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Utilization Review Registered Nurse
Remote
locations
US – Remote (Any location)
time type
Full time
job requisition id
7613
Job Family:
Clinical Appeals Nurse
Travel Required:
None
Clearance Required:
None
What You Will Do:
The Remote Utilization Management Nurse – is accountable for performing initial, concurrent, and/or post-service review activities; discharge care coordination; and assisting with efficiency and quality assurance of medical necessity reviews in alignment with federal, state, plan, and accreditation standards. Serves as a liaison between providers/facilities. This position is 100% remote. Some evening/weekends/holidays required.
General Functions:
<ul>
<li>Experience and knowledge of clinical guidelines/criteria and the accurate application during a clinical review. Maintains objectivity in decision making by utilizing facts to support decisions.</li>
<li>Supports the care management model as a working partner with providers, facilities, care managers, social workers, pharmacists, and other professional staff.</li>
<li>Able to adhere to communicated utilization management productivity metrics, including call volume and reviews.</li>
<li>Able to adhere to quality standards for utilization management per policy, including appropriate documentation in alignment with guidelines, strict adherence to turn around time, identification of deviations from the progression of care, initiation of a discharge plan, and communication of barriers to other team members.</li>
<li>Demonstrates a solid understanding of managed care trends, payer regulations, reimbursement, and the effect on utilization and outcomes of the different methods of reimbursement.</li>
<li>Demonstrates participation in multi-disciplinary team rounds if designated to cover a facility designed to address utilization/resource and progression of care issues. Assists in developing and implementing an improvement plan to address issues.</li>
<li>Implements a discharge plan to prevent avoidable days or delays in discharge.</li>
<li>Transition individuals to next level of care in coordination with facility Discharge Planner.</li>
<li>Identify and refer complex risk members to care management.</li>
<li>Completes documentation in a timely, complete, and accurate manner in accordance with client benefits, guidelines, and regulatory requirements.</li>
<li>Identify documents and refer cases to the Physician Advisor for medical review when services do not meet medical necessity criteria, the appropriate level of care, and/or potential quality issues.</li>
<li>Utilizes resources efficiently and effectively.</li>
<li>Must be proficient in various word processing, spreadsheet, graphics, and database programs, including Microsoft Word, Excel, PowerPoint, Outlook, etc.</li>
<li>Other duties as assigned.</li>
</ul>
What You Will Need: 
<ul>
<li>Graduate of an accredited school of nursing, RN.</li>
<li>Current Registered Nurse license in the state of hire.</li>
<li>Minimum of 3 years clinical experience. 
Minimum of 2 years Utilization Management experience.</li>
<li>Clinical Denials Experience required</li>
<li>Attention to detail, strong organizational skills and self-motivated.</li>
<li>Ability to independently &amp; accurately make decisions and assimilate multiple data sources or issues related to problem solving.</li>
<li>Ability to work under a timeline/deadline &amp; provide clear &amp; accurate updates to project leader of assignment progress, hours worked &amp; expected outcomes daily.</li>
<li>Familiarity with medical records assembly &amp; clinical terminology, coding terminology additionally beneficial.</li>
<li>Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service.</li>
</ul>
Nice To have:
<ul>
<li>Bachelor’s or master’s degree in Nursing.</li>
<li>Health plan based utilization review.</li>
<li>California Nursing License</li>
</ul>
The annual salary range for this position is $73,600.00-$110,500.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
<ul>
<li>Medical, Rx, Dental &amp; Vision Insurance</li>
<li>Personal and Family Sick Time &amp; Company Paid Holidays</li>
<li>Position may be eligible for a discretionary variable incentive bonus</li>
<li>Parental Leave</li>
<li>401(k) Retirement Plan</li>
<li>Basic Life &amp; Supplemental Life</li>
<li>Health Savings Account, Dental/Vision &amp; Dependent Care Flexible Spending Accounts</li>
<li>Short-Term &amp; Long-Term Disability</li>
<li>Tuition Reimbursement, Personal Development &amp; Learning Opportunities</li>
<li>Skills Development &amp; Certifications</li>
<li>Employee Referral Program</li>
<li>Corporate Sponsored Events &amp; Community Outreach</li>
<li>Emergency Back-Up Childcare Program</li>
</ul>
About Guidehouse 
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Utilization Review Registered Nurse at Guidehouse

