Nurse Navigator Remote Jobs in Washington (US)
This page tracks remote nurse navigator openings that are location-eligible for Washington.
This page tracks remote nurse navigator openings that are location-eligible for Washington.
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Saving lives with breakthrough proactive cancer & major disease screening
• Proactively call and follow up with patients to guide them through the Prenuvo journey • Conduct pre-scan assessments and answer patient questions with clarity and empathy • Support patients in understanding what to expect, how to prepare, and what their next steps may be • Offer clinical insight and emotional support as needed, referring to NPs or MDs when appropriate • Partner cross-functionally with operations, product, clinical, and support teams to surface patient needs and friction points • Contribute to internal process improvements by sharing insights and identifying workflow gaps • Participate in quality improvement initiatives, knowledge sharing, and feedback loops • Maintain accurate and timely documentation of all patient interactions • Ensure compliance with privacy standards and clinical protocols • Coordinate with other members of the medical group to ensure seamless patient care
UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Title: Registered Nurse Location: Moses Lake United States Requisition number: 2372352 Job category: Nursing Primary location: Moses Lake, Washington Overtime status: Non-exempt Travel: No Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Home Infusion Nurse, you'll provide one on one, skilled clinical care to patients where they feel most comfortable-at home or in an ambulatory infusion suite. This role offers true autonomy, a flexible schedule, and the opportunity to build meaningful connections with patients and caregivers while delivering life changing therapies. You'll have the support of a multidisciplinary care team, comprehensive training, and the resources you need to deliver safe, effective, and compassionate infusion care. In This Role, You Will: - Learn more about our Home Infusion Pharmacy: Optum Infusion Pharmacy - Work approx 20 hours per week M-F - Travel within a 2 hour radius of Moses Lake WA deliver care in patient homes or designated sites Why You'll Love This Role - Beyond the meaningful impact you make every day, you'll enjoy: - Paid Door-to-Door - Time and mileage fully compensated - Mileage reimbursement in alignment with IRS Standard mileage rates - Generous Benefits include accruing paid time off (PTO) - Monthly performance-based bonus opportunity - Comprehensive training ensures you feel confident with every therapy before administering care - 1:1 patient connection, allowing you to see the difference your nursing care makes firsthand Primary Responsibilities: - Travel to patient homes and related sites using a personal or rental vehicle in accordance with company travel policies - Provide safe and compliant infusion services in accordance with Optum Infusion Pharmacy policies, protocols, and physician orders - Establish and maintain positive therapeutic relationships with patients and caregivers, including education on self-care and self-administration - Assess patient suitability for home infusion therapy, including home safety, caregiver support, and patient independence - Obtain and maintain accurate patient medical histories, clinical assessments, and all required documentation, including plans of care, visit notes, medication profiles, and discharge summaries - Deliver skilled nursing care across a range of patient ages and conditions based on physician orders and treatment plans - Establish, access, and maintain vascular devices, including peripheral IVs, PICC lines, tunneled catheters, and implanted ports - Administer medications and monitor patient responses, including managing infusion reactions, vital signs, side effects, and lab collection - Communicate patient status and therapy response promptly with physicians, pharmacists, supervisors, and other care team members - Assist in staff orientation and training, serving as a clinical educator and resource as requested You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Active and unrestricted Registered Nurse (RN) license in the state of WA - Current BLS/CPR certification or willingness to obtain prior to start - 1+ years of RN experience in a clinical setting supporting infusion or IV therapy (e.g., ICU, Med Surg, ED, PACU) - Proven ability to work independently with solid clinical judgment and effective interdisciplinary collaboration skills - Valid driver's license, reliable transportation, and ability to cover an 80 mile service radius while working up to 40 hours per week Preferred Qualifications: - Home infusion experience - Knowledge of Infusion Nursing Society (INS) standards - Familiarity with Microsoft Office and EMR platforms - Understanding of HIPAA, OSHA, and home infusion accreditation guidelines - Proven solid communication, organization, critical thinking, and teaching skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Role Description As a Registered Nurse with Affinity Hospice