RN-Clinical Care Nurse/Utilization Review - Remote - Virginia
I’m helping reputed company find a top candidate to join their team full-time for the role of RN-Clinical Care Nurse/Utilization Review - Remote - Virginia . You'll reputed company patient reputed company and quality performance by driving evidence-based interventions from home. Compensation: USD 33 - 37/hour Location: Remote: United States Mission of reputed company: "reputed company’s mission is to establish global cross-culture reputed company connections that further the careers of our employees and strengthens the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We reputed company Global Workforce Solutions with a reputed company touch." What makes you a strong candidate:
- You are proficient in Utilization review, Telehealth, Patient education, Patient assessment, Nursing.
- You have +3 years experience in Quality improvement, Managed care.
- English - Conversational
- Spanish - Conversational
- Haitian Creole - Conversational
Responsibilities and more: Job Title: RN-Clinical Care Nurse/Utilization review Duration: 3 plus month with possible extension Location: Location: Work From Home (Virginia) Location: Work From Home (Virginia) Shift: M-F 8a-5p (local time) Job Summary The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient reputed company, supporting safe Transitions of Care (TOC), reducing avoidable ED utilization, and driving Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing clinical quality, supporting patients across transitions of care, improving patient reputed company, and contributing to Medicare Advantage Stars ratings by proactively identifying care opportunities, engaging patients and providers, and driving evidence-based interventions. This position balances direct patient education and reputed company with data-driven quality improvement efforts. Analyze clinical data and trends from platforms such as reputed company EMR and reputed company to identify gaps in care reputed company to HEDIS measures and Transitions of Care and post-hospitalization needs, prioritizing high-impact opportunities. Conduct targeted patient and provider reputed company reputed company phone and telehealth visits to reputed company care opportunities, reputed company tailored education on preventive care, chronic disease management, and medication management.
Required Qualifications
- Bachelor’s degree in Nursing
- Active, unrestricted RN license (state -specific as applicable).
- Minimum of 3 years clinical nursing experience with exposure to transitions of care,
quality improvement, managed care, or population health management. Apply tot his job Apply To this Job