Registered Nurse, RN

This is a fully remote position, open to applicants in Alabama, +24 more states.

📋 Description

• Deliver telephonic clinical assessments, health education, and utilization management services focused on quality.

• Conduct triage assessments for callers, patients, members, or specified patient populations through telecommunications.

• Utilize computer-based algorithms, protocols, guidelines, nursing standards, company policies, and shared principles in assessments.

• Employ critical thinking, multitasking, and effective communication skills to evaluate and manage patients.

• Provide care recommendations along with health education and information.

• Identify patient care needs, risks, safety concerns, educational opportunities, and appropriate healthcare referrals.

• Handle calls in accordance with Quality Management guidelines.

• Ensure compliance with performance metrics specific to the product.

• Establish rapport with members and positively influence their behavior.

• Appropriately escalate issues in a timely manner.

• Commit to working 4 weekend shifts each month, either every Saturday or every other weekend.

• Work evening schedules, including at least two weekend days every two weeks.

• Participate in 2–4 weeks of virtual, interactive classroom training, with the initial two weeks scheduled during daytime hours.

• Maintain consistent, reliable attendance and punctuality.

• Perform additional duties as assigned.

⛳️ Requirements

• Possess a current, unrestricted RN license in a compact state where you reside.

• Must live in a compact state and hold a compact multistate license.

• Maintain a current home state RN license in good standing.

• Hold a minimum of an associate degree from a two-year college or technical school, or a Diploma Nursing Program; BSN is preferred.

• Have a minimum of 3 years of clinical experience as a Registered Nurse.

• Capability to obtain licensure in additional states as necessary.

• RNs are required to maintain the mandatory number of CEU credits annually for assigned licenses.

• RN must complete 100% of training hours and successfully pass intra-training testing components.

• Must currently reside in and possess 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 satisfy clinical business standards.

• Proficiency in running multiple computer programs simultaneously.

• Capability to identify opportunities for improvement and propose feasible solutions.

• Ability to determine the appropriate timing for escalating issues.

• Excellent communication, listening, reflection, and clarification skills.

• Experience in ER, adult and pediatric care, Medical/Surgical, Home Health and Hospice, or other acute care areas is preferred.

• Telephone triage experience and familiarity with health benefit plans and the insurance industry is beneficial but not mandatory.

• Bilingual skills are an advantage.

• Home office must meet specific certification requirements.

🏝️ Benefits

• Health, dental, and vision insurance.

• A 401(k) plan with company matching contributions.

• Paid time off (PTO) and holidays.

• Flexible spending accounts (FSAs).

• Employee wellness programs.

• Opportunities for career development.

• CEU subscription provided upon hire.

• Differential pay may be available for specific shifts.

• Option to work from home.