Care, you will play a meaningful role in helping patients heal, stay safe, and thrive in the comfort of their own environment. We value teamwork, empathy, and a commitment to high-quality service, all aimed at putting patients and their families at ease during their transition. Please note that this role is per diem with a rate of $140 - $150 per visit. - Review OASIS assessments for completeness, appropriateness, and compliance with federal and state regulations. - Ensure accurate ICD-10 coding and sequencing based on each patient’s medical condition and co-morbidities. - Partner with clinical staff to resolve documentation and data integrity issues. - Monitor visit utilization and flag potential financial risks or underutilization to clinical management. - Identify and communicate trends that impact agency outcomes and process measures. - Conduct OASIS inter-rater reliability visits with clinical team members. - Participate in Quality Improvement and Corporate Compliance activities. - Stay current with best practices through ongoing education and professional development. - Perform other duties as required for patient services. Qualifications - Active Californian RN license in good standing. - 1–2 years of clinical home health experience. - Working knowledge of OASIS assessments and ICD-10 coding. - Knowledge of federal regulations and state licensure requirements. - Strong communication skills and a keen eye for detail. - Ability to work independently and manage priorities with minimal supervision. - Proficiency with computer systems and electronic health records. - Current CPR certification with AHA. - Valid driver’s license, reliable insured vehicle. Requirements - OASIS certification (COS-C) - Nice to Have. - OASIS Home Health ICD-10 coding certification - Nice to Have. Benefits - Flexible Schedule. - Ability to Convert to Full-Time Based On Performance If Interested. - Paid Sick Days. - Paid Bereavement Leave. - Skills Training & Development. - Company Social Events. - Mileage Reimbursement for Patient to Patient Visits. - Referral Bonus.
Role Description As a Registered Nurse with Madrona Hospice Care, you will play a meaningful role in helping patients heal, stay safe, and thrive in the comfort of their own environment. We value teamwork, empathy, and a commitment to high-quality service, all aimed at putting patients and their families at ease during their transition. If you are passionate about making a positive impact in patients' lives and working in a supportive and family-oriented atmosphere, we encourage you to join us in providing exceptional home hospice care. Please note that this role is per diem with a rate of $140 - $150 per visit. Responsibilities - Review OASIS assessments for completeness, appropriateness, and compliance with federal and state regulations. - Ensure accurate ICD-10 coding and sequencing based on each patient’s medical condition and co-morbidities. - Partner with clinical staff to resolve documentation and data integrity issues. - Monitor visit utilization and flag potential financial risks or underutilization to clinical management. - Identify and communicate trends that impact agency outcomes and process measures. - Conduct OASIS inter-rater reliability visits with clinical team members. - Participate in Quality Improvement and Corporate Compliance activities. - Stay current with best practices through ongoing education and professional development. - Perform other duties as required for patient services. Qualifications - Active Californian RN license in good standing. - 1–2 years of clinical home health experience. - Working knowledge of OASIS assessments and ICD-10 coding. - Knowledge of federal regulations and state licensure requirements. - Strong communication skills and a keen eye for detail. - Ability to work independently and manage priorities with minimal supervision. - Proficiency with computer systems and electronic health records. - Current CPR certification with AHA. - Valid driver’s license, reliable insured vehicle. Nice to Have - OASIS certification (COS-C). - OASIS Home Health ICD-10 coding certification. Benefits - Flexible Schedule - Ability to Convert to Full-Time Based On Performance If Interested - Paid Sick Days - Paid Bereavement Leave - Skills Training & Development - Company Social Events - Mileage Reimbursement for Patient to Patient Visits - Referral Bonus
Dartmouth Health is New Hampshire’s largest, and only academic, health system. Dartmouth Health serves patients from across northern New England and provides access to more than 1,800 providers. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes: NCI-designated Dartmouth Cancer Center Dartmouth Health Children’s hospital 8 member hospitals 30+ ambulatory clinic locations across the region A Visiting Nurse Association The Jack Byrne Center for Palliative and Hospice Care At Dartmouth Health, we believe that the diversity of our patients, people, and community shows a strength we support and celebrate. We are committed to creating a welcoming and inclusive environment for everyone to thrive, honoring all within our organization and the communities we serve.
