The Registered Nurse for PreCert and Appeals at ProMedica Health System performs prior authorization/certification of scheduled services with payers and assists with the appeal process when needed. This role involves clinical review and document submission for oncology treatments plans and services, interfacing with payers on plan medical coverage policies, and managing denial reports. The position is remote, ideally within 120 miles of Toledo, OH, and requires a nursing degree, 2 years of clinical experience, and familiarity with ICD10 and CPT codes.

RN / Registered Nurse - PreCert and Appeals - Remote - Per Diem - Days

Registered Nurse - PreCert and Appeals

IntellaTriage is seeking part-time Hospice Triage RNs to join their team, offering a remote work setting with a focus on end-of-life care. The role involves working from home, providing triage care without the need for daily commuting. Nurses will work a minimum of one evening shift per week, every other weekend, and may pick up additional shifts as needed. Training is provided remotely, and nurses will utilize technology to manage after-hours care for hospice and home health providers.

Remote Hospice Triage RN- PT 1 shift 3:30p-12a + rotating Sat & Sun 7:30-4p CST

Hospice Triage RN

Gentiva is seeking a Telephonic Triage Nurse to join their team, reporting directly to the Telephonic Triage Manager. This remote position involves assessing callers' symptoms, prioritizing calls, and advising patients or families on basic treatment or sending a nurse for an in-person evaluation. The role requires a graduate of an accredited school of nursing with current RN licensure, three years of clinical experience, and prior experience in oncology, long-term care, hospice, or home health, as well as telephone triage and EMR use.

Telephonic Triage Nurse

IntellaTriage is seeking a Hospice Triage LPN to join their team, offering a remote work opportunity with a focus on end-of-life care. The role involves working from home to provide care without the stress and expense of commuting, with a requirement to have or obtain a Compact LPN license and experience in hospice, palliative, or end-of-life care. The position includes a weekday shift and rotating weekend shifts, requiring high speed internet, tech savviness, and the ability to work in a fast-paced environment.

Remote Hospice Triage LPN- PT 1 shift 3:30p-12a +rotating Sat & Sun 3:30-12a

Hospice Triage LPN

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

The Registered Nurse for the Minimum Data Set at Ascension Living is responsible for collecting data for use in determining care plans, ensuring the accuracy of patient charts and medical data, and participating in the CMS survey process. This role is part of an interdisciplinary team and requires current knowledge of federal, state, and local standards and regulations for long-term care. The position is remote and offers a variety of benefits, including paid time off, health insurance options, retirement benefits, and more.

RN-Minimum Data Set

Registered Nurse - Minimum Data Set

The Digital Care RN at OSF HealthCare provides digital care to a diverse population of patients across OSF through technology across a variety of environments. This role involves comprehensive symptom assessment, patient education, preventative care, acute psychosocial support, and timely individualized age and developmentally appropriate care for patients. The RN utilizes critical thinking, evidenced-based care, and clinical decision support to guide practice, and performs ongoing communication to promote quality of care through collaboration with all care team members, patients, and families. This is a fully-remote position after training and orientation are complete.

RN Digital Triage

Digital Care Registered 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

A large healthcare insurance company local to the Philadelphia area is seeking a fully remote Case Management RN to join their Care management team. The role involves telephonic or onsite review of hospital admissions, determining alternative settings when appropriate, promoting efficient and high-quality use of the healthcare delivery system, and facilitating timely and dynamic discharge planning. The RN will collaborate with the hospital utilization review department, attending physicians, and members/families as appropriate.

Utilization Management RN - REMOTE (PA, NJ, DE)

Utilization Management Registered Nurse

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

PeaceHealth is seeking a Licensed Practical Nurse (LPN) for a remote clinic position. This full-time role involves implementing and evaluating patient care under the supervision of an RN or provider, obtaining and conveying information to and from patients, pharmacies, and other providers, and ensuring professional effectiveness through continued education. The position requires working from home with appropriate high-speed connectivity and offers a comprehensive benefits package.

LPN Clinic Remote

Licensed Practical Nurse Clinic

The Infusion Referral Nurse is responsible for performing referral services to support independent physician offices in maintaining member drug infusions in office or to help offices locate a lower cost alternative treatment site. This role involves discussing financial and clinical considerations with members, researching financial programs to decrease out-of-pocket expenses, and coordinating lower cost sites of service for drug administration if necessary. The position requires critical thinking to optimize treatment outcomes and maintain member satisfaction.

Infusion Referral Nurse- REMOTE

Infusion Referral Nurse

Nurse Advice Line staff nurses at Children's Mercy provide telephone triage, illness management, and health promotion for patients and families. They utilize the nursing process, knowledge of scientific principles, and triage protocols to offer safe, high-quality, comprehensive, and age-appropriate nursing care via the telephone. This role is part of a 24/7 team and involves patient and family education, as well as advocating for their needs.

Staff Nurse - Nurse Advice Line - 24/7 Team

Staff Nurse - Nurse Advice Line

We are seeking a Registered Nurse Coder to join our team in the healthcare industry, working remotely with EST hours. This role involves working on a COC/SPD project to build out the coding for our benefit plans, utilizing clinical knowledge and coding skills to support project deliverables. The position offers an opportunity to work in a thriving sector and contribute to the team's objectives.

Registered Nurse Coder

The Lead Registered Nurse for the ICU at Adventist Health in Yuba City, California, provides unit-based leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff. This role involves supervising and directing the activities of various levels of assigned nursing and ancillary personnel, ensuring cost-effective, professional care that results in positive outcomes and high patient satisfaction while maintaining the highest level of patient safety. The position also focuses on improving quality of patient experience and fostering an environment of patient and family-centered care.

staff - Lead Registered Nurse (RN) - ICU - Intensive Care Unit - $65-89 per hour

Lead Registered Nurse - ICU

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