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  • Clinical Practice Consultant - Remote in Northern Idaho

    Unitedhealthcare 4.4company rating

    Remote Emergency Room Nurse Job

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Clinical Practice Consultant (CPC) will be responsible for strategically developing clinically oriented provider and community-based partnerships, education, and action plans to increase quality scores based on HEDIS, NCQA, and state specific quality measures. This role will be responsible for ongoing management of provider practice quality measures. Through HEDIS documentation collection and review, monitoring, measuring, and reporting on key metrics, the Clinical Practice Consultant assists providers in meeting quality standards, state contractual requirements and pay for performance initiatives. If you reside in Idaho, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Ongoing management of provider practice and community education on HEDIS, NCQA, and state specific quality measures Work with provider practices to develop action plans to drive quality improvement Educate providers and office staff on proper clinical documentation, coding, and billing practices, CMS mandated quality metrics specifications, provider profiling and pay for performance measurement, and medical record review criteria, to drive quality improvement Analysis, review, and reporting on key metrics to assist providers in meeting quality standards, state contractual requirements, and pay for performance initiatives Serve as subject matter expert (SME) for assigned Medicaid/Medicare HEDIS / CMS measures, preventive health topics; lead efforts with clinical team to research and design educational materials for use in practitioner offices; serve as liaison with key vendors supporting Medicaid/Medicare HEDIS / CMS Measures; consult with vendors to design and implement initiatives to innovate and then improve Medicaid/Medicare HEDIS / CMS Measure rates Identify patient care opportunities and collaborate with physician practices to ensure appropriate member appointments and care Coordinate and perform onsite clinical evaluations through medical record audits to determine appropriate coding and billing practices, compliance with quality metrics, compliance with service delivery and quality standards Investigate gaps in clinical documentation where system variation has impact on rate calculation, provides feedback to appropriate team members where issues are verified, and monitors resolution to conclusion Document and refer providers' non-clinical / service issues to the appropriate internal parties, to include Provider Relations and the Plan Chief Medical Officer by analyzing provider records and maintaining database Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 3+ years of Clinical experience in a physician practice, outpatient facility or a FQHC 2+ years of quality improvement experience 2+ years of Medicare / Medicaid experience Proficiency in software applications that include, but are not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint Reliable transportation to travel to physician offices locally up to 75% of the time Resident of Idaho Preferred Qualifications: Current, unrestricted RN license in the State of ID 2+ years of HEDIS experience Health insurance industry experience, including regulatory and compliance Knowledge of one or more of: clinical standards of care, preventive health standards, HEDIS, governing and regulatory agency requirements and the managed care industr *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
    $71.6k-140.6k yearly 1d ago
  • Home Based Primary Care Nurse Practitioner

    Onsite Medical House Calls 4.2company rating

    Remote Emergency Room Nurse Job

    Job Type: Full-time, 1099 position OnSite Medical House Calls is seeking a Nurse Practitioner to join our growing team! This position will be traveling and delivering primary care to patients in Anne Arundel, Queen Annes and Baltimore Counties that are home-bound. At OnSite Medical, we bring primary care right to where our patients call home. The nurse practitioner will provide comprehensive care to patients diagnosing and treating acute or chronic health conditions. Nurse Practitioner/NP Job Education and Experience Requirements: Active State NP license AANP or ANCC board-certified as ANP, AGNP, FNP Current BLS certification Active CDS Active DEA 12 months experience as an NP Prior Home Health Nursing/house call experience, a plus but not required Job Types: Full-time, Contract Salary: $109,417.02 - $200,000.00 per year Benefits: 401(k) Medical specialties: Primary Care Standard shift: Day shift Weekly schedule: Monday to Friday Work setting: Outpatient License/Certification: Certified Nurse Practitioner (Required) Work Location: On the road Flexible work from home options available.
    $44k-66k yearly est. 27d ago
  • LPN Remote Chronic Care Manager

    Phamily

    Remote Emergency Room Nurse Job

    Chronic Care Manager (LPN) Fully Remote Sweeten Health (via Phamily) We are seeking a compassionate and patient-centered Licensed Practical Nurse (LPN) to join our care team as a Chronic Care Manager. This fully remote position plays a key role in supporting patients with chronic conditions by providing proactive, ongoing care coordination and education. Ideal candidates are highly organized, strong communicators, and committed to making a difference in patients day-to-day lives. Position Details: Position Type: Full-time, 40 hours/week Schedule: MondayFriday, no evenings or weekends Compensation: $22.00/hour (non-negotiable starting rate) Work Environment: Fully remote (see tech requirements below) Qualifications: Active LPN license (required) Own Windows-based computer with webcam (tablets/iPads not supported) Reliable home Wi-Fi connection Previous remote work experience preferred Strong interpersonal and organizational skills Benefits: Paid Time Off (PTO) & Paid Holidays Fully remote role with weekday-only schedule 401(k) eligibility after 1 year of full-time employment Key Responsibilities: Conduct comprehensive patient assessments to develop individualized care plans Collaborate with interdisciplinary care teams, including hospitals and primary care providers Monitor patient health status and facilitate follow-up care Educate patients and families about self-management, medications, and available resources Maintain accurate and timely documentation in compliance with regulatory standards Advocate for patient needs and coordinate services to ensure continuity of care Application Requirements: To be considered, applicants must: Acknowledge the starting rate is $22/hour Confirm use of a personal Windows computer with webcam (no tablets/iPads) PI631f3831893c-25***********0
    $22 hourly 8d ago
  • Home Health RN Clinical Management Specialist Hybrid

