The HEDIS Nurse at Actalent will lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA, and any other custom measurements. This role involves assessing vendor-delegated abstraction activities, reviewing medical records, abstracting data for various measure sets, tracking and reporting on abstraction issues, and communicating with health plans and vendors as required. The position requires experience in quality initiatives, advanced knowledge of Microsoft Applications, and a compact RN or LVN/LPN License.

Remote HEDIS Nurse

HEDIS Nurse

Fonemed is seeking part-time remote Registered Nurses with weekend and weekday evening availability to provide telephone triage and health advice to callers across the United States. The role involves using Schmitt-Thompson protocols to assess and provide nursing care advice virtually, with calls ranging from triage to medical information requests. Nurses must have strong critical thinking, clinical assessment skills, and the ability to make independent decisions. All calls are documented electronically and recorded.

Telehealth Triage Nurse

The Ambulatory Triage Registered Nurse at Community Health Network functions as a member of the Internal Medicine Care team, conducting duties such as phone triage, patient education, scheduling appointments, prior authorizations, prescription refill, referrals, care coordination, and other related tasks as needed. This role primarily operates remotely from home, with training conducted in Indianapolis, Indiana. The position requires residing in the Indianapolis area or surrounding counties.

Registered Nurse Ambulatory Triage (RN) - Internal Medicine Care - East (PRN)

Registered Nurse Ambulatory Triage

Grace Health is seeking a Telephone Triage Nurse to provide professional telephone nursing care for patients. This remote position is available to candidates residing in Michigan, requiring a Monday to Friday, 8 am-5 pm schedule with no weekend or holiday shifts. The role involves using symptom-based protocols to evaluate patient needs, advising on healthcare options, maintaining call logs, and documenting assessments and interventions in medical records. Candidates must have an RN license and be willing to complete a 6-week on-site orientation and training.

Telephone Triage Nurse

Rising Medical Solutions is seeking a part-time Nurse Auditor to join their team. The role involves reviewing medical bills from a nurse's perspective, ensuring appropriate billing, coding, and treatment, and negotiating bills as required. The position offers the opportunity to make a significant impact in medical cost containment, with a focus on maximizing client savings. This remote role requires an active professional nursing license, specialized training in hospital coding, and 3-5 years of clinical experience in acute care, surgery, or orthopedics.

Nurse Auditor - Medical Bill Review (Part-Time, Remote)

Nurse Auditor

CVS Health is seeking a Nurse Practitioner to join our Primary Care team, working in collaboration with a dedicated clinical care team to provide evidenced-based care to a panel of patients. This role involves accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning. The position is full-time, home-based, and includes a work schedule of 2-3 weekdays and every other weekend.

Nurse Practitioner (NP)

Nurse Practitioner

The Registered Nurse-Acute functions as a vital member of the healthcare team by demonstrating a customer/patient focus, effective communication, professionalism, self-development, and teamwork. The individual utilizes the nursing process to assess, plan, implement and evaluate comprehensive care provided to selected patient populations and their families. The role involves working independently within scope of practice to provide safe, optimal patient care, promoting a positive work environment, and maintaining awareness of current quality and safety measures.

Registered Nurse - Acute (Med/Surg)

Presbyterian Homes & Services is seeking a part-time Telephone Triage Nurse (RN) to provide weekend telephone triage support to Assisted Living Communities. This remote position requires residing in MN, WI, or IA and involves being RN licensed or willing to become licensed in those states. The role includes competencies in clinical assessment, computer skills, and customer service, with a focus on regulatory and clinical practices to support residents.

Telephone Triage Nurse (RN) - Remote

The Registered Nurse in the Cardiology Clinic at Marshfield Clinic Health System plays a crucial role in the healthcare team, focusing on patient and family care through the nursing process. This includes assessment, planning, implementation, and evaluation of care for selected patient populations. The role requires excellent clinical, problem-solving, interpersonal, and leadership skills, and adherence to Marshfield Clinic Health System policies, department protocols, and the Wisconsin Nurse Practice Act.

Registered Nurse (Cardiology Clinic)

The Registered Nurse-Acute (Med/Surg) at Marshfield Clinic functions as a vital member of the healthcare team, demonstrating a customer/patient focus, effective communication, professionalism, self-development, and teamwork. The role involves utilizing the nursing process to assess, plan, implement, and evaluate comprehensive care provided to selected patient populations and their families. The nurse is expected to demonstrate excellent clinical, problem-solving, interpersonal, and leadership skills, making decisions consistent with hospital policies, department protocols/guidelines, and the Wisconsin Nurse Practice Act.

Registered Nurse-Acute (Med/Surg)

iCircle is seeking a dedicated Assessment Registered Nurse to work remotely, conducting home and/or nursing home visits to assess applicants for eligibility and enrollment in our Managed Long Term Care program. The role involves educating applicants, family members, and caregivers on program benefits, completing clinical assessments, developing initial plans of care, and conducting periodic reassessments within our geographic area.

Assessment RN

Assessment Registered Nurse

CDS Life Transitions is seeking a dedicated Assessment Registered Nurse to work remotely, conducting home and/or nursing home visits to assess applicants for eligibility and enrollment in the Managed Long Term Care program. The role involves educating applicants and their caregivers on program benefits, completing clinical assessments, developing initial plans of care, and conducting periodic reassessments within the geographic area. This position offers a comprehensive benefits package, including health insurance, 403(B) retirement plan, tuition reimbursement, and more.

Molina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. This role supports the Complex Adult Case Management program, requiring a Registered Nurse with previous Case/Care Management and managed care experience, particularly in managing complex/chronic medical conditions and knowledge of community resources for social determinants of health concerns. The position is remote, requiring residence in New York and familiarity with upstate and downstate regions.

Registered Nurse Case Manager Complex Care Remote in New York

Registered Nurse Case Manager Complex Care

The Clinical Review Nurse I at Elevance Health is responsible for reviewing and making medical determinations on whether a claim meets the benefits the member carries. This role involves assessing the necessity and reasonableness of items supplied in a valid claim through the use of medical policy and other materials. The position is virtual, with a preference for candidates residing within 50 miles of an Elevance Health PulsePoint location, and offers flexible hours.

Clinical Review Nurse I-1

Clinical Review Nurse I

The RN (Psychiatric) Field Representative at The Joint Commission surveys health care organizations throughout the United States, applying systems analysis and inductive reasoning skills to determine compliance with standards and functionality of care delivery systems. This role involves engaging health care organization staff in dialogues on standards-based issues, preparing management reports, and effectively communicating compliance issues to leadership. The position requires nationwide travel and is open to candidates located anywhere in the United States.

Surveyor - Hospital Nurse (Psych)

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Register Nurse Jobs in Waupun, WI Hiring Now

Remote HEDIS Nurse

Telehealth Triage Nurse

Registered Nurse Ambulatory Triage (RN) - Internal Medicine Care - East (PRN)

Telephone Triage Nurse

Nurse Auditor - Medical Bill Review (Part-Time, Remote)

Nurse Practitioner (NP)

Registered Nurse - Acute (Med/Surg)

Telephone Triage Nurse (RN) - Remote

Registered Nurse (Cardiology Clinic)

Registered Nurse-Acute (Med/Surg)

Assessment RN

Assessment RN

Registered Nurse Case Manager Complex Care Remote in New York

Clinical Review Nurse I-1

Surveyor - Hospital Nurse (Psych)