Role Description The RN - DH Direct Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on, responsible for assessing patient symptoms, determining the appropriate level of care, providing education, and ensuring timely communication with providers. The ideal candidate has strong triage, Med-Surg, and Primary Care experience, is proficient with Epic EMR, and thrives in an independent remote environment. Key Responsibilities - Perform telephone triage using established protocols and sound nursing judgment. - Assess symptoms, prioritize patient needs, and determine appropriate care or follow-up. - Provide patient education, guidance, and reassurance as appropriate. - Accurately document all patient encounters in Epic EMR in real time. - Escalate urgent or emergent situations per clinic and organizational policies. - Communicate effectively with on-call providers, clinic teams, and patients to ensure continuity of care. - Contribute to a culture of safety, quality, and patient satisfaction within the triage team. Qualifications - Active, unrestricted RN license (multi-state compact required). - Minimum 2-3 years of clinical experience with a strong background in triage, ER, Med-Surg, and/or Primary Care. - Proficiency in Epic EMR and remote communication systems. - Excellent assessment, critical thinking, and decision-making skills. - Strong communication, documentation, and time management abilities. - Self-motivated and comfortable working independently in a remote environment. - Associates degree required; BSN preferred. - Previous experience in remote triage, nurse advice lines, or outpatient/clinic settings. Requirements - Every weekend, mix of day/evening shifts. - 100% remote position — requires reliable internet and a secure HIPAA-compliant workspace, free from distractions. - Rotating holidays. - Eligible candidates will reside in one of the following compact eligible states: Arizona, Colorado, Connecticut, Florida, Georgia, Indiana, Kentucky, Maine, Maryland, New Hampshire, North Carolina, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington. Responsibilities - Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. - Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. - Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. - Actively seeks feedback and acts to improve performance. - Engages in the governance of practice. - Manages interpersonal relationships for self and with others. - Mentors colleagues for the advancement of nursing practice and the profession. - Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. - Prioritizes and organizes time to optimize patient outcomes. - Actively seeks out the most current evidence and standards and applies and translates to daily practice. - Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. - Communicates effectively in a variety of formats in all areas of practice. - Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. - Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. - Performs other duties as required or assigned. Qualifications - Graduate from an accredited Nursing Program required. - Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility. - Basic Life Support (BLS) Certificate required upon hire.
We are one of the largest not-for-profit, faith-based health care systems in the nation.
Role Description Eligible credentials include both Licensed Practical Nurses (LPNs) and Registered Nurses (RNs). Eligible for remote work. Seeking candidates with evening/night and weekend availability. Provides professional nursing care for patients following established standards and practices, which can include triage (telephone and walk-in visits), and care needs that transpire between office visits. The position ensures timely access to appropriate services, reduces care fragmentation, and promotes optimal health outcomes and patient safety. Demonstrates professional clinical leadership and oversight within the scope of the RN role. Essential Job Functions - Responsible for efficiently triaging patient needs via telephone and during visits to ensure appropriate timely access to the appropriate level of care, reducing avoidable emergency department visits and readmissions according to IHA's Policies and Protocols. - Conducts post-discharge calls for patients experiencing a transition of care for identified populations. - Documents clinical findings in a clear, concise and timely manner according to IHA Policy. - Utilizes critical thinking skills within the scope of licensure to appropriately assess patient needs and involves providers as appropriate. - Enters orders (medication, laboratory, radiology, referrals) according to provider direction and as per state, local and professional guidelines. - Follows clinical and nursing protocols as applicable. - Schedules patient appointments as applicable. - Encourages patient portal usage and supports where needed. - Provides scope-appropriate nursing education during all patient interactions. - Consults with providers and other extended care team members (Care Management, Embedded Pharmacy, Behavioral Health and Nutrition) and external case managers as appropriate to effectively ensure quality patient care. - Supports physician and advanced practice providers with indirect work according to protocol. This includes and is not limited to test results/orders management. - Assesses patients for gaps in care for preventative and disease management needs. - Ensures patient medication list is accurate, completes medication reconciliation and processes refill requests per protocol. - Works with the entire care team to co-manage indirect patient work according to Standard Work Instructions. - Collaborates with insurance, DME, home care and all other care partners to ensure patient needs are met. - Reviews patient medical history to identify supporting documentation relevant to ordered services and procedures to assist with or complete prior authorization process. - Assists patients with resources for any social influences of health needs. - Participates in process improvement projects within the office/department. - Serves as a resource to clinical office/department staff within scope of RN role; may direct the work of LPN and Medical Assistant staff as needed and appropriate based on role/scope. - May perform clinical support tasks as outlined on the Clinical Support Staff Scope of Practice document. - Supports other offices, attends required meetings and training, and participates in committees as requested. - Attends weekly patient care meetings and attends daily huddles as applicable. - Assumes additional duties as required. Organizational