    Aveanna Healthcare

    Remote Emergency Room Nurse Job

    Must have Home Health HCHB and OASIS experience Position Overview The RN Clinical Management Specialist is a qualified professional responsible for collaboration with Home Health and Hospice leadership in planning, coordinating, and delivering quality services to the client. This is a regional resource assigned as needed for interim clinical leadership, training, and/or clinical support. This position is a hybrid role that will require in office training and clinical support in any of the locations in Florida. You must live near one of the locations. Requires weekly travel to the potential locations: Sarasota, Ft. Myers, Naples, Miami, Stuart, Fort Lauderdale, and Port Charlotte. Essential Job Functions Monitors and assesses company electronic medical records (EMR) workflows and assists as needed or assigned Provides support with the intake process and admission decisions Facilitates virtual training for newly hired/rehired/promoted Clinical Managers and Nurses Serve as interim Clinical Manager when position is vacant Act as mentor for new Clinical Managers Aveanna Healthcare Offers: 401(k) with Company match Health, Dental, and Vision Benefits Vacation Time, Sick Time, and Paid Holidays Requirements Registered Nurse with an active and unencumbered license in the state of residence Expertise and experience with the Homecare Homebase (HCHB) EMR system Three (3) years of clinical experience within the last five (5) years in a home health agency, home care setting, or health facility Homecare Homebase (HCHB) & Oasis experience is required Valid and acceptable driver's license with proof of automobile insurance coverage Travel by car between regional offices will be required HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California
    $44k-72k yearly est. 3d ago
  • Remote Registered Nurse- Evenings, Overnight & Weekend shifts

    Good Samaritan 4.6company rating

    Remote Emergency Room Nurse Job

    Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment. Facility: GSS SD Rapid City St Martin Shift: Varies Job Schedule: PRN Support multiple locations within 150 miles of your permanent address ~ Mileage reimbursement ~ Additional $5 per hour float premium ~ 25 per hour weekend shift differential ~ 25 per hour evening/night shift differential; Required to work at least one weekend rotation per month ~3-month previous experience in Long Term Care required, 6 months preferred ~ No contract required The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to residents. Collaborates with resident and family, other inter-disciplinary colleagues, including providers, to plan, implement and evaluate care. Demonstrates competency and practices within the full scope of nursing expertise/knowledge and utilizes appropriate age and population specific standards as designated in their assigned clinical setting. Cares for residents in all phases of preventative care, health maintenance, diagnosis, and treatment. Responsible for the coordination of care, resident assessment, resident education and various other nursing interventions. May serve as charge nurse and delegate appropriate tasks to license and unlicensed assistive personnel that are within the job descriptions, skills, resident care needs, and the competence level of the delegate. Provides adequate assistance and support to delegates to ensure safe, reliable administration of resident care and resolution of care and service concerns. Functions within the scopes and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure. The Professional Nursing Practice recognizes the Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as published by the American Nurses Association as the foundation of nursing care delivery and professional conduct. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Bachelor's Degree in nursing preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. The Good Samaritan offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. The Good Samaritan is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ Good Samaritan has a Drug Free Workplace Policy. Job Function: Nursing
    $59k-108k yearly est. 5d ago
  • CRNA- Travel Team

    Essential Anesthesia Management

    Remote Emergency Room Nurse Job

    Essential Anesthesia Management, a partnership between YPS and EmergencHealth, strives to deliver the highest quality anesthesia care to both patients and hospitals alike. We're transforming the anesthesia experience by focusing on what is essential - people. We're unwavering in our commitment to excellence in anesthesia services while establishing nurturing relationships with our clinicians, administrators, surgeons, and patients. We take pride in our highly experienced clinicians that service both hospitals and outpatient surgery center locations. Essential Anesthesia Management is owned and operated by practicing anesthesia clinicians with decades of experience in practice management. Our company has experienced rapid growth and we're looking for individuals to help expand our reach in the healthcare management industry. Essential Anesthesia Management, a partnership of EmergencHealth (EH) and YPS Anesthesia (YPS) are adding a provider to our STRIKE FORCE team of highly experienced CRNAs. Clinically skilled members of this select team will be uniquely chartered with onboarding newly contracted facilities and providing as needed coverage to existing sites. Providers need to be flexible, amicable, and able to perform at the top of their license in a variety of settings to be considered for this team. During new location transition periods, the Essential Strike Team members will help optimize staffing models, ensure a smooth charge capture processes, and champion systems to increase efficiencies. These providers, in all likelihood, are the first clinical representatives of EAM encountered by the facility-and you will have the opportunity to make a lasting first impression. Providers must possess all the skills required to function independently or lead within a team environment. As an invited guest of these facilities, team members must have a customer service first mindset: with the facility administrators, surgeons, ancillary staff, and patients. When providing coverage at existing locations, team members will assist in identifying ways to increase efficiency, morale, retention, and recruitment. Facilitating a great work environment for all anesthesia providers is a priority for EH/YPS. Empowering a tenured team of specialists to be on the front lines will no doubt help us achieve that goal. If you are a self-driven provider looking to enhance the impact we as health care professionals have on the patients and facilities we serve, you will want to be a part of the Essential Strike Team. In addition to a high level of job satisfaction, team members will have tremendous flexibility in their work schedule despite a top of market compensation structure. Strike Force members have a guarantee of $1600 per day. Essential Anesthesia Management is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, age, veteran status, disability, genetic information, or any other protected characteristic. Reasonable accommodations may be made to enable individuals with disabilities to perform the assigned and essential functions.
    $108k-215k yearly est. 60d+ ago
  • CRNA FREELANCE - PRN Anesthesia Department

    Iredell Memorial Hospitalorporated 3.9company rating

    Remote Emergency Room Nurse Job

    The Nurse Anesthetist administers anesthesia for surgical, obstetrical, and other medical procedures for all age groups - neonates, pediatric, adult, and geriatric patients following medically approved techniques under the professional direction of an anesthesiologist or surgeon. Has full access to patient health information. Requirements Current Certification as a Nurse Anesthetist by the AANA Council on Certification or eligible for certification Current Registered Nurse Licensure in Current Verification as a Certified Registered Nurse Anesthetist by the Board of Nursing Member of the AANA (optional) Current BCLS, ACLS, PALS and NALS certification Current Credentials / Reappointment per IHS Bylaws Successful completion of hospital and unit-specific orientation Must possess full range of body motion to pass basic FIT test for position to include walking, kneeling, standing, pushing, pulling, bending, stooping, reaching and sitting for extended periods of time. Must be able to lift and carry up to 30 pounds; may occasionally lift up to 100lbs with assistance or assistive devices. Ability to perform repetitive tasks such as simple grasping, pushing, pulling, and fine manipulation (i.e. keyboard). Good visual acuity required for patient assessment, medication administration, and documentation of care. Good hearing essential for accurate patient assessment. All employees with an RN job classification in the department of Nursing may have a high risk of exposure to blood borne pathogens or other potentially infectious materials and the use of PPE.
    $139k-208k yearly est. 60d+ ago
  • Sr. Manager, Clinical Nurse Educator (Southwest)

