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Remote Contract Rn Jobs in Elk Grove, CA (NOW HIRING)

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Remote Contract Rn information

What is a remote contract RN?

Remote Contract Registered Nurses (RNs) are licensed nursing professionals who provide healthcare services remotely, often via telehealth platforms. They work on a contract basis, which means they are hired for a specific period or project rather than as permanent employees. Their duties can include patient consultations, triage, care coordination, and health education, all performed virtually or over the phone. This role offers flexibility but requires strong communication and technical skills to deliver quality care from a distance.

What is the difference between Remote Contract Rn vs Remote Contract Lpn?

AspectRemote Contract RnRemote Contract Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentPrimarily telehealth, patient assessments, care planningTelehealth support, basic patient care, documentation
Employer & Industry UsageHospitals, clinics, telehealth companiesHome health agencies, telehealth services
Common Search & ComparisonOften compared for scope of practice and responsibilitiesCompared for level of training and job duties

Remote Contract Rn and Remote Contract Lpn roles both involve telehealth services but differ mainly in required credentials and scope of practice. RNs typically handle more complex patient assessments and care planning, while LPNs focus on basic patient support and documentation. Understanding these differences helps job seekers find roles aligned with their qualifications and career goals.

How does a remote contract RN typically collaborate with on-site healthcare teams and physicians?

As a Remote Contract RN, collaboration with on-site teams is essential and usually accomplished through secure telehealth platforms, virtual meetings, and regular electronic communications. You may coordinate patient care plans, provide updates, and clarify orders directly with physicians and other healthcare staff. Strong communication skills and proficiency with digital health record systems are crucial for ensuring seamless teamwork and optimal patient outcomes. Remote RNs often attend virtual shift handovers and participate in multidisciplinary team discussions to stay aligned with overall patient care strategies.

What are the key skills and qualifications needed to thrive as a remote contract RN?

To thrive as a Remote Contract RN, you need an active RN license, strong clinical judgment, and experience in case management or telehealth nursing. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication systems is typically required. Excellent time management, independent decision-making, and clear virtual communication are vital soft skills for success in a remote setting. These skills ensure effective patient care, regulatory compliance, and seamless collaboration without direct supervision.
What are the most commonly searched types of Remote Rn jobs in Elk Grove, CA? The most popular types of Remote Rn jobs in Elk Grove, CA are:
What are popular job titles related to Remote Contract Rn jobs in Elk Grove, CA? For Remote Contract Rn jobs in Elk Grove, CA, the most frequently searched job titles are:
What job categories do people searching Remote Contract Rn jobs in Elk Grove, CA look for? The top searched job categories for Remote Contract Rn jobs in Elk Grove, CA are:
What cities near Elk Grove, CA are hiring for Remote Contract Rn jobs? Cities near Elk Grove, CA with the most Remote Contract Rn job openings:
Remote Contract Rn jobs near you

Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88

Hill Physicians Medical Group

Sacramento, CA • On-site, Remote

$100K - $123K/yr

Full-time

Posted 17 days ago

Job description

We're delighted you're considering joining us!
At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
Join Our Team!
Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the "Best Places to Work in the Bay Area" and have been recognized as one of the "Healthiest Places to Work in the Bay Area." When you join our team, you're making a great choice for your professional career and your personal satisfaction.
DE&I Statement:
At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.
We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!
Job Description:
The Authorization Nurse is responsible for the evaluation of medical appropriateness and necessity for a variety of services using contracts, medical policies, and evidence-based clinical guidelines while also ensuring benefit and eligibility requirements are met. They work with physician reviewers and providers to meet the health care needs of members so that they can receive efficient and timely medical care.
Job Responsibilities:
  • Review and process urgent and non-urgent authorization requests (received via phone, fax and electronic submission) for medical necessity (according to established criteria) and authorize, pend or modify as appropriate.
  • Process authorization requests (routine, urgent and retrospective) according to regulatory requirements.
  • Utilize a variety of medical necessity, contractual and benefit criteria to determine appropriate authorization decisions. Criteria may include MCG, Hill Guidelines, Health Plan Criteria, Health Plan and Hill Physician contracted provider data and member benefit information.
  • Obtain additional medical information as necessary from requesting provider.
  • Communicate with providers and members regarding status of authorization requests.
  • Assist interdepartmental staff members to resolve issues relating to the authorization process.
  • Refer information regarding members to other departments as appropriate for follow-up (i.e., Case Management, Health Education, TPL, COB).
  • Ensure quality authorization processing while meeting individual and team productivity standards.
  • Clearly and succinctly document necessary and/or required information in Epic Tapestry system.
  • Utilize critical thinking skills to identify process issues and problems and recommend and/or implement solutions.
  • Prepare and present cases to physician reviewers/UM Medical Director in a concise, objective and organized manner.
  • Collaborate with physician reviewers, Utilization Management Medical Director and other designated physician leaders on making clinical decisions.
  • Participate in on-call or alternate work hour programs as needed to meet regulatory compliance requirements.
  • Perform other duties as assigned by supervisor/manager.

Skills and Experience Required:
  • Active, unrestricted California Licensure: Registered (RN) or Licensed Vocational Nurse (LVN).
  • Bachelor's degree in nursing strongly preferred
  • Minimum 3 or more years pertinent experience in Managed Care Utilization Management
  • Experience with medical decision supports tools such as MCG.
  • Previous experience with Epic Tapestry platform preferred but not required.
  • Knowledge of ICD-10 and CPT coding.
  • Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)
  • Excellent verbal and written communication skills.
  • Ability to work effectively with a variety of customers including physicians, office staff, and members.
  • Demonstrated organization and time management skills with the ability to prioritize workload and meet expected and unexpected time frames.
  • Strong analytical and critical thinking skills.
  • Ability to take action in solving problems exhibiting sound judgement.
  • Demonstrated comfort with ambiguity and change.
  • Ability to work independently with self-initiative and discipline.
  • Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
  • Detail-oriented -- would rather focus on the details of work than the bigger picture
  • High stress tolerance -- thrives in a high-pressure environment
  • Demonstrated critical thinking and inquisitiveness in reviewing UM cases for appropriate global review and decision-making.

Additional Information:
Salary: $100,000 - $123,000 Annual
Location: Hybrid (Sacramento or San Ramon) - Remote Considered
Hill Physicians is an Equal Opportunity Employer

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