Overview The Patient Advisory team is the first point of contact for our immediate and extended communities, PAN RN's are the key to making sure our patients are cared for 24/7. By providing the ideal blend of autonomy of practice and nursing judgement, while still offering support and protections through outlined processes. The ideal candidate will enhance our talented team by offering mastery in chronic and acute process, strong verbal communication skills, ability to critically think and thrive in a fast-paced environment, while remaining patient centric. Qualifications Certifications: Licensed Registered Professional Nurse (RN) - Indiana (IN) within 1 year - Indiana Professional Licensing Agency (IPLA)Indiana Professional Licensing Agency (IPLA)Indiana Professional Licensing Agency (IPLA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)Illinois Department of Financial and Professional Regulation (IDFPR)Illinois Department of Financial and Professional Regulation (IDFPR); Licensed Registered Professional Nurse (RN) - Washington (WA) within 1 year - Washington State Board of Nursing (WABON)Washington State Board of Nursing (WABON)Washington State Board of Nursing (WABON); Licensed Registered Professional Nurse (RN) - Ohio (OH) within 1 year - Ohio Board of Nursing (OBON)Ohio Board of Nursing (OBON)Ohio Board of Nursing (OBON); Licensed Registered Professional Nurse (RN) - Iowa (IA) within 1 year - Iowa Board of Nursing (IBON)Iowa Board of Nursing (IBON)Iowa Board of Nursing (IBON), Education: Diploma: Nursing, Work Experience: Nursing Responsibilities Assesses and triages patient concerns via telephone/video/electronic methods using embedded adult and pediatric protocols. Assesses health needs, develops plans of care, and coordinates care for patients who are experiencing health concerns. Documents all telephone encounters received/initiated within Epic and completes appropriate EMR documentation and follow up. Provides medication management assistance by renewing, refilling, cancelling, transcribing, and reconciling medication orders as appropriate within departmental guidelines. Ensures adherence to established standards of care and scope of practice. Provides education and counseling to patients, families, and groups. Facilitates care coordination between patient and provider during 24/7 operations. Communicates with outside facilities when appropriate. Assists with department tracking, auditing, and reporting feedback for opportunities of improvement. Serves as a resource within the organization and/or community by providing additional support to other Carle clinical team members and patients when needed. Acts as a preceptor and supports the development and retention of other staff. Recognizes and initiates change initiatives that improve clinical outcomes utilizing evidence-based practices where applicable. Provides leadership for initiatives designed to improve the quality of care or clinical outcomes. Assists leadership team members with development and implementation of departmental processes. Primarily providing telehealth triage for acute needs for Carle Health, Health Alliance, and additional contracted health systems through daytime and after-hours to facilitate and maintain patient safety and care. Provides after-hour care of patient needs, supports critical patient communications, and maintains working knowledge of specialized processes including but not limited to: Receiving and communicating critical lab value reporting, heart monitor alerts, hospital discharges, AMS patients, patient and provider appointment management, and other miscellaneous tasks as outlined within onboarding and orientation. Performs essential Charge RN functions in rotation with other team members that directly supports immediate team needs, operational flows, and patient care support. Cross training to all Patient Contact Center departments to assist with patient care needs requiring medication refills, telephone triage, and patient portal electronic communications. About Us Find it here. Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health. Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com. Compensation and Benefits The compensation range for this position is $30.39per hour - $52.27per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Dane Street is seeking experienced Psychiatrists to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical cases and provide objective, evidence-based medical opinions. This is a telework opportunity that allows you to customize your schedule while working as a 1099 independent contractor. Your primary responsibilities will include reviewing medical records, preparing clear and concise clinical summaries, and responding to specific questions from our clients related to psychiatric care. Join a team that values your clinical judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments. Your expertise plays a vital role in supporting high-quality, defensible medical determinations.