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Staff Registered Nurse
Remote
Wheel is the health tech company powering the next generation of healthcare. The entire healthcare industry is racing to serve patients online, but outdated business models, technologies, and mindsets are continuing to get in the way. We pioneered a new way for companies to build and scale virtual care.
Instead of starting from scratch, companies can leverage Wheel’s virtual care platform and nationwide clinician network to develop a virtual care service — bypassing the 15 months and $15 million it can take to build from the ground up. Today, Wheel powers the most innovative companies in healthcare today, including digital health companies, clinical lab networks, retailers, traditional healthcare providers, and tech companies.
We’re a team of experts and innovators working together to solve some of healthcare’s most challenging problems in order to put great care within everyone’s reach. We’ve raised $216 million in funding and backed by top investors including Lightspeed Venture Partners, Tiger Global, Coatue, CRV, Tusk Ventures, Salesforce Ventures, and Silverton Partners.
In the last year we’re proud to have been named:
<ul>
<li>Forbes Next Billion Dollar Startups</li>
<li>Built In’s Best Remote-First Places to Work</li>
<li>CB Insights Digital Health 150</li>
<li>Business Insider 30 Leaders under 40 Changing Healthcare</li>
</ul>
We’re looking for people to join our team who share a passion for making a positive difference in healthcare and feel connected to our core values.
Position Summary
As a Staff RN and part of Wheel’s clinical operations team, you will play a key role in supporting our clinicians, clients, and patients through a variety of different ways. Your primary function is to provide clinical support to patients on multiple telehealth platforms. You will work closely with the clinical operations team to assist in the execution of quality improvement initiatives based on performance data and organizational goals. You will be supported by a cross-functional team, including clinicians, product managers, implementation managers, and engineers to ensure the highest quality of care is met across the entire Wheel team. You will serve as a leader for the Clinical Support RN team, orienting and mentoring the RN team, developing, implementing, and improving processes and workflows, and advocating for the work of the Clinical Support RN team across the organization.
The ideal candidate will have the unique combination of a strong clinical background as a Registered Nurse mixed with telehealth experience in clinical quality improvement and patient care support. We are looking for someone who exhibits strong communication skills, a growth mindset, equitable judgment, attention to detail, and a highly collaborative work style. This role requires a Registered Nurse who is tech savvy and can balance multiple applications simultaneously. Most importantly, this candidate must have the willingness to embrace change amongst a fast paced startup environment.
Responsibilities
<ul>
<li>
<ul>
<li>Support clinicians by completing prior authorizations, reporting communicable diseases to the public health department, monitoring and addressing labs, performing chart audits, and providing post-visit patient support.</li>
<li>Help deliver feedback to clinicians and clients in regards to clinical quality with recommended process improvements.</li>
<li>Contribute to the development of a clinical quality platform including but not limited to collaborating on the innovation of quality objectives, metrics, and principles.</li>
<li>Collaborate with the Product, Operations, and Medical Teams to help provide clinicians with the best in class care on industry-leading clinical guidelines, Webside Manner™, and telemedicine best practices.</li>
<li>Assist clinicians who reach out to our Support team by answering questions, solving technical issues, and working with clients to solve clinician problems. In addition, you will identify trends and common issues affecting clinicians and propose long term solutions to mitigate problems.</li>
</ul>
RN Qualities: 
<ul>
<li>Relationship-oriented: foster trust while balancing the best interests of our clinicians, our clients and their patients, and the entire Wheel team.</li>
<li>Quick learner: proactive self-starter that is excited to become an expert on both Wheel and the client, navigating rapidly evolving platforms and policies</li>
<li>Passionate about continuous quality improvement: comfortable with implementing the minimum viable clinical product, then iterating based on analysis of qualitative and quantitative data</li>
<li>Excellent communication skills: clear, respectful, and solution-focused communication</li>
<li>Leader: Consistently speaks up and provides useful input in group conversations + starts to help enable others to speak up</li>
</ul>
Qualifications
<ul>
<li>Active RN license (must have 35+ active state licensure) </li>
<li>5+ years of RN experience</li>
<li>2+ years telemedicine experience</li>
<li>1+ years of quality/performance improvement experience</li>
<li>Experience developing and implementing processes</li>
<li>1+ years Experience in a leadership role</li>
<li>Proficiency with common software applications and experience with multiple different EMR systems.</li>
<li>Strong interpersonal skills and the ability to effectively communicate across the organization</li>
<li>Must have advanced computer skills including typing speed, email, internet research, downloading and uploading files, and working in multiple browser windows</li>
</ul>
</li>
</ul>

Staff Registered Nurse at Wheel Health

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Registered Nurse Consultant (Hybrid/Remote Opportunity)
REMOTE
Alpharetta, Georgia, United States
Clinical Operations, Registered Nurses
Full time
Description
We are hiring NATIONWIDE (this posting shows the location as Atlanta but there are opportunities in various markets available)
The role is considered hybrid/remote. There will be opportunity to work remotely from home, based on the market you reside in, expectations to go onsite to practices locally will be determined by market. The distance to commute to a providers office could be up to 60 miles.
Are you an RN looking for a career opportunity in healthcare technology? Vatica Health is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to improve care coordination, quality metrics, and medical cost savings.
The ideal candidate has a track record of critical thinking strong attention to detail, expertise in navigating various electronic medical record (EMR) systems and building strong work relationships with providers and office staff. And of course, a GREAT PERSONALITY!
At this time Vatica Health does not require the COVID-19 vaccination. Please note this could change based on State and/or Federal guidelines or should you manage a practice that requires staff to be vaccinated.
Responsibilities
<ul>
<li>Create detailed and comprehensive patient medical records. Research and gather information from multiple sources and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from various sources.</li>
<li>Build strong relationships with providers and staff; ability to embed yourself in multiple practices and be a contributing and valuable member of each team</li>
<li>Become an expert in our technology, train and support providers and practice staff on process.</li>
<li>Follow-up: ability to persuade and persist with providers to meet deadlines.</li>
<li>Share best practices and clinical knowledge with your fellow Clinical Consultants</li>
</ul>
Requirements
<ul>
<li>Minimum of 3 years of recent clinical experience as a Registered Nurse (RN)- preferably in an acute care setting, critical care and/or ED</li>
<li>Proficient with Diagnosis, Billing, and Quality Measures Coding a plus a plus</li>
<li>Excellent interpersonal skills that include the ability to effectively communicate with physicians, advanced practice providers and medical office personnel such as Practice and Billing Manager, both verbally and written</li>
<li>Understanding of health insurance benefit structure; especially Medicare and Medicaid</li>
<li>Must be technically savvy; this is critical to the role. Understanding and interest in software and technology a must</li>
<li>Solid clinical skills</li>
<li>Flexible, energetic self-starter with the ability to work in a non-structured environment</li>
<li>Willingness to travel/commute to various locations for training and support; willingness/ability to work from home</li>
<li>Strong ability to organize, prioritize, make decisions and work independently</li>
<li>Must possess and have proven problem resolution skills</li>
<li>Excellent organizational skills with the ability to multi-task</li>
<li>Corporate acumen</li>
</ul>
Benefits
VATICA HEALTH ADVANTAGES
<ul>
<li>Every single person at Vatica Health is working to fight the good fight every single day. What we do matters, a lot. If you are looking for a job that has real meaning and you’d like to work with people who care deeply about what they do, we’ve got that.</li>
<li>We work hard (see point above), but we don’t forget to have fun. I want a job that is dull, said no one ever.</li>
<li>We believe in fostering a culture of servant leadership command and control is so 1990s. We look for brilliant people that are great at what they do because they love what they are doing.</li>
<li>We know that teams are exponentially more successful than the sum of their individuals. Our teams value what each member brings to the table and also values continuous improvement of each team member as well as the whole team.</li>
<li>We love learning. And we love working with people who love learning. Our industry changes every single day; stagnation is not an option.</li>
<li>And of course, we offer the usual goodies Medical / dental insurance, PTO, 401k match, and the like.</li>
</ul>
Prosperity
<ul>
<li>Competitive salary based on your experience and skills We believe the top talent deserves the top dollar</li>
<li>Bonus Potential (based on role and is discretionary) If you go above and beyond, you should be rewarded</li>
<li>401k match We want to empower you to prepare for your future</li>
<li>Room for growth and advancement- We love our employees and want to develop within</li>
</ul>
Good Health
<ul>
<li>Comprehensive Medical, Dental, and Vision insurance plans</li>
<li>Tax-free Dependent Care Account</li>
<li>Life insurance, short-term, and long-term disability</li>
</ul>
Happiness
<ul>
<li>4 weeks of PTO (Everyone deserves a vacation now and then)</li>
<li>M-F work week (No working weekends, overnights, on call shifts, or holidays) We believe family comes first!</li>
<li>Reimbursement for RN license and Continuing Education Credits</li>
<li>Strong supportive teams- There is always a helping hand when you need it!</li>
</ul>
Are you up to the challenge? What are you waiting for? Apply today!

