Top 1036 Registered nurse Jobs in Home Based

Concierge Nurse Navigator - ME, NH or PA Resident
Concierge Nurse Navigators —Remote
- $70,000 - $85,000 a year
- Full-time
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- Spanish
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
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Healthcare RN/NP Financial Professional
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Registered Nurse (Remote) (0600-1800 EST)
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Remote Registered Nurse (1200-0000 EST)
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Concierge Nurse Navigator - ME, NH or PA Resident

Concierge Nurse Navigators
Remote

Quick Apply

Job Details

Full-time
$70,000 - $85,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Flexible schedule
Life insurance

Qualifications

Nursing
Teamwork
Microsoft Outlook
RN License
Spreadsheets
Organizational skills
Emergency medicine
Clinical team leadership
Critical care experience
Nursing

Full Job Description

JOB SUMMARY: A Concierge Nurse Navigator is a professional registered nurse and a member of a team that shares the mission to improve health outcomes by building meaningful relationships. The primary responsibility of this team is to help members navigate today’s complex healthcare system. The RN in this role will be assisting members of Catholic Dioceses in the northeast region of the U.S. The Concierge Nurse Navigator empowers members to take an active role in their healthcare choices by educating them on the benefits of their health plan, sharing resources, and providing high-quality options for care. Our nurses primarily work from home, but occasionally have to travel to meet with clients.

ESSENTIAL RESPONSIBILITIES:

Educate members on the high-quality health care choices available to them
Assist members in understanding their financial obligations for the healthcare decisions they have chosen based on their employer’s healthcare plan.
Proactive outreach to at-risk members to assess their current state of health and determine future needs to improve long-term health.
Function as a patient advocate
Analyze and interpret hospital and provider quality data from multiple data sources
Educate members on services and benefits of the Concierge Nurse Navigators program
Chronic disease management outreach via phone, text or email
Review high-cost medical and pharmacy claims to determine if outreach or intervention is appropriate
Triage calls for a potential referral to a Center of Excellence or second opinion
Assist with employee education during enrollment meeting or implementation of the Concierge Nurse Navigators program
Work with the Clinical Program Manager to obtain a single case agreement (SCA) or Direct Contract when necessary
Communicate waived member cost sharing to appropriate parties
Document phone calls and inventions with members
Educate members on the current health plan design and the optimization of provided benefits

JOB EXPECTATIONS:

Uphold professional, caring, and compassionate communication to both clients and vendors
Respond to client questions or concerns within 12-24 business hours
Problem solve autonomously when appropriate
Thorough documentation of interactions with vendors and clients
Proficiency with Outlook, Excel, Word, Teams and PowerPoint

PHYSICAL REQUIREMENTS: This is a fast-paced setting that requires quick thinking and decision making. There will be intermittent periods of high stress. Involves standing, sitting, and extended periods of time on the phone and computer.

EDUCATION, TRAINING, AND EXPERIENCE:

Graduate of an Accredited School of Nursing required
Current RN License required
5 + years as a clinically practicing nurse, case management, ICU or ER experience required
Leadership skills demonstrated by increase of responsibilities such as working in the role of charge nurse, preceptor, administration, or participation in professional organizations or committees required.
Excellent oral and written communication, collaborative and facilitative skills, customer service/relations focus organization skills required
Microsoft office proficient preferred

NECESSARY SKILLS

Critical thinking
Autonomy
Time management
Basic Microsoft Excel, Word, and PowerPoint

PROTECTED HEALTH INFORMATION: Limits access to protected health information (PHI) to the information reasonably necessary to do the job. Shares information only on a need-to-know basis for work purposes. Access to verbal, written, and electronic PHI for this job has been determined based on job level and job responsibility within the organization.

REPORTING RELATIONSHIPS: Clinical Program Manager

Pay: $70,000.00 - $85,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance

Application Question(s):

Do you currently reside in the state of Maine, New Hampshire or Pennsylvania?

Experience:

Nursing: 5 years (Required)

Language:

Spanish (Preferred)

License/Certification:

RN License (Required)

Willingness to travel:

25% (Required)

Work Location: Remote

Quick Apply

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I want to receive the latest job alert for registered nurse in home based

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