Top 487 & discharge Jobs in Burlington, Nc

Physical Health Registered Nurse (Remote)
Vaya Health —North Carolina
- $68,033.34 - $88,443.35 a year
- Weekends as needed
- Remote
- Nursing
- RN License
- Computer literacy
Nursing Technician Float ARMC - Full time, 7a-7p
Cone Health —Burlington, NC
- Full-time
- Float pool
- Hospital
- BLS Certification
ARMC -Nursing Technician Float - 2 shifts/week, 7p-7a
Cone Health —Burlington, NC
- Float pool
- BLS Certification
- No experience needed
PRN Nursing Technician Float - ARMC
Cone Health —Burlington, NC
- PRN
- Float pool
- BLS Certification
- No experience needed
22h
Nursing Technician- Ortho 3x12, Days
Cone Health —Burlington, NC
- 3x12
- CPR Certification
- BLS Certification
- No experience needed
21h
Environmental Services Tech
Cone Health —Burlington, NC
- Night shift
- Hospital
- Inpatient
- High school diploma or GED
12d
Caregiver
CareLinx by Sharecare —Burlington, NC
- Part-time
- Background check
- Current TB test
- Pass drug screening
5d
Nursing Technician - Nursing Secretary
Cone Health —Burlington, NC
- Night shift
- CPR Certification
- Vital signs
- Hospital
Medical Front Office
NextCare —Burlington, NC
- Full-time
- Urgent Care
- High school diploma or GED
- Entry level
- Health savings account
- Disability insurance
Quick Apply
Medical Records Assistant
State of North Carolina - Adult Correction —Caswell County, NC
- $39,244 - $68,679 a year
- Full-time
- High school
- Pass drug screening
- Adults
- Paid parental leave
- Health insurance
2d
General Cleaner (K-12) Part-Time Only
MFM Industries —Burlington, NC
- $15 an hour
- Part-time
- Classroom
- Office
- Ability to lift 50 pounds
- Health insurance
- Dental insurance
Quick Apply
Systems Administrator III, Health Systems (Epic Prelude or Grand Central or Benefits)
Kaiser Permanente —Greensboro, NC
- $89,400 - $115,610 a year
- Full-time
- Background check
- Computer science
- Computer Science
- Health savings account
- Health insurance
Quick Apply
Infusion Supervising Pharmacist - $10K SIGNING BONUS
KPH Healthcare Services —Greensboro, NC
- Full-time
- CPR Certification
- Patient monitoring
- Word processing
HCBS Team Lead, Intensive In-Home
Youth Haven Services —Reidsville, NC
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Mid-level
Quick Apply
Nurse Manager, Behavioral Health Services
Signet Health Corporation —Greensboro, NC
- Full-time
- Nursing
- Psychiatry
- RN License
- Disability insurance
- Health insurance
Registered Nurse (RN) - Full Time $20K SignOn - Kindred Hospital Greensboro
Kindred Hospitals —Greensboro, NC
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
1d
Licensed Professional Counselor (LPC)
Timber Ridge Treatment Center —Greensboro, NC
- $55,000 - $60,000 a year
- 8 hour shift
- Addiction Medicine
- LPC
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
HCBS Qualified Professional, Day Treatment
Youth Haven Services —Reidsville, NC
- Full-time
- Classroom
- Mid-level
- Driver's License
- AD&D insurance
- Dental insurance
Quick Apply
RN - Field Nurse - $1,700 Weekly Gross
Maxim Healthcare Services Direct —Chapel Hill, NC
- $32 - $34 an hour
- RN License
- BLS Certification
- Mid-level
- Commuter assistance
- Health savings account
Quick Apply
11d
Physical Therapist (PT)
Blumenthal Health & Rehabilitation Center —Greensboro, NC
- $45 - $55 an hour
- Full-time
- CPR Certification
- Skilled nursing facility
- BLS Certification
- 401(k)
Quick Apply

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Physical Health Registered Nurse (Remote)

Vaya Health -
North Carolina

Apply Now

Job Details

Full-time
$68,033.34 - $88,443.35 a year

Qualifications

Computer operation
Nursing
Managed care organization experience
Computer literacy
Coaching
Patient management software
Acute care facility experience
EMR/EHR
Utilization management
Conflict management
Mentoring
Resource utilization in healthcare
Productivity software
Benchmarking
Associate's degree
Associate Degree in Nursing
Healthcare data reporting
Nursing

Full Job Description

LOCATION: Remote – this a home based, virtual position that operates Monday – Friday from 8:30am-5:00pm EST. Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL.