    Agios Pharmaceuticals 4.5company rating

    Remote Emergency Room Nurse Job

    Sr. Manager, Clinical Nurse Educator (Southwest) Who we are:Agios is a biopharmaceutical company that is fueled by connections. We thrive in a supportive, fun, and flexible environment full of people empowered to bring their whole selves to work. We care deeply about our work, each other, and the patients who count on us. Our teams cultivate strong bonds with patient communities, healthcare professionals, partners and colleagues, which helps us discover, develop and deliver therapies for rare diseases - and make a bigger difference in their lives. In the U. S. , Agios markets a first-in-class pyruvate kinase (PK) activator for the treatment of hemolytic anemia in adults with PK deficiency. Building on the company's leadership in the field of cellular metabolism, Agios is advancing a robust clinical pipeline of investigational medicines with active and planned programs in alpha- and beta-thalassemia, sickle cell disease, pediatric PK deficiency and MDS-associated anemia. The impact you will make:The Clinical Educator (CNE) is responsible for establishing strong working relationships with patients and healthcare professionals. The CNE will utilize their professional skills and clinical experience to engage with health care providers to deliver disease state education, genetic testing information, and approved product messaging. The CNE will also gain insights from clinical teams and office staff supporting patients with chronic hemolytic anemias to further their understanding of the disease burden associated with hereditary anemias, related diagnostic challenges, and the types of support they need for their patients. The CNE also supports the patient centric business model by providing disease and product education to patients and families affected by genetic disease for which Agios provides a treatment option. Territory to include this major market: San Diego, Los Angeles, Phoenix What you will do:The CNE will work closely with patients, families and care teams to provide in-depth education and resources to support and empower patients/caregivers living with PK deficiency and Thalassemia. Provide opportunities to make connections with other patients and caregivers affected by Thalassemia and PK deficiency. Deliver educational programs (in person or virtually) with patients, families and caregivers affected by PK deficiency and Thalassemia. Utilize approved messaging during engagements with healthcare professionals to provide disease state education and raise awareness of Thalassemia and PK Deficiency and the role of the Clinical Nurse Educator. Effectively collaborate with cross functional partners (Hemolytic Anemia Specialists (and Patient Support Managers) on complex patient and customer issues. Pro-actively identify regional diseases state education initiatives Collaborate effectively with team members to address needs and enhance process improvement opportunities. Timely follow up on committed appointments internally / externally Delivers activity updates to regional colleagues, ensuring effective cross-functional collaboration within the regional team to support initiatives. Document all activities in appropriate CRM tools to facilitate the tracking of key metrics. Ensure all activities are conducted in a manner that is compliant with industry rules, regulations and Agios policies. What you bring:Bachelor's degree, clinical background in nursing or as an advance practice provider5+ years of related experience, including supporting patients. Hematology or rare disease background preferred. Exceptional communications skills (written, verbal and presentation) Ability to think strategically, work independently and collaborate across a diverse cross functional team, exhibiting a result driven mindset. Ability to travel in the US (up to 50% travel) Proficiency in additional languages preferred (Mandarin, Cantonese, Hindi, Arabic, Vietnamese). Work Location:Location Specific - Field/Remote: This is a remote based field position. Employees in field roles must reside within their designated territory. Regular conversations with manager are encouraged to ensure alignment on in-person presence/expectations. Travel may be required commensurate to the above job description and/or to attend team meetings and other company events. What we will give you:Deliberate Development. Your professional growth as one of our top priorities. Flexibility. We're all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you're at your best, we're at our best. Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team. For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website. Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance. The current base salary range for this position is expected to be between $127,219 and $190,828 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. Competitive performance-based compensation. This includes both short- and long-term incentives that are connected to our business strategy. Psychological safety. We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries. Commitment to diversity. We strive to foster a welcoming workplace where everyone can thrive. We're continuously looking to improve the inclusivity of our workforce. Commitment to community. We're an active participant in the communities that surround us - the communities where we live, and the community of people and their loved ones in need of better treatment options for conditions that are often overlooked. Interested in learning more about what makes our culture unique? Visit the Inside Agios section of our website.
    $127.2k-190.8k yearly 1d ago
  • MDS Coordinator

    Pacs

    Remote Emergency Room Nurse Job

    Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Administer patient assessments, oversee the assessment process, setting the assessment schedules and assuring that assessments are done in an accurate and timely manner. Coordinates the care plan as according to regulatory requirements. Create the schedule for all Medicare and Medicaid. They also start Medicare coverage for newly qualified patients or send out denial letters. They remain updated on changes in Medicare coverage and help determine documents needed for Medicaid reimbursement. Direct the day to day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, s, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist in planning the nursing services portion of the resident's discharge plan as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary.• Write resident charge slips and forward to the Business Office. Maintain the Daily Census Report and submit to the Business Office as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians' Order Form. Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Fill out and complete accident/incident reports. Submit to Director as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders. Forward information to the Food Services Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Sign and date all entries made in the resident's medical record. Drug Administration Functions Prepare and administer medications as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotic records are accurate for your shift. Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. Notify the attending physician of automatic stop orders prior to the last dosage being administered. Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc. Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. Report absentee call ins to the Nurse Supervisor. Review and evaluate your department's work force and make recommendations to the Nurse Supervisor. Develop work assignments and/or assist in completing and performing such assignments. Provide leadership to nursing personnel assigned to your unit/shift. Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. Develop and maintain a good working rapport with inter departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility's established procedures. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Receive/give the nursing report upon reporting in and ending shift duty hours. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines. Nursing Care Functions Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Participate in the orientation of new residents/family members to the facility. Make rounds with physicians as necessary. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary. Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary. Implement and maintain established nursing objectives and standards. Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Cooperate with and coordinate social and activity programs with nursing service schedules. Notify the resident's attending physician when the resident is involved in an accident or incident. Notify the resident's attending physician and next of kin when there is a change in the resident's condition. Carry out restorative and rehabilitative programs, to include self help and care. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Use restraints when necessary and in accordance with established policies and procedures. Obtain sputum, urine and other specimens for lab tests as ordered Take and record TPRs, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor Admit, transfer and discharge residents as necessary. Assist in arranging transportation for discharged residents as necessary. Ensure that discharged residents are escorted to the pick up area. Inform family members of the death of the resident. Call funeral homes when requested by the family. Ensure that established post mortem procedures are followed. Staff Development Participate in developing, planning, conducting, and scheduling in service training classes that provide instructions on “how to do the job,” and ensure a well educated nursing service department. Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. Assist in standardizing the methods in which work will be accomplished. Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. Assist the Director in planning clinical supervision for nurse aide trainees. Attend and participate in outside training programs. Attend and participate in annual facility in service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Attend and participate in advance directive in service training programs for the staff and community. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures. Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate your unit/shift's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions Review care plans daily to ensure that appropriate care is being rendered. Inform the Nurse Supervisor of any changes that need to be made on the care plan. Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by t
    $61k-83k yearly est. 1d ago
  • Field Clinical Nurse Educator/HIV - Remote Opportunity!

