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Remote Cortex Rn Jobs in Bethlehem, PA (NOW HIRING)

DataAnnotation

Registered Nurse - AI Trainer

Allentown, PA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN - AI Trainer

Allentown, PA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

All JobsRemote Cortex Rn JobsRemote Cortex Rn Jobs in Bethlehem, PA

Remote Cortex Rn information

What are the key skills and qualifications needed to thrive as a Remote Cortex RN, and why are they important?

To thrive as a Remote Cortex RN, you need a valid RN license, strong clinical judgment, and proficiency in remote patient monitoring and telehealth practices. Familiarity with telemedicine platforms, electronic health records (EHRs), and secure communication systems is crucial. Exceptional communication, critical thinking, and the ability to work independently are important soft skills in this role. These competencies ensure effective remote care, patient safety, and smooth collaboration with healthcare teams despite the physical distance.

What are some common challenges Remote Cortex RNs face while providing patient care from a distance?

Remote Cortex RNs often navigate challenges such as building trust with patients without face-to-face interaction, ensuring clear communication through digital platforms, and adapting clinical assessments to virtual formats. They must stay organized and proactive in following up on patient needs, as well as collaborate closely with physicians and interdisciplinary teams remotely. Staying updated on telehealth best practices and technology can help overcome these hurdles and ensure high-quality patient care.

What is the difference between Remote Cortex Rn vs Remote Medical Assistant?

AspectRemote Cortex RnRemote Medical Assistant
CredentialsRegistered Nurse (RN) licenseCertified Medical Assistant (CMA) or similar certification
Work EnvironmentTelehealth, hospitals, clinicsTelehealth, clinics, outpatient settings
Job ResponsibilitiesPatient assessments, care planning, medication managementScheduling, patient intake, basic clinical support
Industry UsageHealthcare, telemedicineHealthcare, outpatient services

Remote Cortex Rn and Remote Medical Assistant roles both operate in healthcare settings, often remotely, but RNs require licensure and handle clinical patient care, while Medical Assistants focus on administrative and basic clinical tasks. Understanding these differences helps job seekers find roles aligned with their credentials and career goals.

What is a Remote Cortex RN?

A Remote Cortex RN is a registered nurse who works remotely to monitor and manage patient data using the Cortex platform or similar remote patient monitoring technologies. These nurses assess patient information, provide virtual consultations, and coordinate care from a distance, allowing for continuous patient support without the need for in-person visits. This role requires strong clinical knowledge, technological proficiency, and excellent communication skills to ensure high-quality patient care in a virtual environment.
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Remote Cortex Rn jobs near you

Nurse Reviewer - Allentown, PA

Healthcare Quality Strategies, Inc.

Allentown, PA • Remote

$40/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 6 days ago

Job description

Nurse Reviewer
PT (20-30 hours week) – Remote Work Environment
Non-Exempt: $40.00 hour
Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity reviews and policy reviews for Medicaid claims. This involves meticulous examination of claims and medical records to ensure compliance with established guidelines and regulations. The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews must be completed timely.
Essential Duties and Responsibilities:
  • Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies
  • Manage end-to-end case screening processes, ensuring all activities are completed within established deadlines
  • Document evidence-based criteria applicable to specific contract requirements
  • Record and report screening results, including relevant referral questions, into a centralized database
  • Evaluate medical claims against industry standards, utilizing research of relevant ICD-10, CPT, and HCPCS codes to determine medical necessity
  • Maintain expert knowledge of evolving multi-state Medicaid policies and vendor expectations
  • Participate in ongoing training and consistently meet or exceed productivity and quality assurance standards
Knowledge, Experience, Skills and Education:
  • Medical terminology, ICD-10, CPT and HCPCS
  • Clinical criteria (InterQual and MCG)
  • Utilization/Medical record review and chart abstraction
  • Current standards of medical practice
  • Comply with HIPAA/HITECH laws and regulations
Experience in:
  • At least three- five years performing medical record review and/or abstraction (Utilization Review experience preferred)
  • Experience performing medical record review, audit for federal or state contracts
  • Knowledge and experience of Medicare and Medicaid policy
  • Proficiency with Microsoft Office (Word, Excel, and Outlook)
  • Proficiency with Adobe PDF files and features
  • Generating accurate, timely, and understandable correspondence
  • Current experience (within the last 3 years) in the application of clinical screening criteria (InterQual and MCG)
Skills Requirements include:
  • Professional interpersonal skills; ability to interact with providers, physicians and peers
  • Solid analytical, assessment and documentation skills
  • Effective written and verbal communication, both internally and externally
  • Strong attention to detail
  • Strong attention to deadlines
  • Organizational skills including effective time management, priority setting and process improvement
  • Ability to work independently and as a member of a team
  • Adapt to changing work situations and readily adjusts schedules, tasks and priorities when necessary to meet business fluctuations
Educational Background:
  • BSN with active RN licensure in good standing
Physical Demands:
Remote Work, Prolonged Sitting, Screen Exposure
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Healthcare Quality Strategies, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This position qualifies for the following Company benefits: Medical/Dental/Vision, FSA and HSA, group life/AD amp;D, voluntary life/AD amp;D, 401k
For immediate consideration, please apply via the HQSI Careers Page at: www.hqsi.org gt; Careers gt; Current Employment Opportunities
EOE: Minorities/Females/Disabled/Veterans
Healthcare Quality Strategies, Inc. is Equal Opportunity, Affirmative Action Employer and an Alcohol/Drug Free Workplace
Healthcare Quality Strategies, Inc. is an E-Verify Employer

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