Coding Specialist II (hybrid or remote) St. Luke's Hospital - MOCoding Specialist II (hybrid or remote)CHESTERFIELD, MissouriRemoteFull timeUsing talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care.
Coding Specialist III (hybrid or remote) St. Luke's Hospital - MOCoding Specialist III (hybrid or remote)CHESTERFIELD, MissouriRemoteFull timeUsing talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareMORemote$81,000–$115,000 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseMORemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
NewRegistered Nurse (RN) Chariton Valley AssociationRegistered Nurse (RN)Hillsboro, MORemoteAs the Community RN, you will: Promotes the physical and mental health of individuals served by coordinating and monitoring medical services, including health and medication services, in accordance with the requirements of regulatory agencies and in response to individual needs; providing at least 1.25 hours of service to each individual supported each month; participating in the admission of new individuals to assigned programs; clarifying medical information and advocating for individuals in hospital admissions and/or discharges, including communicating with relevant healthcare providers or pharmacists to review individual health statuses and medication plans; conducting full health assessments (including skin assessments) of individuals within 7 days of discharge from hospitalization or ER visits; coordinating ongoing care with clinics, external healthcare providers, hospitals and pharmacies; coordinating and reviewing lab work as required; traveling as needed to provide medical related support to individuals as directed; reviewing and teaching health and nutrition per individual needs; conducting Professional Assessment and Monitoring services as authorized; promoting individual empowerment and self-care activities including self-medication; and participating in on-call rotations with other community nursing staff, as directed and required by staffing and support needs; Ensures medically qualified staff by providing nursing delegations related to medical diagnoses, allergies, medication, diet and special emergency plans related to ongoing medical conditions; becoming certified to instruct Level 1 Medication Administration and CPR/First Aid training; developing instruction methods and selecting teaching aids including, but not limited to handbooks, study aids, demonstration models, visual aids, online tutorials and reference works; conducting in-person, recorded, or virtual training via diverse and appropriate instructional methods including, but not limited to individual training, group instruction, lecture, demonstration, conferences, meetings, or workshops and testing trainees to measure progress and effectiveness; reporting progress of employees in training to departmental management when advisable; and supervising Community Licensed Practical Nursing (LPN) services as required. Supports regulatory compliance by documenting services in accordance with agency policy, and the requirements associated with Medicaid, DMH certification and other contractual compliance; conducting regular review of the accuracy and completion of medication administration documents at locations where individuals are supported; ensuring all CIMOR and APTS 2 referrals are completed in a timely fashion; inputting information into the state HRST system and updating monthly as needed; maintaining current and accurate knowledge of company and departmental policies and procedures; protecting confidentiality of information and following HIPAA guidelines; maintaining licensing and certifications necessary for work; participating in continuing education to remain current with modern best practices and acting as local medical advisors in matters of infectious disease control, or health crises per policy and protocols, including serving as an infectious disease control authority if so directed by the CEO, or his/her designee.
Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseMORemote$40–$47 / hourAs a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem. You leverage an integrated technology platform and are complimented by an entire interdisciplinary team including MDs, APPs, social workers, navigators, pharmacists, and dietitians.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriageRemote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTSt. Louis, MORemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT Weekend Only 7:30a-6p CST IntellaTriageRemote Hospice Triage RN PT Weekend Only 7:30a-6p CSTSt. Louis, MORemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Registered Nurse, Remote Telehealth, ER, Emergency Triage, Weekends ChenMed LLCRegistered Nurse, Remote Telehealth, ER, Emergency Triage, WeekendsSt. Louis, MORemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
NewRemote Call Center Triage Registered Nurse CVS Health CorpRemote Call Center Triage Registered NurseMORemote$26.01–$74.78 / hourThe progression path from Level I to Level II positions within the Triage RN team is a structured path that encourages nurses to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Role Description: The Clinical Call Center Triage Nurse effectively extends care during and outside of regular Oak Street Health clinic hours by addressing patients' medical, social, and psychological needs telephonically.
Field Care Manager, Nurse Humana IncField Care Manager, NurseMORemote$71,100–$97,800 / yearThe Registered Nurse Care Manager (Care Manager, Telephonic Nurse 2) performs telephonic and face-to-face assessments and evaluations of Moderate to High acuity member's needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward and facilitate interaction with resources appropriate for the care and well-being of members and their families/caregivers across the lifespan. Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
NewUtilization Review Clinician - ABA Centene Corporation GroupUtilization Review Clinician - ABAMORemote$27.02–$48.55 / hourCandidates must hold an active BCBA certification, and one of the following required licenses or certifications: LCSW (Licensed Clinical Social Worker), LMHC (Licensed Mental Health Counselor), LPC (Licensed Professional Counselor), LMFT (Licensed Marital and Family Therapist), LMHP (Licensed Mental Health Professional), or RN (Registered Nurse) with state licensure and/or compact state licensure. Candidates with experience in ABA treatment, strong computer skills, excellent written and verbal communication skills, and experience with auditing and quality assurance (QA) are highly preferred.
Remote Hospice Triage RN PT Weekend Only 7:30a-6p CST IntellaTriage, Inc.Remote Hospice Triage RN PT Weekend Only 7:30a-6p CSTSt. Louis, MORemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTSt. Louis, MORemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT Weekend Only 7:30A-6P CST IntellaTriageRemote Hospice Triage RN PT Weekend Only 7:30A-6P CSTSt. Louis, MORemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT 3:30P-11P + Rotating Sat & Sun 3:30P-11P CST IntellaTriageRemote Hospice Triage RN PT 3:30P-11P + Rotating Sat & Sun 3:30P-11P CSTSt. Louis, MORemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
RN Case Manager - Behavioral Health (Remote) GuidehealthRN Case Manager - Behavioral Health (Remote)St. Louis, MORemoteDriven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care system as a collaborative health partner in their health care team.
RN Clinical Documentation Integrity Specialist TalentBurst, Inc.RN Clinical Documentation Integrity SpecialistSaint Louis, ILRemote$40–$45 / hourBacked by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth.
HEDIS RN Actalent IncHEDIS RNSaint Louis, MORemote$32–$40 / hourThe HEDIS Registered Nurse (RN) plays a key role in quality improvement by performing comprehensive medical record reviews, abstracting clinical data, and validating documentation for HEDIS (Healthcare Effectiveness Data and Information Set) measures. The position operates within a collaborative team environment that is focused on improving healthcare quality and member outcomes, leveraging electronic medical record systems and common office productivity tools to support accurate data collection and reporting.
Manager, Care Management Humana IncManager, Care ManagementBelleville, ILRemote$86,300–$118,700 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care management support professionals responsible for the care management of Medicaid members in Humana''s Illinois market.