    I4 Search Group Healthcare

    Remote Emergency Room Nurse Job

    Job Description RN Clinical Educator HIV Prevention We are seeking a Clinical Educator to support healthcare providers in delivering inclusive and effective HIV prevention care. This role involves educating clinicians and staff on the administration, management, and support resources related to HIV PrEP (pre-exposure prophylaxis) therapy. The Clinical Educator will collaborate closely with sales and reimbursement teams to engage pre-identified provider accounts, deliver tailored therapeutic education, and support improved patient care outcomes through hands-on training and program implementation. Key Responsibilities: Plan and execute educational visits to pre-approved provider accounts within the assigned territory Collaborate with internal field teams (sales, reimbursement) to align on territory strategy and educational opportunities Deliver approved curriculum to healthcare professionals, including physicians, nurses, and office staff Provide in-depth training on PrEP product administration, patient support programs, and care coordination Conduct full-office in-services on topics such as patient education strategies, cultural competence, and LGBTQ+ inclusive practices Enhance provider ability to support diverse patient populations by addressing: Cultural sensitivity and inclusive communication Health literacy and simplified patient materials Social determinants of health and patient access to resources Personalized treatment planning and support Respond promptly to training requests and field inquiries Ensure all activities are completed in a timely, compliant, and professional manner Track, document, and report educational activities according to internal standards Maintain awareness of industry trends and bring insights back to enhance curriculum and engagement strategies Requirements: Associates degree required; Bachelors degree preferred Current RN or NP license required Valid drivers license 2+ years of experience in healthcare education or pharmaceutical field training Experience working with HIV or infectious disease populations strongly preferred Strong public speaking and interpersonal communication skills High emotional intelligence and cultural sensitivity Ability to navigate clinical conversations and field real-world questions with confidence and credibility Adaptable, proactive, and mission-driven with a passion for patient advocacy Proficiency with CRM tools (e.g., Salesforce), Microsoft Office, and virtual training platforms Must be eligible to participate in federal healthcare programs Work Conditions & Travel: Up to 50% travel within the assigned territory Standard office/remote work environment Occasional standing, walking, and presentation activities required Must be fluent in English with effective verbal and written communication skills As part of our recruiting process, we may contact you regarding positions we feel are a good fit or engage with you via SMS text message. By clicking to submit your application, i4 Search Group has your consent to communicate via SMS text message moving forward.
    $98k-138k yearly est. 2d ago
  • HEDIS Over Reader Nurse - Remote - Contract

    Hireops Staffing, LLC

    Remote Emergency Room Nurse Job

    pThis is a contract assignment that will start right away and end on June 28th 2024/p pbr//p pspan style="font-size: 16px;"span Remote in TX/span/span/p pbr//p pspan style="font-size: 16px;"span Must Live in TX/span/span/p pbr//p pspan style="font-size: 16px;"br/span SUMMARY DESCRIPTION:/spanbr/span RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team. The team is responsible for obtaining and performing accurate comprehensive reviews of medical records in support of The HEDIS Effectiveness Data and Information Set project. HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications./spanbr/br/span JOB REQUIREMENTS:/spanbr/span• Degree, Diploma or Certificate from a school of nursing with clinical experience./spanbr/span• Licensed in the State of Illinois/spanbr/span• Knowledge of medical terminology/spanbr/span• Data entry and/or typing experience./spanbr/span• Clear and concise written and verbal communication skills./spanbr/span• PC proficiency to include Word, Excel and Lotus Notes./spanbr/span• Auditing experience preferred./spanbr/br/span DUTIES AND RESPONSIBILITIES:/spanbr/span• Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis according to HEDIS specifications and company training guidelines./spanbr/span• Complete the IRR/over-read tool in the Software Application, including comments if errors are found. Correct errors identified through over-read process, including a re-review of charts that may contain similar errors./spanbr/span• Identify and report abstraction errors and provide measure re-education with for the abstractor./spanbr/span• Utilizes various software applications to support HEDIS operations by entering data and / or changing chase status for the identified chase(s)./spanbr/span• Meets with HEDIS Coordinator and / or QI Specialists to discuss HEDIS efforts, any open issues and can include IRR results./spanbr/span• Maintains productivity level as determined by the HEDIS Coordinator/QI Department./spanbr/span• Maintain compliance with all HIPPA and patient confidentiality requirements./spanbr/span• All other duties as assigned./span/span/p pspan style="color: #32363a; font-size: 16px;" /span/p pspan style="color: red; font-size: 16px;" /span/p
    $104k-173k yearly est. 60d+ ago
  • Telemedicine -Np Or Pa- Remote For Part-Time For Dermatology Primary Care Experience

