The Triage Nurse (RN) at CenterWell is responsible for assessing patients' health problems and needs, developing and executing nursing care plans, and assisting in maintenance of patient medical records. This role involves varied work assignments that require interpretation and independent determination of appropriate courses of action. The position is remote and telephonic, focusing on evaluation of patients with ambulatory diagnoses as well as possible acute conditions and medication refills, in partnership with the center's mid-levels and PCPs.

Triage Nurse - CenterWell - Eastside

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

The Traveling Registered Nurse at Solutions by Sanford is responsible for utilizing the nursing process to provide individualized nursing care to residents. This role involves collaboration with residents, families, and interdisciplinary colleagues to plan, implement, and evaluate care. The nurse will work at various Good Samaritan Society sites within the assigned area, with contracts ranging from 6 to 13 weeks, offering the option to extend or move to another site. This position requires at least two years of experience, including one year of travel experience, and offers weekly pay with a stipend, eligibility for Sanford Benefits, and the opportunity to work remotely in MN.

Traveling Registered Nurse

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

UC Health is seeking a Registered Nurse (RN) for Denials/Charge Audits in the Perioperative department. This remote position involves supporting data analysis, data mining, and quality monitoring to improve quality of care, service levels, revenue realization, and cost effectiveness. The role offers a work-from-home schedule and a culture that values success and growth.

Registered Nurse (RN), Denials/Charge Audits, Perioperative, First Shift

Registered Nurse, Denials/Charge Audits

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

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

Sequence Health is seeking a part-time Triage Nurse to provide nursing and administrative support to a range of practices across the country. The role involves receiving and making inbound calls from patients, providing clinical assessments and triage based on established protocols, and offering administrative support for patients' and providers' needs. The ideal candidate will have strong computer and phone skills, excellent communication abilities, and the ability to work independently.

Triage Nurse (Telehealth) [Part-Time]

As a Quality Management Nurse Consultant at CVS Health, you will be responsible for the review and evaluation of clinical information and documentation. This role involves interpreting data from clinical records or systems, applying clinical criteria and policies in line with regulatory and accreditation requirements, and coordinating clinical resolution. The position is full-time, remote, and requires adherence to company policies regarding confidentiality.

Quality Management Nurse Consultant

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

The Clinical Correspondence Review Nurse is responsible for performing quality reviews of written clinical determination letters to ensure adherence to Federal laws, CMS and Medicaid regulatory guidelines, and NCQA accreditation standards for assigned Medicare, Medicaid, or Marketplace programs. This role requires a RN license, UM experience, and strong typing and writing skills. Bilingual candidates fluent in Spanish are encouraged to apply. The position is remote with a work schedule of Monday to Friday, 8:00 AM to 5:00 PM PST, and offers a competitive benefits and compensation package.

UM Clinical Correspondence Review Nurse Bilingual-Spanish Remote

Clinical Correspondence Review Nurse

315 Health is seeking a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention, and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. The role involves educating patients on in-home monitoring devices, creating personalized care plans, identifying barriers to success, providing specific education and coaching on chronic conditions, and serving as the patient's first contact for non-emergent needs. The position requires an active and unrestricted Georgia RN License, at least three years of experience in adult health, and proficiency in electronic medical records.

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

Registered Nurse

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager for their Complex Adult Case Management program. This remote position, based in New York, involves supporting members with high need potential by assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care. The role requires a nurse with previous case/care management and managed care experience, preferably with knowledge of managing complex/chronic medical conditions and community resources for social determinants of health concerns.

Registered Nurse Case Manager Complex Care Remote in New York

Registered Nurse Case Manager Complex Care

SteadyMD is seeking Nurse Practitioners with licensure and residency in at least one of the states (TX, CA, WA, AZ, UT, CO), and 5 years of primary care experience for a potential role in providing virtual patient care. This fully remote position offers a flexible schedule, with an opportunity to work on various programs such as weight loss, urgent care, primary care, and functional medicine. The role involves conducting initial intake evaluations, managing prescription refills, and providing evidence-based care to a diverse patient population.

Nurse Practitioner (Primary Care, Remote)

Nurse Practitioner

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