Expectations - Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of Trinity Health Medical Group. - Must be able to work effectively as a member of the clinical care team. - Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management. - Successfully completes all relevant organizational training and adheres to Trinity Health Medical Group standard of care as outlined in the Trinity Health Code of Conduct. - Maintains knowledge of and complies with Trinity Health Medical Group standards, policies and procedures. - Maintains general knowledge of Trinity Health Medical Group office services and in the use of all relevant office equipment, computer and manual systems. - Maintains strict confidentiality in compliance with Trinity Health Medical Group and HIPAA guidelines. - Serves as a role model by demonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences. - Uses resources efficiently. - If applicable, responsible for ongoing professional development – maintains appropriate licensure/certification and continuing education credentials, participates in available learning opportunities. Qualifications - Graduate of an accredited RN or LPN program. - Valid, unrestricted RN or LPN license in the State of Michigan. - Valid CPR certification. - 1-2 years of clinical experience in a medical or physician office preferred. Previous nursing experience not required. Requirements - Demonstrated competency in obtaining accurate patient vital statistics (height, weight, blood pressure, temperature, etc.) and patient health history. - Must have basic knowledge and understanding as to the relevance of patient vital statistics to the patients’ health history. - Proficient/knowledgeable in medical terminology. - Proficiency in operating a standard desktop and Windows-based computer system, including but not limited to, electronic medical records, email, e-learning, intranet and computer navigation. - Excellent communication skills in both written and verbal forms, including proper phone etiquette. - Ability to work collaboratively in a team-oriented environment; displays courteous and friendly demeanor. - Ability to work effectively with various levels of organizational members and diverse populations including IHA staff, providers, patients, vendors, family members, outside customers and community groups. - Ability to cross-train in other areas of practice in order to achieve smooth flow of all operations. - Good organizational and time management skills to effectively juggle multiple priorities, time constraints and ever-changing medical situations. - Ability to exercise sound judgement and problem-solving skills. - Ability to perform mathematical calculations needed during the course of performing basic job duties, i.e.: calculating proper dosages for immunizations. - Knowledge of the compliance aspects of clinical care and patient privacy and best practices in medical office operations. - Ability to handle patient and organizational information in a confidential manner. - Ability to travel to other office/practice sites and meeting and training locations. - Successful completion of IHA competency-based program within introductory and training period. Company Description Our Commitment: Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Role Description The Georgia Heart Institute Triage Nurses duties include but are not limited to: - Use of telephone etiquette to provide immediate assistance to the caller. - Assess, coordinate and maintain proper function of patient care in a high call volume environment for General Cardiology, Interventional Cardiology, and Electrophysiology across all locations in a remote setting. - Utilize critical thinking and clinical decision-making skills along with approved nursing protocols to determine appropriate level of care needed based on assessment of patient symptoms. - Proficiently document interactions in EMR to communicate and collaborate with all departments within GHI. - Work independently on weekends and holidays to assist callers after normal business hours. - Serve as liaison to relay critical information received to physician and care team. Qualifications - Professional Nurse with Current State License. - Current BLS. - Associates Degree. Requirements - ACLS preferred. - Three (3) years experience as Registered Nurse. - One (1) year Cardiology experience, critical care or ED. Job Specific and Unique Knowledge, Skills and Abilities - Demonstrates knowledge appropriate to care for adult and geriatric cardiac patient populations. - Strong organizational and interpersonal skills. - Excellent written and verbal communication skills. - Ability to work effectively and independently in a remote setting. - Ability to prioritize and multitask in a dynamic work environment. - Strong analytical and problem-solving skills to make sound clinical judgements. - Excellent understanding of medical terminology and the disease process. - Advanced computer skills necessary to operate multiple computer systems in unison to provide the most efficient care (i.e. EPIC, Avaya, Microsoft, Outlook). Essential Tasks and Responsibilities - Triage accordingly. - Answer calls promptly to assess patient symptoms and conditions to determine level of care by utilizing approved protocols. - Document in EMR. - Provide excellent customer service. - Schedule Problem Visits. - Responsible for receiving urgent event monitors reports and assessing patient symptoms at time of event. - Receive critical labs or urgent cardiac testing results and immediately relay to appropriate care team. - Relays approved information for the current treatment plan. - Accountable for retrieving and addressing patient needs obtained from Avaya Message System and EPIC GHI Triage Nurse In Basket. - Utilize physician notes to enter orders relevant to plan of care. - Use the EPIC refill protocol to ensure all parameters are met to fulfill the medication request as appropriate. - Completes all duties as assigned. - Facilitate patient care. - Resource for Mas, CMS, and LPNs. - Maintains awareness of any updates or changes to current policies and procedures affiliated with NGHS/GHI. - Performs other related job duties or functions as requested or assigned according to the needs of the organization. Physical Demands - Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time. - Weight Carried: Up to 20 lbs, Occasionally 0-30% of time. - Vision: Heavy, Constantly 66-100% of time. - Kneeling/Stooping/Bending: Occasionally 0-30% of time. - Standing/Walking: Occasionally 0-30% of time. - Intensity of Work: Frequently 31-65%. - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding.
