Registered Nurse, RN

This is a fully remote position, open to applicants in Alabama, +25 more locations.

📋 Description

• Conduct telephonic clinical assessments, provide health education, and deliver utilization management services.

• Execute triage assessments utilizing computer-based algorithms, protocols, and established guidelines.

• Employ the nursing process to evaluate patient care requirements, risks, safety concerns, educational possibilities, and healthcare referrals.

• Manage calls according to Quality Management standards.

• Ensure adherence to product-specific performance metrics.

• Implement nursing standards, organizational policies, and collaborative principles during clinical evaluations and health education sessions.

• Evaluate, determine disposition, make care recommendations, and supply educational and health-related information.

• Participate in mandatory training and successfully complete intra-training assessments.

• Commit to working four weekend shifts each month, either every Saturday or every alternate weekend.

• Be available for evening shifts, including at least two weekend days every two weeks.

• Maintain consistent, reliable attendance and punctuality.

• Identify opportunities for improvement and propose feasible solutions.

• Appropriately and promptly escalate issues as needed.

• Establish rapport with members and positively influence member behavior.

• Carry out additional duties as assigned.

⛳️ Requirements

• Possess a current, unrestricted RN license in a compact state that is your state of residence.

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

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

• Have at least an associate degree from a two-year college or technical school or a Diploma Nursing Program; BSN is preferred.

• Minimum of three years of clinical experience as a Registered Nurse is required.

• Capability to obtain licensure in additional states as necessary.

• Must currently reside in a compact state and hold a Multi-State (compact) unrestricted RN license in states such as 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 operate multiple computer programs simultaneously.

• Skill in determining when to appropriately and promptly escalate issues.

• Strong communication skills, including listening, reflection, and clarification.

• RN must attend training 100% of the time and successfully complete intra-training testing components.

• Mandatory attendance during the 2–4 week training period is required.

• Preferred experience in ER, adult and pediatric care, Medical/Surgical, Home Health and Hospice, or other acute care areas.

• Experience in telephone triage and a basic understanding of health benefit plans and the insurance sector is beneficial but not mandatory.

• Bilingual abilities are an advantage.

• Home office must meet specific certification standards for remote work positions.

🏝️ Benefits

• Health, dental, and vision insurance coverage.

• A 401(k) plan with a company match.

• Paid time off (PTO) and holidays.

• Flexible spending accounts (FSAs).

• Employee wellness programs.

• Opportunities for career development.

• CEU subscription provided upon hire.

• Potential for differential pay for certain shifts.

• Virtual, interactive classroom training.

• Option to work from home.