    Callondoc

    Remote Emergency Room Nurse Job

    pJob description/ppstrong Telemedicine -NP or PA- Remote for Part-time for Dermatology amp; Primary Care Experience/strong/pp Callondoc in Dallas, TX is seeking a part-time remote nurse practitioner/physician assistant to join our team. Candidates must have dual experience in strongprimary care and dermatology. /strong/ppstrong REQUIRED:/strong/ppstrong 2-year contract- Due to licensing providers in additional state licenses. /strong/ppstrong Must be residing in any the following states:/strong/pullistrong Maryland, Florida, Illinois, Kentucky, Louisiana, Missouri, New Jersey, New York, Ohio,Tennessee, California, Texas, Georgia, Mississippi. /strong/li/ulpbr//ppstrong Please follow this link to apply/strong/ppstrong************* talenthr. io/callondoc/telemedicine-np-or-pa-remote-for-part-time-for-dem-primary-care-experience/17/strong/ppbr//pp Medical provider must have strong Dermatology and Primary care experience (more than 2years of experience)/strong. This is a remote part-time position for an independent contractor/pul li We are looking for an energetic mid level with both strong Dermatology and Primary care experience/strong /li listrong Must be flexible to work night shifts (6pmCST-midnight)/strong/li listrong Shifts required- evening shifts-Fridays 6pmCST-midnight and alternating weekends 6pmCST-midnight/strong/li li Paid Training/li /ulp Work Location:/pulli Remote/li/ulp Salary:/pulli$55. 00-$60. 00 per hour/li/ulp Medical specialties:/pul listrong Dermatology/strong/li listrong Primary care/strong/li /ulp Job Type: Part-time/pp Pay: $55. 00 - $60. 00 per hour/pp Expected hours: Part-time/pp Work Location: Remote/pp Job Type: Part-time/ppbr//pp Pay: $55. 00 - $60. 00 per hour/ppbr//pp Expected hours: 20 - 25 per week/ppbr//pp Medical Specialty:/pulli Dermatology/li/ulp Application Question(s):/pulli Required- Did you follow and complete your application and questions? ************* talenthr. io/callondoc/telemedicine-np-or-pa-remote-for-part-time-for-dem-primary-care-experience/17/li/ulp Work Location: Remote/p
    $60 hourly 9d ago
  • Clinical Nurse Educator (Remote) CST, MST, PST

    Amplity

    Remote Emergency Room Nurse Job

    Join Amplity, the full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. No matter where a drug is in its lifecycle, we scale with ease to maximize resources + improve impact for all our clients. Through strategic partnerships + deep therapeutic expertise, Amplity transforms how breakthrough treatments reach the people who need them. Clinical Nurse Educator Pharmaceutical Oncology Utilize your Oncology nursing background for a hybrid remote virtual opportunity contacting healthcare provider offices via phone and digital meeting platforms, Monday-Friday 8-5 pm. This is a salaried full- time position offering benefits, paid time off, 401K, health, dental, vision and more. The successful Clinical Nurse Educator candidate will have their RN licensure, quiet, home base office set up with previous CSR, phone or outside nurse educator, sales experience a plus but not required. The successful Remote Oncology Clinical Care Specialist candidate will meet the requirements below: RN License Required 3+ years minimum oncology nursing experience required Desire a home-based educator position with occasional up to 30% in person oncology practice visits Ability to work 8-5 CT, MT or PT time zones calling accounts Willingness to travel occasionally (30%) to oncology practice office if needed-primarily remote digital from personal home office Previous sales, CSR or telephonic nursing experience, preferred Capable of working independently as well as a collaborative team remotely Ability to access nursing and office staff contacts within accounts and build key relationships telephonically Work in partnership with field territory sales reps, and assist with the implementation of strategic plans, and actions to achieve results Experience educating and influencing customers desired Ability to comprehend information of a scientific nature May reside in the Mountain or Pacific Time zone preferred, Central time zone will also be considered. Ability to travel 30% for training, client meetings and occasional oncology practice visits. Active RN license , and the ability to successfully pass a pre-employment background check and drug screen. Credentialing Requirements: As a representative of a pharmaceutical company, you may be required to submit and maintain credentials, such as training, vaccinations, and other job-related documentation to gain access to hospitals or healthcare providers. It is the Company's expectation that you comply with the requirements outlined by the facilities on your call plans. Additionally, certain geographic jurisdictions or hospital systems have requirements to apply for and obtain a representative license. At this time, representatives working in the District of Columbia, City of Chicago, State of Nevada, State of Oregon, or those associated with Jackson Memorial Health in Miami-Dade County Florida may be required to obtain specific licenses. This list may be subject to change, including the potential for additions or modifications. In the event of any significant changes, you will be notified accordingly. EPIIC Values: All positions at Amplity have a responsibility to demonstrate our EPIIC Values in order to uphold our high-service standards. Excellence: We set high standards. We are solutions-focused and achieve outstanding results with a professional and positive attitude. Passion: We love what we do. Our energy inspires, engages, and motivates others. Innovation: Our ideas set us apart. We are curious and bold and challenge traditional ways of working. Integrity: We are open, honest, and transparent. We do the right thing with courage and understanding. Collaboration: We are better together. We actively seek the participation of others to achieve greater outcomes. About Us Amplity powers biopharma innovation through expert-led teams that deliver. Whether you knew us in the 80's as Physician Detailing Inc., or in the 00's as part of Publicis Health , the companies that came together in 2019 to form Amplity have delivered contract medical, commercial + communications excellence for 40+ years. Our people-driven, tech-enabled DNA fuels everything we do. Our professionals understand the pharmaceutical industry from the inside out. With a deep grasp on product lifecycles, marketing hurdles, operational nuances + the complex needs of providers and patients, we help our clients launch products + operate smoothly with precision - across all business shapes, sizes + specialties. We are on a mission to improve patient outcomes through executional excellence - enabling our partners in pharma to thrive in turn. At Amplity, we are allies in excellence. And we do it quicker, better, nicer than anyone else. Our Diversity Policy We encourage and support equal employment opportunities for all associates and applicants for employment without regard to sex, race, color, religion, national origin, age, disability, marital status, sexual orientation or veteran status. Employment decisions are evaluated on the basis of an individual's skills, knowledge, abilities, job performance and other qualifications. In addition, Amplity Health maintains policies and procedures designed to comply with applicable federal, state and local laws governing non-discrimination in employment in every location in which Amplity Health has facilities.
    $60k-79k yearly est. 18d ago
  • Emergency Room EMT-Technician - Carilion Roanoke Memorial Hospital - Flex or PRN