GENERAL STATEMENT OF JOB

The Physical Health Registered Nurse is responsible for completing clinical reviews for appropriateness, medical necessity, and quality. The Physical Health Registered Nurse applies standardized clinical review criteria to determine medical necessity for service authorization requests. The Physical Health Registered Nurse refers service authorization requests to an appropriate physician peer reviewer when medical necessity criteria are not clearly met. Reviews performed by the individual in this position may be pre-service, concurrent, or retrospective in nature. This position is part of a team of nurses, physicians, psychologists, pharmacists and non-clinical associates who work closely to care for our members.

The day-to-day operations of the Physical Health Utilization Management Department require coverage on weekends and holidays. The incumbent in this position will be required to participate in a rotation to ensure coverage every day including weekends and holidays. The amount of work on scheduled weekends and holidays will be subject to change.

ESSENTIAL JOB FUNCTIONS

Process requests for authorization of services:

Responsible for reviewing requests for authorization of services including inpatient hospital admissions, re-admissions, inpatient rehabilitation services, skilled nursing admissions, home care /home infusion services, outpatient and/or inpatient services as designated.
Documents timely decisions and actions taken within the managed care information system (MCIS).
Meets contractual timelines for completion of review activities
Communicates and interacts with providers as well as internal and external partners to facilitate and coordinate the activities of the UM process.
Utilizes technology (computer-based systems) and resources to support work activities appropriately.
Communicates determinations to providers per established business process

Supporting UM Functions:

Actively participates in all required staff meetings and complex case rounds
Perform discharge planning to achieve safe and timely enrollee discharges from hospitals and facilities
Successfully completes Inter-rater Reliability (IRR) training, exams, and testing with at least an 80% passing rate or above thresholds established by management
Follows all UM workflow processes

All other duties as assigned in support of UM functions.

KNOWLEDGE, SKILLS, & ABILITIES

This position requires a high degree of autonomy, professional relationships and organizational skills. Applicants with thorough knowledge of the following are prioritized:

Primary care, behavioral health and healthcare system in NC;
Vaya Health Provider Network;
Medical practice workflows;
Vaya contracts with the NC Department of Heath and Human Services (NCDHHS) and other contracts for which Vaya is responsible;
Vaya organizational purpose/role per federal and state statute, strategic plan, leadership and departmental roles, relationships and scope;
Federal and state confidentiality requirements;
Member and staff health & safety requirements;
Corporate compliance requirements;
Vaya Policies and Procedures;
Project management principles.

Additional required skills and abilities include but are not limited to the following:

Clear, concise and appropriate verbal, written and electronic communication;
Ability to present in large group settings;
Ability to adapt to rapid changes;
Effectively implement new initiatives;
Computer literacy and familiarity with Microsoft Office software as well as Vaya's Administrative Health Record and/or Care Management Platform, Vaya’s Member Services and UM Platform.
Strong conceptual skills, with knowledge and skill in problem-solving, decision-making, conflict resolutions, and critical thinking.
Ability to mentor, coach and facilitate change and innovation.
Ability to develop reporting mechanisms that will produce data needed to support and benchmark quality initiatives.

PHYSICAL REQUIREMENTS

Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.

EDUCATION & EXPERIENCE REQUIREMENTS

Associate Degree in Nursing required. Bachelor’s Degree in Nursing preferred.

Five (5) years of clinical experience preferably across the continuum of care with at least two years of acute care experience.
Experience performing utilization management functions in a managed care setting.
Proficient at using software programs such as Microsoft Office tools.

Licensure/Certification Required:

Active and unrestricted RN License in the State of North Carolina or Nurse Licensure Compact (NLC) license.

RESIDENCY REQUIREMENTS: The person in this position must live in NC, SC, GA, TN, VA, MD, or FL.

SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.

DEADLINE FOR APPLICATION: Open Until Filled

APPLY: Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/.

Vaya Health is an equal opportunity employer.

Apply Now

Refine Your Search

& discharge jobs in burlington, nc

Physical Health Registered Nurse (Remote)

Nursing Technician Float ARMC - Full time, 7a-7p

ARMC -Nursing Technician Float - 2 shifts/week, 7p-7a

PRN Nursing Technician Float - ARMC

Nursing Technician- Ortho 3x12, Days

Environmental Services Tech

Caregiver

Nursing Technician - Nursing Secretary

Medical Front Office

Medical Records Assistant

General Cleaner (K-12) Part-Time Only

Systems Administrator III, Health Systems (Epic Prelude or Grand Central or Benefits)

Infusion Supervising Pharmacist - $10K SIGNING BONUS

HCBS Team Lead, Intensive In-Home

Nurse Manager, Behavioral Health Services

Registered Nurse (RN) - Full Time $20K SignOn - Kindred Hospital Greensboro

Licensed Professional Counselor (LPC)

HCBS Qualified Professional, Day Treatment

RN - Field Nurse - $1,700 Weekly Gross

Physical Therapist (PT)

I want to receive the latest job alert for & discharge in burlington, nc

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