About The Position

Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto Rico. Are you a compassionate, self-motivated registered nurse with top-notch critical thinking and clinical skills? Seeking a challenging yet remote registered nurse position that keeps your abilities sharp? Imagine a fast-paced role engaging with patients through innovative channels, all from the comfort of your home. Join us in an organization poised for unprecedented growth, offering work-from-home options. With excellent coaching and support, you'll be part of a collaborative team of RNs across the country. If you're ready to contribute to a dynamic healthcare environment, apply now and shape the future of healthcare from the convenience of your home.

Requirements

  • Current, unrestricted, RN licensure in a compact state which is your state of residence.
  • Licensure in other States as required by law or client contract will be assigned within 30 days of hire.
  • Must reside in a compact state and maintain a compact multistate license.
  • Current home state RN license in good standing.
  • Registered nurse is responsible and accountable for safe clinical practice, knowledgeable of customers and regulatory expectations in the clinical area.
  • Minimum of an associate degree from a two-year college or technical school or Diploma Nursing Program.
  • RN must attend training 100% of hours and must pass intra-training testing components.
  • Minimum 3 years of Registered Nurse clinical experience.
  • Ability to apply clinical knowledge to effectively meet clinical business standards.
  • Fully competent in product delivery and business requirements.
  • Ability to run multiple computer programs at the same time.
  • Identify opportunities for improvement and recommend workable solutions.
  • Exercise judgement within defined practices and procedures to determine appropriate action.
  • Ability to determine when to escalate issues appropriately and in a timely manner.
  • Build rapport with members and effectively influence member behavior.
  • Possess comprehensive communication (listening, reflection, and clarification) skills.
  • Manage time effectively.
  • Must currently reside and have a Multi-State (compact) unrestricted RN license in one of the following states: AL, AR, CO, FL, GA, IA, ID, IN, KS, KY, LA, ME, MS, MO, MT, NE, NM, NC, ND, NH, OK, SC, SD, TN, TX, VA, WI, WY.
  • Ability to become licensed in additional states as required.
  • For work-from-home positions, your home office must meet certain certification requirements that would be explained to you during the interview process.

Nice To Haves

  • BSN preferred.
  • Experience in ER, adult and pediatric care, Medical/Surgical, Home Health and Hospice or other acute areas preferred.
  • Telephone triage experience and understanding of health benefit plans and the insurance industry are helpful, but not required.
  • Bilingual skills are a plus.

Responsibilities

  • Provide quality driven telephonic clinical assessments, health education, and utilization management services to a diverse population of callers/patients/members.
  • Provide triage assessments to individuals or defined patient populations using telecommunications, in accordance with computer-based algorithms, protocols, and guidelines.
  • Use critical thinking, essential multitasking skills and effective communication.
  • Use clinical knowledge to assess, disposition, make recommendations for care, provide education and health information.
  • Using the Nursing Process, provide nursing assessments within the standards outlined in the state Nurse Practice Act.
  • Adhere to nursing standards, company policies and shared principles when providing clinical assessments and health education.
  • Use the nursing process to identify patient care needs, risk and safety issues, educational opportunities, and appropriate health care referrals.
  • Process calls based on Quality Management guidelines.
  • Demonstrate compliance with all product’s specific performance metrics.
  • Maintain regular, reliable attendance and timeliness.
  • Work 4 weekend shifts per month - either in every Saturday schedule or every other weekend.
  • Perform other duties as assigned.

Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • 401(k) plan with company match
  • Paid time off (PTO) and holidays
  • Flexible spending accounts (FSAs)
  • Employee wellness programs
  • Career development opportunities
  • CEU subscription provided at hire

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

501-1,000 employees

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