    Carillion Health System

    Remote Emergency Room Nurse Job

    " Emergency Room EMT-Technician - Carilion Roanoke Memorial Hospital - Flex or PRN Roanoke, VA, US, 24014 Employment Status: Flex Shift: Variable Hours Facility: CRMH - Carilion Roanoke Memorial Hospital Workplace: Onsite How You'll Help Transform Healthcare: You cannot work in this role with an EMT-B certification. Successful candidate must be certified as an EMT-Advanced, EMT-Intermediate or Paramedic. Under the supervision of a licensed independent practitioner, manager and/or Registered Nurse, in accordance with the Commonwealth of Virginia Board of Nursing delegation and supervision guidelines, assists with a variety of direct and indirect patient care activities. These include: * Assistance with activities of daily living, comfort care and nutritional support. * Performance of selected diagnostic and therapeutic tasks and procedures as directed. * Indirect patient care activities include maintaining a clean safe environment, ensuring adequate inventory of supplies and equipment, and data collection as pertinent to the patient population. * Transports patients in hospital observing safety guidelines. Maintains advanced transport medical knowledge and abilities. What We Require: Education: High school graduate or equivalent required. Associates degree or equivalent from two-year college or technical program in paramedic studies preferred. Experience: One year EMT-A, EMT-I or Paramedic experience preferred. Licensure, certification, and/or registration: Certified in the State of Viginia as an EMT-Advanced, EMT-Intermediate or EMT-Paramedic (required) and maintains National Registered status (preferred). AHA BLS - HCP, and ACLS required. PALS, Haz Mat Awareness, NRP and PHTLS or BTLS required within one year from date of hire. Other Minimum Qualifications: Must maintain continuing education hours to meet re-certification status as required by State and National standards. About Carilion This is Carilion Clinic ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us. Recruiter: JAMIE S RATLIFF Recruiter Phone: ************ Recruiter Email: **************************** For more information, contact the HR Service Center at **************. Carilion Total Rewards What matters to you is important to us-like benefits, rewards, and resources to improve your life. Carilion understands the importance of prioritizing your well-being to help you develop and thrive. When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion: * Employer Funded Pension Plan, vested after five years (Voluntary 403B) * Comprehensive Medical, Dental, & Vision Benefits * Flexible Work Arrangements/Schedules * Remote Work Options * Paid Time Off (accrued from day one) * Onsite fitness studios and discounts to our Carilion Wellness centers * Access to our health and wellness app, Virgin Pulse * Discounts on childcare * Continued education and training Find more about Carilion Clinic's benefits by vising our Total Rewards Page. Nearest Major Market: Roanoke Job Segment: Emergency Medicine, Nursing, Registered Nurse, Paramedic, Patient Care, Healthcare
    $30k-39k yearly est. Easy Apply 9d ago
  • Utilization Management Nurse- Behavioral Health (Remote) FT

    Muha

    Remote Emergency Room Nurse Job

    divp style="text-align:left"b Summary/b/pMUSC seeking FT Utilization Management Nurse for our new Leatherman Behavioral Health Care Pavilion in Florence, SC. (Remote)p style="text-align:inherit"/pp style="text-align:left"bEntity/b/pMedical University Hospital Authority (MUHA)p style="text-align:inherit"/pp style="text-align:left"bWorker Type/b/pEmployeep style="text-align:inherit"/pp style="text-align:left"bWorker Sub-Type /b/pRegularp style="text-align:inherit"/pp style="text-align:left"bCost Center/b/pCC005493 LBH - Case Mgmtp style="text-align:inherit"/pp style="text-align:left"bPay Rate Type/b/pSalaryp style="text-align:inherit"/pp style="text-align:left"bPay Grade/b/pHealth-28p style="text-align:inherit"/pp style="text-align:left"bScheduled Weekly Hours/b/p40p style="text-align:inherit"/pp style="text-align:left"bWork Shift/b/pp style="text-align:inherit"/pp style="text-align:left"b/b/pp Conducts utilization reviews to determine if patients are receiving care appropriate to severity of illness or condition and intensity of services required. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with providers and other stakeholders as needed. /pp/ppb Minimum Training and Education:/b Bachelor's degree in Nursing from an accredited school of nursing and five years of nursing work experience to include two years utilization / case management experience in a hospital setting required. Prior leadership experience preferred. Evidence of committee involvement within a healthcare setting needed (either departmental or hospital-wide). Must possess excellent verbal and written communication skills. Familiarity with InterQual and/or MCG screening criteria desired. /pp/ppb Required Licensure, Certifications, Registrations:/b Licensure as a registered nurse by the state of South Carolina or compact state required. /pp style="text-align:inherit"/pp style="text-align:left"bAdditional Job Description/b/ppspan class="emphasis-3"This position is remote support for the MUSC Leatherman Health Pavilion in Florence SC. /span/pp================================================/ppbu Leatherman Behavioral Health Pavilion/u/b will serve as a regional behavioral health center and include a combination of triage, crisis stabilization, telehealth, outpatient, and inpatient services that will expand much-needed behavioral health resources in the Pee Dee region. Once built, the center will occupy the site of an MUSC-owned property currently known as the Cedar Tower campus on E. Cedar Street in Florence. The project was coordinated through an advisory committee convened by South Carolina Department of Health and Human Services (SCDHHS) Director Robby Kerr. b(Opening October 2025)/b/pp The MUSC Health Leatherman Pavilion features will include:/pulliA rapid access center to provide walk-in triage and assessment and offer transition to care. /lili Telepsychiatry services to strengthen access to psychiatric services throughout the region. /lili Sixteen adult and four adolescent beds for crisis services to rapidly stabilize patients. /lili Outpatient adult and pediatric behavioral health clinics. /liliA 63-bed inpatient psychiatric unit to treat patients needing more acute care, including the transfer of the 23 psychiatric hospital beds at the McLeod Behavioral Health Center in Darlington to the new facility. /li/ulp The behavioral health center develops individualized treatment plans. Services and treatments include:/ppb Services/b/pulli Mental Health Services/lili Addiction Services/lili Therapy/li/ulpbr/bAbout Florence, SC: “/bspan Florence, South Carolina, is a city that blends a fascinating history with a vibrant present. From its humble beginnings as a railroad town to its thriving arts scene and diverse economy, Florence has become a destination that offers something for everyone. Whether you're interested in history, culture, or outdoor activities, Florence is sure to captivate your heart and leave you wanting to explore more. ” (quote from hollymelody. com). For more information, please visit /spana href="************ flochamber. com/about-flo/#:~:text=Welcome%20to%20Florence%2C%20South%20Carolina%2C%20the%20heart%20of,of%20industry%2C%20healthcare%2C%20education%2C%20retail%2C%20culture%20and%20recreation. " target="_blank"About Florence - Greater Florence Chamber of Commerce (flochamber. com)/a/ppbr/bBenefits/bbr/MUSC is a state facility, therefore our full-time positions come with the option of the State of South Carolina health and retirement benefits. /pp style="text-align:inherit"/pp style="text-align:left"spani If you like working with energetic enthusiastic individuals, you will enjoy your career with us!/i/span/pp style="text-align:inherit"/pp style="text-align:left"span The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. /span/pp style="text-align:inherit"/pp style="text-align:left"span Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: /span a href="*********** uscis. gov/e-verify/employees" target="_blank"spanspanspanspanspanspanspan class="WKN2"*********** uscis. gov/e-verify/employees/span/span/span/span/span/span/span/a/p/div
    $50k-74k yearly est. 18d ago
  • Ambulatory Registered Nurse (Remote) - Pediatricare General - FT - Day