Registered Nurse Consultant at Vatica Health

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Title: Health Services Registered Nurse
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Health Services Registered Nurse (New York license required)
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Work Location:
<ul>
<li>Fully Remote – U.S.</li>
</ul>
Position:
The Health Services RN position is in a Managed Services organization (does not reside on Client/Practice site). The RN telephonically assists and guides patients toward self-management and behavior modifications that result in improved patient outcomes. The RN is the primary point of contact, coordinating with schedulers, pharmacists, providers of medical and behavioral health care and social services. Success is measured in terms of improved patient outcomes, prevention of patient adverse events and unnecessary inpatient readmissions, satisfied customers, meeting, or exceeding quality measures, producing consistent and high-quality work and collaboration with other care team members. Our ideal candidate is an experienced nurse, able to perform tasks independently and once trained, without significant guidance.
Core Responsibilities:
Provides Nursing support for health service providers via phone in areas including but not necessarily limited to:
<ul>
<li>Telephonic nurse triage services</li>
<li>Provide education to patients, deploying best practices and standard workflow in their daily activities</li>
<li>Apply their expertise across the various areas of responsibility, understand how their interactions with patients affect customer satisfaction and can make recommendations to improve processes</li>
<li>Apply established protocols, criteria, and contract guidelines</li>
<li>Coordination of the team approach to management of patient care</li>
<li>Analyze, investigate, and resolve individual care quality, coordination of care, service and access issues</li>
<li>Contact patients and providers regarding clinical needs for continuity of care.</li>
</ul>
Requirements:
<ul>
<li>3+ years of relevant work experience, in related clinical, managed healthcare or healthcare setting</li>
<li>New York RN License required.</li>
</ul>
Preferred Qualifications:
<ul>
<li>Excellent understanding of health-service related processes relevant to assigned role and responsibilities</li>
<li>Strong analytical and interpersonal skills and ability to interact with senior level clients, and high level of computer literacy</li>
<li>Very good knowledge of healthcare, government, and insurance industry trends.</li>
</ul>
Working Conditions/Physical Requirements:
<ul>
<li>Office environment – work from home office</li>
<li>Solid internet connectivity.</li>
</ul>
Unique Benefits*:
<ul>
<li>Flexible work environments</li>
<li>Ready, Set, Grow Career Development Center &amp; access to Change Healthcare University for continuous professional learning &amp; development with more than 5,000 training assets</li>
<li>Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships</li>
<li>Employee wellbeing programs and generous health plans</li>
<li>Educational assistance programs</li>
<li>US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions</li>
<li>Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies</li>
</ul>

