Registered Nurse, RN

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct telephonic clinical evaluations, health education, and utilization management services.

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

• Employ the nursing process to determine patient care needs, risks, safety concerns, educational opportunities, and suitable healthcare referrals.

• Handle calls in accordance with Quality Management standards.

• Exhibit adherence to product-specific performance metrics.

• Evaluate, determine dispositions, make care recommendations, and offer education and health information.

• Uphold nursing standards, company policies, and shared principles during clinical assessments and health education sessions.

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

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

• Participate in 2–4 weeks of virtual, interactive classroom training; the first two weeks will occur during daytime hours.

• Ensure consistent and reliable attendance and punctuality.

• Carry out additional tasks as assigned.

⛳️ Requirements

• Active, unrestricted RN licensure in a compact state where you reside.

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

• Current home state RN license in good standing.

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

• Minimum of 3 years of clinical experience as a Registered Nurse.

• Capability to obtain licensure in additional states as needed.

• Must currently reside and hold 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.

• CEU subscription will be provided upon hiring; RNs are required to maintain the necessary number of credits each year to keep their licenses active.

• Attendance of 100% of training hours and successful completion of intra-training assessments is mandatory.

• Ability to apply clinical expertise to achieve clinical business standards.

• Proficiency in running multiple computer programs concurrently.

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

• Strong communication skills (listening, reflection, and clarification).

• Bilingual abilities are advantageous.

• Experience in telephone triage and familiarity with health benefit plans and the insurance industry are beneficial but not mandatory.

• Home office must comply with certification standards.

🏝️ Benefits

• Health, dental, and vision insurance.

• A 401(k) plan with company matching.

• Paid time off (PTO) and holidays.

• Flexible spending accounts (FSAs).

• Employee wellness programs.

• Opportunities for career development.

• CEU subscription provided upon hiring.

• Differential pay may be available for specific shifts.

• Option to work from home.