    Stormont Vail Health 4.6company rating

    Remote Emergency Room Nurse Job

    Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt Provides professional nursing care for clinic patients following established standard and practices. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Education Qualifications Bachelor's Degree Bachelor's of Science in Nursing (BSN) Preferred Experience Qualifications 1 year Nursing experience. Preferred Skills and Abilities Skill in applying and modifying the principles, methods and techniques of professional nursing to provide on-going patient care. Skill in establishing and maintaining effective working relationships with patients, medical staff and the public. Ability to maintain quality control standards. Ability to react calmly and effectively in emergency situations. Licenses and Certifications Registered Nurse - KSBN Required What you will do Triage of all incoming phone calls by evaluating the physical and psychosocial health status of patients. Follows nursing protocols and guidelines for answering and directing calls. Record and reports patient's condition and reaction to drugs and treatments to interdisciplinary team. Provide instruction to patients/family regarding treatment. Maintains and reviews patient records, charts, and other pertinent information. Oversee appointment bookings and ensure preferences are given to patients in emergency situations. Arranges for patient testing and admissions. Refill prescribed medications per standing orders. Clarify medication orders and refills to pharmacies as directed by providers. Perform medication prior authorizations as needed by providing needed clinical information to insurance. Maintain timely flow of patient to include scheduling of follow up appointments if needed. Working of in-basket medication refill requests for providers. Provide education to patient and family on medications, treatments and procedures. Record and report patient's condition and reaction to drugs and treatments to interdisciplinary team, reviewing patient records and other pertinent information. Ensure patients receive appointments that align with triage disposition and that maintain timely flow of patients. Coordinate patient testing, referrals, and admissions Work collaboratively with on-site staff to provider coordinated patient care Required for All Jobs Performs other duties as assigned Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Patient Facing Options Position is Not Patient Facing Remote Work Guidelines Must have their primary residence within the state of Kansas, Nebraska, Missouri or Oklahoma. Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability Full-Time Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Rarely less than 1 hour Carrying: Rarely less than 1 hour Eye/Hand/Foot Coordination: Occasionally 1-3 Hours Feeling: Rarely less than 1 hour Grasping (Fine Motor): Occasionally 1-3 Hours Grasping (Gross Hand): Rarely less than 1 hour Handling: Rarely less than 1 hour Hearing: Occasionally 1-3 Hours Kneeling: Rarely less than 1 hour Sitting: Frequently 3-5 Hours Standing: Rarely less than 1 hour Stooping: Rarely less than 1 hour Talking: Frequently 3-5 Hours Walking: Rarely less than 1 hour Working Conditions Combative Patients: Rarely less than 1 hour Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Noise/Sounds: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
    $59k-73k yearly est. 2d ago
  • Part-Time RN Disease Management Nurse (Weekends Required)

    Virginpulse 4.1company rating

    Remote Emergency Room Nurse Job

    Now is the time to join us! We're Personify Health. We're the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future. Responsibilities Who are you? We are seeking Part - Time Disease Management Nurse RN to join our team on a part-time basis. As a Disease Management Nurse, you will telephonically coordinate wellness and disease management, with a primary focus on conditions such as diabetes, asthma, COPD, CAD, CHF, atrial fibrillation, hypertension, and hyperlipidemia but not limited to this list. In this role you will wear many hats, but your knowledge will be essential in the following: Contact targeted member for health promotion and restoration by the use of national care guidelines to compare patient's current level of care with industry standards. Use claims processing tools to review and research paid claim data to develop a clinical picture of a member's health; create an individual care plan for each patient; provide close follow-up with patients actively managed. Work with patients to ensure they have a primary care provider; assist in referrals to specialists if needed; assist in obtaining durable medical equipment, review pricing for high-cost drugs. Evaluate and make referrals for case management, prenatal program or pharmacology review as indicated. Document interventions and patient contact; maintain privacy of member's records and assist in providing quarterly reports to clients. Track groups of high-risk members and interventions to show overall health improvement within the organization. Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications What you bring to the Personify Health team: In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including: Graduation from an accredited RN program and possession of a current United States RN license. May require additional licensing as business needs change. Prior experience in case management, coordinating wellness programs, or an equivalent combination of education and experience. You also take pride in offering the following Core Skills, Competencies, and Characteristics: Strong written and verbal communication skills Proficient in Microsoft Excel, Word, PowerPoint and Outlook Demonstrate ability to work independently with excellent judgment Excellent interpersonal and communication skills including able to give presentations to groups and individuals as needed. Good time management skills, highly organized. No candidate will meet every single desired qualification. If your experience looks a little different from what we've identified and you think you can bring value to the role, we'd love to learn more about you! Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $31.00 to $38.00 per hour. Note that compensation may vary based on location, skills, and experience. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth #TPA #HPA #Selffunded Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to **************************. All of our legitimate openings can be found on the Personify Health Career Site. Application Deadline: Open until position is filled.
    $31-38 hourly 1d ago
  • Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)

