Top 22 Rn work from home Jobs in Nashville Tn

Large Case Manager RN- Remote
Lucent Health Solutions LLC —Nashville, TN
- Remote
- Nursing
- RN License
- Mid-level
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2d
Nurse Care Manager - Compassionate Care Program
Evergreen Nephrology —Nashville, TN
- $90,000 - $103,000 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Paid parental leave
- Health savings account
Quick Apply
3d
Remote Hospice Triage RN PT Weekend Only 7:30a-6p CST
IntellaTriage —Nashville, TN
- $27 - $30 an hour
- Part-time
- Remote
- RN License
- Typing
- Hospice & Palliative Medicine
- Paid training
- Health insurance
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Utilization Management Nurse
ArchWell Health —Nashville, TN
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science
Clinical Quality Advisor
Alliant Health Solutions, Inc. —Nashville, TN
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Clinical Documentation Specialist
Singing River Health System —Nashville, TN
- Weekends as needed
- Remote
- Nursing
- Microsoft Outlook
- RN License
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Registered Nurse - Nights
Cadence Health —Nashville, TN
- $80,000 - $90,000 a year
- Weekends as needed
- Remote
- RN License
- Clinic experience
- Mid-level
- Paid parental leave
- Health insurance
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Bilingual Pediatric Registered Nurse
Imagine Pediatrics —Nashville, TN
- $40 - $47 an hour
- Remote
- Spanish
- Nursing
- RN License
- Health savings account
- Paid holidays
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9d
Pediatric Registered Nurse – Skilled Nursing Assessments
The Good Care Helpers —Nashville, TN
- $42 an hour
- Weekends as needed
- Remote
- Experience working with individuals with developmental disabilities
- CPR Certification
- Nursing
Quick Apply
5d
Oncology Infusion Nurse Consultant
OneOncology —Nashville, TN
- Part-time
- Remote
- Nursing
- RN License
- Outpatient experience
Quick Apply
4d
Clinical Operations EMR Consultant
Maxwell TEC —United States
- $55 - $85 an hour
- Part-time
- Remote
- RN License
- Mid-level
- Home Health
Quick Apply
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills

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rn work from home jobs near nashville tn

Large Case Manager RN- Remote

Lucent Health Solutions LLC -
Nashville, TN

Quick Apply

Job Details

2 days ago

Qualifications

RN License
Phone communication
Computer skills

Full Job Description

About Lucent Health

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

Company Culture

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.

Honest

Transparent Communication: be open and clear in all interactions without withholding crucial information
Integrity: ensure accuracy in reporting, work outputs and any tasks assigned
Truthfulness: provide honest feedback and report any issues or challenges as they arise
Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior

Ethical

Fair Decision Making: ensure all actions and decisions respect company policies and values
Accountability: own up to mistakes and take responsibility for rectifying them
Respect: treat colleagues, clients and partners with fairness and dignity
Confidentiality: safeguard sensitive information and avoid conflicts of interest

Hardworking

Consistency: meet or exceed deadlines, maintaining high productivity levels
Proactiveness: take initiative to tackle challenges without waiting to be asked
Willingness: voluntarily offer to assist in additional projects or tasks when needed
Adaptability: work efficiently under pressure or in changing environments

Summary:

The Case Manager shall work with the entire team to provide appropriate, comprehensive, and proactive onsite and telephonic case management services and to promote the provision of only the highest quality, most appropriate, cost-effective healthcare to plan participants with chronic or catastrophic illnesses or injuries, in accordance with applicable laws, the CCM/CMSA Standards of Practice, the company policies and procedures according to the AAHC/URAC Guidelines.

Responsibilities:

The Case Manager, under the direction and supervision of a Certified Case Management (CCM) Professional and acting in a Patient Advocate capacity and according to AAHC/URAC standards,

The Case Manager shall perform all phases of the case management process, which shall include:

Defines role and scope of activities to the patient in a comprehensible manner.
Communicates to the patient that the information gathered will be shared with the payer.
Gathers consent for case management activities.
Determines individual needs based on an assessment that identifies all significant needs related to the Medical condition and care
Works in a holistic manner, considering both medical and psychosocial issues.
Identifies issues that might interfere with the provision of the highest quality, most appropriate, cost-effective care.
Creates an individualized plan of action based on the assessment, which facilitates the coordination of appropriate and necessary treatment, and services required by the patient.
Gives consideration, in developing the plan, to the benefit plan design/coverage options. Sets appropriate, measurable goals.
Provides the patient with information to make "informed" decisions, empowering and encouraging the patient to make his own decisions through including him in the planning process.
Develops contingency plans.
Facilitates communication of the patient's wishes to all members of the health care team.
When appropriate, discuss advanced directives with patient/family.
Obtains the acceptance of all parties (patient, family, payer, and providers) prior to instituting the plan.
Works within the health plan provisions. Refers to only those providers that are familiar or researched to ensure high quality (either through personal knowledge/experience, onsite inspections, conversations with providers, review of accreditations and credentials, networking with other case managers, review of outcomes, statistics, payer, and patient satisfaction).
Evaluates plan on a regular basis to determine effectiveness, patient satisfaction, provider comfort, payer satisfaction, if the plan is meeting the needs of all involved parties (but most particularly-the patient's needs) cost effectiveness, patient compliance with treatment, and the impact on the patient's quality of life.
Determines if revisions are required due to changes in medical condition, family status, insurance coverage, etc.
Maintains well-organized, objective, factual, clear, and concise documentation that reflects what was done on the cases and why it was done, adhering to policies regarding timeliness.
Performs as a patient advocate, in an ethical manner always, incorporating case management concepts and following industry standards and guidelines.
Becomes involved in the case management process as early as possible following the onset or diagnosis and maintains involvement throughout the course of the illness or injury

Qualifications:

Registered Nurse with a minimum of 5 years Clinical Experience
Credentials such as CCM/CRRN, OCN or other pertinent certifications (preferred)
Excellent written, telephone, and computer skills
Positive, proactive, team-oriented approach/attitude
Time management and organizational skills, flexible, with the ability to work independently.
Active, unrestricted multi-state license
Recent clinical experience

Preferred:

Behavioral Health experience*

Equal Employment Opportunity Policy Statement

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.

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Refine Your Search

rn work from home jobs in nashville tn

Large Case Manager RN- Remote

Nurse Care Manager - Compassionate Care Program

Remote Hospice Triage RN PT Weekend Only 7:30a-6p CST

Utilization Management Nurse

Clinical Quality Advisor

Clinical Documentation Specialist

Registered Nurse - Nights

Bilingual Pediatric Registered Nurse

Pediatric Registered Nurse – Skilled Nursing Assessments

Oncology Infusion Nurse Consultant

Clinical Operations EMR Consultant

Appeals Professional III (Licensed Clinician)

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