Health Services Registered Nurse at Change Healthcare

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Clinical CC I – RN
Work from Home, United States
req11167
We’re looking for colleagues who are ready to&nbsp;Think Big, Go Fast, Deliver Awe,&nbsp;and&nbsp;Win Together. These core values embody our diverse and inclusive culture and help us live out our mission of “getting people the care they need when they need it.” Over the last 30 years, our company has established itself as the market leader in managed care for the workers’ compensation industry. We are committed to making a positive impact in the lives of the injured workers we serve, and we have fun doing it.
Salary Range:&nbsp;19.04 – 28.56 Hourly 
Salary may vary based on location, years of experience, qualifications, and skill set.
Benefits Summary: 
In return for your commitment to our company’s mission, we offer a vast array of benefits to help support the whole you.
<ul>
<li>Opportunities to work from home</li>
<li>Competitive wages with opportunities to earn annual merit increases</li>
<li>Paid development hours to use for professional and community development!</li>
<li>Generous paid time off, 8 company holidays, and 2 floating holidays per year</li>
<li>$1,000 Colleague Referral Program</li>
<li>Enterprise Recognition Program rewarding colleagues for their extraordinary work</li>
<li>Exclusive discounts on travel, activities, and merchandise via work discount program</li>
<li>Colleague Assistance Program that provides free counseling and financial services</li>
<li>Tuition Reimbursement Program including certifications</li>
<li>Quantum Health: A healthcare navigation platform to help our colleagues make the best, most cost-effective healthcare decisions</li>
<li>Medical, dental, and vision insurance</li>
<li>Pre-Tax FSA and HSA health savings accounts</li>
<li>401(k) matching</li>
<li>Company paid life insurance</li>
<li>Company paid short term and long-term disability</li>
<li>Referral program</li>
<li>Healthcare concierge</li>
<li>The One Call Foundation which aims to help colleagues during unexpected emergencies, from car accidents to natural disasters.</li>
</ul>
<h3>JOB SUMMARY:</h3>
Provides support to the carrier in coordination of workers’ compensation patients until the case is closed by the carrier and/or discharged by the physician.
<h3>Clinical Care Coordinator I</h3>
Entry level role. Basic skills with moderate level of proficiency. Generally performs a high volume of basic inquires about One Call Care Management’s products and services by following standard scripts and procedures. Works under close supervision without latitude for independent judgment. Consults with senior peers and team leads on non-complex issues to learn through experience. Typically requires zero to one year of experience in a call center or customer service-related position in a service industry. Zero- 2 years of experience in the workers compensation industry. Associates will handle one service line or more and will become knowledgeable in these areas before moving into a level II role.
<h3>GENERAL DUTIES &amp; RESPONSIBILITIES:</h3>
· Manages the completion on any portion of process that Care Coordinator was unable to complete, if any.
· Facilitates flow of evaluation(s), orders, and progress notes from provider(s) to Nurse Case Manager or adjuster per One Call Care Management’s nursing department protocol.
· Reviews MD orders, initial assessments/evaluations and progress notes on patient, and communicates with provider and carrier per One Call Care Management’s Nursing department procedure to provide updates and ensure progress of patient.
· Locates provider(s) or contact established provider(s) to arrange additional service for current patient.
· Communicates with Nurse Case Manager/adjuster and/or provider to ensure appropriate physician orders are obtained and followed.
· Contacts Nurse Case Manager or Adjuster to obtain authorization for additional or continued service(s).
· Creates purchase order(s) per One Call Care Management’s nursing department procedure to authorize additional or continuation of service(s) to provider.
· Utilizes appropriate tracking tools, i.e. authorization logs, Outlook Calendar or Task function, to ensure follow-up on critical timelines as outlined in One Call Care Management’s nursing department procedures for obtaining evaluations/notes, tracking authorizations, and contacting carriers.
· Coordinates quality assurance issues or concerns involving patient care, retrieval of evaluations and/or notes, and authorization of services closely with assigned Quality Assurance nurse.
· Maintains thorough, up-to-date documentation on each patient in patient database.
· Closes file per One Call Care Management’s nursing department procedure once Nurse Case Manager or adjuster cease authorization or physician discharges from home care.
· Notifies appropriate One Call Care Management’s department(s) of referrals requiring their expertise.
· Assists in training new associates as requested by Nursing Department Training Leader.
· Performs special projects as assigned and prioritized by management.
<h3>EDUCATIONAL REQUIREMENTS:</h3>
Registered Nursing degree; (R.N., L.P.N., or M.A.) with a minimum of two (2) years of experience in acute setting, home care, or front and back medical office.
<h3>GENERAL KNOWLEDGE, SKILLS &amp; ABILITIES:</h3>
· Knowledge of the company’s products, services and business operations to enable resolution of customer inquiries
· Excellent customer service skills that build high levels of customer satisfaction
· Excellent verbal and written communication skills
· Computer navigation and operation skills
· Demonstrates effective people skills and sensitivities when dealing with others
· Ability to work both independently and in a team environment

