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Registered Nurse, RN

🔥 47 minutes ago

Where this job comes from

Posted on Carenet Health's careers page, not through a job board

First seen by Remote Rocketship 47 minutes ago

Logo of Carenet Health

Carenet Health

1001 - 5000 employees

Founded 1988

🏥 Healthcare

📡 Telecommunications

⚕️ Healthcare Insurance

Healthcare • Telecommunications • Healthcare Insurance

Carenet Health is a leader in the transformation of healthcare consumer engagement, specializing in closing gaps in care, telehealth, and advocacy. With over 25 years of experience, the company utilizes advanced technology and insights to provide tailored solutions to healthcare providers and payers, helping them meet consumer needs effectively. Their services encompass personalized health advocacy, care management, and consumer engagement, ultimately aiming to improve healthcare outcomes and patient experiences.

📋 Description

• Provide quality-driven telephonic clinical assessments, health education, and utilization management services • Provide triage assessments to callers, patients, members, or defined patient populations using telecommunications • Use computer-based algorithms, protocols, guidelines, nursing standards, company policies, and shared principles • Apply critical thinking, multitasking, and effective communication to assess and disposition patients • Make care recommendations and provide education and health information • Identify patient care needs, risks, safety issues, educational opportunities, and appropriate healthcare referrals • Process calls according to Quality Management guidelines • Demonstrate compliance with product-specific performance metrics • Build rapport with members and effectively influence member behavior • Escalate issues appropriately and in a timely manner • Work 4 weekend shifts per month, either every Saturday or every other weekend • Work evening schedules including at least two weekend days every two weeks • Attend 2–4 weeks of virtual, interactive classroom training, with the first two weeks during daytime hours • Maintain regular, reliable attendance and timeliness • Perform other duties as assigned

🎯 Requirements

• Current, unrestricted RN licensure in a compact state that is the state of residence • Must reside in a compact state and maintain a compact multistate license • Current home state RN license in good standing • Minimum associate degree from a two-year college or technical school, or Diploma Nursing Program; BSN preferred • Minimum 3 years of Registered Nurse clinical experience • Ability to become licensed in additional states as required • RNs must maintain the mandatory number of CEU credits per year for assigned licenses • RN must attend 100% of training hours and pass intra-training testing components • Must currently reside and have a Multi-State (compact) unrestricted RN license in AL, AR, CO, FL, GA, IA, ID, IN, KS, KY, LA, ME, MS, MO, MT, NE, NM, NC, ND, NH, OK, SC, SD, TN, TX, VA, WI, or WY • Ability to apply clinical knowledge to meet clinical business standards • Ability to run multiple computer programs simultaneously • Ability to identify improvement opportunities and recommend workable solutions • Ability to determine when to escalate issues appropriately and in a timely manner • Comprehensive communication, listening, reflection, and clarification skills • Experience in ER, adult and pediatric care, Medical/Surgical, Home Health and Hospice, or other acute areas preferred • Telephone triage experience and understanding of health benefit plans and the insurance industry helpful but not required • Bilingual skills are a plus • Home office must meet certain certification requirements

🏖️ Benefits

• Health, dental, and vision insurance • A 401(k) plan with company match • Paid time off (PTO) and holidays • Flexible spending accounts (FSAs) • Employee wellness programs • Career development opportunities • CEU subscription provided at hire • Differential pay may be earned for certain shifts • Work-from-home option

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