Top 645 Of nursing Jobs in Pinehurst 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
Infusion Nurse
Pinehurst Medical —Pinehurst, NC
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
5d
PRN Infusion Nurse
Pinehurst Medical —Pinehurst, NC
- PRN
- CPR Certification
- Nursing
- RN License
Quick Apply
3d
Registered Nurse (RN) - Dermatology
Pinehurst Medical —Southern Pines, NC
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
Quick Apply
10d
Clinic RN
FirstHealth of the Carolinas, Inc. —Pinehurst, NC
- Part-time
- RN License
- Computer literacy
- BLS Certification
Registered Nurse (RN) - Heather Glen GI
Pinehurst Medical —Pinehurst, NC
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
Quick Apply
LPN/RN - Morganton Park Walk-In-Clinic (Weekends)
Pinehurst Medical —Southern Pines, NC
- Weekends as needed
- CPR Certification
- Vital signs
- RN License
- Health insurance
Quick Apply
Hospitalist Care Coordinator
FirstHealth of the Carolinas, Inc. —Pinehurst, NC
- Full-time
- RN License
- Hospital
- Ability to walk for extended periods
6d
Acute Care Transition Coordinator (RN)
Pinehurst Medical —Pinehurst, NC
- Full-time
- Nursing
- RN License
- Medical office experience
- Health insurance
Quick Apply
RN
FirstHealth of the Carolinas, Inc. —Pinehurst, NC
- Part-time
- RN License
- Hospital
- Inpatient
- Health insurance
- Tuition reimbursement
LPN/RN for Urogynecology
Southern Pines Women's Health Center —Southern Pines, NC
- Full-time
- Surgery
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
LPN/RN - Internal Medicine (East)
Pinehurst Medical —Pinehurst, NC
- Full-time
- CPR Certification
- Vital signs
- RN License
- Health insurance
Quick Apply
Director of Nursing
Bright Shepherd Solutions —Carthage, NC
- $115,000 - $120,000 a year
- Full-time
- CPR Certification
- Skilled nursing facility
- RN License
Quick Apply
9d
Emergency Medicine Nurse Practitioner
SCP Health —Raeford, NC
- $60,200 - $130,000 a year
- Full-time
- Mid-level
- Critical & Intensive Care
- US work authorization
Quick Apply
Regional Facility Registered Nurse - RN (Nights)
Surgeon & Associates, Inc —Raeford, NC
- $35 - $40 an hour
- Overtime
- CPR Certification
- Nursing
- Medication administration
- Paid training
- Mileage reimbursement
Quick Apply
Registered Nurse, Medical-Surgical/Telemetry
Central Carolina Hospital —Sanford, NC
- Full-time
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse, Cath Lab
Central Carolina Hospital —Sanford, NC
- Full-time
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse, Emergency Services
Central Carolina Hospital —Sanford, NC
- Full-time
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Family Nurse Practitioner / PA - Carolina QuickCare, Biscoe NC
Carolina QuickCare —Biscoe, NC
- $55 - $70 an hour
- 12 hour shift
- BLS Certification
- Urgent Care
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Registered Nurse, ICU
Central Carolina Hospital —Sanford, NC
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply

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of nursing jobs near pinehurst nc

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
Computer literacy
Coaching
Patient management software
Conflict management
Mentoring
Acute care experience
Productivity software
Associate's degree
Associate Degree in Nursing
Healthcare software applications
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.

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 or care management functions.
Proficient at using software programs such as Microsoft Office tools.

Preferred Work Experience:

Two years of experience performing UM functions in a managed care setting
Experience with Milliman Care Guidelines (MCG)
Experience with Guiding Care software platform

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.

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

of nursing jobs in pinehurst nc

Physical Health Registered Nurse (Remote)

Infusion Nurse

PRN Infusion Nurse

Registered Nurse (RN) - Dermatology

Clinic RN

Registered Nurse (RN) - Heather Glen GI

LPN/RN - Morganton Park Walk-In-Clinic (Weekends)

Hospitalist Care Coordinator

Acute Care Transition Coordinator (RN)

RN

LPN/RN for Urogynecology

LPN/RN - Internal Medicine (East)

Director of Nursing

Emergency Medicine Nurse Practitioner

Regional Facility Registered Nurse - RN (Nights)

Registered Nurse, Medical-Surgical/Telemetry

Registered Nurse, Cath Lab

Registered Nurse, Emergency Services

Family Nurse Practitioner / PA - Carolina QuickCare, Biscoe NC

Registered Nurse, ICU

I want to receive the latest job alert for of nursing in pinehurst nc

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