Clinical Registered Nurse at One Call Care Management

Registered Nurse Consultant (Hybrid/Remote Opportunity)
REMOTE
Alpharetta, Georgia, United States
Clinical Operations, Registered Nurses
Full time
Description
We are hiring NATIONWIDE (this posting shows the location as Atlanta but there are opportunities in various markets available)
The role is considered hybrid/remote. There will be opportunity to work remotely from home, based on the market you reside in, expectations to go onsite to practices locally will be determined by market.&nbsp;The distance to commute to a providers office could be up to 60 miles.
Are you an RN looking for a career opportunity in healthcare technology? Vatica Health is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to improve care coordination, quality metrics, and medical cost savings.
The ideal candidate has a track record of critical thinking strong attention to detail, expertise in navigating various electronic medical record (EMR) systems and building strong work relationships with providers and office staff. And of course, a GREAT PERSONALITY!
At this time Vatica Health does not require the COVID-19 vaccination. Please note this could change based on State and/or Federal guidelines or should you manage a practice that requires staff to be vaccinated.
Responsibilities
<ul>
<li>Create detailed and comprehensive patient medical records. Research and gather information from multiple sources and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from various sources.</li>
<li>Build strong relationships with providers and staff; ability to embed yourself in multiple practices and be a contributing and valuable member of each team</li>
<li>Become an expert in our technology, train and support providers and practice staff on process.</li>
<li>Follow-up: ability to persuade and persist with providers to meet deadlines.</li>
<li>Share best practices and clinical knowledge with your fellow Clinical Consultants</li>
</ul>
Requirements
<ul>
<li>Minimum of 3 years of recent clinical experience as a Registered Nurse (RN)- preferably in an acute care setting, critical care and/or ED</li>
<li>Proficient with Diagnosis, Billing, and Quality Measures Coding a plus a plus</li>
<li>Excellent interpersonal skills that include the ability to effectively communicate with physicians, advanced practice providers and medical office personnel such as Practice and Billing Manager, both verbally and written</li>
<li>Understanding of health insurance benefit structure; especially Medicare and Medicaid</li>
<li>Must be technically savvy; this is critical to the role. Understanding and interest in software and technology a must</li>
<li>Solid clinical skills</li>
<li>Flexible, energetic self-starter with the ability to work in a non-structured environment</li>
<li>Willingness to travel/commute to various locations for training and support; willingness/ability to work from home</li>
<li>Strong ability to organize, prioritize, make decisions and work independently</li>
<li>Must possess and have proven problem resolution skills</li>
<li>Excellent organizational skills with the ability to multi-task</li>
<li>Corporate acumen</li>
</ul>
Benefits
VATICA HEALTH ADVANTAGES
<ul>
<li>Every single person at Vatica Health is working to fight the good fight every single day. What we do matters, a lot. If you are looking for a job that has real meaning and you’d like to work with people who care deeply about what they do, we’ve got that.</li>
<li>We work hard (see point above), but we don’t forget to have fun. I want a job that is dull, said no one ever.</li>
<li>We believe in fostering a culture of servant leadership command and control is so 1990s. We look for brilliant people that are great at what they do because they love what they are doing.</li>
<li>We know that teams are exponentially more successful than the sum of their individuals. Our teams value what each member brings to the table and also values continuous improvement of each team member as well as the whole team.</li>
<li>We love learning. And we love working with people who love learning. Our industry changes every single day; stagnation is not an option.</li>
<li>And of course, we offer the usual goodies Medical / dental insurance, PTO, 401k match, and the like.</li>
</ul>
Prosperity
<ul>
<li>Competitive salary based on your experience and skills We believe the top talent deserves the top dollar</li>
<li>Bonus Potential (based on role and is discretionary) If you go above and beyond, you should be rewarded</li>
<li>401k match We want to empower you to prepare for your future</li>
<li>Room for growth and advancement- We love our employees and want to develop within</li>
</ul>
Good Health
<ul>
<li>Comprehensive Medical, Dental, and Vision insurance plans</li>
<li>Tax-free Dependent Care Account</li>
<li>Life insurance, short-term, and long-term disability</li>
</ul>
Happiness
<ul>
<li>4 weeks of PTO (Everyone deserves a vacation now and then)</li>
<li>M-F work week (No working weekends, overnights, on call shifts, or holidays) We believe family comes first!</li>
<li>Reimbursement for RN license and Continuing Education Credits</li>
<li>Strong supportive teams- There is always a helping hand when you need it!</li>
</ul>
Are&nbsp;you&nbsp;up&nbsp;to&nbsp;the&nbsp;challenge?&nbsp;What&nbsp;are&nbsp;you&nbsp;waiting&nbsp;for?&nbsp;Apply&nbsp;today!

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amyris-150x150

Registered Nurse Customer Care Specialist – Temporary (3145)
REMOTE, USA&nbsp;
ECOMMERCE CUSTOMER CARE
CONTRACTOR
At Amyris, we value that everyone’s career journey is unique and authentic to who they are. If this role excites you, we encourage you to apply and grow alongside us! You may be just the right candidate for this or other open roles.
About Amyris
Amyris (Nasdaq: AMRS) is a leading synthetic biotechnology company, transitioning the Clean Health &amp; Beauty and Flavors &amp; Fragrances markets to sustainable ingredients through fermentation and the company’s proprietary Lab-to-Market technology platform. This Amyris platform leverages state-of-the-art machine learning, robotics, and artificial intelligence, enabling the company to rapidly bring innovation to market at commercial scale. Amyris ingredients are included in over 20,000 products from the world’s top brands, reaching more than 300 million consumers. Amyris also owns and operates a family of consumer brands that is constantly evolving to meet the growing demand for sustainable, effective, and accessible products.
The&nbsp;temporary&nbsp;Registered Nurse Customer Care Specialist will have an RN certification with experience in OBGYN and/or endocrinologist fields who will be responsible for answering questions related to drug interactions and supplements as well as the ability to understand evidence-based medicine and physiology. In addition, they will be able to discuss a customer’s lifestyle and provide educated guidance on nutrition and exercise. The temporary Registered Nurse Customer Care Specialist is responsible for helping customers learn about MenoLabs products and help coach customers on finding the right menopause supplements and possible lifestyle changes that will help them through the transition of menopause. The successful candidate will be experienced, reliable, with a research-mentality, fully remote digital environment savvy, interested in speed and accuracy while being compassionate and attentive to customer needs. The temporary Registered Nurse Customer Care Specialist role can be based remotely.
<h3>Responsibilities:</h3>
<ul>
<li>
<ul>
<li>Offer licensed expertise in menopause, health and wellness, nutrition coaching, meditation, and life coaching.</li>
<li>Technically savvy to manage over 10 Customer Care cloud platforms and juggle high customer volume while maintaining a calm and professional composure with constant on air presence</li>
<li>Self-starter and reliable for independent productive remote work</li>
<li>Effectively provide verbal and written communication across phone, email, and social media channels</li>
<li>Offer customer solutions to escalated situations through due diligence and critical thinking</li>
<li>We partner with eComm, BisOps, Social Media, Product Development, Quality, and Digital teams, Marketing and Email Marketing on curated customer feedback and trends to support an improved customer experience.</li>
<li>Identify key trends from customer feedback on promos, products, packaging, shipping, and processes</li>
<li>Regularly communicate issues and trends in MS Teams</li>
<li>Attend all team meetings, training courses and partner eComm meetings</li>
<li>Stayup to date on allnew product launches,product promos, and marketing channel activations</li>
<li>Deep understanding and embracement of the MenoLabs brand, products, and brand stories – we believe that you cannot genuinely represent a brand that you do not have a strong passion for.</li>
<li>Position requires a flexible work schedule to include weekends, holidays and observe black out holiday peak periods</li>
</ul>
</li>
</ul>
<h3>Required Qualifications:</h3>
<ul>
<li>
<ul>
<li>Key Role Requirement: U.S. based role for technically savvy and fully remote capable candidates</li>
<li>5+ years of nursing experience in women’s health, obstetrician-gynecology and/or endocrinology fields</li>
<li>Bachelor’s Degree in Nursing or related field of study</li>
<li>Demonstrated ability to excel in a digitally native environment</li>
<li>Technical experience in MS Teams, Slack, monday.com, and cloud platforms such as ZenDesk, Shopify, Bold, Returnly, review generation on multiple platforms including google reviews, Google Sheets, Google Docs</li>
</ul>
</li>
</ul>
<h3>Desired Qualifications:</h3>
<ul>
<li>
<ul>
<li>Active listening skills and knowledge of 7C’s of Communication style</li>
<li>Ability to adapt to change, meeting the changing demands of the work</li>
<li>Punctuality and dependability in schedules and commitments</li>
<li>Attention to detail</li>
</ul>
</li>
</ul>
We hold deep regard in the power of representation and cultivation of a diverse work environment. Join us at Amyris, where you can find a sense of belonging and know that your voice is centered.
At Amyris, we believe that diversity, equity, inclusion, and belonging (DEIB) is essential to our core values. We embrace and encourage an equity-minded work culture, knowing that it is the driving force of innovation that positively impacts our employees, consumers, and communities. And for Amyris, a sense of belonging is what drives our mission forward and is the foundation of everything we do, ensuring a healthier, more sustainable future for us all.&nbsp;Make Good, No Compromise.
Amyris (Nasdaq: AMRS) is a leading synthetic biotechnology company, transitioning the Clean Health &amp; Beauty and Flavors &amp; Fragrances markets to sustainable ingredients through fermentation and the company’s proprietary Lab-to-Market technology platform. This Amyris platform leverages state-of-the-art machine learning, robotics and artificial intelligence, enabling the company to rapidly bring new innovation to market at commercial scale. Amyris ingredients are included in over 20,000 products from the world’s top brands, reaching more than 300 million consumers. Amyris also owns and operates a family of consumer brands that is constantly evolving to meet the growing demand for sustainable, effective and accessible products.
Amyris, the Amyris logo, No Compromise, Biossance, JVN, Pipette, Purecane, Rose Inc. and Lab-to-Market, Terasana are trademarks or registered trademarks of Amyris, Inc. in the U.S. and/or other countries.
Under the&nbsp;California Consumer Privacy Act of 2018 (CCPA), Amyris is required to inform California residents who are our job applicants (Applicants) about the personal information we collect about you when you apply to a job on this site.
As an Applicant, you have the right to know and understand the categories of personal information we collect about you, and the purposes for which the categories of personal information shall be used, pursuant to the CCPA.
As a VEVRAA Federal Contractor, Amyris is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Amyris complies with applicable state and local laws governing nondiscrimination in employment.
If you are a recruiter or placement agency, please do not submit resumes to any person or email address at Amyris, Inc. prior to having a signed agreement. Amyris is not liable for and will not pay placement fees for candidates submitted by any agency other than its approved recruitment partners. Furthermore, any resumes sent to us without an agreement in place will be considered your company’s gift to Amyris and may be forwarded to our recruiters for their attention.

