The Virtual Registered Nurse at Avera St. Marys provides professional nursing care in collaboration with bedside nurses through two-way audio-visual technology and specialized software. This role involves assisting in coaching and mentoring department staff, performing admission history, medication double checks, medication reconciliation, and pain reassessment. The position offers a unique opportunity to be part of an innovative patient care program, with benefits including competitive pay, free health insurance, and a Student Loan Repayment Program.

Registered Nurse (RN) - Virtual - Avera St. Marys

Registered Nurse - Virtual

The Nurse Medical Management I at Elevance Health is responsible for collaborating with healthcare providers and members to promote quality member outcomes, optimize member benefits, and promote effective use of resources. This role involves conducting pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews, ensuring compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. The position also includes consulting with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.

Nurse Medical Management I

The Virtual Acute Care RN at Virginia Mason Franciscan Health is responsible for providing consultative patient care nursing services via the centralized CHI Franciscan Health Virtual Health Network. This role involves working collaboratively with the Inpatient team and an interdisciplinary team of healthcare providers to facilitate achievement of cross-coverage clinical objectives, quality/customer service standards, and improvement of patient care outcomes. The incumbent also provides indirect patient care, including assessing, planning, coordinating, evaluating, and delegating work to members of the on-site patient care team.

Virtual Acute Care RN

Virtual Acute Care Registered Nurse

The Nurse Practitioner PRN position at Houston Methodist is responsible for functioning as a licensed registered nurse and care provider, offering all aspects of patient care including diagnosis, treatment, and consultation. This role may work in both inpatient and outpatient settings, adhering to the nurse practice act of the State of Texas and as part of a treatment team. The position involves leadership, interprofessional consultation, patient advocacy, education on preventative care and treatments, conducting physicals, ordering tests, and prescribing medications as appropriate.

Nurse Practitioner PRN - Non Acute Care - Virtual Ambulatory (Telecommute)

Nurse Practitioner

IntellaTriage is seeking part-time Hospice Triage Registered Nurses to join their team, offering a remote work setting with a focus on end-of-life care. Nurses will provide compassionate care through nurse triage, utilizing high-speed internet and technology from their home. The role involves working a minimum of one evening shift and every other weekend, with a requirement to follow client-customized protocols. Training is provided, and nurses will work with a variety of EMRs for charting.

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

Hospice Triage Registered Nurse

The Registered Nurse in Virtual Critical Care at Henry Ford Health System provides direction and consultation in the coordination and delivery of quality compassionate patient care. Utilizing the nursing process of assessment, planning, implementation, and evaluation, the nurse provides, delegates, supervises, and documents care and teaching of patients and family. This role involves effective communication with the healthcare team, participating in quality assurance activities, research, and shared governance to make a difference in patient care.

Registered Nurse-Virtual Critical Care-36 Hours-Midnights-Detroit

Registered Nurse - Virtual Critical Care

This job involves implementing effective complimentary utilization and case management strategies for an assigned member panel, providing oversight over a specified panel of members with varying health status and clinical needs, and assessing health management needs to identify the right clinical intervention for each member. The role includes conducting outreach to members enrolled in case management, developing care plans, encouraging behavior changes, identifying and addressing barriers, helping members coordinate care, and identifying various resources to assist members in achieving their personal health goals.

Transplant Care Nurse - Registered Nurse (Remote)

Transplant Care Nurse - Registered Nurse

The Nurse-RN Telehealth at Baptist Memorial performs intake functions pertaining to the documentation of patient medical history, conducts assessment interviews using virtual technology, and inputs data into medical record software such as EPIC Admission Navigator. This role collaborates with bedside RNs to acquire and document data and develop a plan of care, coordinating and providing care utilizing the nursing process framework. The position blends caring, compassion, knowledge, and integrity to provide safe quality care that preserves patient autonomy, dignity, and rights.

Nurse-RN Telehealth - MG eICU

Nurse-RN Telehealth

This is a remote position requiring the ability to effectively support a work from home environment, including working in a HIPAA compliant area and having a secure private internet service of at least 25mbps download/3mbps upload. The role involves answering inbound calls, processing cases, electronic authorizations, loading authorizations, and making follow-up calls, all while maintaining accurate documentation.

Prior Authorization Licensed Practical Nurse

Licensed Practical Nurse

The Registered Nurse Evidence Based Practice Specialist at Bon Secours Mercy Health is responsible for assisting in the development of infrastructure to support Evidence Based Practice (EBP), supporting the development of EBP ideas and projects, maintaining a repository and communication plan for EBP projects, and facilitating programming to support EBP capacity. This role involves working closely with organizational leaders to improve healthcare outcomes by translating nursing research/EBP and QI projects into practice, mentoring others in evidence-based decision making, and seeking collaborative publication and presentation opportunities.

Registered Nurse (RN) Evidence Based Practice (EBP) Specialist  (Remote, US)

Registered Nurse Evidence Based Practice Specialist

The Nurse Navigator at the University of Miami/UHealth - UMHC/SCCC Site Disease Group serves as the initial point of contact for patients entering the health system, ensuring timely scheduling of appointments, coordination of care, and support throughout the care continuum. This role involves triaging new patient appointments, reviewing medical records, educating patients on treatment plans, and collaborating with a multidisciplinary team to provide the best care possible. The position requires a commitment to quality patient care, creativity in meeting diverse needs, and a focus on improving patient care and healthcare policies.

Nurse Navigator - Site Disease Group - Remote - Per Diem

Nurse Navigator

As a Utilization Review Nurse at R1 RCM, you will perform initial admission and continued stay reviews utilizing InterQual or Milliman to identify and support the appropriate level of care. This role involves determining appropriate cases for review, ensuring appropriate orders and clinical documentation are in place, and adhering to established quality, timeliness, and productivity outputs. The position requires experience in a clinical inpatient environment and hospital-based utilization or case management, as well as proficiency in basic computer skills. This is a remote position with a flexed weekday schedule and some weekend requirement.

Utilization Review Author

Utilization Review Nurse

As a Clinical Appeals Nurse at R1 RCM, you will serve as an expert on appeals and denials management, reviewing patient clinical and hospital course documentation, payer policy, and denial information to prepare appropriate written documents and represent client hospitals during hearings if needed. This role requires experience in a clinical inpatient environment, proficiency in basic computer skills, and the ability to use sound judgment in reviewing clinical documentation supporting patient care.

Clinical Appeals Nurse

This is a remote position requiring the ability to effectively support a work from home environment, with a requirement to work in a HIPAA compliant work area. The role involves processing and communicating specialty medication prior authorization requests, working with various departments to communicate prior authorization status, and providing telephone call assistance based on program criteria. The position requires 1-3 years of related work experience, a high school diploma or equivalent, and an active LPN license in the state of practice.

Licensed Vocational Nurse

The Utilization Management Manager at Dartmouth Health is responsible for overseeing the utilization review program across multiple hospitals, ensuring regulatory compliance and appropriate financial outcomes. This role involves collaboration with program medical directors, care teams, and health plans, as well as leading departmental performance improvement activities. The position offers the option to be fully remote and requires strong communication and analytical skills.

Utilization Management, Manager. Registered Nurse, RN

Utilization Management Manager, Registered Nurse

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