The Clinical Triage Nurse at Sutter Health aids patients in obtaining the correct level of care with the appropriate provider at the right time. This role involves providing advance clinical telephone support to patients, other callers, in-basket and other remote support for physicians, and limited in-clinic support. The nurse uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, provide quality care, and ensure positive patient outcomes. Responsibilities include assessing patients' needs, appropriately disposing of cases, collaborating with clinic and hospital-based providers, and performing nursing follow-up activities.

Clinical Triage Nurse - Work From Home

Clinical Triage Nurse

Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Modesto, California. The RN Case Manager is responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources. This position involves managing the medical necessity process for accurate and timely payment for services, which may require negotiation with a payer on a case-by-case basis.

LOCAL CONTRACT NURSE RN - UTILIZATION REVIEW - $84 PER HOUR

Utilization Review Nurse

The Registered Nurse - Utilization Review at Ascension St. Vincent's Birmingham is responsible for providing health care services regarding admissions, case management, discharge planning, and utilization review. This role involves reviewing admissions and service requests for medical necessity, providing case management for complex cases, assisting staff with coding, documentation, and reimbursement issues, and overseeing compliance with utilization management rules. The position requires at least 3 years of acute care experience and utilization management experience.

Registered Nurse RN - Utilization Review  PRN

Registered Nurse - Utilization Review

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 Registered Nurse in Surgical Specialties (Vascular and Bariatrics) is responsible for implementing the nursing process based on expanded knowledge and experience, providing age-appropriate patient care across all age groups, and delivering critical care including continuous cardiac monitoring, emergency care management, IV infusion, ventilator management, and invasive line management. This role requires a commitment to customer service and effective communication with patients, families, and the medical staff.

REGISTERED NURSE- SURGICAL SPECIALTIES (VASCULAR AND BARIATRICS)- NIGHTS

Registered Nurse - Surgical Specialties

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

Two immediate vacancies for dedicated registered nurses in Irving, Texas, working remotely. The role involves using Axxess software for home health care, including start of care, revisits, and discharges. The nurse will collaborate with other healthcare professionals to ensure comprehensive patient care.

Remote Home Health Nurse

Remote Licensed Registered Nurse for Home Care

The Registered Nurse is responsible for implementing the nursing process based on expanded knowledge and experience, providing age-appropriate patient care across all age groups, and delivering critical care including continuous cardiac monitoring, emergency care management, IV infusion, ventilator management, and patient ADLs. This role requires a commitment to customer service and effective communication with all applicable customers and age groups.

REGISTERED NURSE -RESOURCE TEAM FLOAT-NIGHTS

Registered Nurse - Resource Team Float

The Utilization Review Nurse is responsible for the review of precertification admission and concurrent reviews for the appropriateness of the inpatient setting utilizing InterQual criteria. This role involves entering or referencing data via PC, collaborating with facilities, providers, and Medical Directors, and requires excellent written and oral communication skills. The position is remote, with a work location in Detroit, MI, and is a 10-month contract job type.

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]

The Registered Nurse in One Day Surgery is responsible for implementing the nursing process based on expanded knowledge and experience, providing age-appropriate patient care across all age groups, and delivering critical care including continuous cardiac monitoring, emergency care management, IV infusion, ventilator management, and patient ADLs. The role requires a commitment to customer service and effective communication with all applicable customers and age groups.

REGISTERED NURSE ONE DAY SURGERY PART-TIME

Registered Nurse One Day Surgery

The Registered Nurse in Pulmonary Care at Atrium Health is responsible for implementing the nursing process based on expanded knowledge and experience. This role involves providing age-appropriate patient care across all age groups, addressing biological, emotional, developmental, psychosocial, and patient/family educational needs. The nurse will provide critical care including continuous cardiac monitoring, emergency care management, IV infusion, ventilator and invasive line management, and patient ADLs.

REGISTERED NURSE - PULMONARY - NIGHTS

Registered Nurse - Pulmonary

The Registered Nurse is responsible for implementing the nursing process based on expanded knowledge and experience, providing age-appropriate patient care to include children, adolescents, adults, and geriatric patients. This role involves critical care tasks such as continuous cardiac monitoring, emergency care management, IV infusion, ventilator and invasive line management, and patient ADLs.

REGISTERED NURSE PART-TIME INPATIENT PRE/POST OP

Registered Nurse Part-Time Inpatient Pre/Post Op

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

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

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