Registered Nurse Customer Care Specialist at Amyris

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Title:&nbsp;Telemedicine Registered Nurse (Remote) – Nights/Weekends
Location:&nbsp;Remote
Please note: An NLC Compact License is required for this position.
Are you looking for an innovative primary care practice model that uses technology and healthcare data to empower patients to take greater ownership and accountability over their healthcare? At Forward, we believe that the future of medicine combines the best attributes of healthcare professionals with the efficiency and grace of innovative technology.
We are looking for a motivated Registered Nurse who thrives in delivering care in an innovative tech environment. You will support our members via telemedicine, working alongside highly acclaimed, board certified physicians. This is an ideal opportunity for those seeking a flexible opportunity to deliver primary care via telemedicine.
WHAT YOU’LL DO:
<ul>
<li>Remotely triage patients via our online chat-based platform</li>
<li>Recommend suitable treatment plans and consider cost-effective treatment modalities, within your scope of practice</li>
<li>Assist in care coordination to ensure our members are cared for in a timely manner</li>
<li>Provide relevant medical and wellness education within your scope of practice</li>
<li>Act as a resource for the broader care team within your scope of practice</li>
<li>Create draft orders for NPs and doctors to review and approve as appropriate</li>
<li>Foster loyalty among our members by contributing to the overall Forward experience</li>
</ul>
WHAT WE’RE LOOKING FOR:
<ul>
<li>An RN (BSN required) with an NLC Compact License AND 2+ years of experience</li>
<li>Overnight and weekend shifts only.&nbsp;If you are interested in working weekday hours, please refer to this job posting instead.</li>
<li>Available and eligible for licensure in all 50 states. We will provide assistance to get you licensed in states outside of your home state, if necessary.</li>
<li>Motivated by Forward’s mission to make preventive care a bigger part of patient lives, and you enjoy practicing in telemedicine care environments</li>
<li>Hardworking and detail-oriented, with the ability to problem solve, reaching out for help / support on patient cases, as needed</li>
<li>A caring, compassionate individual who enjoys helping others and providing a positive care experience in a telemedicine platform.</li>
<li>Looking to work 25+ hours per week</li>
<li>Flexible with your availability and interested in working in a telemedicine environment with frequent change / product improvements</li>
<li>Someone with advanced computer skills including typing speed, email, internet research, downloading and uploading files, and working in multiple browser windows. You should be extremely comfortable using new technology and software.</li>
</ul>
Additional Details
TECHNICAL REQUIREMENTS
Internet: You must have wired or wifi connectivity, with download speed minimum of 5.0 Mbps and upload speed minimum of 3.0 Mbps
Mobile device: You will need to install a few programs on a personal phone or tablet for authentication purposes. This device should be running Android iOS 8+ or iOS 12+
Computer: You need to provide your own laptop or desktop with a monitor capable of displaying 1920 x 1080 pixels, and a sound card installed for use with speakers or headphones. Your device should meet the following requirements:
Processor
ChromeOS: Intel Pentium
Non-ChromeOS: Apple M1, Intel i3, AMD Ryzen, or better
Memory
ChromeOS: 4GB of RAM or better
Non-ChromeOS: 6 GB of RAM or better
Operating System
ChromeOS: no minimum
MacOS
Windows 10 or better
Browser
Google Chrome (latest version), Safari (latest version), or Internet Explorer 11
Please let us know during the interview process if you have concerns with any of these requirements.

