour

Join Aledade’s growing clinical call center team in this 100% remote, telephonic role designed for LPNs looking to transition away from bedside floor stress into high-impact patient advocacy. As an LPN - Advanced Care Planning Specialist (internally called Facilitator) , you will guide patients through meaningful, end-of-life care conversations and secure their medical wishes from the comfort of your home office. This full-time position features structured 8-hour shifts scheduled Monday through Friday between 8:30 a.m. and 10:00 p.m. ET, with specific shift times rotating approximately every 6 months to ensure team balance. Additionally, to support our patients during peak periods, voluntary overtime may be solicited during high-volume months, giving you the opportunity to boost your earning potential while helping families when they need it most. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home across US time zones. \n Primary Duties: Conduct personalized, compassionate advance care planning telephonic conversations with patients and/or families to identify, document, and communicate their healthcare goals and wishes for future medical care Educate patients and families about medical interventions—such as feeding tubes, mechanical ventilation, and CPR—in simple, understandable terms so patients and families can make informed decisions. Accurately document details of the conversation within 48 hours to generate state specific advance care planning documents. Provide patient support via incoming patient calls, documentation review support, and special projects when needed Maintains knowledge of state-specific laws and regulations regarding advance care planning through training and 1:1s Other duties as assigned Minimum Requirements: Licensed Practical Nurse (“LPN”): Certificate or Diploma in Practical Nursing Current and unrestricted LPN license 2+ years’ experience as an LPN or relevant experience Demonstrated knowledge of serious medical conditions (i.e. COPD, CHF, ESRD, etc.) and their progression Demonstrated ability to adapt to shifting priorities and fast-paced environments Familiar with Google Suite (Google Meets, Google Sheets, & Google Docs); Ability to learn new call center/telephony and patient documentation technology quickly. Ability to navigate between multiple systems while speaking with Patients. Strong communication skills (Verbal & written) with a high-level of active listening and empathy to manage emotional conversations. Strong time management skills and attention to detail Familiarity with state-specific legal regulations regarding advance directives and Medical Power of Attorney; Familiarity with ACO and Medicare/CMS guidelines. Preferred Qualifications: Experience in palliative care or hospice; CHPN (Certified Hospice and Palliative Nurse) or CHPLN (Certified Hospice and Palliative Licensed Nurse) Certifications Inpatient hospital experience including ICU or emergency medicine Spanish speaking experience Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. \n $60,000 - $60,000 a year Hourly Range: $28.85 an hour base + bonus + equity Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. \n Who We Are: Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place. What Does This Mean for You? At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members: Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays 12 weeks paid parental leave for all new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more! At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation. Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants

RN - Registered Nurse - Clinical Call Center - Straight Nights, Straight Weekends

Sanford Health Sioux Falls, SD

$32 - $48 / hour

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Facility: SF Virtual Care Ctr Location: Sioux Falls, SD Address: 3001 W Opportunity Dr, Sioux Falls, SD 57107, USA Shift: 12 Hours - Night Shifts Job Schedule: Full time Weekly Hours: 36.00 Salary Range: $32.00 - $48.00 Department Details Straight weekend shift differential applies. Straight night differential applies. Department hours 24/7/365. Hours of coverage may change to meet the needs of patients, physician offices, and Sanford USD Medical Center departments. This position does not require the ACLS or PALS certifications. This is not a remote position. Job Summary Responsible for providing telehealth services involving all ages of patients. This includes telephone triage; health information and education; and physician and service referral and other specialty access lines using established protocols, approved references, and specific medical resources. Demonstrates knowledge in decision-making for a diverse client population with a wide range of problems and acuity. Performs effectively in answering caller inquiries and crisis intervention following established protocols with appropriate communication and documentation. Performs ongoing, systematic assessment and data collection, focusing on physiological, psychological and cognitive status. Provides educational and resource referrals based on patient needs. Instructs patients in an articulate and professional manner based on expressed needs and available resources. Demonstrates awareness of legal issues in all aspects of telephone triage. Documents health information accurately. Qualifications Bachelor’s Degree in nursing preferred. Graduate from an accredited nursing program preferred, including, but not limited to, American Association of Colleges of Nursing (AACN), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Nurses performing nursing practice over the telephone require licensure in the states where the patients being served reside. Any additional state licensure requirements must be obtained within first 30 days of employment. Needs and maintains Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS). Obtains and subsequently maintains additional required department specific competencies and certifications. Benefits Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org . Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0261184 Job Function: Nursing Featured: No

