Upperline Health

Title: Registered Nurse Location: Nashville United States Job Category: Comprehensive Care Requisition Number: REGIS003029 Job Description: About Us A Specialty Path to Good Health Upperline Health is the nation's largest provider group dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of transforming specialty care, Upperline Health is a pioneer in bringing value-based care models into specialty care. Upperline delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses. Triage is temporary. Treatment is transformative. Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. We put patients at the center of value-based care. About the Registered Nurse Role Upperline Health is seeking a weekday Registered Nurse to support a team of clinicians in delivering complex plans of care in accordance with the patient's health status and overall goals and values. This individual will be based in one of our Upperline markets and will be responsible for providing care navigation and patient support as well as coordination of post-discharge care management services. This role supports high-risk and recently discharged patients to ensure safe transitions across care settings, prevent avoidable readmissions, close care gaps, and improve quality outcomes under value-based care contracts. This will include a range of clinical and administrative tasks such as directly providing telephonic support to patients, families and working collaboratively with the team of Nurse Practitioners and ancillary staff. Ideal candidates will have experience working with an older adult patient population and telehealth triage experience. Most importantly, candidates must demonstrate compassion for patient needs, have great attention to detail and thrive in a collaborative environment. What You'll Do: - Telephonic care management with patients and their families, including triaging incoming calls and addressing and escalating urgent patient issues, as well as making proactive outgoing calls as requested by Upperline's Providers. - Provide chronic care management and transitional care management outreach, assessment and intervention to assess, identify and close clinical and non-clinical gaps in patient care. - Appropriate triage and escalation of routine, urgent and emergent patient issues. - Clinical care coordination with other providers and specialists, including: - Upperline clinic, telephonic, and home-based visit coordination - PCP or specialist office visit appointment coordination - Initiating clinical service orders on behalf of the patient - Initiating health plan authorization for Home Health, DME, Home Infusion and other critical services. Verifying the timely delivery of these services. - Medication reconciliation and management to include the following, prescription updates and refill requests, identifying potential medication issues, answering patient questions on side effects and medication conflicts, and coordinating refills in coordination with Upperline Pharmacy team. - Various clinical and administrative tasks. - Potentially participation in weekly/monthly interdisciplinary team meetings and clinical huddles. - Other related duties as deemed necessary by Upperline Health Required Skills & Competencies: - Candidates should be excited and energized by the prospect of working collaboratively as part of an innovative team - Active Compact RN licensure required A plus if you are licensed in CA, CT, or MI - Minimum of 3 years clinical experience required, preferably in a centralized care management team environment - Prior healthcare experience serving chronically ill patients preferred - Previous experience in ER, Critical Care or Home Health a plus - Strong customer-service orientation - Previous experience with Athena EMR a plus - Must be able to help provide weekend and holiday coverage on a rotating basis - Patient, compassionate and professional demeanor required - Exceptional organizational skills and ability to multi-task - Self-starter with an entrepreneurial spirit and demonstrated problem solving skills - Strong writing, Word, Excel, and database management skills - Extremely strong work ethic - Experience working in a fast-growing, rapidly changing environment Compensation Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.

Title: Registered Nurse, Lead Location: Nashville United States Job Category: Comprehensive Care Requisition Number: REMOT002790 Job Description: The Remote RN Lead is a working RN who completes standard Remote RN clinical duties while providing administrative and operational leadership support to the RN team. This role maintains a 50% clinical workload and 50% administrative/managerial responsibilities, with a focus on onboarding, timekeeping, PTO management, and daily team support. This position does not replace the Managers' role but supports team efficiency and consistency. Clinical Responsibilities (50%) - Performs all duties outlined in the Remote RN Job Description - Carries an assigned clinical workload with productivity expectations adjusted for lead responsibilities - Functions as a clinical resource for Remote RNs - Assists with complex or escalated patient cases as needed - Models documentation, communication, and workflow expectations Administrative / Lead Responsibilities (50%) Onboarding - Responsible for creating, updating, and delivering training on new workflow implementations to ensure team efficiency and compliance. - Coordinate and support onboarding for new Remote RNs - Ensure onboarding tasks, access, and required training are completed Timekeeping - Track attendance concerns and escalate to leadership as needed Daily Team Support - Serve as first point of contact for RN operational questions - Assist with daily staffing coordination and workload balancing - Reinforce workflows, documentation standards, and policies - Identify operational issues and communicate trends to leadership - Conduct weekly or monthly one-on-one check-ins with Remote RNs focused on support, communication, and workflow alignment; escalate trends or concerns to leadership as appropriate What You'll Do - Telephonic care management with patients and their families, including triaging incoming calls and addressing and escalating urgent patient issues, as well as making proactive outgoing calls as requested by Upperline's Providers. - Provide chronic care management and transitional care management outreach, assessment and intervention to assess, identify and close clinical and non-clinical gaps in patient care. - Appropriate triage and escalation of routine, urgent and emergent patient issues. - Clinical care coordination with other providers and specialists, including: - Upperline clinic, telephonic, and home-based visit coordination - PCP or specialist office visit appointment coordination - Initiating clinical service orders on behalf of the patient - Initiating health plan authorization for Home Health, DME, Home Infusion and other critical services. Verifying the timely delivery of these services. - Medication reconciliation and management to include the following, prescription updates and refill requests, identifying potential medication issues, answering patient questions on side effects and medication conflicts, and coordinating refills in coordination with Upperline Pharmacy team. - Assist Upperline providers in managing their calendars when needed to manage urgent and emergent visit needs in collaboration with Care Coordinators. - Various clinical and administrative tasks. - Potentially participation in weekly interdisciplinary team meetings and clinical huddles. - Other related duties as deemed necessary by Upperline Health Qualifications - Active, unrestricted compact RN license - Minimum of 3 years RN experience - Prior care management, case management, or remote RN experience preferred - Demonstrated organization, reliability, and accountability - Informal leadership, preceptor, or coordination experience preferred Role Clarification - This role is a lead position, not a disciplinary or performance management role - Employee coaching, corrective action, and evaluations remain with leadership - Clinical and administrative time expectations may flex based on team needs