Telemedicine Registered Nurse – Nights, Weekends at Forward Healthcare

Title:&nbsp;Telemedicine Registered Nurse (Remote)
Location:&nbsp;United States
Please note: An NLC Compact License is required for this position.
Are you looking for an innovative primary care practice model that uses technology and healthcare data to empower patients to take greater ownership and accountability over their healthcare? At Forward, we believe that the future of medicine combines the best attributes of healthcare professionals with the efficiency and grace of innovative technology.
We are looking for a motivated Registered Nurse who thrives in delivering care in an innovative tech environment. You will support our members via telemedicine, working alongside highly acclaimed, board certified physicians. This is an ideal opportunity for those seeking a flexible opportunity to deliver primary care via telemedicine.
WHAT YOU’LL DO:
<ul>
<li>Remotely triage patients via our online chat-based platform</li>
<li>Recommend suitable treatment plans and consider cost-effective treatment modalities, within your scope of practice</li>
<li>Assist in care coordination to ensure our members are cared for in a timely manner</li>
<li>Provide relevant medical and wellness education within your scope of practice</li>
<li>Act as a resource for the broader care team within your scope of practice</li>
<li>Create draft orders for NPs and doctors to review and approve as appropriate</li>
<li>Foster loyalty among our members by contributing to the overall Forward experience</li>
</ul>
WHAT WE’RE LOOKING FOR:
<ul>
<li>An RN (BSN required) with an NLC Compact License AND 2+ years of experience.</li>
<li>Available and eligible for licensure in all 50 states. We will provide assistance to get you licensed in the states in which you will practice.</li>
<li>Motivated by Forward’s mission to make preventive care a bigger part of patient lives, and you enjoy practicing in telemedicine care environments.</li>
<li>Hardworking and detail-oriented, with the ability to problem solve, reaching out for help / support on patient cases, as needed.</li>
<li>A caring, compassionate individual who enjoys helping others and providing a positive care experience in a telemedicine platform.</li>
<li>Looking to work 20+ hours per week.</li>
<li>Flexible with your availability and interested in working in a telemedicine environment with frequent change / product improvements.</li>
<li>Someone with advanced computer skills including typing speed, email, internet research, downloading and uploading files, and working in multiple browser windows. You should be extremely comfortable using new technology and software.</li>
</ul>
Additional Details
TECHNICAL REQUIREMENTS
Internet: You must have wired or wifi connectivity, with download speed minimum of 5.0 Mbps and upload speed minimum of 3.0 Mbps
Mobile device: You will need to install a few programs on a personal phone or tablet for authentication purposes. This device should be running Android iOS 8+ or iOS 12+
Computer: You need to provide your own laptop or desktop with a monitor capable of displaying 1920 x 1080 pixels, and a sound card installed for use with speakers or headphones. Your device should meet the following requirements:
Processor
ChromeOS: Intel Pentium
Non-ChromeOS: Apple M1, Intel i3, AMD Ryzen, or better
Memory
ChromeOS: 4GB of RAM or better
Non-ChromeOS: 6 GB of RAM or better
Operating System
ChromeOS: no minimum
MacOS
Windows 10 or better
Browser
Google Chrome (latest version), Safari (latest version), or Internet Explorer 11
Please let us know during the interview process if you have concerns with any of these requirements.