HSS Care Coordinator, RN - Healthy First Steps, Remote in TX

UnitedHealthcare Houston, TX

$28.94 - $51.83 / hour

REMOTE IN TEXAS At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients. In this Health and Social Services Coordinator role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member's needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. Work Schedule: Monday - Friday, 8am - 5pm CST If you are located in Texas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current RN unrestricted license in the State of TX 4+ years of experience working within the community health setting in a health care role 2+ years or equivalent of experience working with Maternal and Infant population such as Mother/Baby, Labor and Delivery, or Neonatal Intensive care Unit Must reside in the state of Texas Preferred Qualifications 5+ years of experience documenting in an electronic documentation system 5+ years of experience working with MS Word, Excel and Outlook Case Management experience including but not limited to working with Special Health Care Needs Populations, Complex medical conditions Pediatrics Certified Case Manager (CCM) Experience in discharge planning Experience in utilization review, concurrent review or risk management Experience with arranging community resources Background in managing populations with complex medical or behavioral needs All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Nurse Practitioner / Physician Assistant

Planned Parenthood of Greater Texas Houston, TX

Overview The official job title for this position at PPGT is “Clinician”. The Clinician provides comprehensive reproductive healthcare services to patients at Planned Parenthood of Greater Texas (PPGT). Works as part of the Health Services team in collaboration with Health Services and other team members to meet the clinical needs of patients as outlined in affiliate protocols. Orders, interprets, and records results of clinical tests and consults with supervising physicians as needed. Prescribes medications and makes recommendations for other forms of treatment, including contraception. The Clinician is part of the medical services team providing sexual and reproductive healthcare as outlined in affiliate protocols. Provides services by telehealth and/or in-person visits including: history review, health education, physical exam, counseling, diagnosis, and treatment according to protocols. The Clinician works in partnership with management, Health Services and Chief Operating and Medical Services Officer (COMSO) to provide the highest quality of patient care and excellent patient experience. Participates as a member of a team providing confidential, quality healthcare services, allowing patients to maintain a sense of dignity, trust and safety. There is a dual reporting structure for clinicians. Clinicians report directly to the Health Services Regional Director and clinical supervision is provided by the Director of Clinical Services. Performs duties to ensure productivity expectations, patient satisfaction, customer service, and compliance standards are maintained. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities • Performs physical examinations with special emphasis on the reproductive system including breast examinations, pelvic/genital, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized services or procedures as may be indicated by medical policy or protocols (e.g. gender affirming hormone therapy-GAHT). • Orders, and interprets diagnostic studies as indicated and permitted by medical protocols. Performs lab testing per Clinical Laboratory Improvement Amendments (CLIA) regulations and according to PPGT’s lab manual or manufacturer’s directions. • Provides patient care according to all Medical Standards and Guidelines and/or the specific direction of a supervising physician. Consults with organization COMSO or designee when deviates from PPGT Medical Standards and Guidelines (MS&Gs). • Provides relevant health instruction and education to include family planning, sexual counseling, and principles of health promotion • and maintenance. • Documents exam findings and other clinical aspects of direct patient care into the medical record accurately. • Codes billable services accurately based on medical record documentation using accepted practices, i.e. Evaluation and Management (E&M), Current Procedural Terminology (CPT) and diagnosis codes (ICD-10). • Ensures conformity with the policies and procedures of the affiliate, Texas Medical Practice Act, Physician Assistant Licensing Act, Texas Nurse Practice Act, and rules promulgated under those acts. • Recognizes ethical, legal, and professional issues inherent in providing care to health center patients throughout the life cycle. • Initiates and monitors appropriate follow-up according to PPGT Medical Standards and Guidelines on all abnormal test results and referrals. • Remains well informed about current contraceptive technology and reproductive and sexual healthcare issues. • Develops and maintains a collaborative working relationship with the Health Center Manager and support staff resulting in a team effort in meeting center goals. • Develops a level of time management that is conducive to seeing 3-4 clinician visits per hour meeting productivity goals and expectations. • Takes an active role in managing patient satisfaction by practicing patient centered care and providing exemplary customer service to patients. • Responds to medical emergencies as provided in the medical protocols and is responsible for maintenance of emergency box • May assist in supervising and participating in the orientation and proctoring of new clinicians. • Administers, supplies, or prescribes medications/devices, including injections, per delegated orders of the Pharmacist-in-charge and the Chief Medical Officer as outlined in The Manual of Medical Standards and Guidelines and Pharmacy Manual and as per Title 22, Part 11, Chapter 22 of the Texas Administrative Code. • Maintains an active Prescriptive Authority Agreement which is reviewed with authorizing physician annually. Holds Quality Assurance and Improvement meetings and chart reviews as required by the PAA between the authorizing physician and the clinician. • Has unrestricted access to patient protected health information (PHI) on paper and electronic forms health records for purposes of treatment, payment, and/or healthcare operations. The use of a patient’s protected health information should be limited to information needed for the specific task that is being performed or requested by the individual patient. Disclosure of any patient information must be for purposes of treatment, payment or healthcare operation OR must be accompanied by a valid patient authorization. Must adhere to minimum necessary rule. • Embraces the organization’s In This Together customer service standards and uses them with internal and external customers, every person, every time. • Duties and responsibilities may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing. Qualifications Minimum Education Master’s degree (or equivalent) and certification in specialty as a Family Nurse Practitioner (FNP), Women’s Health Nurse Practitioner (WHNP), Certified Nurse Midwife (CNM), Primary Care Nurse Practitioner, or Physician Assistant (PA). Minimum Experience Experience as a Nurse Practitioner, Nurse Midwife, or Physician Assistant in reproductive healthcare or women’s health strongly preferred. In the absence of advance practice experience, candidates must have direct patient