Title: Care Navigator (Outbound) Locations: AL, AZ, FL, GA, KY, IN, IL, MI, NV, OH, PA, SC, TN, and TX. Remote Job Category: Upperline Plus Requisition Number: CAREN002890 Full-Time Remote Job Description: A Specialty Path to Good Health Upperline Health is the nation's largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses. Triage is temporary. Treatment is transformative. Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. We put patients at the center of value-based care. About the Care Navigator Role Upperline Health is seeking Care Navigators with prior healthcare experience, to support a team of clinicians in delivering complex plans of care in accordance with the patient's health status and overall goals and values. This individual will be responsible for providing all telephonic and back-office support required by the team of clinicians. In this role, you will provide remote critical support activities to coordinate care delivery for Upperline Plus patients. This includes a range of clinical support and administrative tasks such as telephonic coordination of care to Upperline Plus patients and families, scheduling in-home, clinic, and telehealth patient visits for clinicians, managing patient care referrals and orders to completion, coordination of preventative care needs, and other tasks as assigned. Ideal candidates will have experience identifying and coordinating the needs of patients with multiple chronic conditions and supporting clinicians to help them operate as efficiently as possible. Responsibilities will be highly varied, and appropriate candidates will be multitalented, flexible problem solvers who are eager to tackle complex problems and tasks with a strong focus on customer service excellence. As Upperline continues to expand, this individual will be able to explore a wide range of career opportunities within the company. Ideal candidates will have experience working with the older adult population. Most importantly, candidates must demonstrate compassion for patient needs, pay great attention to detail and thrive in a collaborative environment. This is a remote opportunity available to applicants who currently reside in AL, AZ, FL, GA, KY, IN, IL, MI, NV, OH, PA, SC, TN, and TX. The working hours for this position is Monday through Friday from 8am - 5pm CST. What You'll Do: - Conduct telephonic communication with Upperline patients and their families, including triaging incoming calls and initiating proactive outreach calls at the request of Upperline clinicians. - Develop, implement, and manage patient care plans, while collaborating with patients monthly to establish and work toward individual health goals. - Provide care coordination by acting as a liaison between patients, their families, and providers, ensuring clear and timely communication across the care team. - Advocate for the patient's needs by providing education and resources while helping them navigate the healthcare system. - Communicate and refer to support staff based on the patient's needs. - Various clinical and administrative tasks including scheduling in home, clinic, and telehealth patient visits. - Participation in weekly interdisciplinary team meetings. - Other related duties as deemed necessary by Upperline Health. Qualifications of the Care Navigator: - Associates degree or higher education - Additional education/certification as a BSW, CNA, LPN, or MA highly required - Candidates should be excited and energized by the prospect of working collaboratively as part of an innovative team - Prior healthcare experience, ideally serving chronically ill patients, required - Bilingual English/Spanish is preferred - Strong customer-service orientation - Exceptional organizational skills and ability to multi-task - Self-starter with an entrepreneurial spirit and demonstrated problem solving skills - Strong writing, Word, Excel, and database management skills - Extremely strong work ethic Benefits Competitive benefit options include comprehensive medical, dental and vision plans, 401K (matching), PTO and parental leave. Compensation Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience Job Type: Full-time