Role Description Weekend Triage RN Per diem coverage of our weekend triage calls. Saturday & Sunday 8-5pm typical hours but also we can be flexible with the times on the weekends - half days. Join our team as a Clinical Practice Nurse 1, where you'll work under the direction of our Practice Manager for Primary Care Weekend Access and alongside our dedicated providers to deliver top-notch patient care. Utilizing your expertise in growth and development principles, you'll: - Assess clinical data - Identify patient needs - Foster compassionate relationships with patients, families, and caregivers As part of our family medicine healthcare team, you'll engage in a diverse range of services, from newborn care to various medical subspecialties, collaborating with: - Hospitalist programs - Nursing homes - Behavioral health specialists If you're passionate about delivering high-quality care and making a difference in patients' lives, we invite you to apply and become an integral part of our team. Remote work option available following training and onboarding. Qualifications - Minimum requirements: Associate Degree or Diploma in Nursing from an accredited School of Nursing. - Licensure required: New Hampshire Board of Nursing license - Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification or Red Cross CPR/AED for Professional Rescuers and Health Care Providers Requirements - Demonstrated ability to effectively and positively interact with a multi-disciplinary staff, patients, and others. Responsibilities - Establishes priorities in organizing daily activities and maintains efficient patient flow. - Triages patient phone calls following established guidelines and prescribed format for identifying patient's health problems or concerns, and providing quality patient care. - Administers prescribed medications. - Provides education to patients in response to identified patient needs. - Documents health information, interventions, and outcomes into the patient electronic medical record. - Delegates patient care activities using the five rights: right task, person, direction, circumstance, and supervision (ensuring the task has been completed satisfactorily and documentation is complete) and providing feedback to delegatee and manager. - Applies principles of purposeful, organized thinking based on the nursing process to make sound clinical judgment and decisions. - Completes practice specific clinical skill competencies on an annual basis. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - The Dictionary of Occupational Titles Material Handling Classification is LIGHT. - The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds. - While performing the duties of this Job, the employee is regularly required to do repetitive motion, hear, and speak. - The employee is frequently required to bend, do fine motor, reach, sit, stand, and walk. - The employee is occasionally required to climb, kneel, smell, and squat. - Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. - The employee is frequently exposed to bloodborne pathogens, bodily fluids. - The employee is occasionally exposed to airborne pathogens, electrical hazards - shock, toxic or caustic chemicals. - The noise level in the work environment is usually quiet.
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
Role Description We are seeking a detail-oriented Registered Nurse (RN) or Licensed Practical Nurse (LPN) to join our Clinical Quality Assurance. Key Responsibilities - Service Verification: Review completed patient visits to confirm the correct surgeons, specialties, and insurance (including State Insurance) were used and properly documented. - Clinical Accuracy Review: Validate that the services provided match exactly what the client requested—no more, no less—and ensure each service meets policy criteria and medical necessity. - Compliance Assessment: Determine whether the services align with required guidelines, criteria, and documentation standards. - Client Reporting: Compile findings into clear, grammatically accurate reports that explain the clinical reasoning and outcomes. - Client Communication: Provide updates to clients via phone and email, ensuring clarity, professionalism, and timely follow-through. - Time Management: Manage quick-turnaround cases and prioritize workload effectively to meet deadlines. Qualifications - Active RN or LPN license - Excellent attention to detail and critical-thinking skills Requirements - Job Type: Contract to Hire - Location: Charlotte, NC - Pay Range: $24.00 - $29.00/hr Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jul 6, 2026.
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