care experience (in addition to clinical rotation/externship/internship hours) such as a RN, LVN, Medical Assistant, laboratory technician in a supervised clinical setting such as: hospital, ambulatory surgery center, clinic, nursing home or other related medical setting (excluding home care). Required Licenses or Certifications License to practice as an Advanced Practice Nurse with prescriptive authority in the State of Texas or License to practice as a Physician Assistant by the Texas Medical Board. Must be able to obtain and maintain appropriate licenses listed above and appropriate national certification (NCC, AMCB, AANP, ANCC, or NCCPA) and basic cardiopulmonary resuscitation (CPR) BLS certification course taught by the either American Heart Association (AHA) or American Red Cross (ARC). Agency Standards Must have excellent computer skills with knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Internet. Must have the willingness and ability to adapt to change including advances or new technology. Must have excellent customer service skills and be committed to providing the highest level of customer satisfaction. Other PPGT is an equal opportunity employer. We strictly prohibit unlawful discrimination of any kind, including discrimination on the basis of age; race, color, ancestry, national origin, or ethnicity; citizenship status; sex or gender; gender identity or gender expression or transgender status (including the individual's actual or perceived sex and the individual's gender identity, self-image, appearance, behavior, or expression); sexual orientation (including actual or perceived heterosexuality, homosexuality, bisexuality and asexuality); mental or physical disability; AIDS, AIDS Related Complex, or HIV status; perception of risk of HIV infection; or association with individuals who are believed to be at risk; religion or creed; genetic information; pregnancy status, including related medical conditions; marital status; past, current, or prospective service in the uniformed services; or any other basis protected by law. We are a drug-free and tobacco-free workplace. Applicants have rights under the Federal Employment Laws. To view these notices, please click on the following links: Family and Medical Leave Act (FMLA) poster: Equal Employment Opportunity (EEO) poster; and Employee Polygraph Protection Act (EPPA) poster. Required Knowledge, Skills, and Abilities • Must be able to work all health center hours of operation including evenings and weekends. • Performance of job duties in a health center and/or virtual telehealth environment as defined by position requirements. • Must be able and willing to travel to other locations as needed to provide clinician coverage to centers. • Bilingual in Spanish/English desired. • Demonstrates continued competency in meeting educational and professional standards. • Ability to adhere to the medical protocols of the organization and Planned Parenthood Federation of America (PPFA). • Ability to think strategically and achieve organization’s goals relating to position. • Ability to adhere to the compliance and regulatory requirements pertaining to position. • Possess effective analytical skills. • Strong organizational skills and ability to multi-task. • Ability to manage details and complexity, to handle a variety of tasks simultaneously and to work under pressure. • Ability to exercise initiative, sound judgment, and problem-solving techniques in the decision-making process. • Ability to effectively use organization’s computer systems. • Skilled in verbal and written communications. • Be discreet and safeguard confidential information. • Possess integrity and compliance – can be relied upon to act ethically. • Ability to provide effective, equitable, understandable, and respectful quality care and services that are responsive to the diverse cultural health beliefs and practices, preferred language, health literacy and other communication needs. • Ability to work effectively as a team member. • Ability to lead, manage, direct, and motivate diverse groups of people and possess the skills to delegate and supervise subordinates. • Organizational Awareness: Demonstrates a comprehensive awareness of the impact and implications of decisions and actions on other areas (departments or clinics) within the organization. • Industry Awareness: Remains aware PPFA accreditation standards and of the reproductive health environment’s regulatory compliance requirements. Understands how accreditation standards, regulatory agencies, funding, the external marketplace and competitive environment drives change within the organization. • Work Management: Effectively manages time as a resource; establishes realistic priorities; schedules own time and activities effectively; gives balanced focus and attention to appropriate long- and short-term priorities. Develops action plans and budgets; leverages technology; anticipates obstacles; establishes check points and monitors progress. • Recovery Skills: Responds effectively and acknowledges responsibilities when clients (internal or external) experience problems or mistakes; rectifies the situation to restore client satisfaction; seeks information and collaborates with others to take action to implement permanent fixes. Maintains stable performance and emotions when faced with opposition, pressure, and or stressful conditions. • Interpersonal Sensitivity: Acts in a way that indicates understanding and accurate interpretation of others’ concerns, feelings, strengths and limitations. Uses interpersonal understanding to shape one’s own response. • Building Relationships: Shows genuine interest in others’ needs and opinions; establishes rapport; earns the confidence and trust of others; demonstrates consistency between words and actions; delivers on commitments. • Adaptability or Flexibility: Responds with flexibility to shifting priorities and changing work situations; recovers quickly from problems and setbacks; develops new skills to remain competitive. Adapts easily to change, sees the merits of differing positions, and adapts own positions and strategies in response to new information or changes to a situation. • Coping with Demands of the Position: Uses effective problem solving while working under stress, high volume of work demands and/or time demands; regularly meets deadlines. • Exemplify the organization’s In This Together values: We Tend to the Team; We Respect and Honor All People; We Jump In; We Try and We Learn; We Care for our Business; and We Return to our Mission. Essential Physical Requirements/Working Conditions Must be able to bend, stoop, kneel, crouch, reach, and grasp. Must be able to stand, particularly for sustained periods of time. Must be able to move about on foot to accomplish tasks, such as moving from one work site to another. Must be able to push/pull. Must be able to work primarily with fingers such as picking, pinching, or typing. Must be able to perceive attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Must be able to communicate effectively. Will have substantial movements of the wrists, hands, and/or fingers. Must be able to lift and/or exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or negligible amount of force constantly to move objects. Subject to hazards including a variety of physical conditions such as proximity to moving mechanical parts, moving vehicles, electrical current, or exposure to infectious diseases. Must be able to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices. Health Center environment.

