Part Time Remote Utilization Review Nurse Jobs in Wisconsin

We're unique. You should be, too.

We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.

The Advanced Practice Provider (APP), Telehealth, PRN is responsible for diagnostic patient care primarily through virtual, remote consultation via video conference or telephone. Providing on-call coverage, the incumbent in this role serves as the dispositional authority for after-hours and weekend clinical calls. He/She is accountable for assessing, diagnosing, treating and precisely documenting geriatric patients' physical and psychosocial health status through the collection of health data.
Required to work 4 hours per week on the weekend and then to pick up a minimum of 24 hours per month total on the weekend each month to maintain per diem status.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Through virtual video conference or telephone, assesses acute and non-acute clinical problems. Performs and documents physical evaluations and patient histories, analyzes trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of a plan of care that may include health education, physician referrals, case management referrals and patient/family counseling.
• Evaluates need for immediate nursing intervention, consultation and/or referral and facilitates the necessary patient care.
• Works on an as-needed basis, including nights, weekends and holidays with required 24 hours per month minimum.
• Expected to pick up shifts to cover PTO, LOA and other unexpected absences, with some shifts being planned in advance and others requiring minimal notice.
• Plans patient care based on knowledge of the patient population and/or protocol. Considers the patient's cultural background, level of understanding, personality and support systems to anticipate and identify physiological and/or psychological problems. Serves as patient advocate.
• Collects comprehensive and focused data relating to the health needs of patients and families. Analyzes data to determine appropriate health maintenance and/or improvement methods.
• Confers with the patient's PCP and other medical providers to report health data and ensure compliance with guidelines.
• Consults with patients and/or family members on health outcomes and works with them to maintain positive health habits and/or improve opportunities.
• Leads efforts to ensure achievement of optimal patient outcomes through use of Telemedicine. Collaborates with on-call PCP, as needed, to support expected clinical outcomes. Implements the appropriate protocol to attain expected outcomes. Evaluate progress toward expected outcomes.
• Documents assessments, interventions and progress toward outcomes in an easy-to-understand and translate format.
• Works with key contributors to enhance the quality of telehealth practices and systems through the utilization of data demonstrating program effectiveness and success.
• Communicates using a variety of formats, tools and technologies to build professional relationships and deliver care across the continuum.
• Utilizes appropriate resources to plan and provide services that are safe, effective and financially responsible.
• Provides extraordinary customer service and professionalism to all internal and external customers.
• May also participate in clinical rounds and conferences, risk and quality management programs, clinical and other relevant meetings.
• Adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, policies, and procedures. Practices in accordance with a written or electronic practice agreement.
• Performs other duties as assigned and modified at manager's discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

• Expert-level business acuity
• Expert knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods
• Knowledge and understanding of medical practices to function independently as a certified practitioner and in collaboration and consultation with licensed physicians, specialists and other medical providers
• Demonstrated record of consistently achieving clinical performance metrics
• Technical capability to conduct telemedicine visits in accordance with state and federal regulations
• Ability to demonstrate excellent clinical judgement
• Ability to problem solve
• Ability to prioritize and work under pressure
• Ability to provide constructive feedback
• Ability to communicate and collaborate with physicians, patients and other team members in a professional manner
• Ability to operate effectively with a multidisciplinary team
• Ability and willingness to travel locally, within south Florida to attend meetings and trainings up to 10% of the time. Depending on the assigned schedule required availability to work evenings/overnights and/or weekends.
• Minimum requirement to work three holidays in the calendar year.
• Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in keyboarding and other systems required for the position
• Spoken and written fluency in English; bilingual (Spanish/Creole) a plus
• This job requires use and exercise of independent judgment
• Acquires knowledge and skills to maintain expertise in area of practice.

EDUCATION AND EXPERIENCE CRITERIA:

• Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required.
• Valid, active Registered Nurse license required
• Board certification by AANP or ANCC required
• Basic Life Support (BLS) certification from the American Heart Association or American Red Cross requiredw/in first 90 days of employment
• Current DEA number from the DEA for schedule II-V controlled substances may be required based on State of practice
• Multi state licensure to include FL and at least 2 licenses in the following states: VA, GA, KS, MI, MO, NC, OH, PA, SC, TN, TX, IL, KY, LA.
• A minimum of 3 years' acute/primary care/ urgent care clinical work experience required; with experience treating geriatric patients highly preferred.
• A minimum of 2 years' telehealth work experience preferred

PAY RANGE:

$53.4 - $76.33 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Remote