Role Description Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives! - Interpret Prenuvo whole-body MRI and preventive imaging studies, producing high-quality, clinically meaningful reports. - Communicate clear, actionable findings to patients and referring clinicians. - Participate in peer review, educational discussions, and continuous quality improvement within a collegial network. - Share urgent or unexpected results promptly and thoughtfully. - Uphold Prenuvo’s standards for diagnostic excellence, compassion, and consistency. Qualifications - American Board of Radiology (ABR) certification or board eligibility (required). - Active U.S. medical license (multi-state licensure preferred). - Strong MRI expertise; fellowship training in Body MRI, Neuroradiology, Musculoskeletal Imaging, or Breast Imaging highly desirable. - Good standing with applicable state medical boards and the ABR. - Detail-oriented, patient-centered mindset and a passion for proactive, preventative medicine. Requirements - Independent Contractor (1099): Enjoy true autonomy while meeting agreed weekly volume goals. - Fully Remote: Read from anywhere in the U.S. We provide the workstation and full IT support. - No Call. No Nights. No Shifts: Create a schedule that fits your life. - Competitive Earning Potential: High-reward compensation that recognizes expertise, accuracy, and quality with the flexibility to scale volume and income on your terms. - Licensing Support: We’ll help you secure and maintain additional state licenses. - Collaborative Team: Work alongside ABR-certified, fellowship-trained radiologists in Body MRI, Neuroradiology, Musculoskeletal, and Breast Imaging. - Smart Technology: Advanced MRI systems, AI-supported tools, and efficient PACS workflows designed to help you do your best work. Benefits - An avenue to make a positive impact on people's lives and their health. - Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way. - Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize. - Estimated monthly earnings range: $16,000–$96,000 USD, based on read volume.

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives. Learn even more about the work that drives us at personifyhealth.com. Responsibilities Ready to Job Summary As a Case Manager RN, you will provide telephonic case management between providers, patients and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants. May be required to work evening and/or weekend shifts What You'll Actually Do Essential Functions/Responsibilities/Duties - Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs. - Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs. - Develop treatment plan for standard and catastrophic cases in collaboration with the patient, caregivers or family, community resources and multi-disciplinary healthcare providers that include obtainable short- and long-term goals. - Monitor interventions and evaluate the effectiveness of the treatment plan in a timely manner; report measurable outcomes that record effectiveness of interventions. - Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care. - Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs; provide patient/family with emotional support and guidance. - Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis. - Negotiate and implement cost management strategies to affect quality outcomes and reflect this data in monthly case management reviews and cost avoidance reports. - Establish and maintain working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance and information. - Evaluate and make referrals for wellness programs. - Maintain complete and detailed documentation of case managed patients in Eldorado and UM Web; maintain site specific files ensuring confidentiality; prepare reports and updates at 30-day intervals for high-risk cases and 90 days interval for low-risk cases ensuring confidentiality according to Company policy and HIPAA - Perform Utilization Review for assigned members. - Serve as mentors to LVNs and provide guidance on complicated cases as it relates to clinical issues. Qualifications What You Bring to Our Team Education and Experience - Graduation from an accredited Registered Nursing (RN) program. - Possession of a current California RN license; a multi-state license will also be required. - Minimum of five (5) years medical/surgical or acute care experience, including two years’ experience in case management, or an equivalent combination of education and experience. - Prior case management experience, emergency room, critical care background or other relevant clinical care experience pertinent to case management. Required Knowledge, Skills, and Abilities - Knowledge of medical claims and ICD-10, CPT, HCPCS coding. - Ability to critically evaluate claims data and determine treatment plan, discharge planning experience. - Ability to work independently making decisions and problem solving - Knowledge of community resources and alternate funding programs. - Computer proficiency or working knowledge of Microsoft Office Suite. - Excellent interpersonal, communication and negotiation skills. - Strong customer orientation. - Good time management skills and highly organized. Work Environment At Personify Health we value and celebrate diversity, and we are committed to creating an inclusive environment for all employees. We believe in creating teams made up of individuals with various backgrounds, experiences, and perspectives. Why? Because diversity inspires innovation, collaboration, and challenges us to produce better solutions. But more than this, diversity is our strength, and a catalyst in our ability to change lives for the good. Physical Requirements - Must be able to remain in a stationary position 50% of the time. - The person in this job needs to occasionally move about inside the office to access office machinery, filing cabinets and meeting facilities. - Constantly operates a computer and other office productivity machinery, such as copy machine, computer printer, calculator, etc. - Frequently positions self to maintain files in file cabinets. - Frequently moves boxes or equipment weighing up to 25 pounds. - Must communicate information and ideas so others understand. Must be able to exchange accurate information in these situations. - Must be able to observe details at close range. Disclaimer This job description is not intended to contain a comprehensive list of activities, duties, or responsibilities, but constitutes a general description of the scope and function of the role within the company. Activities, duties, and responsibilities are subject to change at any time with or without notice. Benefits The Highlights: - Competitive base salary and benefits effective day one - Comprehensive medical and dental through our own health solutions (yes, we use what we build) - Paid Time Off—rest and recharge time is non-negotiable - Mental health support, retirement planning, and financial protection - Professional development with clear career progression and learning budgets - Mission-driven culture where diverse perspectives drive real impact on people's health Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks. Compensation: This position offers a base salary range of $36-$38 per hour, depending on location, skills, and experience. You're eligible for our full benefits package starting day one. Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing. Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to talent@personifyhealth.com. View all legitimate openings at personifyhealth.com/careers.