Senior Network Pricing Consultant - Remote CST/EST preferred

UnitedHealthcare Eden Prairie, MN

$91,700 - $163,700 / year

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Own and maintain Out of Network and hospital based physician pricing models, ensuring accuracy, consistency, and compliance with Federal No Surprises Act and state Surprise Medical Bill regulations Apply deep knowledge of OON and surprise billing programs to support pricing strategy and dispute resolution initiatives Perform complex financial and pricing analyses to evaluate reimbursement strategies and network configurations across hospital, ancillary, and physician provider types Develop, enhance, and maintain analytical and financial models, including SQL based reporting and advanced Excel formulas/macros Independently produce ad hoc analyses and customized reports to support enterprise and pricing needs, including provider terminations Partner cross functionally to prepare insights, research, and data driven talking points that inform pricing and network strategy decisions Serve as a subject matter expert for network pricing, confidently presenting findings, resolving model issues, and translating complex analysis into concise recommendations for leadership 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's degree or equivalent relevant work experience 5+ years of experience in healthcare pricing, financial analysis, network pricing, or healthcare economics Experience developing and interpreting financial and pricing models to support contract valuation and network strategy Advanced Excel skills with demonstrated ability to analyze large, complex datasets efficiently Working experience with SQL to support ad hoc analysis and reporting Solid communication skills with experience presenting complex analytical findings to stakeholders Proven ability to manage multiple priorities and deliver results in a fast paced environment Ability to work Central or Eastern Time Zone hours Preferred Qualifications Experience with provider payment methodologies, including physician, hospital, and ancillary reimbursement Experience with PPM (Physician Pricing Model) and UCRT (Unit Cost Reporting Tool) Experience leveraging enterprise approved automation or AI tools to improve efficiency in analytical workflows Knowledge of Out of Network pricing, surprise billing regulations, and medical coding (e.g., CPT, DRG, ICD 10) Proficiency with advanced data modeling tools (e.g., Power Pivot, data models, large databases) Solid consultative, problem solving, and cross functional collaboration 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 $91,700 to $163,700 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.