Telemedicine Registered Nurse at Forward Healthcare

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RN Case Manager – Remote
Remote
The Role:
We are looking for passionate and experienced RNs to provide clinical oversight and direction to our Field Providers and Case Management Teams to ensure quality care for our longitudinal populations.
The Company:
At MedArrive our mission is to improve lives by bringing more humanity to healthcare.
MedArrive enables healthcare providers to seamlessly extend care services into the home, unlocking access to high-quality healthcare for more people at a fraction of the cost. MedArrive’s care management platform allows providers and payers to bridge the virtual care gap, integrating physician-led telemedicine with in-person care from EMS professionals. Patients can access trusted medical expertise from their homes’ comfort and safety without interruption to the continuity of care, ultimately resulting in better patient outcomes, a better-utilized healthcare workforce, and significant cost savings for patients and providers alike. MedArrive has more than 50k highly-skilled EMS providers in its national network, and services span dozens of clinical use cases, including urgent care, complex condition monitoring, and medication administration.
This is a 100% remote role that can be based anywhere in the United States or its territories.&nbsp;Preference will be given to candidates who maintain, demonstrably strong connections in the Texas healthcare market.
Responsibilities:
<ul>
<li>Provide oversight through chart review to ensure quality, holistic care</li>
<li>Collaborate with Clinical Team and provide triage to prioritize interventions</li>
<li>Daily Monitoring of patient panel to provide feedback to team to make certain performance meets competency metrics while delivering compassionate care</li>
<li>Identify gaps in resources and solutions to address these gaps</li>
<li>Present the data obtained for discussion with cross functional teams</li>
<li>Strategize to improve care delivery model and streamline workflows</li>
<li>Identify opportunities for expansion of our Care Programs to present to our Demand Partners</li>
<li>Work as a collaborative partner to our Demand Partners</li>
<li>Synthesize reporting to our Sr. Director of Population Health to inform on both clinical and SDoH dirven needs of patient panel</li>
<li>Assist with the Development of our Care Delivery Policies and Procedures</li>
</ul>
Minimum Requirements
<ul>
<li>Registered Nurse</li>
<li>3 – 5 years’ Clinical Experience</li>
<li>Must have an Current Unrestricted License to Practice as a Registered Nurse</li>
<li>Ability to communicate and interact with Senior Leadership and external executive audiences.</li>
<li>Excellent written, oral, and interpersonal skills.</li>
<li>In-depth knowledge of current standard of medical practice</li>
</ul>
Preferred Requirements
<ul>
<li>Texas licensure</li>
<li>Certified Case Manager (CCM)</li>
<li>BSN</li>
<li>Discharge Planning Experience</li>
<li>Home Health Care Coordination Experience</li>
</ul>
Skills &amp; Abilities
<ul>
<li>Energy and enthusiasm consistent with working for a startup; ability to self-teach in order to problem solve, takes initiative.</li>
<li>Strong critical thinking, creative problem solving, judgment, and client management skills.</li>
<li>Ability to maintain confidentiality, tact, and diplomacy.</li>
<li>Ability to incorporate feedback from daily operations to improve the care program model.</li>
<li>Ability to critically analyze and synthesize the data received from patient panel to improve the care we deliver and present to cross functional teams</li>
<li>Ability to work strategically while implementing our care programs in real time</li>
</ul>
This is a 100% remote role that can be based anywhere in the United States or its territories.&nbsp;Preference will be given to candidates who maintain, demonstrably strong connections in the Texas healthcare market.
*At MedArrive we believe in the value of diverse experiences. If you think you meet some of the qualifications, but don’t necessarily check every box in the job description, we encourage you to still apply. Your experience matters.
**At MedArrive we take multiple data points into consideration when calculating our opening base salary offers. While every effort is made to extend an equitable offer the first time, every time, we know that as humans we have the potential to fall short. Studies show that women and underrepresented people are less likely to negotiate their compensation. We encourage all applicants to feel comfortable articulating their unique value during salary negotiating conversations, every time.

Registered Nurse Case Manager at MedArrive

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Digital Registered Nurse
ABOUT US
Traditional health care is broken. Galileo is here to fix it. We’re a rapidly growing health startup that combines intuitive design and clinical expertise to deliver affordable, quality care for all.
Founded by Thomas Lee, MD, the physician entrepreneur behind One Medical and Epocrates, Galileo’s innovative, value-based digital and delivery systems revolve around peoplebringing better doctors and treatment to them, whoever they are and wherever they live.
At Galileo, we’re dedicated to flipping the traditional health care model and implementing a modern solution. Our empathetic, mission-driven vision celebrates creative problem-solving, and moves quickly to build great products. Our teamwork hinges on seamless collaboration. We believe in a hybrid, flexible working environment and have team members across the U.S. and Europe.
ABOUT THE ROLE
Galileo is looking for culturally sensitive&nbsp;Registered Nurses&nbsp;to join our digital-first, primary care medical group. In this role, you will provide support to digital clinicians. Our digital clinicians use asynchronous text-based chat and synchronous video to provide high-quality, comprehensive and evidence-based primary care. As a part of our collaborative clinical care team, you will leverage data, technology, and operational rigor to optimize great patient outcomes while offering highly personalized care and shared decision making with patients.
Here’s what you’ll do:
<ul>
<li>Provide best-in-class care for Galileo patients by completing an initial intake and obtaining the following: vitals, medication doses and frequency, social history and preventative care history</li>
<li>Provide compassionate and empathetic care to patients from age 0-100 across all needs assisting with the following: medication refills, facilitating referrals to specialty care when needed, ongoing chronic illness coaching, population management by condition, preventative care, reviewing imaging, labs and faxes</li>
<li>Work with a diverse patient population. We pride ourselves on fostering a culture that is inclusive of all backgrounds</li>
<li>Solve patient problems in an efficient, nimble manner by drawing on resourcefulness, collaborating with team members to leverage their expertise, and a can-do approach</li>
</ul>
HOW WE WORK
Galileo is a 24/7 medical group utilizing asynchronous text-based chat and synchronous video to provide high-quality, comprehensive primary care.&nbsp;The Digital Registered Nurse is a new role to the platform and will be part – time at 20 hours per week.
ABOUT YOU
We look for passionate Registered Nurses who are invested in solving complex problems that impact millions of lives and are excited about fixing what’s broken to improve care quality and health outcomes for everyone.
We believe in a culture that fosters teamwork, excellence, and sound decision-makingone that is based on mutual respect and trust. We appreciate individuals who are open and honest about what they’re looking for so we can ensure it’s a fit on both sides.
We would love to hear from you if you have the following or equivalent experience:
<ul>
<li>Have 3+ years of clinical experience in a primary care setting</li>
<li>Are experienced in or have an appetite for learning digital-first healthcare (e.g. virtual medicine)</li>
<li>Are interested in new, innovative models of care that balance evidence-based approaches with creative ideas</li>
<li>Are highly comfortable with using technology and various applications to deliver care to patients virtually. Our current tech stack is:
<ul>
<li>Proprietary built clinician-patient platform</li>
<li>Google Suite (gmail, sheets, docs, etc)</li>
<li>Slack</li>
</ul>
</li>
<li>Have a license in one of the following states: Texas, Florida, New York, California or Virginia</li>
<li>It’s a bonus if you are professionally fluent in English/Spanish including reading, writing, speaking, and understanding the cultural nuances for native Spanish speakers in a medical setting</li>
</ul>
HOW WE CARE FOR YOU
<ul>
<li>Flexible scheduling – design the schedule that works best for YOU</li>
<li>401(k) with company match</li>
</ul>

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