    Corrohealth

    Remote Emergency Room Nurse Job

    About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: This will be a generic IC profile for any clinician that is contracted to work with Corro. ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Status - Independent Contractor (Part-Time/Flexible) (20 hours per week min.) **Must complete and pass a technical and inpt clinical assessment. (link to be sent) ** JOB SUMMARY: As a Denial Management Appeals Clinician, you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor. You will perform retrospective clinical case reviews and draft appeals that focus on establishing the Medical Necessity of the services performed, both Inpatient and Outpatient. Essential Duties and Responsibilities: Performs retrospective medical necessity reviews to determine appeal eligibility of clinical disputes/denials. Constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate medical necessity criteria and other pertinent clinical facts. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization. Demonstrates ability to critically think, problem solve and make independent decisions supporting the clinical appeal process. Minimum Qualifications & Competencies: RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. Minimum of 5 years recent acute-care hospital experience, preferred. Minimum of 2 years Utilization Review / Case Management experience within the last 5 years. Managed care payor experience a plus in either Utilization Review, Case Management or Appeals. Must have excellent attention to detail, written communication skills and be computer proficient. Work will be assigned on an as-needed basis. It will consistent and weekly for the next several months at least. As such, Consultant will receive a queue assignment/ report a) on Tuesday each week with a due date of the end of the business day the following Thursday and b) on Friday each week with due date of the end of the business day the following Monday. Consultant must provide a minimum of 20 hours per week and not exceed 40 hours per week unless approved by manager. Consultant shall be paid monthly as follows: Training: $45 an hour Meetings: $45 an hour for meetings attended (prorated for actual time spent) Written Appeals: $45 / completed written Inpatient appeal letter, $25 / completed written Outpatient appeal letter PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
    $45 hourly 21d ago
  • Onsite Virtual RN - Part Time - Nights

    Regional Health Services of Howard County 4.7company rating

    Remote Emergency Room Nurse Job

    Employment Type: Part Time Shift: Nights, 7pm - 7:30am The licensed Registered Nurse (RN) plans & provides professional nursing services & standards of practice in accordance with level of experience & education, state board of nursing & established policies & procedures. The RN integrates the art, science, leadership & knowledge of the nursing clinical practice through relationship-centered, compassionate, ethical & respectful direct / indirect care. What you will Do: * The Virtual Registered Nurse (RN) is a member of the Nursing Care Team and is responsible for collaboration, communication & facilitation of optimal provision of care through a computerized &/or digital platform supporting daily management of care. * Responsible for the assessment, planning, implementation, coordination, monitoring & evaluation of the patient's plan of care from admission to discharge. * Utilizes clinical knowledge, critical thinking skills & the principles of case management & adult education to coordinate, implement & support the plan of care. * Ensures a seamless, effective, efficient transition of care across the continuum. * Responsible for monitoring quality metrics specific to the department & ensuring complete & accurate documentation in the patient record. * Performs the roles: 1) mentor; 2) clinician; 3) educator; 4) consultant/collaborator; and 5) navigator. Hours/Schedule: Part Time, 48hrs in pay period, 7pm - 7:30am Minimum Qualifications: * Graduation from an accredited professional school of nursing. * Valid RN licensure authorized in the applicable state(s) of practice/employment. * Baccalaureate Degree in the Science of Nursing (BSN) degree from an accredited school of nursing. Specialty credentialing & educational degree according to clinical nursing practice specialty area. * Valid driver's license where required by assignment. * Minimum eight (8) years of experience in health condition management, which must include adult condition management. Electronic Medical Record (EMR) experience. Position Highlights and Benefits: * MercyOne Nurses Rock Scholarship - loan repayment for ADN or BSN * Education Assistance offered * Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 16 hours per week or greater * Competitive wages; including weekend and night differentials * Generous paid time off program * Retirement Savings program with employer match starting on Day 1 Ministry/Facility Information: MercyOne North Iowa Medical Center provides expert health care to 15 counties. MercyOne North Iowa Medical Center is a 342 bed, regional referral teaching hospital in Mason City, Iowa. MercyOne New Hampton Medical Center is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000. With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, MercyOne North Iowa Medical Center is the largest employer in the region. MercyOne Medical Group - North Iowa is part of Iowa's largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics. Legal Information All offers are contingent upon the successful completion of references, background checks, pre-employment physical, drug screen and post offer exam. EEO Employer F/M/Veteran/Disabled In compliance with the ADA Amendments Act (ADAAA), VEVRAA, and Section 503, should you have a disability and would like to request an accommodation in order to apply for a currently open position with MercyOne North Iowa Medical Center, please call Human Resources at ************** or email us at ********************************* Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
    $43k-63k yearly est. Easy Apply 60d+ ago
  • PHYSICAL THERAPY (Houston)

    Tri-Flexsi Home Health Care

    Remote Emergency Room Nurse Job

    Tri-FLEXSI Home Health Care, Inc. is seeking a dedicated and highly skilled Physical Therapist to join our team in Houston, TX. As a Contractor Healthcare / Medical professional, you will work in a remote setting to provide high-quality physical therapy services to our diverse patient population. This is a fast-paced and dynamic position that offers the opportunity to make a positive impact in the lives of our patients. Responsibilities: - Conduct thorough assessments of patients' physical abilities and limitations - Develop personalized treatment plans based on patients' conditions and goals - Utilize evidence-based practices to provide quality physical therapy services - Monitor and document patients' progress throughout the course of treatment - Collaborate with other healthcare professionals to ensure holistic care for patients - Educate patients and their families on techniques for injury prevention and self-care - Adhere to company policies, procedures, and ethical standards - Keep abreast of industry developments and advancements in physical therapy Requirements: - Current license to practice as a Physical Therapist in the state of Texas - Minimum of 2 years of experience in a clinical or home health setting - Strong communication and interpersonal skills - Ability to work independently and manage a caseload effectively - Strong clinical evaluation and treatment skills - Proficient in computer and electronic medical record documentation - Must have access to a reliable computer and internet connection for remote work - Bilingual abilities (English/Spanish) are a plus EEOC Statement: Tri-FLEXSI Home Health Care, Inc. is an equal opportunity employer and does not discriminate on the basis of race, color, religion, gender, national origin, age, disability, or any other legally protected status. We are committed to creating a diverse and inclusive workplace for all employees and promote a culture of respect, integrity, and equality.
    $24k-39k yearly est. 5d ago

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